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Introducing the New Care Management Suite: A Comprehensive, Data-Driven Approach

Because approximately 75 percent of U.S. healthcare costs are attributed to patients with chronic diseases, care management has emerged as a critical improvement strategy. Yet, fragmented workflows, incomplete data sources, and a lack of transparency into typical “black box” solutions leave care teams feeling frustrated and struggling to track success. These challenges are exacerbated in the dynamic, new normal of COVID-19.

Health Catalyst is pleased to introduce our new care management solution. Leveraging a transparent, data-informed approach, the Health Catalyst® Care Management Suite enables quick identification and response to the changing needs of patient populations.

In this webinar, we share the current state of the care management landscape and discuss trends from across the country that highlight risk model biases, the impacts of COVID-19, and the importance of evaluating program ROI. Our Care Management Suite has the capabilities and flexibility to adjust to the ever-changing health environment by identifying the most impactable patients, supporting the entire clinical care pathway, and optimizing program ROI and profitability.

During this webinar, we discuss how our solution does the following:

-Provides a rich, more comprehensive data set—including the ability to look across a wide variety of data sources combining clinical and claims data.

-Offers a patient-centric view—optimized for care management workflows.

-Supports a wide range of analytic capabilities—algorithm transparency and flexibility enabling users to confidently explain, demonstrate, and continuously optimize care management processes.

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Introducing the New Care Management Suite: A Comprehensive, Data-Driven Approach

