1. #HASummit14 Session #32: How One ACO Is Using Analytics to Position Itself for Population Health Management and Shared Savings Pre-Session Poll Question On a scale of 1-5, how effectively is your organization positioned for population health and accountable care? 1)Not at all effective 2)Somewhat effective 3)Moderately effective 4)Very effective 5)Extremely effective 6)Unsure or not applicable James Dearing, DO Vice President and Chief Medical Officer, CEO Honor Health Network ACO

2. #HASummit14 About the Organization 2 Non-for-profit healthcare system, ACO Addressing accountable care and population health Five acute care hospitals, extensive outpatient care

3. #HASummit14 Industry Trends 3 Healthcare reform focuses on quality and slowing spending growth Accountable care organizations (ACOs) are emerging as a key way to tackle this challenge The CMS Medicare Shared Savings Program (MSSP) has been a driving force Today, there are a total of 744 ACOs with more than 405 of them participating in the MSSP program ACOs that achieve lower costs while achieving quality targets will receive shared savings payments

4. #HASummit14 The Problem Honor Health Network, a MSSP ACO, has a reputation for quality and physician collaboration Including an advanced Patient-Centered Medical Home (PCMH) Optimizing PMPM costs requires understanding care utilization and outlier behaviors Referral leakage, unnecessary tests, inappropriate use of specialists A robust analytics platform was critical to: Better manage the quality of patient care Manage utilization and costs Identify service gaps in the provider network Identify growth opportunities 4

5. #HASummit14 Our Approach and Results 5

6. #HASummit14 Solution Implemented a comprehensive ACO analytics platform in support of:  Data-driven cost and referral management  Granular cost analysis to facilitate physician engagement and collaboration 6

7. #HASummit14 The Analytic Infrastructure 7 Metadata: EDW Atlas security and auditing Common, linkable Vocabulary Financial Source Marts Administrative Source Marts Departmental Source Marts Patient Source Marts EMR Source Marts HR Source Mart Diabetes Etc. ACO Explorer FINANCIAL SOURCES ADMINISTRATIVE SOURCES EMR SOURCE DEPARTMENTAL SOURCES PATIENT SATISFACTION SOURCES PATIENT SATISFACTION SOURCES OPERATIONAL SOURCES

8. #HASummit14 The ACO Executive Dashboard 8

9. #HASummit14 Tracking Referral Leakage 9

10. #HASummit14 Poll Question #2 On a scale of 1-5, how effectively is your organization using healthcare analytics to support accountable care and population health? 1)Not at all effective 2)Somewhat effective 3)Moderately effective 4)Very effective 5)Extremely effective 6)Unsure or not applicable 10

11. #HASummit14 Results: EDW Platform 11 Implemented an EDW platform and ACO analytics to manage costs, referrals, and risks Integrated data from multiple disparate transactional source systems into a single source of truth Eliminated data timeliness and data quality concerns Significant reduction in lag time in attribution of patient care and costs to the responsible provider Improved ability to consume data in meaningful ways and to identify trends that affect quality and cost Improved ability to identify high-risk patients

12. #HASummit14 Results: Cultural Transformation 12 Drove cultural transformation through physician engagement and patient support services Active physician participation in data validation resulted in a sense of ownership for the data Physicians empowered by the transparency, robustness, and reliability of the data Helping leverage the data to achieve the best possible health for patients at sustainable costs Educational and engagement efforts are designed to ensure physicians play a meaningful role in the design and implementation of improvement programs

13. #HASummit14 Results: Physician Practices 13 More accurately assess physician practices With good data and cultural transformation, the ACO is building a value-based reimbursement environment Data informs physicians regarding high- cost procedures and tests which can be benchmarked against their necessity under evidence-based practices The data also helps physicians identify and manage high-risk patient populations

14. #HASummit14 Clinical Care Results Example 14 Most recent focus has been on the management of diabetes Specifically on management of the “diabetic trifecta”  LDL less than 100  BP less than 140/90  HgbA1C less than 8 Goal: Increase the percentage of patients in the diabetic population meeting all three criteria  Start: < 8% of diabetic population met all three criteria  Now: 20% of diabetic population met all three

15. #HASummit14 Next Steps 15 Continue to refine and improve existing analytics capabilities Continue to advance data- driven quality improvement Lower PMPM costs through reduction in clinical variation and adoption of best practice Strive to reduce referral leakage (improved contracting, address patient access issues, etc.) Better forecasting through the use of predictive analytics

16. #HASummit14 Lessons Learned 16 1.No one likes prior authorization – need good data to manage it more precisely 2.Good data is required to ask the right questions and focus on what is most important 3.It is important to have a strong and highly collaborative working relationship with your analytics vendor

17. #HASummit14 Analytic Insights A Questions & Answers 17

18. #HASummit14 Choose one thing… 18 Write down one thing will you do differently after hearing this presentation

19. #HASummit14 Thank You 19

20. #HASummit14 20 Session Feedback Survey 1.On a scale of 1-5, how satisfied were you overall with this session? 1)Not at all satisfied 2)Somewhat satisfied 3)Moderately satisfied 4)Very satisfied 5)Extremely satisfied 2.What feedback or suggestions do you have?

21. #HASummit14 Upcoming Speakers 3:20 PM – 4:10 PM 36) Building Creative and Innovative Organizations Ed Catmull, Co-Founder of Pixar, President of Pixar and Walt Disney Animation Studios 4:10 PM – 4:30 PM Final Polls and Summit Winners 4:30 PM – 5:00 PM 37)Closing Remarks Dan Burton, Chief Executive Officer, Health Catalyst 21 Location Grand Ballroom