intel confidential do not forward - the sequoia...
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Intel Confidential — Do Not Forward
Connected Care Overview
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About Intel CorporationThe World’s Largest Semiconductor Manufacturer
107,000 employees worldwide………..300 facilities in 50 countries
$56B in Annual Revenues
6th most powerful brand……..8th most recognized brand
Fortune 100 best company to work for
2014 Total U.S. Healthcare Spend: ~$680M
Enrollment: 48,000 employees, 80,000 dependent
Major US Sites: Arizona, California, New Mexico, Oregon, Texas
This decade we will create and extend computing technology to
connect and enrich the lives of every person on earth
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Employer Driven Triple-Aim Approach
Improving patient experience
• Concierge approach to care with dedicated teams with seamless transitions
• Improved access with innovation
• Care delivery model standards with patient-centered approach
• HLFC care delivery integration
Reducing cost/waist
• Pay for performance model
• Narrowed network of Providers
• EHR interoperability between disperse systems
• No referrals or prior authorizations
• Free preventative care
Population heath management
• Healthcare systems accountable to access standards, patient satisfaction, and chronic disease outcomes
VALUE
QUALITY
TRIPLE AIM
EXPERIENCE
Patient Centered Medical Home
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Medical
Neighborhood
Patient
Centered
Medical Home
Member
Dedicated
Customer Service
UnitPerformance
Requirements
Copay or HDHP
Plan Offerings
The “Connected Care” Model
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Connected Care Plan Design Two plan designs available to employees
• High Deductible Health Plan w/ HSA Incentives
• Primary Care Plus (Copay for Primary Care visits and Prescription drugs /everything else subject to deductible and coinsurance)
• CC plans are lower cost and richer than national plans
• Plans include:
• Preventive Care and Preventive Medication covered at 100%
• In-network covered at low cost share
Appropriate care determined by provider and patient
• No medical care utilization management for in-neighborhood care (i.e. no PA’s or referrals)
• Ux continues to apply to Rx, out of area, and out of network
5
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5 Requirements Reporting
Cost • PMPM
Evidence Based Medicine (EBM)
• Preventive Screenings
• Chronic Disease Management
Right Time Right Setting (RTRS)
• Access to Care
• Alternative Venues of Care
Member Experience (UX)
• Accessing Care
• Quality of Care
• Likelihood to recommend
[Optimal] Function
• Learning Metrics
• EE productivity
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Connected Care Innovation
Dedicated Connected Care teams to manage population
• Case Managers, care coordinators, administration navigators
Alternative appointment types - telehealth
• Electronic visits, phone visits, web & mobile-based video visits
List of estimated costs for a set of common services/procedures (in-network)
• Cost transparency during PCMH visits
• Cost transparency tool available to members via Web & mobile app
Proactive preventative care reminders
HFLC Integration
• EHR to EHR interoperability
• Comprehensive Care Coordination Workflows
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The “Connected Care” Model
Medical NeighborhoodSpecialists, Hospitals & Facilities
Patient Centered
Medical Home Clinic
Health for Life Center (RA3 & JF5)Employer On-Site Clinic
Connected Care
Member
eHealth Exchange
Direct PUSH
Connected Care
Concierge
Dedicated
Connected Care
Team
Patient Benefits
Don’t have to remember healthcare information
Less steps to get access to care at right time, right setting
Clinical care is comprehensive and coordinated
Provider Benefits
Patient healthcare information is up-to-date
Clinical decision-making based on accurate history, care gaps, allergies, etc.
More time with patients to focus on care needs
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Care Coordination and EHR Integration with Intel’s Onsite Clinics
EHR to EHR Interoperability
• Clinicians have more accurate and timely health information
• Care is more efficient, minimized redundancy, and better managed cost
• 4 EHR technical teams developed innovative interoperability models
• CCDAs are sent through Direct PUSH and PULL/Query methods
Integrated Care Delivery
• Providence and Kaiser partnered with onsite clinics to integrate care
• Improved care coordination across multiple settings
• Dedicated care teams to ensure seamless member experience
• High-touch coordination for high-risk/chronic populations
Leading the Way
• Secure, electronic exchange of health data between unaffiliated providers has been slow to develop in many parts of the country
• This project has received national attention as it promises to make headway
• White Paper was published on the groundbreaking achievements of this model
“Connected Care is advancing care coordination in Oregon, and
demonstrating business impacts for improving the health delivery
systems” - Eric Dishman, Intel Fellow
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Electronic Medical Record Interoperability
10
Impact to date
The Connected Care Vision is to improve Intel employees and families healthcare experiences, outcomes, and reduce
costs overtime; EMR interoperability plays an important role to help Intel achieve this Vision.
The EMR interoperability model in Oregon is nationally recognized for having an innovative approach to get
healthcare data to communicate between the onsite clinics and the healthcare systems in Connected Care (i.e.
Whitepaper published, federal agencies inquiring, conference requests, Health IT News, Oregon Business Journal,
etc.)
New care coordination workflows are using data exchange with healthcare information coming to them in real
time, resulting in quicker access to care with less work involved for everyone involved
Having the most up-to-date healthcare data means a more efficient model where physicians and patients can
now make the best possible choices about their care plan, leading to lower costs over time
Future Impact – Looking into 2016
Evolution of the EMR interoperability model will lead to more automation and innovation of processes in both
Oregon and Arizona, and will continue to place Intel at the forefront of providing functional data interoperability
and exchange in the US
Adapting the model into California will allow Intel to continue reaching Connected Care’s vision and lead to more
innovations, spurring EMR interoperability between major health systems in both Folsom and Santa Clara markets
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Backup
11
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HFLC Integration ModelMember shows up/or
is scheduled for care at HFLC
Patient Identified as Connect Care Member
CCDA Pulled
Patient Treated and any care gaps
addressed
Has chronic or complex condition,
needs additional testing and/or follow
up care
Patient has DSP PCP?
Patient has DSP PCP?
If needed, HFLC contacts the POC to schedule appt. or follow-up with DSP PCP
HFLC recommends patient establish with a PCP and
offers options
HFLC pushes CCDA and message to POC including indication if pt is in active
case mgmt with HFLC condition RN
If patient’s care needs are in-scope for HFLC and Pt. wants clinician as PCP, HFLC
schedules appropriate follow-upOR
HFLC helps patient establish with a DSP PCP in real time or provides info to pt. on how to
do so.
POC receives, triages, and updates EMR as needed
POC receives, triages, and updates EMR as needed.
Note: If “Very High Need” some level of outreach may occur
HFLC recommends patient establish with a PCP and
offers options
HFLC pushes CCDA and message to POC including
designation of HFLC as ‘PCP’ or that pt. wants to establish
with DSP PCP.
HFLC pushes CCDA and message to POC
POC receives, triages, and updates EMR as needed
HFLC pushes CCDA and message to POC including designation of HFLC as ‘PCP’ or that
pt. wants to establish with DSP PCP. Also include indication is pt. is in active case mgmt
with HFLC condition RN
YES NO
NOYES
YES
NO
Function of HFLC
Function of DSP
eHx “PULL”
Push message. Must be Direct and include text send/receipt function
Intel Connect Care: Delivery Service Provider and Health for Life Center Integration
v3Updated: 3/4/15