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PIECESTM

Connecting Health Systems

and Community-Based

Organizations to Improve

Outcomes

Proprietary & Confidential © 2017 Pieces Technologies, Inc. 2

Today’s Presenters

Ruben Amarasingham, MDFounder & CEO

Pieces Technologies, Inc.

Matthew WarrensVice President, Innovation Partnerships

OSF HealthCare

How can we embrace

change and createbetter

value for our patients?

For 140 years, the Sisters of OSF have been serving their

communities with compassion and humility. The Sisters have

never been afraid of taking on the hardest challenges and

providing care to all those who needed it. It’s no surprise, then,

that when the pace of change in health care is faster than ever,

when technological and scientific innovation are enabling so

much, that we would take astep back to examine how we can

leverage these advances for the benefit of our patients.

OSFlaunched OSFInnovation asameans to embrace change and

take on the largest health care challenges; the ones that require

innovation and adifferent way of thinking to solve.

In the spirit of Christ and theexample of Francis of Assisi, the

Mission of OSF HealthCare is to

serve persons with the greatest

care and love in a community that

celebrates the Gift of Life.

“

”


Connecting Health Systems and the Community

EducationHousing &

Utilities

Food Security

Family &

Social Support

Health

BehaviorsTransportation

Employment &

Income

Healthier Communities

Pieces Iris

Referral, connection, &

case management

platform for CBO's

Length of

Stay

Hospital Associated

Infections

Early Warning

System |

Sepsis

Readmissions

Health System Decision Support

Pieces DS

Real-time Clinical NLP,

Clinician-in-the-Loop,

SDOH


Our Approach to Addressing Social Determinants

Pieces Iris

Referral, connection, &

case management

platform for CBO's

Education

Housing &

Utilities

Transportation

Food SecurityFamily &

Social Support

Employment &

Income

Health

Behaviors

We define innovation as...

“

”

Clear focus and direction are essential for successful innovation.

We have four focus areas of innovation for our Mission Partners,

external partners, and innovators. These areas guide our

investments and activities in innovation, ensuring they serve the

most important needs of our community.These four areas demand

innovation; we will not advance our Mission herewithout it.

We are focusing on four

innovation priorityareasAdvancingSimulationHow can OSF use simulation

beyondeducationto transform

healthcare?

Aging inPlaceHow can OSF deliver care to

the elderly without disrupting

where and how they live?

More for Those with Less How can OSFbest serve its most

disadvantaged populations?

Radical Access to Care How can OSF radically

democratize access to care,

regardless of setting or context?


Connected Communities


Community Care Coordination in Dallas

2Xas likely to be a

high risk

cases of diabetes,

HTN, CHF and

COPD

8,061

26%relative reduction

in readmissions

for Medicare

patients

Iris CBO’s care

for patients

51%

HTN

27%

DM

17%

CHF

Previously hospitalized patients are in Iris CBOs

26%

COPD

818,064documented

encounters across

95 agencies

147,796clients enrolled in

community based

services

inter-agency

referrals

8,061

In the Spirit of Christ and the

example of Francisof AssisiOwnedandoperated by the Sisters of theThird Order of St. Francis,Peoria, Illinois,

OSFHealthCare serves nearly 3million people in our communities.

Mission

In the spirit of Christ andthe exampleof Francis of Assisi, the Mission of OSF

HealthCare is to serve persons with the greatest care andlove in a community

that celebrates the gift of life.

VisionEmbracingGod’sgreat gift of life,

we are oneOSFMinistry transforming

healthcare to improve the lives of

those we serve.

115 OSFLocations Including Hospitals

738 EmployedProviders

335 AdvancedPractitioners

18,127 Employees

200,381 HomeHealthAnnualVisits

1,483,714 OutpatientVisits

1,626,748 PhysicianEnterprise Office Visits

63,501 InpatientAdmissions

2,652 HospicePatientsServed

700,316 Numberof Persons Served

$2.3B NetRevenue 11


The Pieces Approach

ReLOS

Readmit

HAI

PIECES™ DS

EWS

Sepsis

Custom

Iris

Clinician-in-the-Loop™Enables Pieces DS to

achieve extremely high

levels of model performance

in areas of clinical

ambiguity.

Closing the Loop

Proprietary & Confidential © 2017 Pieces Technologies, Inc.

