1. Applications of IndiGO to ACOs David M Eddy MD PhD Founder and Chief Medical Officer Emeritus Archimedes San Francisco, CA
... a KAISER PERMANENTE Innovation

2. “Individualized Guidelines” IndiGO
Quality and cost of healthcare are largely determined by guidelines
Current guidelines are clunky
IndiGO Spans multiple conditions, risk factors, treatments to create a single “integrated guideline”

4. Uses of IndiGO for ACOs Individual patient-physician decision making
Improves patient adherence
Improves outcomes
Reduces hospitalizations and costs
Prioritize outreach programs
A personal health score
A population-level health score

5. CVD Benefit

6. Prioritize outreach programs A ranked list of patients

7. Better prioritization increases value
In the ARIC population
Compared to current national guidelines, treating BP and cholesterol in order of CVD benefit
Delivered same benefit as current guidelines, at 67% lower cost
Or delivered 43% more benefit at same cost

8. Uses of IndiGO for ACOs Individual patient-physician decision making
During a patient visit
Direct patient access
Prioritize outreach programs
A personal health score: “GO Score”
A population-level health GO score

9. Potential Benefit
Current Benefit
Patient’s GO Score = current benefit/potential benefit = 30%

10. Potential Benefit
New Benefit
Patient’s new Score = new benefit/potential benefit = 83%

11. Uses of Health GO Scores
Measure of patient’s current risk and potential benefit
Create incentives for patients and physicians
Add up individual scores to get scores for groups of patients
Physician’s panel
Health system, ACO
Geographical region
Special patient populations (e.g. elderly, diabetes)
Measure, compare, and monitor quality
Being evaluated by NCQA