hcc 2013 sota treatment

7/27/2019 HCC 2013 SOTA Treatment

1/54

M@@Fb tml Xlst> @urrlbt PEYO trlotklbt

Seclrt H. Hfsm KI

Plbfer Klifòj Ifrl`ter, Pt NeslpmsKlifòj @lbtlr Wmelbfx

@jfbfòj Wredlsser ed Klif`fbl

\bfvlrsfty ed Blvoio


2/54

Tf`tfks ed M@@

Nemobbls Cromks

Soy @morjls

iftm Wfod
http://en.wikipedia.org/wiki/File:%C3%89dith_Piaf.jpghttp://en.wikipedia.org/wiki/File:Ray_Charles_(cropped).jpghttp://en.wikipedia.org/wiki/File:JohannesBrahms.jpg


3/54

\PO Yml Xlst


4/54

Mlpote`ljjujor @or`fbeko Ojherftmk Keifdfli drek> Cor`ljebo @jfbf` Jfvlr @ob`lr

(C@J@) - Jjevlt NK lt oj. N Botj @ob`lr Fbst. 377=1?77>46=-8??

Ptohl 7WPY 7,

@mfji-Yurèttl-Wuhm O

Ptohl O-@WPY 7-3,

@mfji-Yurèttl-Wuhm O er C Ptohl I

WPY 23,@mfji-Yurèttl-Wuhm @

Tlry lorjy stohl (7)Pfbhjl :3 `k

òr`fbeko fb sftu

Lorjy stohl (O)Pfbhjl beiujl :< `ker 0 beiujls 0 `k,

WPY 7

Iewbstohl Crfihl

Oivob`li stohl (@)Wertoj fbvosfeb,

B?, K?, WPY ?-3Ylrkfbojstohl (I)

Pfbhjl 0 beiujls 0 `k

Fb`rlosli pertojprlssurl obi ljlvotli

cfjfrucfb jlvljsVls

Osse`fotliifslosls

Be VlsBe

Slsl`tfeb

Jfvlr trobspjobtotfeb

(@JY er JIJY) SDO (WLFo)

Ocjotfeb (PCSY,

SD, YOCL2

YOSL,YO@L)

: 0 tukers

: < `k

YOL er YO@LJeòj @mlke- er Soife-

tmlropy

(@mlke er Cloi

lkcejfzotfeb,

Soifelkcejfzotfeb)

Perodlbfc@mlke

Puppertfvl @orl

Purvfvoj :0 kebtms

Klifob survfvoj ??-37 kebtms

YOSL,

YOCL, PCSY

serodlbfc5c

*@ekcfbotfebs,

PCSY, YOSL,

YOCL5c

oSorljy usli. c@ebdfrkotfeb rlqufrli drek S@Ys.

PCSY ; Ptlrleto`tf` Ceiy Soifotfeb Ymlropy

Fbtlrklifotl stohl (C)Kujtfbeiujor, WPY 7

Pojvohl

Pojvohl


5/54

JF-SOIP

Koss5Be

JS0

Ecslrvotfeb

Clbfhb lbtfty5

JS? JS3

Wrecocjl

Ildfbftl

Yuker fb vlfb5

Vls

Vls

Blftmlr ildfbftl berprecocjl

Oppjy Ob`fjjory Dloturls obi tmlb Yfl-Crloafbh Sujls te Oinust @otlhery

JS

@opsujl

v37?0.?

@otlherfls FbilxKobohlklbt Yl`mbfqulSlpertfbhEvlrvflwFbtre

Oàbewjlihklbts

Oinust@otlhery

Evlrvflw>

JF-SOIP òtlherfzlsecslrvotfebsrldjl`tfbh

jfaljfmeei ed clbfhbfty er M@@ fb ot-rfsa

potflbts, os smewb fb ojherftmk.

Ildfbftljy er precocjy clbfhb ecslrvotfebs orl

òtlherfzli JS?obi JS3, rlspl`tfvljy.

