Measuring Progress Toward Accountable Care Aurora Health Care Readiness to Implementation Patrick Falvey, PhD Executive Vice President/ Chief Integration Officer Aurora Health Care Milwaukee, Wisconsin The Commonwealth Fund Webinar March 14, 2013

Aurora at a Glance Private, not-for-profit integrated health care provider 31 counties, 90 communities 15 hospitals 172 clinics sites More than 1,500 employed physicians Largest homecare organization in the state More than 70 retail pharmacies 30,000 caregivers 94,000 inpatient discharges 2 million outpatient visits 4.1 million ambulatory care visits Revenues greater than $4.2 billion Private, not-for-profit integrated health care provider 31 counties, 90 communities 15 hospitals 172 clinics sites More than 1,500 employed physicians Largest homecare organization in the state More than 70 retail pharmacies 30,000 caregivers 94,000 inpatient discharges 2 million outpatient visits 4.1 million ambulatory care visits Revenues greater than $4.2 billion

3# Focused Populations Aurora Caregivers and Beneficiaries 50,000 Lives 15 years of better-than-market performance Top-tier quality performance Shared Savings ACO CMS Model 1 Demonstration About 10,000 Beneficiaries Improved Quality and Efficiency Medicaid Program Medicaid OB pilot Aurora Accountable Care Network Commercial market ACO Partnership with Aetna Partnership with Anthem Care Redesign Pilots Behavioral Health Orthopedics Nursing Home Kenosha ACO

Transforming Towards Accountable Care Patient-centered continuum of care Communication & EHR Legal Measurement Population benefits & data management Payerpartnerships Healthhome Publicpolicy Network Interconnectivity Operational Efficiency Patient/Family engagement Clinical knowledge management Risk Assessment minimization Patient Populations Patient Populations

Factors That Differentiate Organizations with High ACO Readiness 1.Full or partial ownership of a health plan with population health management capabilities 2.Existing collaboration with other health systems in the community 3.Existing risk-based contracts with payers including bundled payments 4.A sophisticated EHR and HIE implementation strategy across the continuum of care 5.Clinical integration across the continuum of care 6.Patient-centered medical home with employed or community providers 7.Positive relationships with primary care and specialty care providers in the market 8.Active governance structures that include physician leadership (e.g. PHOs)

Positive Physician Relationships 1.Accountable Care/Care Redesign Medical Group Leadership 2.Care Redesign Around Primary Care, Clinical Integration, Smart Chart, Clinical Programs, and Redesign Pilots 3.Patient-Centered Medical Home 4.Physician Compensation Collaborative

Factors Likely to Become Differentiators in More Mature Models 1.Active governance structures that include physician leadership (e.g. PHOs) 2.An EHR and HIE implementation strategy across the continuum of care 3.Physician leadership development programs or culture barriers 4.Payers that are initiating innovative risk-based relationships

Organizational Relationships 1.Smart Chart Implementation to Transformation 2.ACO Governance 3.Administrators and Physician Leadership Development 4.Medical Group Leadership Council 5.Payer–Provider Role Definition

Population Health Analytics 1.Quality and Efficiency Metrics 2.RegistriesLeverage EHR 3.Clinical and Financial Analytics 4.Patient Risk Models, ETGs

Moving Forward 1.Accountable Care Infrastructure 2.Care Redesign Tactics 3.Network Development 4.Payer Partnership 5.Analytics