EXPOLRYS

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EXPLORYS 8501 Carnegie Avenue, Suite 200 Cleveland, OH 44106

EMAIL & PHONE [email protected] (216) 767-‐4700

WEB www.explorys.com

About Explorys Founded in 2009, Explorys is transforming healthcare with the industry’s first secure, cloud-‐based Enterprise Performance Management (EPM) platform that leverages BIG DATA. We provide reporting, business intelligence, data analytics, and population performance management across the continuum of care. Explorys applies the power of massively-‐parallel data processing to save lives and make great healthcare affordable.

Healthcare Is BIG DATA Leaders in every industry have one thing in common: effective collaboration through BIG DATA. BIG DATA is described as high in Volume, Velocity, and Variety -‐-‐ data that would take too much time and money to load into traditional IT systems and data warehouses for analysis. It is the by-‐product of interactions between caregivers and patients, as well as those between suppliers, health plans, and payers. As with all competitive industries, dynamic analytics and actionable intelligence are at the core of what is separating leaders from stragglers in healthcare. The expectation for quality and value among payers and consumers has never been higher and continues to grow.

Transforming Healthcare Healthcare reform is coming. Reimbursement is quickly shifting towards models where quality and outcomes will determine the success and long-‐term viability of healthcare systems in the United States. In order to manage the transition, healthcare leaders need to be able to understand the populations they serve, assess the risk to their health, manage and prioritize the mitigation of these risks, and align with reimbursement models of payers.

Explorys provides a unique approach to all of this through its Platform: a combination of provider network, super-‐scale technology, and prescriptive programs for healthcare transformation.

The Explorys Network The Explorys Network consists of 13 major integrated healthcare systems, 120 hospitals, thousands of providers, hundreds of ambulatory venues, and collectively responsible for delivering over $30 billion in care annually. The 80+billion clinical, operational, and financial data elements provide a full picture of care for the 31 million cared-‐for-‐lives in the Explorys Network. This expansive “learning network” enables collaboration and collective intelligence that drives discovery into new and better models for care delivery and quality.

Our Partners and Customers Explorys’ growing list of healthcare systems and research organizations include Cleveland Clinic, University Hospitals, St. Joseph Health System, MetroHealth, Summa Health System, MedStar Health, Catholic Health Partners, Iowa Health System, Akron General, Lancaster General Health, Queen’s Medical Center, Centura Health, and Legacy Health. We also enable a rich collaboration between healthcare providers, pharmaceutical, biotech, and medical device innovators to improve the safety and effectiveness of new and existing treatments, optimize effective study protocol design, identify unmet needs, and serve as a partner in the quest for real world evidence-‐based research and treatment development.

Explorys Unlocking the Power of BIG DATA to

Improve Healthcare for Everyone

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Why Explorys? We took a different approach to solving the challenges that leaders in healthcare face in addressing new reimbursement models and the transition to performance based medicine. Rather than focusing on scorecards and reports alone, we built our data platform on radical and innovative computing technology for leveraging BIG DATA.

This Platform, or Explorys DataGrid, is the industry’s first super-‐scale private cloud computing framework for healthcare data exploration, measurement, and engagement. It enables providers to bridge the data gap across every venue of care and an increasingly diverse delivery model. It includes secure data collection, curation, and governance necessary for operating in complex collaborations as well as a state-‐of-‐the-‐art attribution engine for aligning providers to panels and performance metrics.

The Explorys Platform also unifies and enables apps, both from the Explorys EPM Suite and 3rd parties, to deliver powerful insight into at-‐risk populations, provider performance, and addressable risk for managing better outcomes and costs.

The Explorys EPM Suite The Explorys EPM Suite is a set of Software-‐as-‐a-‐Service (SaaS)-‐based applications that enable rapid population management, performance measurement, and effective engagement and outreach to patients and providers. These applications were built to easily identify opportunities, measure performance towards objectives, and engage providers, care coordinators, and patients where necessary.

Designed for off-‐the-‐shelf use, these applications are built to run on standard web browsers and utilize industry standard user interfaces and security mechanisms within a healthcare compliant framework.

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ORGANIZATION 8501 Carnegie Avenue, Suite 200 Cleveland, OH 44106




Our customers span 13 major integrated healthcare systems with over 80 billion data elements, 31 million cared-‐for-‐lives, 120 hospitals, and hundreds of ambulatory venues.



Population Management Effective population management is core to improving patient outcomes among high-‐risk panels and operating within value-‐based models of healthcare. Whether to support an accountable care organization (ACO), medical home, bundled care program, or inpatient readmission reduction programs, a healthcare system’s ability to act upon information at the right time, place, and context will determine its success or failure in such initiatives.