  1. 1. Introducing the New Care Management Suite: A Comprehensive, Data-Driven Approach Amy Flaster, MD, MBA Senior Vice President, Population Health Management and Care Management, Health Catalyst Darian Allen Senior Vice President, Product Development, Health Catalyst
  2. 2. Introduction
  3. 3. • Welcome and Introductions • Care Management Landscape • Overview of Care Management Suite • Demonstration • Questions and Answers Agenda
  4. 4. Trends and Updates in Care Management
  5. 5. © 2020 Health Catalyst Care Management Can Move the Dial in Medicaid Populations By Integrating Varied Data Sources “…Patterns of utilization in the 2 study groups underscore the importance of precise patient targeting. To be most effective, complex care management programs should target patients at risk of persistently high spending and those whose spending and health outcomes are amenable to complex care planning and engagement. Many complex care management programs use claims data and historical utilization patterns to identify eligible patients. Recent research has highlighted the limitations of this approach— historically high-cost patients often return to normal patterns of spending, or they have drivers of high spending not amenable to complex care management.” 5 Powers MD, Brian W., et al. Impact of Complex Care Management on Spending and Utilization for High-Need, High-Cost Medicaid Patients. Available at https://doi.org/10.37765/ajmc.2020.42402
  6. 6. © 2020 Health Catalyst Increased Awareness of Potential Bias in Risk Stratification Models 6 Obermeyer, Ziad, et al. Algorithmic Bias in Health Care: A Path Forward. Available at https://www.healthaffairs.org/do/10.1377/hblog20191031.373615/full/
  7. 7. © 2020 Health Catalyst Evaluation Methods Are Crucial 7 Noonan, Kathleen. Disappointing Randomized Controlled Trial Results Show A Way Forward On Complex Care In Camden And Beyond. Available at https://www.healthaffairs.org/do/10.1377/hblog20200102.864819/full/
  8. 8. © 2020 Health Catalyst COVID-19 Has Significantly Altered Care Management 8 COVID-19 rapidly altered patient access to care (in-person vs. telemedicine) Care managers quickly adjusted and increased virtual care for: • Patient screenings • Risk identification • Planning and goal development • Impacted community resources • Care transitions • Evaluations COVID-19 is an example of a time sensitive event needing a flexible workflow solution to manage evolving patient care needs
  9. 9. © 2020 Health Catalyst COVID-19 and New Needs for Care Management A health system tested 11,544 people for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, the COVID-19 virus) between March 1, 2020 and April 8, 2020. Of the 5,279 confirmed positive, the strongest risk for hospital admission was associated with: • Age (OR of >2 for all age groups older than 44 years; OR 37.9 (95% confidence interval 26.1 to 56.0) for ages 75 years and older) • Heart failure (OR = 4.4, 2.6 to 8.0) • Male sex (OR = 2.8, 2.4 to 3.2) • Chronic kidney disease (OR = 2.6, 1.9 to 3.6) • Any increase in body mass index (BMI) (e.g., for BMI >40: OR = 2.5, 1.8 to 3.4). The strongest risks for critical illness besides age were associated with heart failure (1.9, 1.4 to 2.5), BMI >40 (1.5, 1.0 to 2.2), and male sex (1.5, 1.3 to 1.8). 9 Petrilli, Christopher M., et al. Factors associated with hospital admission and critical illness among 5279 people with coronavirus disease 2019 in New York City: prospective cohort study. Available at https://www.bmj.com/content/369/bmj.m1966
  10. 10. © 2020 Health Catalyst COVID-19 and New Needs for Care Management Data on long-term recovery of patients with a different coronavirus, from the SARS epidemic in 2003: At 6 months • 30% had persistent chest radiograph abnormalities • 16% had significant lung function impairment • More than expected functional disability At 15 years Most lung recovery happened within 2 years but remained mildly impacted thereafter 10 Hui, D., et al. Impact of severe acute respiratory syndrome (SARS) on pulmonary function, functional capacity and quality of life in a cohort of survivors. Available at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1758905/
  11. 11. © 2020 Health Catalyst To what extent has COVID-19 affected your system’s approach to Care Management? • We have doubled down on Care Management – 9% • No change; we are continuing with the status quo – 16% • We are continuing our prior programs but are working in new ways (virtual, telemedicine, etc.) – 68% • We have scaled back / halted Care Management at our organization – 7% Poll Question 11
  12. 12. Care Management Suite Overview
  13. 13. © 2020 Health Catalyst Our Care Management Framework 13 Assessment Survey existing infrastructure, capabilities, and opportunities to ensure strategic alignment and set a stage for success Rapidly and transparently identify patients for care management Identification Population Builder™: Stratification Module Use an end-to-end, integrated workflow solution to qualify, enroll, and actively manage patients Workflow Population Care Flow Leverage an analytics dashboard to measure and maximize ROI for care management programs Analytics Population Care Insights A data and analytics-driven, end-to-end approach—with transparent and flexible algorithm logic and patient-centric views optimized for care management workflows Population Design Tap into machine learning and care management expertise to stratify patient lists efficiently, transparently, and optimally Expert services to help deliver real ROI Program Design Ensure that all program elements—tools, staff, processes, and practices—are harmonized to meet your goals Evaluation Use a systematic approach to define and measure results and ROI, and power better decisions going forward Confidential and Proprietary - June 2020 version Optimization Partner with our experts to tune the technology tools to your care management workflow and assessment needs
