1. Scaling Patient Engagement Todd Rowland MD Experienced Professional Focused on Health Care Re-Design and Informatics toddrowland@healthlinc.org www.healthlinc.org

2. Patient Engagement

3. 1% patients = 30% costs

4. Today’s workflows are counter- productive… to the provider-patient relationship… … and create unintended outcomes.

5. Closing Gaps in Care

6. HIE Value Progression – Meaningful Use, Medical Home and Payment Reform Basic HIE Stage 1 MU EHR Adoption (REC Services) Basic Electronic Messaging (Clinical Messaging, DIRECT) Community Portal Web-Based Results Delivery Value: Dramatic reduction in redundant paper, phone contacts; Greater efficiency Intermediate HIE Stage 2&3 MU & PCMH Development Structured Data Delivery to EHRs Results Delivery (Lab, Rad, ADT, etc.) Intelligent DIRECT Alerts (transitions) Curated Summary Record Exchange (CCD) Value: Necessary to achieve electronic workflows; Dramatic increase in efficiency Advanced HIE ACO & Payment Reform Readiness Data Warehouse & Analytics Disease Registry Quality Reporting Support Full Integration Services & Bidirectional Exchange Value: Dramatic improvements in quality and performance

7. Today’s Focus: Closing Gaps in Care Basic HIE Intermediate HIE DIRECT ED Alerts HIE connected PHRs Shared Care Plans Advanced HIE

8. Story: Care managers asking for alerts

9. Care Coordinators Dilemma

10. Request for ED Alerts = Last Mile HealthLINC HIE and Clinical Operations Shared Care Planning Employer Medical Home

11. Informed Customers Asking Good Questions Request for ED report Site visit Beacon Practice Technology Evaluation Live Primary Care Live Behavioral Health Care

12. Learning Network Cycle Continues

13. How Are We Helping Bob? How is Bob Helping Himself?

14. Closing Gaps in Care

15. Scaling Patient Engagement Todd Rowland MD Experienced Professional Focused on Health Care Re-Design and Informatics toddrowland@healthlinc.org www.healthlinc.org