Let’s Talk Healthcare with Informatica and Edgewater: Analytics for Accountable Care

Maury DePaloDirector of Healthcare Practice

Edgewater

John SchmidtVice President, Global Integration Services

Informatica

Richard CramerChief Healthcare Strategist

Informatica

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“An organization of health care providers that agrees to be accountable for the quality, cost, and overall care of beneficiaries who are assigned to it.”

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Why Accountable Care? -- Mandates & Incentives

Legislative & Regulatory …

• Primary Quality Performance Measures• Incentive Timetables & Deadlines• Penalties & Compliance Constraints

Operational & Sustainability …

Economic & Market …

• Cross-Continuum Coordination• Efficiency Performance Measures• Value / Cost / Risk Sharing

• Population Segments & Dynamics • Moving from Volume to Value• Market Structure & Dynamics

Progressing to Value-Based Healthcare

Primary Drivers

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How are ACOs supposed to work?

• By analyzing patient experiences across a population to implement quality improvement strategies.• Vertical integration of primary care, specialty, hospital providers

who share risk for quality and total healthcare costs.

• ACOs achieve this by addressing 3 barriers:• Tackle fragmented payment/delivery systems by fostering local,

organizational accountability for continuum of care including outcomes, quality and costs.

• Focus provider payments on improved health outcomes, better quality, and reduced costs.

• Support patient choice by providing information on treatment risks and benefits.

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Becoming “ACO – Ready”

► Establishing a Performance Track Record– Baseline of Effective, Efficient Patient Care & Favorable Outcomes

• Which Patients, Which Services, What Outcomes, What Costs?

– Quality Efficiency Value– Evidence-based Rationale for Components of Shared Value Proposition

• Value Added at Each Step in Coordinated Process of Encounters to Outcomes

► Primary Building Blocks– Models: Data, Process, Business, Populations & Practices

– Technology: Data Capture, Quality Control, Integration, Transformation, Aggregation, Analytics

► Defining Accountability– Who is accountable, and for what?

– Shared accountability – measure team and individual performance against industry or institutional standard (structures, processes, metrics)

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Learn More….

• Register for our first webinar in the series:

How to get started on the journey to the future of healthcare

Wednesday, August 1, 2012

11:00am PT /2:00pm ET

http://vip.informatica.com/?elqPURLPage=10261

• To join future webinars in the series, email Jenny Norwood: jnorwood@edgewater.com