Automated Outreach The Explorys EPM: Engage application is an integrated solution that plugs into other applications within the Explorys EPM Suite for managing work lists, workflow, follow-‐up, and outreach actions with patients or providers. Messages and reminders may be sent securely through existing EHR patient portals or directly through email or physical mail. EPM: Engage also provides a communication template framework that ensures consistency and message appropriateness to support both internal privacy policies and HIPAA and HITECH guidelines. The application also supports a range of security and roles that enable care teams to operate within the policies and frameworks for patient interaction.

Clinical Integration Explorys provides EHR integration services that leverage industry standards such as HL7 for communication, as well as our extensive experience with major EHR platforms. Our clinical informatics team works with clinicians, care coordinators, EHR specialists, and leadership to define and implement best practices of workflow and clinical integration that fit our customers’ unique structure and culture.

EPM: Engage Automated Rules-‐Based Outreach

To Patients, Providers, & Caregivers

Enterprise Performance Management Healthcare BIG DATA put to work

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Population Management Effective population management is core to improving patient outcomes among high-‐risk panels and operating within value-‐based models of healthcare. Whether to support an accountable care organization (ACO), medical home, bundled care program, or inpatient readmission reduction programs, a healthcare system’s ability to act upon information at the right time, place, and context will determine its success or failure in such initiatives.

Automated Outreach The Explorys EPM: Engage application is an integrated solution that plugs into other applications within the Explorys EPM Suite for managing work lists, workflow, follow-‐up, and outreach actions with patients or providers. Messages and reminders may be sent securely through existing EHR patient portals or directly through email or physical mail. EPM: Engage also provides a communication template framework that ensures consistency and message appropriateness to support both internal privacy policies and HIPAA and HITECH guidelines. The application also supports a range of security and roles that enable care teams to operate within the policies and frameworks for patient interaction.

Clinical Integration Explorys provides EHR integration services that leverage industry standards such as HL7 for communication, as well as our extensive experience with major EHR platforms. Our clinical informatics team works with clinicians, care coordinators, EHR specialists, and leadership to define and implement best practices of workflow and clinical integration that fit our customers’ unique structure and culture.

EPM: Engage Automated Rules-‐Based Outreach

To Patients, Providers, & Caregivers


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Browse the Crowd in Seconds EPM: Explore enables care and quality program designers to search and browse populations and billions of data elements surrounding diagnoses, treatment, outcomes, costs, and demographics in less than a second. Users can analyze relationships, correlations, temporal events, and historical trends within a HIPAA privacy protected mode or at the detailed patient level. This enables the instant identification of disease hotspots, gaps in care, disengagement of patients, and inefficient variations in treatment. It illuminates over-‐utilization of expensive venues, procedures, or medications that contribute to higher costs and put reimbursement at risk. Authorized users can also download datasets for further analysis, predictive modeling, or ingestion into third party reporting, analytics, or business intelligence tools.

EPM: Explore High-‐Speed Search Across Millions

of Patients & Billions of Facts


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Improved Safety EPM: Explore enhances pharmacovigilance initiatives by providing statistically powerful scale and quality for detection, assessment, understanding, and prevention of adverse effects and associations.

Insight Into Opportunities Not Seen Before EPM: Explore provides unique insights into characteristics and comparative outcomes within population subsets to identify underserved segments where drugs may be more effective, as well as new opportunities for future R&D.

Faster and More Accurate Trial Recruitment EPM: Explore accelerates and improves the quality of trial cohort identification. By leveraging the scale and security of Explorys’ private network of healthcare providers, trial sponsors can save millions in costs and lost market opportunities.

No More Underpowered Analyses Our HIPAA compliant platform unifies depersonalized clinical data across an expanding network of healthcare providers and electronic medical record platforms, providing deep longitudinal insight spanning millions of patients, diagnoses, treatments, and outcomes.

One View Across Disparate Settings and Standards The Explorys Data Curation Engine maps clinical records within both in-‐patient and ambulatory settings across disparate healthcare providers and clinical coding standards into normalized classifications and ontology. This enables standardized comparative analysis of outcomes and populations across demographic, diagnosis, procedure, observational measures, and drug and device combinations.

Connect, Collaborate, and Share EPM: Explore enables sponsors, CROs, researchers, and investigators to establish trusted private collaboration networks that comply with rules and policies for research and inter-‐organization privacy standards. Features include:

• Fully HIPAA compliant. • Browser based (no-‐installation). • Search, browse, and save cohort definitions. • Establish comparative metrics based upon temporal outcomes linked to defining diagnoses, treatments, or events. • Securely collaborate and share findings between trusted peers on the Explorys network.

