The Impact of Accountable Care Organizations in Radiology Joe Camaratta General Manager Category Solutions & Marketing

Proven Strategies for Success Integrated care delivery based on EBM Coordinate and communicate care information/decisions across multiple care providers Prioritize coordination, improvements on high cost patients Reduce costs/increase efficiency throughout system Find ways to improve care, reduce errors Manage financial results with mixed reimbursement models

Developing & Implementing an ACO 9 job categories span the planning , implementing and operating jobs that a CXOs and Sr. Executives from healthcare organizations want to get done ACO Job Map Planning Jobs Implementation Jobs Operational Jobs 1) Develop an ACO strategy 2 ) Minimize financial risks of ACO strategy 3) Implement the ACO strategy 4) Create an accountable healthcare culture 5) Standardize the delivery of care 6) Enable information to aid in decision making 7) Coordinate the delivery of care 8) Encourage patients to participate in their health care 9) Track progress towards achieving the ACO’s goals

Most of the top 10 ranked opportunities are linked to the ACO strategy implementation jobs   Accountable Care Organization (ACO) Jobs *Imp % (Top 2 Box) *Sat % Opp (1-20) Unmet Need Rank Job Category Ensure data collected from multiple sources can be integrated together, i.e., formatted, standardized, processed, etc. 93% 7% 17.9 1 5 : Enable information to aid in decision making Track actual cost savings generated for each patient population 100% 23% 17.7 2 9 : Track progress towards achieving the ACO's goals Motivate patients to participate in the management of their care plan 10% 17.6 3 8 : Encourage patients to participate in their health care Define the appropriate payment terms when contracting with payers, i.e., for shared savings, performance metrics, incentives, etc. 97% 20% 17.4 4 2 : Minimize the financial risks of an ACO strategy Ensure all healthcare providers have access to the most up to date care plan information for a patient, i.e., assessments, interventions, short/long term goals, patient schedules, etc. 13% 17.3 5 7 : Coordinate the delivery of care Change physicians' behavior to align with the policies/procedures of the ACO 90% 17.0 6 4 : Create an accountable healthcare culture Eliminate the barriers that limit healthcare professionals from working as an integrated team, i.e., historical/current institutional culture, healthcare professional culture, data sharing, etc. 17% 16.9 7 Identify opportunities to improve the total cost of treating a patient population 8 3 : Implement the ACO strategy Define a shared savings disbursement methodology that aligns healthcare providers' incentives with ACO quality metrics goals 27% 16.7 9 1 : Develop an ACO strategy Encourage physicians to comply with the treatment options that align with the standards/goals set by of the ACO 10 *5-point scale

ACO’s & Imaging: A Multi-Year Journey Optimization Identify top priorities for ACO Demonstrate new uses of imaging to reduce costs Integrate to achieve “comprehensive diagnostics” Implementation Implement clinical decision support Ensure availability of images and information across ACO participants Provide on-going feedback Planning & Design Engage referring physicians Define appropriateness Establish utilization benchmarks Identify gap between “as is” & “best practice”