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Today’s Webinar | May 20, 2020
How Indiana University Health Uses Technology to Actively Engage with Its Post -Acute Network
Dr. Anthony Sorkin, MDMedical Director for IU Health
ACO and Health Plan
Tori Bratcher, MHADirector of IU Health
Populations Health Services
Ben ForrestCEO & Founder of Olio Health
Meet the Speakers
Sean MullinsCOO of Olio
Health
Today’s TopicsOlio Introduction
IU Health Organization Overview
How IU Health Uses Olio to Engage Our Post -Acute Network
Q&A
Olio makes it simple
for your health system and post-acute provider network
to actively engage with one another
about each patient’s care.
How Indiana University Health Uses Technology to Actively Engage with Its Post -Acute Network
May 20th, 2020
IU Health Organization Overview
Indiana’s Larg e s t and Mos t Com pre he ns ive He a lt h Sys t e m
300+Primary Care and Specialty Care Offices
33,000Team Members
3,680Physicians
1,195Advanced Practice Providers
150,000Full Risk Patients
16Hospitals
IU Health Plans Next Generation ACO
Achieve Milliman Moderately Managed Benchmarks in:
▪ SNF Days/k
▪ Inpatient Admissions/k
▪ ED visits/k for our Medicare populations
Metric Met/Not Met
SNF LOS Between Moderate and Loose
SNF Admits/k Loose
IP Admits/k Loose
P opula t ion He a lt h 5 -ye ar Goa ls
2019 Progress:
Olio Implementation & Early ResultsPopulation Health: Post -Acute Strategy
Health System Need
Pilot Project
Early Results
Transition to COVID
Agenda
Can lose ‘sight’ of patients when discharged to SNFs
15 hospitals utilizing over 300 SNFs▪ Greater than 12 major SNF corporations
▪ Variable medical directorship▪ Different EMRs
Large geography▪ Difficult/expensive to have CMs in each building every week to monitor individual patient
LOS issues and discharge needs
Culture of treating patient deterioration with ER visit/readmission▪ Role of PCP can disappear with variable medical direction at SNFs
Health System Need
3 Hospitals, 32 SNFs
Medicare risk patients only▪ NextGen ACO and IUH Medicare Advantage
Phased in over 60 days▪ IU Ball 10/1/19▪ IU Bloomington 11/6/19▪ IU Methodist 12/16/19
Olio Pilot Project
Patient Population Breakdown
Q4 Medicare claims data
Patients divided into two groups▪ No Olio utilization (1183 points)▪ Olio utilization (102 points)
Purposefully counted only final 60% of consecutive Olio patients to limit ‘start -up’ bias
Olio Early Results
Olio Early Results: LOS Analysis
22.8 days
20.0 days
Non Olio Encounter Olio Encounter
22.8 days
20.0 days
Non Olio Encounter Olio Encounter
12%
Olio Early Results: LOS Analysis
13.2% 9.8%
Non Olio Encounter Olio Encounter
Olio Early Results: Readmission Analysis
13.2% 9.8%
Non Olio Encounter Olio Encounter
Olio Early Results: Readmission Analysis
26%
Readmission Analysis
13.2% 9.8%
Non Olio Encounter Olio Encounter
26%22.8 days
20.0 days
LOS Analysis
Non Olio Encounter Olio Encounter
12%
Olio Early Results
LOS Analysis: Divided into OES Groups
Olio Early Results
OES < 0.5LOS avg 24.6
OES >/= 0.5LOS avg 17.3
LOS Analysis: Divided into OES Groups
Olio Early Results
System needed immediate vision to all IU Health patients in SNFs
Track all SNF patients and receive notifications of respiratory deterioration▪ Avoid unnecessary transfers to minimize HCP exposure▪ Give opportunity for local ERs to prepare for incoming respiratory patients
Transition to COVID
3 Hospitals3 2 SNFs
Avg 70 ptsP ilot
March 16, 2020
3 Hospitals3 2 SNFs
P ilot 15 Hos pita ls114 SNFs
Avg 1110 ptsExpans ion
March 16, 2020 March 23, 2020
One Week
Avg 70 pts
Sick SNP PtMed Director Pop Health
CMs Regional Medical Leadership
Is it respiratory? Suspect COVID?
No YesAbility to Treat in Place at SNF
No Yes
STD Readmit Path
Regional ProtocolTest Patient?
Acuity Assessment
Ability to Treat in Place at SNF
No Yes
Transfer to 3rd party /
Observation unit
Transport to designated
Regional ICU/Inpt/ER Unit
Olio Escalation
Early COVID Out com e s
Notes LoggedSNFs /LTCHsP ts t re a te d Tota lEs cala t ion
SNFs tha t Es ca la te dHos pita ls Affe cte dAdm is s ions Avoide dP at ie nts Move d to Com fort CareER Contacts P rior to P t Arriva l
9 9 7417326 8 219 2
3 61218970
Olio Experience: March through May 8 th
How Indiana University Health Uses Technology to Actively Engage
with Its Post -Acute Network
+
Q & AHow to ask a question:
• You can submit written questions using the Questions tab (not chat) on your dashboard to the right of your screen
OR • You can use the “raise hand” feature on your dashboard to
ask a live question. We will call on you and unmute your line when it is your turn. Please make sure you have dialed in on the telephone and used your audio pin to connect or we will not be able to unmute you.
Thank you!
A summary and recording of this we binar will be e m aile d to you.
Dr. Anthony Sorkin, MDMedical Director for IU Health ACO and Health Plan
Tori Bratcher, MHADirector of IU Health Populations Health Services
Ben ForrestCEO & Founder of Olio [email protected]
Sean MullinsCOO of Olio [email protected]
Email [email protected] for more information about Olio.