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Population Performance Management EPM: Measure enables holistic population measurement and performance measurement of quality and adherence to care guidelines across providers and patients who are attributed to them. It enables the comparison and identification of outliers among providers and their patients, as well as variations in care that drive expenses such as the over-‐utilization of certain services or high readmission and length of stay rates.

Deliver Better Healthcare The Explorys EPM: Measure application is an integrated framework for correlating billions of clinical, operational, and financial events into actionable benchmarks and scorecards for comparison at the enterprise, department, provider, and patient levels. Designed to serve multiple roles and audiences within a healthcare organization, EPM: Measure enables senior leadership, quality officers, care coordinators, and individual providers to establish benchmark targets, view historical performance against those targets, and take action based upon specific information.

Leverage the World’s Most Powerful Healthcare Data Platform EPM: Measure leverages the Explorys DataGrid, a private cloud-‐computing platform with integrated data curation and standardization and high-‐speed data access. The application also leverages the other components of the EPM Application Suite.

Open Framework with Extensive Measurement Libraries By leveraging pre-‐built / purpose-‐driven libraries containing hundreds of measures for disease management, wellness, and P4P analytics, organizations can begin rolling out programs across their network in weeks. These libraries are based upon industry standards endorsed by NQF, NCQA, and CMS. Using Explorys’ Measure Definition Language (MDL), these measures can be easily customized and configured to meet the specific needs of an organization and its programs.

EPM: Measure Comparative Metrics for Providers,

Groups, & Locations


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Measure Starter Pack EPM: Measure includes a set of Starter Pack templates and data visualization features such as historical trend lines, comparative bar graphs, and motion charts that provide a multidimensional representation of data to reveal trends and correlations in performance. Starter measure categories include health & wellness, operational metrics, and disease management for diabetes, heart failure, hypertension, and coronary artery disease.

Disease Management (process)

• Diabetes: A1c Ordered • Diabetes: Pneumococcal Vaccination • Diabetes: Eye Examination • Diabetes: Kidney Disease Screening/Treatment • Hypertension: BP Measurement • Hypertension: Kidney Disease Screening • Heart Failure: LV systolic function assessed (i.e., echo) • Heart Failure: Weight Assessment • Heart Failure: Blood Pressure Assessment • Heart Failure: Laboratory Workup • Heart Failure: ACE/ARB Treatment for Systolic HF • Heart Failure: Beta-‐Blocker Treatment for Systolic HF • Heart Failure: Use of Warfarin with Co-‐Morbid Atrial Fib • CKD: BP Measurement • CAD: Use of Aspirin • CAD: Use of Beta-‐Blocker Disease Management (outcomes)

• Diabetes Good Control: A1c < 8% • Diabetes Bad Control: A1c > 9% • Diabetes: BP < 140/90 • Diabetes: LDL < 100 or Statin Prescribed • Diabetes: BMI < 30 • Diabetes: Non-‐Smoker • Hypertension: Good Control: BP < 140/90 • Heart Failure: Readmission Rate within 30 days

Health & Wellness

• Hypertension Screening • Hyperlipidemia Screening • Adult Weight Screening • Adult Weight Counseling • Influenza Vaccination • Pneumococcal Vaccination • Adult Hyperlipidemia Screening • Adult Diabetes Screening • Cervical Cancer Screening • Colorectal Cancer Screening • Breast Cancer Screening • Chlamydia Screening • Tobacco Screening • Tobacco Use Counseling • Child & Adolescent Screenings Operational Metrics

• Number of Hospital Admissions • Patient Panel

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Registry On-‐Demand and Up-‐to-‐Date EPM: Registry is an integrated framework for producing criteria-‐defined patient lists accompanied by extensive clinical, financial, and operational data. Whether you are interested in tracking at-‐risk populations such as Heart Failure patients or patients belonging to a Medical Home, EPM: Registry allows you to quickly identify your target population and view data that empowers decision-‐making. Explorys’ flexible attribution models, business-‐rules engines, and sorting and filtering functions allow registries to be defined as broadly or narrowly as necessary to fit your operational needs.

The Power of the Explorys Platform EPM: Registry is supported by the powerful Explorys Platform, which processes aggregated patient data from disparate EMR, billing, and claims systems. Running atop a common platform, EPM: Registry is integrated with the rest of the Explorys EPM: Application Suite -‐ Explore, Measure, and Engage -‐ to provide an actionable holistic view of your patients and populations.

