web prevention early intervention improved outcomes more effective management of chronic disease
TRANSCRIPT
HIMSS10
Brad SavageSVP & CIO
Golden Living
Technology is a key enabler.
At Golden Living, we are redefining how senior care is provided in this country…
Better Outcomes
Improved Efficiencies
Integration across the Spectrum of Care
Managing/Affecting Regulation and Policy
Mitigating Risk
TodayA Fragmented Golden Living Ecosystem
Resident at Golden Living
Referring Hospital, Discharge Planner
Physician, Facility outside
of Golden Living
Family of Golden Living Resident
TherapistClinical Pharmacist
Medical DirectorNurse
TherapistClinical Pharmacist
Medical DirectorNurse
Physician, Facility outside
of Golden Living
Resident at Golden Living
Referring Hospital, Discharge Planner
Family of Golden Living Resident
Web
Post Microsoft® Amalga Unified Intelligence SystemTM (UIS) and HealthVaultTM A Connected Ecosystem
BENEFITS Family
Patient MD
Referring Hospital
Payer
Prevention
Early intervention
Improved outcomes
More effective management of chronic disease
Amalga UIS greatly improves clinical oversight by liberating and unifying data within our own organization, and between us and outside providers, payers, and patient families.
SNF ADLs HomegrownApplication(s
DocumentImaging
Data Warehouse
ResidenceAccounting
Future Applications
LearningManagement
SNF Therapy Home Health Hospice PharmacyGeneral Ledger
DietaryHuman
ResourcesTelehealth
Rx Billing Data Mart
Care Quality Analysis
ComplianceMonitoring
StaffReporting
1M Enterprise
UnknownData Mart
Charge & Payment Analysis
FinanceData Mart
RxUtilization
UnknownData Mart
UnknownData Mart
1M Enterprise
Shadow IT Organization
Support CaregiversToday
Golden Living’s Data
SNF ADLsDocumentImaging
ResidenceAccounting
LearningManagement
SNF Therapy Home Health Hospice PharmacyGeneral Ledger
DietaryHuman
ResourcesTelehealth
Rx Billing
FinanceReporting
StaffReporting
ComplianceMonitoring
PHRConnectivity
TeleHealthInitiative
RUG & Level of Service
Monitoring
DischargeOutreach
Active Diagnostics Monitoring
HospitalOutreach
Care Quality Analysis
PhysicianOutreach
Charge & Payment Analysis
ActiveTherapy
Monitoring
Adverse Drug Event
Surveillance
RxUtilization
AppropriatePharmaceutical
Utilization
Active Quality Monitoring
Pharmacy Billing Auditing
Support Caregivers
Data Warehouse
HomegrownApplication(s
Future Applications
Post Amalga UIS Data Liquidity, Data Reuse
Rx Billing Data Mart
Care Quality Analysis
ComplianceMonitoring
StaffReporting
1M Enterprise
UnknownData Mart
Charge & Payment Analysis
FinanceData Mart
RxUtilization
UnknownData Mart
UnknownData Mart
1M Enterprise
Shadow IT Organization
Corporate Manager, Administrator Clinicians, Managers, Staff
Business and Database Analysts
EPO drug usage… what’s going on?
I don’t have insight…
I need to take action…
I’m overwhelmed with queries…
It will take two weeks to pull the data together…
Support CaregiversToday’s Golden Living Environment
Sub-optimal decision-making, redundant labor, adverse events, unnecessary hospitalizations, lost business…
Corporate Manager, Administrator Clinicians, Managers, Staff
EPO drug usage… what’s going on?
I have real-timeinsight…
I can take actionand monitor…
I can help people to understand
their data…
I can spend time on analysis…
Care Quality Analysis
FinanceReporting
Rx Billing
RUG & Level of Service Monitoring
Support CaregiversPost Amalga UIS: Your People Empowered
New workflows, New Interactions, Ease and Speed to Impact, Increased Quality and Volume of Work…
Business and Database Analysts
Patients and Families as Consumers—experiencing more control, more convenience, better service, and better value for what they spend.
Healthcare Professionals as Knowledge Workers—getting the right data in the right format at the right time to
provide the best treatment & preventative care.
Support CaregiversEmpowering People
Has this patient been
re-hospitalized three times in the last three
months?
Which patients on Coumadin
do not have an INR/PT
ordered?
Which patients are on 2 or
more psychotropic medications?
What is the root cause behind the missing INR/PT
orders?
What is the cause of potentially
avoidable hospitalizations?
What are the root causes behind
these medication orders?
Real time Over time
Support CaregiversLeveraging Clinical Experts
Patient is cooperating so much more in therapy as her cognitive skills have increased
Patient is showing much better range of motion in his
shoulder
Looks like we're starting to see more falls at this
facility
Are treatments gains resulting in decreased pain medications?
Is Nursing staff rating her as
showing fewer disruptive
behaviors on her MDS?
What percentage of our staff has
taken the E-Learning on
Balance Management?
Real time Over time
Support CaregiversLeveraging Clinical Experts
Connect Care
• Connecting the enterprise with physician communities
• Connecting the enterprise with patient-controlled data
• Connecting to acute and other healthcare organizations
Connect Care
Physicians
Pharmacies and PBMs
Hospitals
Health & FitnessDevice ManufacturersAssisted Living
Application Provider
LaboratoriesSkilled Nursing Facility
Health Plans
Health & FitnessDevice
Manufacturers
Pharmacies and PBMs
Application Provider
Hospitals
Laboratories
Physicians
HealthcareAssociations
Employers
Connect CareConnecting the Health Ecosystem
On admission to a Golden Living facility or to a hospital, a Golden Living Resident may decide to share certain data elements from their HealthVault account.
Medications, allergies, and discrete results from home devices (blood pressure, blood glucose)
While receiving routine care at Golden Living or when being discharged from a hospital, the institution can share information with the Golden Living Resident’s HealthVault account
Discrete data if available, discharge summaries, medication data, etc
Connect CareAmalga UIS/HealthVault Integration
Amalga Light – anytime, anywhere physician access
Connect CareConnecting With Physicians
Amalga Web
CommunityHealth System
• Medications• Discharge instructions• Lab test results• EKG Report• Operative Report
Record
Connect CareSolutions to Connect Care Across the Ecosystem
Physician in the home, office & hospital
Residents and Families
Consultant Pharmacists
Connect CareEnabling real-time access to data and greater
impact of data…when moments count
Q&A