Pieces DS is continuously monitoring DS

14

Addressing Social Determinants


Surface & Assess

Patient Notes Radiology Orders Dept Ref/Consults Unsigned Ord/Release

Labs/Imaging reviewed, notable for

*ABG 7.3/49/76.

Increased RR from 18 to 20

Hgb 6.9-->repeat 6.8.

VIDIs remarkable for BP 90s/60s with HR 78

A/P: 55 y/o F w/ h/o diabetes, obesity, homeless who presents with 2 days of confusion and fever (101.9 Tmax)

secondary to long-term incontinence. Pt appears to be septic and will treat empirically with broad-spectrum

antibiotics and 2L fluid bolus.

Pieces Interpretation

Disease / Symptom Time Attribute

Confusion Current --

Fever Current --

Homeless Historic --

Diabetes Historic incontinence

Obesity Historic --

Sepsis Current sepsissepsis awareness

Anemia Current Hgb 6.8


Surface & Assess

Pieces identifies clinical factors,

concepts & social determinants

from free text notes, structured

data, and images.

Accuracy is key to end-user

action. PPV 90-95%; Sensitivity

80-95% with clinical NLP.



17



PIECES ALERT now

Severe Sepsis / Sepsis Shock Order

Set

18

Identify & Connect

Precision

Alerts


Identify & Connect

Pieces Daily

Worklist

• Healthy Village

• LaSalle County Health Department – WIC

• North Central Behavioral Health

• American Cancer Society – Resource Center

• Others

• YMCA Collaborative

• Streator High School Collaboration

• Community Garden Collaborative

• Pieces Iris - 10 Community Based Organizations

• A Servant’s Heart

• ADV & SAS

• BEST, Inc.

• Health Department

• North Central Behavioral Health

• St. Vincent De Paul Society

• Salvation Army

• Streator Township High School

• Tri-County Opportunities Council

• YMCA

• Patient Wisdom (Implemented July 7, 2017)

• Community Benchmarking and Blue Zones

• Rural Care Delivery Playbook

Community Collaborative

Healthier Streator Steering Committee

Action Team Action Team Action Team Action Team

Responsibilities

• Develop goals, objectives, and timelines for work plans

• Guide the implementation of initiatives

• Identify community needs and gaps• Advocate for policy• Actively attend and participate in meetings

OSF Support: Innovation, Marketing, Government Relations, Healthcare Analytics

Technology to enable closed loop referrals on social determinants that impact health!



23



Insert Agency Referral Video

Past Present

• Decision to close the hospital

• Unsustainable healthcare model

• Community needs for services unfulfilled

• Integration with OSF Healthcare

• Engagement through initial Steering Team and Community Advisory Committee

• Feedback on building redesign

• Implementing new rural healthcare model

• Co-location strategy

• Focus on innovation

• Addressing social determinants of health

• Launching digital solution (Iris) to connect OSF and CBOs

• Kick-off of Healthier Streator Steering Committee

• Focus on community health and wellness

• Health and wellness goals established for the Community

• Engaged community stakeholders

• Action Teams assembled to drive policies and programs

• Measurement of key outcomes

• Healthy village model bringing essential services to one location

Future

The Streator Journey: Focusing on Four Innovation Priority Areas


How Pieces Is Different

Community Commitment

Real-Time Value Insights

Holistic Approach

Passion


Q&AQA

27


Thank You


5 Steps

LEARNINGMONITORINGACTIVATIONPREDICTIONIDENTIFICATION

PIECES™ DS

Admission Discharge Post Discharge


5 Steps

LEARNINGMONITORINGACTIVATIONPREDICTIONIDENTIFICATION

PIECES™ DS

Admission Discharge Post Discharge

Surface

patient

insights:

patients known

or unknown to

have social

needs

Assess

patient’s

needs: using

insights to

determine risk

and nature of

risk

Identify

hospital &

community

resources:

enable

connections

Closing the

loop: was the

plan of care

executed and

was it

successful?

Collect &

aggregate

date: learn and

improve

outcomes


▪ Creating a data-sharing ecosystem between healthcare systems and

community-based organizations

▪ Following a patient through the journey and identifying social determinants of

health

▪ Using machine learning and clinical natural language processing (NLP) to

create actionable insight leading to better health outcomes

▪ OSF HealthCare’s vision for partnering with social service organizations in their

community

What We’ll Discuss Today

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