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Dan Rubin & Patrick YoderCo-Founders, LogicStream Health, Inc.

Prevention Through Advanced

Clinical Decision Support (CDS)

@Logic_StreamLogicStream Health, Inc.

2 February 13, 2015

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Presenters

LogicStream Health

Dan Rubin, MD, MHI

Co-founder

LogicStream CMO

Board-Certified Pediatrician

Self-taught programmer

Patrick Yoder, PharmD

Co-founder

LogicStream CEO

Clinical Pharmacy Specialist

Informaticist

3 February 13, 2015

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LogicStream Health, Inc.

Health System Strategy

Improve Healthcare Outcomes

Increase Patient/Provider Satisfaction

Save Money & Reduce Revenue Risks

4 February 13, 2015

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The Problem with Healthcare Today

Massive spending not equaling improved outcomes

5 February 13, 2015

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United States vs. Mexico

Costs of care and life expectancy explored

6 February 13, 2015

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Payment Reform

Improving US healthcare

7 February 13, 2015

-Sylvia Burwell, U.S. Secretary of Health and Human

Services, New England Journal of Medicine, January 26,

2015

“Our goal is to have 85% of all

Medicare fee-for-service

payments tied to quality or value

by 2016, and 90% by 2018."

--CMS annual spending in 2013 = $1.1 Trillion--

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A significant shift

Quality-based reimbursement

8 February 13, 2015

Health Systems need to reduce unnecessary variation in care to prepare for quality-based reimbursement

Reimbursement for Quality and Value

Reimbursement for Volume and Quantity

Current State Future State

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Unnecessary Care Variation

The Current Environment

9 February 13, 2015

Icon by carlotta zampini

from The Noun Project

• No CDS protocol

• VTE prevention

not ordered

• Patient dies

• CDS protocol prompted

provider

• VTE prevention ordered

• Patient discharged

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Practice-based Clinical Protocols

The Future

10 February 13, 2015

Icon by carlotta zampini

from The Noun Project

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Adjust

DesignImplement

Evaluate

The Learning Health System - Envisioned

The Problem

11 February 13, 2015

Disseminate

Solutions determined and shared

EXTERNALINTERNAL

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Care Standardization through CDS

Delivering positive outcomes

12 February 13, 2015

Patient

Population

Positive

Outcome

(blood clot

prevented)

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Care Protocol

Quality Improvement

13 February 13, 2015

Population Health

Care Outcomes

Alerting Systems

Order Set Content

Quality Improvement

Solutions

Nursing Documentation

Physician Documentation

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Population Comparison

Comparison of those with CDS protocol versus those without

14 February 13, 2015

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Blood Clot Protocol and Processes

An Overview

2616 Baseline

Care

2075 with CDS

Protocol

February 13, 201515

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LogicStream Health, Inc.

LogicStream Results

Improve Healthcare Outcomes

40 LIVES Saved

Increase Patient/Provider Satisfaction

563 Complications Eliminated

Save Money & Reduce Revenue Risks

$6.9 Million/year Saved

16 February 13, 2015

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Solutions for Multiple Conditions

Applied on a large scale

17 February 13, 2015

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Adjust

DesignImplement

Evaluate

The Learning Health System – A Reality

Solving the Problem

18 February 13, 2015

Disseminate

Solutions determined and shared

EXTERNALINTERNAL

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Practice-based Clinical Protocols

The Future

19 February 13, 2015

19Icon by carlotta zampini

from The Noun Project

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QUESTIONS?

20 February 13, 2015