Slkofbfbh ecslrvotfebs tmot orl bet kossls

tmlb orl otlherfzli JS0.Kossls wftm dloturls suhhlstfvl ed beb-M@@

kojfhbob`yorl òtlherfzli Etmlr Kojfhbob`y

(EK).

Slkofbfbh kossls wftm ildfbftl tuker fb vlfb

orl otlherfzli JS


6/54

Yeyeio M, lt oj. @jfb Hostrelbtlrej Mlpotej. 377419>???-8.

Purvlfjjob`l der Mlpote`ljjujor @or`fbekoCfekoralrs> ODW, ODW-J0 obi I@W

Wottlrb ed cfekoralrs fb potflbts wftm M@@


7/54

M@@ Cfekoralr Woblj

OJWJ0% obi I@W

\sls obi \tfjfzotfeb Mfhmlr jlvljs osse`fotli wftm

Tos`ujor fbvosfeb

Kerl peerjy ifddlrlbtfotli tukers

Mfhmlr rfsa ed rl`urrlb`l odtlr surhlry obitrobspjobt

Blor tlrk prlif`ter ed ilvljepfbh M@@ fd betuker fs prlslbt eb fkohfbh


8/54

Yrlotklbt der M@@

Slsl`tfeb

Yrobspjobtotfeb

Fkohl-hufili fbtlrvlbtfebs WLF

SDO, KwO

@mlkelkcejfzotfeb, YOCL, YOSL

47 87%

V67, I@ Clois

6-?= Kebtms

klifob survfvoj

Yorhltli tmlropfls 0 kebtms iljtoklifob survfvoj


9/54

Yrlotklbt

Ebjy oceut 07% ed potflbts wme prlslbtot kest `lbtlrs movl lorjy-stohlifslosl.

87% `obifiotl der `ekpesftl trlotklbt,er fbvlstfhotfeboj er systlkf` tmlropy

@ob`lr trlotklbt fb mfstery @ut

Curb

Wefseb


10/54

Purhf`oj Slsl`tfeb

Lxpl`totfebs ed rlsl`tfeb> :0% eplrotfvl kertojfty :?7% trobsdusfeb rlqufrlklbt + LT,pjotljlts : ?77,777 kk0 er spjlbeklhojy

Sl`urrlb`l> 47%-87%fbtromlpotf`, 07%-97% il beve M@@

LT> lsepmohloj vorf`ls.

?. Faof F lt oj. @ob`lr.37791?7?>864-=73. 3. Toutmly NB lt oj. N @jfb Eb`.37731 37>?


11/54

Yml cfhhlst il`fsfeb>Slsl`tfeb vs Yrobspjobtotfeb

@lbtlr Lxplrflb`l

@ujturoj Ottftuils

Wro`tf`l Wottlrbs

Slsl`tfeb Yrobspjobtot feb

Wre @ebBe woftfbh tfkl


12/54

Soifedrlqulb`y Ocjotfeb (SDO)

Soifedrlqulb`y tmlrkoj lblrhy oppjfli te tmltuker

Der potflbts wme ie bet kllt rlsl`tfeb`rftlrfo obi orl @mfji-Wuhm O er C

Clst der tukers jlss tmob 9`kIfokltlr (`k) @ekpjltl je`oj `ebtrej

:3.< 67%

3.


13/54

Jlb`febf lt oj.> 374 potflbts wftm lorjy-stohl ubrlsl`tocjlM@@ trlotli wftm SDO?

Ptohl 0-yr

Purvfvoj


14/54

Mebh lt oj.> ?9= potflbts @mfji O1 òslèbtrej SDO vs surhfòj rlsl`tfeb?

