anatomy of a pilot at health 2.0 provider symposium - optima

PRECISION

piloting healthcare coordination in hypertension

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Operations: Loss Due to Avoidable ED Visits and Hospitalizations

For every 1000 patients with HTN, every year:

Patients visiting ED for HTN-related symptoms and complications (50%)

500

Cost of ED Services (500 x $1,233) $600,000Cost of Hospitalization (35% of ED visits @ $20,000/admission) $3,500,000Cost of Rehabilitation/Ambulatory Services (50% of Hospitalizations @ $12,000/patient)

$900,000

Cost of In-Patient Surgical Procedures (10% of Hospitalizations @ $70,000/patient)

$1,050,000

Overall Cost of Care for the 500 Patients visiting the ED $6,050,000

optima4BP Demo:

The Naked Analytic Intelligence

Medication Optimization Decision Support Workflow

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Assessment Is BP lowering On Track?

Do NothingOngoing

Surveillance

ACTIONGenerate Treatment

Optimization Recommendation

SURVEILLANCECollection and

Organization of Data Updates? YES

NO

ASSESSMENTDoes treatment

require optimization?

YES

NO

YES NO

ACTION sent to EHR In-Basket Risk Stratified Patient Roster

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EHR In-Basket Decision Support Recommendation

Outcomes

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Interoperability: EHR - data “dump”

Care Coordination: adoption based on availability of RN support

Clinical Efficacy: Implementation of optima4BP recommendation: in BP Inertia: in BP/side-effects severity/symptoms

Lessons Learned

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Interoperability: Chasing the Data - built own query and automation tools

Care Coordination: Risk Stratified Recommendations

Clinical Efficacy: Trusting the Analytic Intelligence

Next Steps

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Ready to pilot/deploy optima4BP to other sites

Pipeline Development: optima4heart