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This is a demo of the ActualMeds system for team-based medication reconciliation and management at point of care, as presented at Health Datapalooza 2014.
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(C) 2014 ActualMeds Corp
@actualmeds
MEDICATION MANAGEMENT AND RECONCILIATIONfor High Risk Patients
Come see us mainstage at 8:55am Monday, or 4pm Monday in the Exhibition Hall Apps Demo Booth
Getting to the crux of poor medication outcomes in high risk patients ...
HIGH RISK PATIENTS13 different physicians
50 different Rx’s 76% of all hospital
admissions
Preventable Hospitalizations, Re-admissions, Long Term
Care and Unnecessary Rx
> $290 BillionHealthcare Costs
WHY?... A patient’s medication information is
mostly incomplete, inaccurate and unavailable WHEN and WHERE
it is needed by healthcare teams to improve these outcomes
ActualMeds: Best Possible Medication Information at the Right Time and Right Place
PAYER(claims)
PROVIDER(EHR)
PATIENT(?)
Rx Filled
SelfMedicationBehavior
Rx Ordered
PAYER: risk resolution and management
PROVIDER:Tailored
intervention at Point of
Care
PATIENT: engageme
nt and adherence
ReducedPreventable Hospitalizations
Re-admissions
Lower Costs
ActualMeds
Aggregation & Validation of
Data including Patient Self-Medication
Identification of Risk
Medication Action Plans for
Care Team & Patient
Better HealthReduced Costs
Better H
ealthCare D
eliivery
ActualMeds: Better Medication Management All Around the Care Continuum
Payer Patient
Provider
Home Care
Admission
Acute CareDischarge
Ambulatory Care
Payers• Cost-effective MTM• Population risk management• STARS medication metrics
Providers• Medication management and
reconciliation at transitions of care, complex care
• HEDIS measures; MU II & III
Patients• Personal medication record
and virtual pillbox available through Payer and Provider portals
(C) 2014 ActualMeds Corp
Accelerated Workflow: Validation of Real Regimen Based on Best Available Data
Healthcare team has validated information ready for reconciliation
(C) 2014 ActualMeds Corp
Structured Patient Interview Adds Context to “Known” Sources
Structured interview captures patient self-medication behavior
Evidence-based automated risk assessmentguides tailored intervention
Risk rules incorporate CMS STAR rating metrics for medication and adherence, other quality measures
(C) 2014 ActualMeds Corp
Action Plans support care coordination workflows
Medication Action Plans can be shared among payer, health care team, and patient,within the ActualMeds system or as an external message
(C) 2014 ActualMeds Corp
Medication Reconciliation On-DemandTM
Completed reconciliation available as a CCD or C-CDA export or transaction, bringing high quality structured data back to the EHR or HIE
(C) 2014 ActualMeds Corp
Better Medication Reconciliation & Management
1. Get the data: automate what you can – All possible third party sources
• Accommodate a variety of standards– Patient self reporting (as appropriate) – Structured interview with the patient
2. Make the data meaningful for the long haul– Mapped to coded values– Harmonized for comparison– “Scrub as you go” adds structure, interoperability, value– Save and share in standards-based formats
3. Merge into a variety of care workflows: evolution OR revolution
4. Flexible analytics – requirements will change
Data Sources– “Off the shelf “
• Demographics / patient load– “834” CMS approved, HIPAA-compliant Benefit Enrollment and
Maintenance Transaction.csv batch • Claims/Fills: ActualMeds - Certified Surescripts integration partner for
Acute Medication History since August 2012• EHRs: per-patient upload of EHR exports of CCR/CCD/CDA/C-CDA
standards-based data files– In development
– State Health Information Network of New York (SHIN-NY) – app on the SHIN-NY data backbone.
– Allscripts – Development Partner – Custom or workflow integrations available
• e.g. PBM feed, EHR, HIE, care coordination platforms, other
Medication Reconciliation Is Critical for Successful Care Transitions
VALUE PROPOSITION PROVIDERS PAYERSImprove Outcomes &Reduce Cost of Care*
Reduces < 30 Day Hospital Readmissions
Reduces preventable hospitalizations & re-admissions
Earn Govt. IncentivesHEDIS Quality Metrics;ONC Meaningful Use 2 & 3 Incentives
Medicare Quality rating & bonus payments : STARS and HEDIS metrics
Cost-effective Workflows
Saves timeReduces labor costs
Bridge to complex care teams
*Improving Medicaton Adherence & Reducing Re-admissions; NEHI Brief; Literature Review; October 2012
Medication Reconciliation “On Demand” ™at the Point of Care
Home Care
Admission
Acute Care
Discharge
Ambulatory Care
Targeting High Risk Patients
(C) 2014 ActualMeds Corp
@actualmeds
MEDICATION MANAGEMENT AND RECONCILIATIONfor High Risk Patients
Come see us mainstage at 8:55am Monday, or 4pm Monday in the Exhibition Hall Apps Demo Booth
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