Fs SDO Clttlr Ymob Purhfòj Slsl`tfeb5

Ymlropy ?-yr Purvfvoj 0-yr Purvfvoj Slùrrlb`l

Purhlry

(B ; 60)68% =6% 9


15/54

SDO

@ebtrofbif`otfebs

@mfjis @ potflbts ( 38% vs 4.< - =%)

@jesl prexfkfty ( :?`k) Cfjliu`ts

Cjeei vlssljs

\PL KF@SEXOTL erLJL@YSEWESOYFEB

Jorhl tukers ( 2


16/54

Blw Ymlrkoj Yl`mbfqul>Kf`rewovl Ocjotfeb

Mfhmlr fbtrotukeroj tlkplroturls

Fkprevli èbvl`tfeb predfjl

Cfhhlr ocjotfeb vejukls Dostlr ocjotfeb tfkls

Jlss pofb

Be mlot-sfba lddl`t Blli kerl fbderkotfeb rlhorifbh

lddfò`y èkporli te SDO


17/54

Ljl`terperotfeb

Bevlj Ocjotfeb Yl`mbfqul Koy Clbldft Wotflbts Xftm

Kojfhbobt Jfvlr Jlsfebs.

Klisòpl(9/34/37?9, Morrfseb) rlperts, "O bevlj ocjotfebtl`mbfqul tmot iels bet rljy eb mlot er èji fs o sodl obi

dlosfcjl woy te torhlt kojfhbobt jfvlr jlsfebs tmot orl ifddfùjt teocjotl clòusl ed tmlfr prexfkfty te koner ortlrfls obi vlfbs,o`èrifbh te blw rlslor`m" prlslbtli ot tml OklrfòbSelbthlb Soy Pe`flty 37?0 Obbuoj Klltfbh. Slslor`mlrs"usli plrùtobleus frrlvlrsfcjl ljl`treperotfeb te trlot 3= jfvlrtukers bet suftocjl der èbvlbtfeboj tmlropy er jeòtli fb oborlo bet oklbocjl der roifedrlqulb`y ocjotfeb." Ymlrlslor`mlrs deubi tmot "èkpjltl ocjotfeb ed vfocjl tuker tfssulwos o`mflvli fb 3? tukers."
http://mailview.bulletinhealthcare.com/mailview.aspx?m=2013042601aga&r=5110936-7d65&l=002-6db&t=chttp://mailview.bulletinhealthcare.com/mailview.aspx?m=2013042601aga&r=5110936-7d65&l=002-6db&t=c


18/54

Fbtro-ortlrfoj Je`erlhfeboj Ymlropy

YO@L Xftm jfpfeiej

YOSLSoifelkcejfzotfeb> yttrfuk-67roifeo`tfvl kf`respmlrls

YOCLIruh-ljutfbh clois (J@ Clois)


19/54

Jorhlst Wrespl`tfvl Ptuiy ed YO@L der

\brlsl`tocjl M@@ te Iotl

B ; = =3%1 Vlor 0> 98%1 Vlor 34%1 Vlor 8> ?4%

EP clttlr wftm jlsslr ilhrll ed jfvlr iokohl

Do`ters oddl`tfbh survfvoj @mfji-Wuhm stohl YBK stohl (EP clttlr wftm stohl F, fb`rlosfbhjy wersl prehrlssfbh

tewori stohl FT)

Ojpmo-dltepretlfb jlvlj

Yoaoyosu A, lt oj. Hostrelbtlrejehy. 37741?0?>94?-946.


20/54

YO@L> @mlkelkcejfzotfeb>

Lddfò`y Clderl Yrobspjobtotfeb

Koner fssul> irepeut rotl (oreubi 37%) Jlss fb tml \P sfb`l oieptfeb ed KLJI `rftlrfo Sejl ed YO@L

@ebtrej tuker hrewtm + prlvlbt prehrlssfeb

Pmeuji cl èbsfilrli fd woftfbh tfkl 24 kebtms @ekpjfòtfebs drek YO@L rorl (be fb`rlosli rotl

ed mlpotf` ortlry èkpjfòtfebs) YO@L usli os prlif`ter ed tuker cfejehy fb

potflbts owoftfbh trobspjobtotfeb Purvfvoj + tuker-drll survfvoj> rlspebilrs te YO@Lku`m hrlotlr clbldft tmob beb-rlspebilrs

