1. Jeffrey W. Rose Chief Executive Officer HealthAlliant
A Roadmap to Rendering Better Care Through the Implementation of Health Information Technology 27 June 2005
Jeffrey W. Rose
Chief Executive Officer
HealthAlliant

2. Agenda
Getting Started
Defining the Concept
Defining the Plan

3. Process for Getting Connected
Convening
Planning
Financing
Development
Operations

4. Creating the Business Plan
Financial Planning
Concept
Programs
Business
Model
Implementation
Plan
Budget
What is the concept (i.e. vision, mission, strategy, goals)
What will be done?
What is the expected benefit?
How much will it cost?
How will it be financed?
To whom does the benefit flow?

5. Creating the Business Model
Savings Model
Financing Model
Cost Model

6. Agenda
Getting Started
Defining the Concept
Defining the Plan

7. CareSpark Vision & Mission
To be a world-class, quality-driven, clinically integrated,
efficient health and wellness system
for the people of our region
Mission
To improve the health of people in Northeast Tennessee and Southwest Virginia through the collaborative use of health information
We have remained focus on our original goal: improving the health status. As we improve the care for individuals, then collectively we improve health statistics for the region.

8. CareSpark Values & Goals
Regional Cooperation
Community Accountability
Privacy
Integrity
Continuous Improvement
Inclusiveness
Stakeholder Parity
Goals
Improve clinical practice
Coordinate clinical care
Personalize care
Improve population health
Create an efficient health system
We have kept the long-range goals in mind, and worked to focus on those tactics that will help us measure and achieve our goals.

9. CareSpark Strategy
Execute a community-wide approach to healthcare delivery
using information technology extensively with aligned incentives.
Create
Coordinating
Entity
Improve
Quality
Of Care
Engage
Patients
In Healthy
Living

10. Agenda
Getting Started
Defining the Concept
Defining the Plan

11. Program Prioritization
Develop a logical, incremental sequencing of programs that ultimately delivers all of the desired functionality while producing early, modest wins.
“Keep it relatively modest and narrowly defined early on.”
“Just try something that works and demonstrates value.”

12. Program Alternatives (42)
Where
What
How
Location
Clinical
Financial
Social
Technology
Process
Improvement
Setting

13. Program Sequencing Criteria
Benefit
Financial Impact (Savings)
Clinical Impact
Cost (Ease of Execution)
Data Model Requirements
Work Flow Impact
Financing
Logic (i.e. building block)

14. 6 Ways to Create Value at Community Level
Medications
Preventive Medicine
Diagnostic Services
Treatment Services
Disease Management
Research

15. Setting (7)

16. Technology (14)

17. Social (1)

18. Financial (4)

19. Clinical (13)

20. What To Do (19)

21. Most Strategic (9)

22. Least Strategic (3)

23. Easiest (4)

24. Most Attractive (2)

25. A Program Sequencing Model
Harder to Do
Strategic
Impact
Near-Term
(1-3 Years)
Medium-Term
(2-5 years)
Long-Term
(5-10 years)
More
Medication Management
Preventive Medicine
Disease Management
Public Health Surveillance*
Uncompensated Care
Lifestyle
Evidence-based Medicine
Clinical Research
Less
Diagnostics Management
Eligibility Checking
Bio-terrorism Surveillance*
Claims Submission
Fraud & Abuse*
Defensive Medicine
Futile Care
Post-Market Surveillance*
Care Coordination
* Best done after database is created

26. “This is a noble idea with tremendous benefit
“This is a noble idea with tremendous benefit. The challenge will be doing it. It can be done, but it ain’t going to be easy.”

27. Jeffrey W. Rose Chief Executive Officer HealthAlliant
A Roadmap to Rendering Better Care Through the Implementation of Health Information Technology 27 June 2005
Jeffrey W. Rose
Chief Executive Officer
HealthAlliant