Flexible UI with Extensive Registry Definition Language EPM: Registry displays a matrix of rows (patients) and columns (data elements). Columns can be added and removed as needed, and the data in the columns can be sorted and filtered. For reporting purposes, any registry can be downloaded as an Excel file.

EPM: Registry includes a Starter Pack of three registries: Diabetes, Heart Failure, and Hypertension. With the optional Studio feature, users can edit the starter pack registries or use the flexible Registry Definition Language (RDL) to build a registry from scratch.

EPM: Registry Automated On-‐Demand Patient

Lists for Managing Care


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Delivering Value-‐Based Healthcare Healthcare reform is here and it is calling for providers to drive down costs while improving outcomes for high-‐risk patients in both the acute and ambulatory environments. The key to succeeding in this changing landscape will be the ability to coordinate care across disparate delivery networks and providers.

Providers are not only being called to reform by the federal government, but payers and patients are also demanding change through value and outcome based reimbursement. Whether through Accountable Care Organizations, Medical Home, or Bundled Payments, performance management will be the cornerstone of 21st century medicine and the driver for meaningful change.

Our Solutions BIG DATA is high velocity, diverse in structure, dispersed, and voluminous -‐-‐ data that would take too much time and money to load into traditional IT systems and data warehouses for analysis. It is the by-‐product of interactions between caregivers and patients, as well as those between suppliers, health plans, and payers.

A provider’s ability to quickly explore, measure, refine its processes, and immediately engage with patients and providers is an imperative that cannot be delayed any longer. Utilizing BIG DATA allows the ability to make these imperatives possible; and Explorys provides both a platform and suite of applications to do just that



Explorys EPM Suite SaaS-‐Based Solutions for

Healthcare Transformation


Explorys EPM Application Suite is a set of Software-‐as-‐a-‐Service (SaaS)-‐based applications that enable rapid population management, performance measurement, and effective engagement and outreach to patients and providers.

ALSO VISIT US AT…




EPM: Registry is an integrated framework for producing criteria-‐defined patient lists accompanied by extensive clinical, financial, and operational data. EPM: Registry allows you to quickly identify your target population and view data that empowers decision-‐making. Explorys’ flexible attribution models, business-‐rules engines, and sorting and filtering functions allow registries to be defined as broadly or narrowly as necessary to fit your operational needs.

EPM: Registry displays a matrix of rows (patients) and columns (data elements) that can be added to, removed, sorted, and filtered as needed. EPM: Registry includes a Starter Pack of three registries: Diabetes, Heart Failure, and Hypertension. Users can edit the starter pack registries or use the flexible Registry Definition Language (RDL) to build a registry from scratch.

EPM: Engage is an integrated solution that plugs into other applications within the Explorys EPM Suite for managing work lists, workflow, follow-‐up, and outreach actions with patients or providers. Messages and reminders may be sent securely through existing EHR patient portals or directly through email or physical mail. EPM: Engage provides a communication template framework that ensures consistency and message appropriateness to support both internal privacy policies and HIPAA and HITECH guidelines. The application also supports a range of security and roles that enable care teams to operate within the policies and frameworks for patient interaction.

Effectively managing patient populations and care teams is core to quality improvement and cost reductions. The rising costs of healthcare and the demand for better outcomes drives an expectation among payers and patients for providers to more effectively leverage their data to improve quality, delivery, and patient satisfaction.

EPM: Explore provides sub-‐second ad-‐hoc search across populations, providers, and care venues. EPM: Explore enables clinicians, quality offers, analysts, and researchers to search, compare, and analyze correlations across billions of data points in your enterprise or the universe of participating systems in the Explorys Network.

EPM: Measure application is an integrated framework for correlating billions of clinical, operational, and financial events into actionable benchmarks and scorecards for comparison at the enterprise, department, provider, and patient levels. Designed to serve multiple roles and audiences within a healthcare organization, EPM: Measure enables senior leadership, quality officers, care coordinators, and individual providers to establish benchmark targets, view historical performance against those targets, and take action based upon specific information.

EPM: Measure includes a set of Starter Pack templates and data visualization features such as historical trend lines, comparative bar graphs, and motion charts that provide a multidimensional representation of data to reveal trends and correlations in performance. Users can edit or create their own measures using the flexible Explorys Measure Definition Language (MDL). Starter measure categories include health & wellness, operational metrics, and disease management for diabetes, heart failure, hypertension, and coronary artery disease.

Population & Performance Management

Putting discovery and measurement into action is key to the success of any pay-‐for-‐performance or accountable care model. Effectively engaging your shared patients/members at the right time and priority, as well as through the right channel, is very important.

Engagement & Outreach

Documents

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