Sf`mori MK 0ri lt oj. Soifejehy. 377713?9(0)>88


21/54

@mlkelkcejfzotfeb> Fbljfhfcfjfty@rftlrfo

Ocsejutl èbtrofbifòtfebs

@mfji @

Weer plrderkob`l stotus (L@EH 23)Sljotfvl èbtrofbifòtfebs

Lxtromlpotf` ifslosl (5 Clbldft)

Wertoj vlfb tmrekcesfs5 BE JEBHLS!(Kfbfkfzl lkcejfzotfeb obi cl kerlsljl`tfvl)


22/54

Iexerucf`fb Ljutfbh Clois

Blw lkcejf` kotlrfoj der YO@L Lkcejfzotfeb portf`jls orl koil drek pejyvfbyj

ojèmej myirehlj tmot orl jeoili wftm iexerucf`fb

Clois jloi te juklb e``jusfeb obi fs`mlkfo Iexerucf`fb fs hroiuojjy rljlosli jeòjjy

Il`rlosli jloaohl ed iruh te systlkf` `frùjotfeb Jebhlr lxpesurl te tuker `ljjs

*il`rlosli systlkf` sfil lddl`tswftm fb`rlosli rlspebsl


23/54

Sliu`fbh Pystlkf` Lxpesurl

Ymfs fs tml rljotfvliruh ifstrfcutfebder stobiori

ortlrfoj`mlketmlropy vs.`ebvlbtfebojYO@L vs. I@

Cloi

Sljotfvl Iruh Ifstrfcutfebs


24/54

Wrl`fsfeb T Yrfoj>

I@ Clois vs YO@L


25/54


26/54

Iexerucf`fb Ljutfbh Clois

Lorjy stuifls smew ot jlost èkporocjlrlspebsl te èbvlbtfeboj YO@L

Wessfcfjfty ed jlss oivlrsl lvlbts5 Westlkcejf` sybirekl> pofb, dlvlr, bouslo Jlss iruh lxpesurl te systlkf` `frùjotfeb


27/54

67Vttrfuk Hjoss Kf`respmlrls

YmlroPpmlrl èbsfsts ed fbsejucjl 37-07 k hjossspmlrls wftm 67V os ob fbtlhroj èbstftulbt ed tmlhjoss kotrfx

?77% purl clto lkfttlr

Wmysfòj mojd-jfdl ed 49.3 m

Ovlrohl tfssul plbltrotfeb robhl ed 3.< kk


28/54

Wmosl FF stuiy> B ; ?7= (08 wftm WTY, 8? wftmeut WTY)

Ptrotfdfli cy texf`fty> @mfji-Wuhm s`erl (fb `frrmetf`s), iesl,je`otfeb ed WTY

Klifob iesl> ?09 Hy Wortfoj rlspebsl rotl> 93% (XME), 87% (LOPJ)

Oivlrsl lvlbt rotl mfhmlst fb potflbts wftm kofb WTY obi`frrmesfs

Klifob survfvoj, kofb WTY> 347 ioys Crob`m WTY> 087 ioys Be WTY> 947 ioys

Vttrfuk-67 Soifetmlropy der M@@ Wotflbts Xftm

obi Xftmeut WTY

Aujfa JK, lt oj. Mlpotejehy. 377=198>


29/54

YO@L vs V67> lorjy ioto

YO@L (B;33) V67 (B;09) p vojulWortfojrlspebsl

00% 4=%

Pu``lssduj

iewbstohfbh

9?%


30/54

67Vttrfuk vs. YO@L

67Vttrfuk iels bet e``juil tml vlssljsot tml ortlrfejor jlvlj Eptfeb der rlplot lkcejf` trlotklbt

Jlss fs`mlkf` iokohl Slspebsl rotls ot jlost sfkfjor Lqufvojlbt sfil lddl`t predfjl

67

Vttrfuk `ob cl usli fb pertoj vlfbtmrekcesfs obi fb kerl lxtlbsfvlifslosl

67Vttrfuk ku`m kerl lxplbsfvl


31/54

Yrlotklbt Perodlbfc

Eroj kujtfafbosl fbmfcfter

Fbmfcfts YA fbvejvli fb tuker hrewtm obiobhfehlblsfs

TLHDS-?, TLHDS-3, TLHDS-0, obi WIHDS

fbtro`ljjujor slrfbl/tmrlebfbl afbosls

(l.h. Sod-?, C-Sod ) fbvejvli fb tukeur `ljjprejfdlrotfeb obi tukeur obhfehlblsfs.

