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How to Wire and Scale Primary Care InnovationAn Innovation Preconference Symposium Session

Session INV2, February 19, 2017

Sandeep Acharya, VP of Strategy and New Business, One Medical

Edwin Miller, Chief Technology Officer, Aledade

Christopher Sharp, MD, Chief Medical Informatics Officer, Stanford Health Care

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Sandeep R. Acharya

VP of Strategy and New Business

One Medical

SAN FRANCISCO, CA

@onemedical

Christopher Sharp, MD

Chief Medical Informatics Officer

Stanford Health Care

PALO ALTO, CA

@tophersharp

Santosh Mohan, MMCi FHIMSS

Health Care IT Industry Analyst

Chairperson:

HIMSS Innovation Committee

@santoshSmohan

Edwin Miller, MBA

Chief Technology Officer

Aledade

BETHESDA, MD

@EdwinMillerHCIT

Today’s Moderator and Panelists

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Sandeep Acharya

Has no real or apparent conflicts of interest to report.

Edwin Miller, MBA

Has no real or apparent conflicts of interest to report.

Christopher Sharp, MD

Has no real or apparent conflicts of interest to report.

Santosh Mohan, MMCi CPHIMS FHIMSS

Has no real or apparent conflicts of interest to report.

Conflict of Interest

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• Review new and established technologies reinventing primary care models

• Demonstrate how to build sustainable models that meet consumer demands,

and simultaneously support the transition to risk

• Discuss IT-enabled tactics to facilitate team-based care, scale resources

across the network, use virtual channels to manage populations over time, and

engage patients beyond the clinic

• Identify strategies to generate clinical and financial returns from cost-effective

care management

Learning Objectives

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Panel Introductions1

Overview:

New, IT-Enabled Primary Care Models2

Discussion:

How to Wire and Scale Primary Care Innovation3

Agenda

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Overview: One Medical

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One Medical’s Primary Care Model

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Benefits Realized for the Value of Health IT

Satisfaction• 75-90% Net Promoter Scores

• CAHPS scores in mid-90s

Treatment

/Clinical• 90%th percentile HEDIS Scores across

Electronic

Secure Data

• Vetted and ultimately passed test with

several Fortune 500 clients

Patient

Engagement• >1 virtual touch per patient annually

Savings• 5-10% savings demonstrated in

payer studies

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Overview: Aledade

• Founded June 2014

• Farzad Mostashari, MD – CEO

• Mat Kendall – EVP Provider Networks

• Edwin Miller – CTO

• 15 primary-care ACOs in 24 markets

• ~200k patients

• ~1,000 providers

• ~2.5B spend under management

• MSSP and Commercial contracts

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Aledade’s Primary Care Model

• Goal: PCP transition to risk-based models while staying independent

• Contracting and regulatory/policy expertise

• Regional governance

• Evidence based playbook

• In-practice transformation teams and coaching

• Population health platform

Contracting

at ScaleProven

Field

Operation

s

Cloud-Based

Population Health

Software

11Confidential and Proprietary

End of Life Palliative Care

High Risk patientsCase Management

HospitalizationsTransitional Care Mgmt

Chronic Conditions Medication ManagementReferral Management

Healthy & HomeAccess

WellnessImmunization

Screening

Attribution & Risk Initiative

Referral

Management

Initiative

High Risk Initiative

Transitions of Care Initiative

Aledade’s Primary Care Model

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Benefits Realized for the Value of Health IT

Satisfaction• 50%-100% Practice NPS

• CAHPS 2015 85-95th percentile

Treatment

/Clinical

• 14% YOY improvement in quality scores

• Aledade ACOs at 92nd and 94th percentile (GPRO)

• ~10% avg decreased hospital util

• ~5% avg decreased ED util

• ~10-12% reduced readmissions

Electronic

Secure Data

• Secure cloud infrastructure – claims, CCDA, SIU, ADT

• 49 EHRs across ~225 practices

• 9 HIEs

• ~175 point to point interfaces

Patient

Engagement

• Tripled wellness visits using prioritized worklists and patient

outreach coaching

• Tripled care transition visits based on realtime ADT feeds

Savings• Significantly decreased utilization but overall savings were

small in our freshman year. Shift of revenue to PCPs.

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Overview: Stanford Health Care

Primary Care Network

3000 Square Miles

~350 Providers

70 Clinical Offices

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Stanford Health Care’s Primary Care 2.0

Primary Care 2.0 Transformation: From Transactional to Team-based Care

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Stanford Health Care’s Primary Care 2.0

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Benefits Realized for the Value of Health IT

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Introductions1

Overview:

Examples of New, IT-Enabled Primary Care Models2

Discussion:

How to Wire and Scale Primary Care Innovation3

Agenda

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Sandeep Acharya

VP of Strategy and New Business

One Medical Group

@onemedical

LinkedIn.com/in/sandeep-acharya

sacharya@onemedical.com

Christopher Sharp, MD

Chief Medical Informatics Officer

Stanford Health Care

@tophersharp

LinkedIn.com/in/csharp

csharp@stanfordhealthcare.org

Santosh Mohan, MMCi FHIMSS

Health Care IT Industry Analyst

@santoshSmohan

LinkedIn.com/in/santoshmohan

santosh.mohan@fuqua.duke.edu

Edwin Miller, MBA

Chief Technology Officer

Aledade

@EdwinMillerHCIT

LinkedIn.com/in/edwin-miller

edwin@aledade.com

Q&A and Contact Information