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Value-Based Care Is Here:Are You IT Ready?

Randy L. ThomasOctober 5, 2017

2© 2017 Encore, An emids Company. No unauthorized copying or distribution permitted.

Randy L. Thomas

• 30+ years experience in healthcare information technology

• Responsible for Encore’s data, analytics, and population health related services

Managing Director, Advisory Solutions

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Agenda

Health system VBC competencies

IT framework to support VBC

Key IT-enablement processes

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The Health System VBC Competencies

Develop Networks

Measure Performance

Improve

HIT

Manage Care

Contract • Recruit • Retain

Stratify • Assess • Coordinate

Quality • Cost • Outcomes • Best Practices

Standards • Workflow • Training • Communication

CEHRT • HIE • Portal • Analytics • QCDRs

Care Management

OP

ERA

TIO

NA

L B

UIL

DIN

G B

LOC

KS

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Supporting Care Coordination

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EHR vendor-agnostic capabilities

IT Framework to Support VBC

HIE

Patient Portal

One portal, multiple health systems and providers

Care Management

Stratifying, assessing, coordinating care

Data, Measurement & Analytics

Aggregating reliable data from multiple stakeholders

Other physicians

Affiliated physicians

Specialty providers

Post-acute

Sources

EHR

EHR

EHR

EHR

Payers

Reference Labs

Remote monitoring

Retail Rx

Retail Clinics

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Other physicians

Affiliated physicians

Specialty providers

Post-acute

EHR

EHR

EHR

EHR

Payers

Reference Labs

Remote monitoring

Retail Rx

Retail Clinics

Data, Measurement, and Analytics

Display

ToolsData

Insights to drive improvement

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Care ManagementIT-enabling Complex Work Flows

Patient

Automated surveillance

Robust data model

Dynamic assessment

Best practice

workflows

Personalcareplans

Interdisciplinary care team

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Engaging PatientsOne Portal

Hospital Specialist

Primary Care

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Assessing Current StatePlanning for the Future

Care Management Analytics

EHR Interoperability

Enab

ling

Fou

nd

atio

nal

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Key Processes

Data Governance

Self-Service

Requests

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Data Governance Model

Executive Council

Workgroups

Multiple Groups:Subject or Application Focus

Multiple Groups:Subject or Application Focus

Tools Dev priorities Data stewards Data custodians

TECHNOLOGY DATA

AU

THO

RIT

Y

AW

AR

ENES

S

Liaison

Strategic Committee

Liaison

Liaison

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Data Governance in PracticeD

ata

Go

vern

ance

Dat

a P

roce

sse

s

Dat

a U

sage

Prioritizes data for at-risk contract metrics

Recommends priorities for

data remediation

Information architecture

Data profiling

Master data management

Appropriate use Analytics

Reporting

Measurement

ETL

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Centralized Request / Triage

Wo

rk a

ssig

ne

d

Finance

EHR

External

Claims

EHR

Other

Stan

dar

d T

oo

ls

Common Repository

Eval

uat

e /

Pri

ori

tize

Nursing

Dept. Directors/Mgrs

Physicians

Executives

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Tiered Self-Service

Reports “pushed” to user

Pre-defined reports

Dashboard access

Casual user

Reports with templates

Analytics with templates

All casual-user functionsMid-level user

Direct access to data using native version of reporting tool

Ad-hoc query development

All casual and mid-level user functions

Super user

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KEEP CALM

BECAUSE IT’S

JUST THE BEGINNING

17© 2017 Encore, An emids Company. No unauthorized copying or distribution permitted.© 2017 Encore, An emids Company. No unauthorized copying or distribution permitted.

Thank You!