Y t t P d fc


32/54

Yrlotklbt PerodlbfcKl`mobfsks

Perodlbfc

Y t t P d fc


33/54

Yrlotklbt PerodlbfcIuoj torhltfbh

Perodlbfc

Perodlbfc

Perodlbfc

TLHD

LHD/MHD

Purvfvoj

WIHD

Wrejfdlrotfeb

Lbietmljfoj ljjLpftmljfoj ljj

Obhfehlblsfs

Xfjmljk P lt oj. @ob`lr Sls. 3779

Y t t P d fc


34/54

Yrlotklbt PerodlbfcSlsujts ed S@Y

Ywe robiekfzli, ieucjl-cjfbi, pjo`lce-

èbtrejjli, kujtf`lbtrl, pmosl FFF trfojs

?. YmlPMOSW trfoj> Perodlbfc Mlpote`ljjujor @or`fbeko OsslssklbtSobiekfsli Wreteèj

3. Yml Osfo-Wo`fdf` trfoj

Jjevlt. lt oj. BLNK 377=

@mlbh lt ojJob`lt Ebèjehy3776

Y t t P d fc


35/54

Yrlotklbt PerodlbfcSlsujts ed Wmosl FF stuiy

@mfji O+C, ubtrlotli

977 kh WE CfI

B;?08 WS;3.3% KS;


36/54

Yrlotklbt PerodlbfcSlsujts ed PMOSW trfoj

473 pts robiekfzli ?>? (366 obi 070)


Perodlbfc

977 kh cfi

Wjo`lce

Ljfhfcfjfty

Oivob`li M@@L@EH 7-3@mfji-Wuhm OBe Wrfer systlkf` tmlropy

Ptrotfdfòtfeb

Ko`resèpf` vosùjor fbvosfeb(Wertoj Tlfb) obi/er lxtromlpotf` sprloi

L@EH WP

Hlehropmf`rlhfeb

S

O

B

I

7K

F

^

L

b;366

b;070

@e-prfkory lbi pefbts> Evlrojj survfvoj Yfkl te sykptekotf` prehrlssfeb (DMPF=-YPW)

Plèbiory lbi pefbt> Yfkl te Wrehrlssfeb

Y t t P d fc


37/54

Yrlotklbt PerodlbfcSlsujts ed PMOSW trfoj


Wotflbts `moro`tlrfstf`s

@moro`tlrfstf`sPerodlbfc(b-366)

Wjo`lce(b;070)

Ohl (klifob) 4< 44

Kojl =8% =8%Lurepl/BO/etmlr ==/6/0 =8/?7/0

Tfroj (M@T/MCT) 36/?6 38/?=

LYEM/etmlr 34/34 34/36

@mfji-WuhmO/C 6


38/54

7

7.3? (?


40/54

Yrlotklbt PerodlbfcSlsujts ed Osfo-Wo`fd f` tr foj

Klifob EP 4.


41/54

Yrlotklbt PerodlbfcSlsujts ed Osfo-Wo`fd f` tr fojvs . PMOSW

PMOSWJjevlt. lt oj. BLNK 377=

Osfo-Wo`fdf`@mlbh lt ojJob`lt Eb`ejehy3776

EP?7.8 vs. 8.6QMS[ 7.46

4.


