PALOMAR HEALTH

HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION

NOVEMBER 3, 2015

DELLA K. SHAW, EVP STRATEGY

PALOMAR HEALTH

Palomar Health is a California Health Care District

Hospitals

Palomar Medical Center

Palomar Health Downtown Campus

Pomerado Hospital

Skilled Nursing Facility Villa Pomerado

Ambulatory / Outpatient Centers

San Marcos Ambulatory Care Center

Pomerado Outpatient Pavilion

Palomar Outpatient Behavioral Health

Retail Health expresscare - TemeculaExpresscare - San ElijoExpresscare -EscondidoExpresscare - Penasquitas

Medical Foundation Arch Health Partners

Palomar Health by the Numbers (FY14)

Licensed Beds 714

Medical Staff 900 +

Employees 4,350

Inpatient Discharges 29,849

Outpatient Visits 113,919

ED Visits 51,692

Surgeries 18,593

Traumas 1,373

Births 4,525

Mission Sustaining Financial Performance

Customer ValueQuality | Cost | Experience| Brand

People

Outc

om

es

Operational ExcellenceClinical Integration | Efficiency and EffectivenessHassle Free Experience | Consumerism

Organizational CapabilitiesWorld-class Workforce | Technology

Pro

ces

s

Patient First Culture4

5

The Population Health Roadmap

Understand the

Cohorts

Reach out to all

constituencies

Establish Data Warehouse &

Analytics

Keep the Well Well

Deploy Behavior Change & Economics

Reduce Health Risks

Focus on the

Chronically Ill

Eliminate the

Medically Homeless

Focus on Catastrophic

Understand the Demographics

Provide Health

Advocacy

Reach out to all the

constituencies

Utilize Information Therapy &

Patient Education

Eliminate Health

Disparities

Market Wellness

6Adopted: Population health leading lights summit. The Advisory Board Company

Population HealthChanging Health Scope

Social Organizations

Community Groups

Schools

Public Safety

Extended Health System

ScopeTransportatio

n system

Government

Housing Assistance

TRADITIONAL HEALTH

SYSTEM SCOPE

PHYSICIANS HOSPITALS

PHARMACY

7

Population HealthProgram Application

Low Intensity High Intensity

Health Coaching

Source: Cooper Institute

Awareness

Education/

Motivation

Intervention

Behavior Maintenance

Monthly Topics &

Other Education Programs

HRA/Biometric Screening& Tracker

Targeted Group

Programs and Self- Tracking

Tools

Ongoing Wellness Programs

Proprietary & Confidential All Rights Reserved

ENGAGE EDUCATE MOTIVATE ACTIVATE

8

Population HealthInformation Challenge

From Caring Provider

Patient Visit

Diagnosis Coding

Link Content to Code

E-Mail Sent to Patient

Getting the right content

to the right patient

at the right time

in the right channel

from the right provider

Population HealthAnalytics Progression

9

Descriptive AnalyticsVa

lue

Difficulty

Prescriptive Analytics

Predictive Analytics

Diagnostic Analytics

Informatio

n

Optimiza

tion

What happened?

Why did it happen?

What will happen?

How can we make it happen?

Hindsight

Insight

Foresig

ht

Gartner

Palomar Health 2013 Strategic Initiative | Road to Population Health

• Population Health Steering Committee (Physician / Multi-disciplinary membership)

• System wide gap analysis performed to establish baseline and roadmap

• Post-acute multi-disciplinary team create process flows for all handoffs

• Think Big, Start Small, Act Fast - 10,000 Lives pilot

Progress - Process

Palomar Health 2013 Strategic Initiative | Road to Population Health

Information Systems

– Internal Data Warehouse

– San Diego Health Exchange

– Cerner Interoperability Platform

Progress – Information Systems

• Community Education Programs

• Community-based Care Transitions Program (CCTP)

• Centers of Excellence – Total Joints, Spine, Neuroscience, Bariatric Surgery, Obstetrics, Minimally Invasive Gynecology, Cardiovascular, Cardiology

• Community Action Councils12

Palomar Health 2013 Strategic Initiative | Road to Population Health

Leveraging Existing Best Practice

• Cerner Interoperability Platform launch

• Clinical Integrated Network development

• Improve access for medically homeless

• Behavioral Health access needs

• Expand Community Action Councils’ role in influencing community health and lifestyle

• Application to our workforce

13

Palomar Health 2013 Strategic Initiative | Road to Population Health

2016

14

The Population Health Roadmap

Understand the

Cohorts

Reach out to all

constituencies

Establish Data Warehouse &

Analytics

Keep the Well Well

Deploy Behavior Change & Economics

Reduce Health Risks

Focus on the

Chronically Ill

Eliminate the

Medically Homeless

Focus on Catastrophic

Understand the Demographics

Provide Health

Advocacy

Reach out to all the

constituencies

Utilize Information Therapy &

Patient Education

Eliminate Health

Disparities

Market Wellness

Drive Safely!!