Allscripts A Snapshot of Collaboration and Innovation: Overview of Clinical Decision ... maguire -...

| Copyright © 2014 Allscripts Healthcare Solutions, Inc.A Connected Community of HealthCopyright © 2014 Allscripts Healthcare Solutions, Inc.

Allscripts

Executive Briefing

CONFIDENTIAL & PROPRIETARY Life Sciences


Health Information Technology

Where we were

Where we are

Where we are going

| Copyright © 2014 Allscripts Healthcare Solutions, Inc.A Connected Community of Health

It's an investment that will take the long overdue step of computerizing

America's medical records, to reduce the duplication and waste that costs

billions of healthcare dollars and medical errors that cost

thousands of lives each year

— President Barack Obama, February 17, 2009

American Recovery and Reinvestment Act of

2009 (ARRA) and the HITECH ACT

• $59B+ In Hospital and Provider Incentives for MU of EHRs

• Health Information Technology for Economic and Clinical

Health Act, abbreviated HITECH Act the HHS is spending ~$30

billion to promote and expand the adoption of HIT


Stage of MU by first payment year

First Payment

Year 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021

2011 1 1 1 2 2 3 3 TBD TBD TBD TBD

2012 1 1 2 2 3 3 TBD TBD TBD TBD

2013 1 1 2 2 3 3 TBD TBD TBD

2014 1 1 2 2 3 3 TBD TBD

2015 1 1 2 2 3 3 TBD

2016 1 1 2 2 3 3

2017 1 1 2 2 3

4


• Allscripts clients $1billion in MU so far

• KLAS score


Value-driven healthcare has begun

• Congress and the Administration are united on the need to

reshape our healthcare payment system

• Must reduce our outlay on fee for service expenditures that

reward quantity and not quality in healthcare delivery

• HITECH was first large Federal investment in widespread health

IT adoption

• Laid groundwork for or coincides with programs such as Patient Centered

Medical Home, Accountable Care Organizations, general move to

outcomes- or quality-based payment schemas

6


VBC

ID a target population and assess their risk

Attribute a provider to the patient(s)

Develop and share a care plan

Engage the patient & manage their status

Alert care team of status changes, and

coordinate updates to plan

Measure Outcomes

Why Value Based Care? Why Now?

Allscripts recognizes that the move to value based care is transforming the way providers practice,

both at the management level and directly at the point of care


Market Movement: We see two market movements

beginning to take hold as organizations look for ways to

break current

1

Rise of patient-centered population health

management• New generation of players redefine care delivery and patient experience around clinical

and financial outcomes

• Paving way for new population-based care models, ecosystems, businesses, and profit

models

• Creating demand for new data, analytics, and team-based solutions

2Rise of consumer powered health and markets• Consumers expectations bar is rising – new convenient, personalized, community-

based, simple and intuitive solutions help consumers engage in their health

• Value hungry adjacent players and capital markets see pure growth runway, fueling

innovation; incumbents get wake up call and start building bridges to consumer market

• New marketplaces are created to sell health products and reward healthy choices


How Far How Fast in Population Health?

We have seen an explosion of ACO activity, with strong

indications the growth will continue.

0

50

100

150

200

250

300

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2

Nu

mb

er

of

AC

Os

ACO Adoption by Organizing Entity630 Total ACOs

Notes:. An ACO is an Accountable Care Organization.

Source: Leavitt Partners, OW Market Scan and Analysis.

>140 ACOs In

Preparatory

Activity

+

Physician Led, 268

Hospital Led, 250

Insurer Led, 60

Other, 53

2011 2012 2013 2014


Payment Structures are Changing Quickly…

Between 50% and 70% of UnitedHealth's 26 million

commercially insured members could be covered by value-

based contracts by 2015

10

Sam Ho, the insurer's chief clinical

officer, says the plan "is not just an

exercise or a pilot," noting that it

"represents a significant change in the

architecture of our compensation

models for doctors and hospitals."

Nation’s Largest Private Insurer:


Our ‘Open’ strategy differentiates

us in the VBC market

11

“Clinical outcomes is the name of the game in

ACOs… this is an area where we believe Allscripts

holds a market lead.”

- The Advisory Board Company


Clinical Drivers


Clinical Drivers

• Chronic disease growth outpacing population growth

• From ↑ 2003-2023:

• 19% increase in population

• Stroke ↑29%

• Pulmonary ↑31%

• Hypertension ↑39%

• Heart disease ↑41%

• Diabetes ↑53%

• Cancer ↑62%

13


Interoperability: Critical for “Big Data”

"Interoperability is the way we can get information where it

needs to go in an effective fashion…How else could you

expect to take reams of fragmented data from disparate

systems and transform it into meaningful information used

to make clinical decisions? Short answer: you can't.”C. Martin Harris, CIO, Cleveland Clinic

Healthcare IT News, Nov. 3


Allscripts

EHR Landscape



ePrescribing Deployment

• Generally, ePrescribing deployment is defined by the

ability to manage: – Medication history

– Prescription benefit design/status

– Prescription transmission and response

• According to Surescripts, in 2014, 85% of office based

physicians are actively using e-Prescribing – 4% increase from 2012

• Additionally in 2013, more than 1.04 billion

prescriptions were e-prescribed, a 32% increase from

2012.

• 95% off all pharmacies have adopted ePrescribing– 98% of chains, 88% of independents


“The Flow”A 360 Degree view of the Prescription Process

Pharmacy

Prescription Process

eRx Data Entry

Process

The “Flow”

of EMR


Medscape 2014 EHR Report

Physicians Rate Top EHR


Leading EHR Market Share by Practice Size

19


Top Features Used in EHRs by HCPs

Patient educationmaterial

Coupons/productvouchers forpatients

Drug samples

Patient assistanceprograms

Source: Taking the Pulse U.S. 2014, Manhattan Research


EHR effect on physician practice



63%

39%

34%

32%

0% 20% 40% 60% 80%

Improves Documentation

Improves Collections

Improves Clinical Operations

Improves Patient Service

Respondents could chose more than one answer





Allscripts

Executive Briefing



23KREFERRALS MANAGED

THROUGH OUR SOLUTIONS

EACH DAY

PRESCRIBING

PHYSICIANS

100K

Our Connected Community

180,000PHYSICAN USERS

(US)

PHYSICIAN

PRACTICES

50,000

40,000CLINICIANS DELIVERING

IN-HOME CARE EVERY

DAY

1in4HOSPITALS

USE

ALLSCRIPTS

(US)

POST-ACUTE

FACILITIES

13,000


Connecting the Care Community

| Copyright © 2014 Allscripts Healthcare Solutions, Inc.A Connected Community of Health | Copyright © 2010 Allscripts Healthcare Solutions, Inc.A Connected Community of Health

HospitalsHositals

Physician Practices

Hospitals

Physician Practices

Post Acute Facilities & Agencies

Differentiation: The Largest Connected Community

5


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