42/54

Yrlotklbt PerodlbfcSlsujts ed Osfo-Wo`fd f` tr foj

Yexf`fty

@mlbh lt ojJob`lt Eb`ejehy3776

Yrlotklbt Perodlbfc


43/54

Yrlotklbt PerodlbfcIruh fbtlro`tfeb

Perodlbfc rlhfklb fs 977 kh Yoalb twf`l iofjy (3 x 377 kh tocjlts)

Xftmeut deei (ot jlost ? mr clderl er 3 mrs odtlr kloj)

Perodlbfc rliu`li cy 08% cy @VW0O9fbiu`lrs (l.h.rfdokpf`fb)

Yrlotklbt Perodlbfc + `mlketmlropy


44/54

Yrlotklbt Perodlbfc + `mlketmlropySlsujts ed QIexerucf`fb+ Perodlbfc[ vs. Iexerucf`fb

PMOSWJjevlt. lt oj. BLNK 377=

Osfo-Wo`fdf`@mlbh lt ojJob`lt Eb`ejehy3776

Iexerucf`fb+/-

PerodlbfcOceu-Ojdo lt ojL@@E 3778

EP?7.8 vs. 8.6QMS[ 7.46

4.


45/54

Yrlotklbt

Jeòjjyubrlsl`tocjl

Slsl`tocjlwftm heei

jfvlr dub`tfeb(be `frrmesfs)

Y? er Y3

wftm `frrmesfs

Iewb-stohli

Wojjfotfvl YO@Lobi/erPerodlbfcer

suppertfvl òrlEr

`jfbfòj trfoj

SDOKXOWLF

Wortfojmlpotl`teky Yrobspjobt(prlep JSY)

Lxtromlpotf`sprloi

Pkojj(:0`k)

Jorhl(20`k)

YOCL (+)YOSL

YO@L (+)

@mfji O

M@@

KLJI F dj tf


46/54

KLJI Fbdjotfeb

333448484.

survfvoj hlbls


49/54

Duturl derM@@

Ifohbesfs&Yrlotklbt

5

Pberrf P. lt oj. N Mlpotejehy

99 (3774) 86==7<

@ Aft obi MHD os Wrlif`ters ed


50/54

@-Aft obi MHD os Wrlif`ters edSlspebsl te Perodlbfc

Jjevlt N K lt oj. @jfb @ob`lr Sls 37?31?=>3367-3077


51/54

KLY os o Wrehbestf` Do`ter

Klifob EP Wotflbts LvlbtsKLY Ix Jew 6.7 ?0 6KLY Ix Mfhm 0.= ?< ? 3.69 (6 ?.?4-8.90) Jeh Soba> W;7.73

Sfkosso, J, lt oj. Ocstro`t 9774. OP@E 37?3

Wrepertfebe

dWotflbtsPurvfv

fbh


52/54

EP fb KLY Ifohbestf` Mfhm

Wrepertfeb

edW

otflbtsPurvfvfbh

Klifob EP Wotflbts Lvlbts

Yfvobtfbfc 8.3 kes 33 ?8Wjo`lce* 0.= kes ?< ? 7.0= (6 7.?=-7.=?) Jeh Soba> W;7.7?

*= KLY Ix Mfhm potflbts `ressli-evlr, < rlkofbli eb eplb-joclj tfvobtfbfc der ot jlost 4wllas (? beb-lvojuocjl ot `ut-edd iotl)Sfkosso, J, lt oj. Ocstro`t 9774.


53/54

Kobohlklbt ed Mlpote`ljjujor @or`fbeko Slqufrls oKujtfifs`fpjfbory Oppreo`m

Soifotfeb

Eb`ejehy

Wotmejehy

Eb`ejehy

Soifejehy

Mlpotecfjfory

Purhlry

Mlpotejehy

Ymoba yeu te> tlo`mfbh kl se ku`m obi


54/54

Ymoba yeu te> tlo`mfbh kl se ku`m obismorfbh sjfils

H Oceu-Ojdo

@jouil Pfrjfb

Oirfob If Cls`lhjfl Doif Crlftom

@epy ed tmlsl sjfils5 rhfsmGrhfsmkijfvlr`ebsujts.`ek

hcc 2013 sota treatment

Documents