© 2014 Caradigm. All rights reserved. Caradigm and the Caradigm Logo are trademarks or registered trademarks of Caradigm USA LLC.

All other product names and logos are trademarks or registered trademarks of their respective companies.

Demonstration of Population Health Management Capabilities

Sameer Bade, MD, SMVP | Clinical Solutions

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Include identifiable Patient Information / Data?: No

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©2014 Caradigm. All rights reserved

Photo courtesy of Naveed Zafar, part of the Caradigm teamCustomers | Promises | Simplicity | Teamwork

650 people250 customers1500 hospitals1 M users175 M patients 500 systems

Unleashing innovation to solve healthcare’s greatest challenges

©2014 Caradigm. All rights reserved

Supporting a diverse portfolio of customers

Analytics, Care CoordinationPopulation Health

Readmissions ManagementACO Quality Reporting

Care Management Risk Management

Clinical Protocol Compliance

Longitudinal Patient RecordReadmissions

Clinical Decision SupportPatient risk of deterioriation

Analytics, Quality Reporting

Quality Reporting & Dashboards

Accountable Care,Patient Matching

Care Plan Management,Patient Engagement

Reporting, Allergies, Patient Lists, Labs, Vitals, ECG etc.

30+ Applications developedon Caradigm’s Platform

Healthcare Analytics,Quality Improvement

Care ManagementRisk ManagementQuality Improvement

Analytics Applications

Care Management Risk Management

Quality Improvement

©2014 Caradigm. All rights reserved

Capabilities required for population healthNew solutions needed to augment EHR, HIE

Data Control

Deliver data where and when you need it

Healthcare Analytics

Generate insights and drive better decisions

Care Coordination & Management

Drive improved

outcomes for populations

Wellness & Patient

Engagement

Drive health-related

behavior change

©2014 Caradigm. All rights reserved

Caradigm Applications to support population healthSolutions augment EHR, HIE

Data Control

Caradigm Intelligence PlatformEMPISingle Sign-On and Context ManagementProvisioningKnowledge Hub

Healthcare Analytics

Readmissions ManagementRisk ManagementQuality ImprovementUtilization Management Analytics

Care Coordination & Management

Care ManagementCondition ManagementUtilization Management

Wellness & Patient

Engagement

Personal Health RecordPatient Outreach

©2014 Caradigm. All rights reserved

CIP: An asset for Applications and Analytics

A technology stack that supports your business needs as they evolve

Connects the healthcare community

Aggregates data

Virtual schemas

Separation of data storage from data usage enables customers to continue

to leverage the growing data asset and provides the agility to respond to

health reforms and industry changes

Shares data across the care continuum

Creates a longitudinal patient record

Normalizes data

Surfaces discrete data as healthcare entities

Automated data pipeline yields faster, easier data integration

Terminology powered by HLI accelerates data normalization

Standards-based network rapidly connects non-interoperable systems

Self-service Analytics Applications

Application development framework

Cohort management designer

Ingests data from multiple sources

©2014 Caradigm. All rights reserved

Accurate and meaningful prediction

9 Risk Management, Powered by LexisNexis with MEDai science

A more complete picture of the population and of the individual patient

Forecast Cost

Motivation Index

Inpatient and EmergencyVisit Risk

Understanding the cost and risk drivers for managed populations is essential to improve outcomes, reduce unnecessary utilization and maximize return on intervention.

Features• Predictive modeling • Patient stratification• Cost forecasting• Patient-compliance tracking• Configurable dashboards• Integration with other

Caradigm applications

MoversRisk

Forecast CostPredicts costs for

the patient

Quality Compliance

Predicts risks, costs

Motivation IndexIdentifies patient

participation in their own healthcare

Inpatient | EmergencyVisit Risk

Forecast Risk

Predicts clinical riskfor the patient

Predicts patient ER visits or hospital

admissions

of non-compliance with evidence-based guidelines for

chronic conditions

Identifies current low-risk patient that

will transition to high risk

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Quality Improvement

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Solution Overview

Overview• Enable organizations to not only measure and track key quality measures, but also to

proactively drive performance associated to them• Enable actionable intelligence integrated into workflow at the point of care

Features• Calculate and track key patient safety and quality measures• Benchmark performance at institution and provider level• Explore data and drill down to cohort/ patient level to identify areas of improvement• Integrate role-based quality management into existing workflows

Core Capabilities

Measures

Measure Calculation

PerformanceBenchmarking

Quality Gaps Analysis

Quality Management

Workflow Integration

ACO Clinical Quality Measures for MSSP HEDIS Measures HCAHPS

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The Caradigm Care Management Difference

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Patient EngagementMulti-modal automated outreach maximizing efficiency in health care delivery

Group of patients with same gap identified

Transfer to customer scheduling during business hours

Transfer scheduling info to contact patient during business hours to schedule

Schedule Target Behavior:

Identify Outreach Targets:- MEDai/CIP values- Engagement Index

Conduct Outreach:- Real-time scoring during call- Identify barriers & branch content to overcome- Gains commitment to target behavior

Optimize Outreach:- Target Message –

life-stage, motivation, gap, gender, etc.- Target Modality –

past performance, pt. preference

Follow-up call to confirm target gap closure (vs. waiting for claims data)

IVR Validation:EMR

ValidationClaims

Validation

Validate Behavior Occurred:

Target Behavior Occurs

© 2014 Caradigm. All rights reserved. Caradigm and the Caradigm Logo are trademarks or registered trademarks of Caradigm USA LLC.

All other product names and logos are trademarks or registered trademarks of their respective companies.

Thank You!