Leading Age Leadership Summit
Charles Wiggins, Chief Strategy Officer
“There is nothing more powerful than an idea whose time has come”
• Monumental transformation is occurring across the country
• Remedy is a technology company and it is also any group of individuals who
recognize that the historical moment of which we are blessed to be living in,
requires a collaborative work from a team of individuals who together are
stronger and more inspired than working alone.
• Patients ,Physicians, Payers and the government are collectively rejecting
the institutionalized status quo of healthcare access, quality, financing and
delivery
• Technology, information and partnerships are creating nimble providers who
can build their own networks
• Historical migration to alternative payment models
INPATIENT END-TO-END PROCESS
2
2013 BPCI Community of Remedy Partners
3
REMEDY 2.0 [INTERNAL]
2015 Community of Remedy Partners
4
REMEDY 2.0 [INTERNAL]
Packing List for Episode Travellers
Shared services are required for launch, execution and monitoring of
successful bundled payment programs.
1.
Data Management and Analytics
2.
Care Management / Care Coordination Center: Centralized Team of Nurses
3.
Care Management Software Solutions: Episode Connect
4.
Program Financing, Risk Mitigation and Scale Economies
5.
Contracting Tools and Support
6.
Program Administration and Education (Remedy University)
5
PRODUCTS AND SERVICES
Redefine partnerships
o
Honest & Authentic conversation fosters trust and accountability
around strengths and weaknesses
Shared Effort
Partner
Management
Remedy
Management
Technology
You will provide the
leadership, engagement,
and accountability
necessary to drive your
program’s success
“Player-Coach”
Engagement
Post-Acute Care
Remedy will provide the
blueprints, tools,
analytics, and
technology
to support the
implementation
and operation of your
program
Administration
6
GO-LIVE GAME PLAN - MODEL 2 (ACH)
Collaboration is the new competition
o
What does care improvement mean to you?...Ok Great-Let’s build that.
DESIGN
• Identify the BPCI
Leadership Team
• Draft stakeholder
engagement plan
• Finish initial bundle
selection
• Complete readiness
assessments
DEVELOP
• Create patient ID and
onboarding
processes
• Mobilize (PAP) team
• Develop Preferred
PAC network with
SNFs and HHAs
• Establish data
connectivity
• Determine next site
of care (NSC)
strategy
• Finalize go-live
strategy and plan
• Mobilize BPCI
Hospitalist team
IMPLEMENT
• Finalize gainsharing
arrangements
• Refine and launch
PAC strategy
• Launch redesigned
care model
• Initiate program
operations
• Conduct training via
Remedy University
7
GO-LIVE GAME PLAN - MODEL 2 (ACH)
Episode Connect
Episode Connect is the only software solution that runs successful bundled payment programs
 Real-time harvesting of
patient data from EHRs;
application of predictive
analytics; distribution of alerts;
care plans; patient lists;
performance tracking and
reporting; operational and
patient level metrics.
 Process Support for call
center management; patient
assignment and tracking; site
of care transition; and
quality/compliance data
gathering.
Integration and
Decision Support
Work Flow
Tools
Care
Coordination
Patient and Care
Team
Engagement
 Patient Centric Work Flow
for streamlining transitions;
managing case loads;
tracking high risk patients;
centralized alerts.
 Discharge and post-acute
care planning tools including
proprietary patient
assessment tools and
episode-specific care plans;
dashboards customizable for
each clinical role; secure
messaging and information
sharing.
 Patient, Provider and Care
Team Portals. Runs on
browsers or mobile devices to
support Physician and patient
engagement in the care
process.
 Resources and Apps to
gather patient specific
feedback and educate patient
and caregivers.
8
PRODUCTS AND SERVICES
Episode Connect
Work flow Software for Teams Managing Episodes of Care
EPISODE CONNECT AND PAP PORTAL DEMO VIDEOS
http://remedypartners.com/episode-connect_demo-video
PRODUCTS AND SERVICES
9
Patient Sync
Engaging patients during their episode of care with relevant information and feedback that
makes this a irreplaceable tool for successful recovery from a hospitalization.
Patient/Caregiver Access
• Responsive web/mobile/tablet
application
• Intuitive two-way
communication
Unified Care Team
• Securely communicate with
care team and Remedy
• Review of important medical
documents
Interactivity
• View and respond to Remedy
care interventions
• View episode or condition
interventions
10
PRODUCTS AND SERVICES
Physician Sync
Patient Info
• Web/mobile access
• View current & past
patients
• Real-time updates
Cooperation Metrics
Alerts
• Alerts for new patient
activity and gainsharing
cooperation surveys
• Easily respond to
cooperation metrics
upon PAP assignment
Quality Metrics
• Review quality metrics
for completed episodes
11
PRODUCTS AND SERVICES
Reporting Lifecycle
Remedy utilizes various sources to monitor program performance.
Patient Timeline
60 Days
30 Days
Inpatient
Discharge
Source
(Update
frequency)
Episode
Connect
M1
90 Days
M2
M4
M3
M5
M6
M7
M8
Metric Types
M9
Views
Performance Metrics
(Weekly)
Monthly
Claims
Performance Metrics
Performance and Financial Metrics
(Monthly)
Hospital
Physician
SNF
HHA
Performance,
Financial, and
Gainsharing
Metrics
Reconciliation
Claims
(Quarterly)
12
ANALYTICS
Analytics: Program Monitoring
Using the best available information to understand program performance.
13
ANALYTICS
What might be ahead
o
National Episode Networks
o
Rapid Cycle Development of Best Practices
o
Episode Trigger evolution
o
Additional Bundles
14
INPATIENT END-TO-END PROCESS
15
INPATIENT END-TO-END PROCESS