  14. 14. © 2020 Health Catalyst 14 Patient Care Management Suite Transparent and flexible algorithms Consolidated and longitudinal patient-centric view Data and analytics drive the workflow and assessments Analytics-driven ROI metrics ROI optimized stratification
  15. 15. © 2020 Health Catalyst 15 Patient Care Management Suite Transparent and flexible algorithms Consolidated and longitudinal patient-centric view Data and analytics drive the workflow and assessments Analytics-driven ROI metrics ROI optimized stratification
  16. 16. 16
  17. 17. © 2020 Health Catalyst Care Management Suite Overview 17 Transparent and flexible algorithms
  18. 18. © 2020 Health Catalyst 18 Patient Care Management Suite Transparent and flexible algorithms Consolidated and longitudinal patient-centric view Data and analytics drive the workflow and assessments Analytics-driven ROI metrics ROI optimized stratification
  19. 19. 19
  20. 20. © 2020 Health Catalyst Care Management Suite Overview 20 Consolidated and longitudinal patient-centric view Powers, MD, Brian W., et al. Impact of Complex Care Management on Spending and Utilization for High-Need, High-Cost Medicaid Patients. Available at https://www.ajmc.com/journals/issue/2020/2020-vol26-n2/impact-of- complex-care-management-on-spending-and-utilization-for-highneed-highcost-medicaid-patients
  21. 21. © 2020 Health Catalyst 21 Patient Care Management Suite Transparent and flexible algorithms Consolidated and longitudinal patient-centric view Data and analytics drive the workflow and assessments Analytics-driven ROI metrics ROI optimized stratification
  22. 22. © 2020 Health Catalyst Care Management Suite Overview 24 Data and analytics drive the workflow and assessments Petrilli, Christopher M., et al. Factors associated with hospital admission and critical illness among 5279 people with coronavirus disease 2019 in New York City: prospective cohort study. Available at https://www.bmj.com/content/369/bmj.m1966
  23. 23. © 2020 Health Catalyst 25 Patient Care Management Suite Transparent and flexible algorithms Consolidated and longitudinal patient-centric view Data and analytics drive the workflow and assessments Analytics-driven ROI metrics ROI optimized stratification
  24. 24. 26
  25. 25. © 2020 Health Catalyst Care Management Suite Overview 27 Analytics-driven ROI metrics
  26. 26. © 2020 Health Catalyst 28 Patient Care Management Suite Transparent and flexible algorithms Consolidated and longitudinal patient-centric view Data and analytics drive the workflow and assessments Analytics-driven ROI metrics ROI optimized stratification
  27. 27. © 2020 Health Catalyst Care Management Suite Overview 30 ROI optimized stratification
  28. 28. © 2020 Health Catalyst What do you see as the greatest challenges in Care Management? • Data availability – 26% • Realizing ROI (Return on Investment) – 16% • Identifying and prioritizing the right patients – 20% • Patient/Provider engagement – 32% • Other – 6% Poll Question 31
  29. 29. © 2020 Health Catalyst 32 Patient Care Management Suite Transparent and flexible algorithms Consolidated and longitudinal patient-centric view Data and analytics drive the workflow and assessments Analytics-driven ROI metrics ROI optimized stratification
  30. 30. © 2020 Health Catalyst Our Care Management Framework 33 Assessment Survey existing infrastructure, capabilities, and opportunities to ensure strategic alignment and set a stage for success Rapidly and transparently identify patients for care management Identification Population Builder™: Stratification Module Use an end-to-end, integrated workflow solution to qualify, enroll, and actively manage patients Workflow Population Care Flow Leverage an analytics dashboard to measure and maximize ROI for care management programs Analytics Population Care Insights A data and analytics-driven, end-to-end approach—with transparent and flexible algorithm logic and patient-centric views optimized for care management workflows Population Design Tap into machine learning and care management expertise to stratify patient lists efficiently, transparently, and optimally Expert services to help deliver real ROI Program Design Ensure that all program elements—tools, staff, processes, and practices—are harmonized to meet your goals Evaluation Use a systematic approach to define and measure results and ROI, and power better decisions going forward Confidential and Proprietary - June 2020 version Optimization Partner with our experts to tune the technology tools to your care management workflow and assessment needs
  31. 31. The Healthcare Analytics Summit 2020 - Virtual Visit hasummit.com to register and learn more • Industry-Leading Keynote Speakers o Eric Topol, MD o Vice Admiral Raquel C. Bono, MD o Yonatan Adiri o Ari Robicsek, MD • 22 Educational Breakout Sessions • Analytics Walkabout, Networking, and More • CME Accreditation for Clinicians Sept. 1 – 3, 2020 (half-day sessions)
  32. 32. Q&A Amy Flaster, MD, MBA Senior Vice President, Population Health Management and Care Management, Health Catalyst Darian Allen Senior Vice President, Product Development, Health Catalyst

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