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Summary

5/30/2012 www.apixio.com Confidential

Copyright 2012, Apixio Inc.

Clinical Data Integration as the Foundation of an ACO or

Patient‐Centered Medical Home

Medicare & Medicaid Payment SummitWashington, DCMay 31, 2012

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Private company founded in 2009Successful, Silicon Valley, Serial Entrepreneurs

Healthcare IT, Big Data Analytics, Internet Media, Search Expertise



Apixio Introduction

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ACO/ PCMH Challenges

Clinical integration across multiple data sources and sites of care

Multiple health information technologies & applications in use or under various stages of implementation within organization

Clinician resistance to workflow/ culture changes

Short time horizon to demonstrate results*





Clinical Data Hidden from Mission Critical Processes

>63% of key clinical data is NOT

coded

Patient Care

Quality Analysis &

Reporting

Care & Disease

Management

Revenue Cycle Mgmt

Key Processes

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Coded dataCod

ed dat

a

Coded

Data

Coded data

The Current State of Data Exchange and Accessibility

5/30/2012 www.apixio.com Confidential Copyright 2012, Apixio Inc.

EHR(Acute)EHR(Acute)

Quality

Analytics/

Reporting

Quality

Analytics/

Reporting

HIE PortalHIE

PortalApplication

DataSource

EHR(Clinic)EHR(Clinic)

EHR(Clinic)EHR

(Clinic)

Care Provider or Manager Coder

Billing SystemBilling System

EHR(Acute)EHR

(Acute)

CareMgmt

Platform

CareMgmt

Platform

Aggregator

Code

d & Text d

ata

Coded data

Coded data

LabLab Claims Claims PACSPACS

Analytic VendorAnalytic Vendor

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Coded

& Text

data

Coded data &

docs

Coded dataCod

ed dat

a

Coded

Data

Coded data

The Current State of Data Exchange and Accessibility



Quality

Analytics/

Reporting

Quality

Analytics/

Reporting

HIE PortalHIE

PortalApplication

DataSource


EHR(Clinic)EHR

(Clinic)


HIEHIE


EHR(Acute)EHR

(Acute)

CareMgmt

Platform

CareMgmt

Platform

Aggregator

Code

d & Text d

ata

Coded data

Coded data

Coded data

LabLab Claims Claims

Images &

doc

PACSPACS

Analytic VendorAnalytic Vendor

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Apixio’s Clinical Knowledge Exchange



Quality

Analytics/

Reporting

Quality

Analytics/

ReportingApplication

DataSource


EHREHR



CareMgmt

Platform

CareMgmt

Platform

ApixioCKXStack

LabLab Claims Claims PACSPACS

data interface

integrate & reconcile

API

meta‐tag & mine

ApixioApixio

SimvastatinSimvastatinZocorNDC 0093715217CADHyperlipidemia…

LDL CPT 83721Hyperlipidemia…

Source Data Concept Meta‐Tagging

CPT 83721CADHyperlipidemiaNegated concept…

Intelligent Run‐TimeAssembly

Patient HistoryRelated to CAD

ProblemsHyperlipidemia

MedsSimvastatinZocor

LabsLDL cholesterol

API / Application

Unique & Powerful Pipeline for Knowledge Assembly (Patent Pending)Unique & Powerful Pipeline for Knowledge Assembly (Patent Pending)

LDL Chol

Fam Hx of Stroke

LDL Chol

Fam Hx of Stroke

ZocorZocor SimvastatinNDC 625840092HyperlipidemiaCAD…

LDL Cholesterol……

Fam Hx of MI

LDL Cholesterol……

Fam Hx of MI

Liver function testLiver function test LFTCPT 80076Hyperlipidemia…

Quality MeasurePts with statin and LFT test

MedsSimvastatin

Zocor Labs

LDL cholesterolLiver function test

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Solutions



Longitudinal

Record Access

Longitudinal

Record Access

Population

Analysis

Population

Analysis

HCC

Optimization

HCC

Optimization

Quality Reporting

Optimization

Quality Reporting

Optimization

Clinical

Knowledge

Exchange

Clinical

Knowledge Exchange

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Connecting your Providers

Clinicians are signed up and ready but…Some offices are not on an EHRMultiple EHRs in the network are not connectedHospital has a different information systemPhysicians don’t want to change their workflowLimited timeframe to get connected and start managing your patient population

Sound Familiar?

www.apixio.com Confidential

Copyright 2012, Apixio Inc. 5/30/2012



Coded DataCoded Data

Free TextFree Text

Scanned

Documents

Scanned

Documents

Intelligent Data Mining Across Multiple Data Sources

65% of keyclinical data

Other

Provider

EHRs

Other

Provider

EHRs

CAD

http://www.youtube.com/watch?v=vFCrCBw7BFk&feature=player_embedded

125/30/2012

Longitudinal Record Aggregation and Access From Within Your EHR





Connectivity

And others…

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Fast & Efficient Implementation

5/30/2012

Contract Signing Go Live

• 3‐4 months total • 20 person hours (client)



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Solutions



Longitudinal

Record Access

Longitudinal

Record Access

Population

Analysis

Population

Analysis

HCC

Optimization

HCC

Optimization

Quality Reporting

Optimization

Quality Reporting

Optimization

Clinical

Knowledge

Exchange

Clinical

Knowledge Exchange

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Apixio: Population Analysis & Reporting

Find patients with multiple search criteria with data across multiple systems

Retrieve relevant information from both discrete and textual data

Provide an Intelligent work list for optimum population mgmt





Efficient Data Mining for Care Management

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Solutions



Longitudinal

Record Access

Longitudinal

Record Access

Population

Analysis

Population

Analysis

HCC

Optimization

HCC

Optimization

Quality Reporting

Optimization

Quality Reporting

Optimization

Clinical

Knowledge

Exchange

Clinical

Knowledge Exchange



Data Meta‐Tagging & Mining for Quality Reporting Optimization

* UA* Kidney Disease* CPT 8100• LOINC 20454‐5• Diabetes

•=

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Comprehensive Patient Record Assembly for Quality Reporting



CCD/ CDA

ICD9

CPT

NDC

LOINC

Foot examUrinalysisVaccination

Coded

Un‐coded

Validation(optional)

De‐duplicate

Codify

Quality

reportin

g system

ICD9

CPT

NDC

LOINC

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Quality Reporting Optimization beta: Improved Sensitivity

5/30/2012

45%(166/364)

22%(26/144)

Textual + Coded Data(with

Apixio)

Coded Data(without Apixio)

NQF 0061: Diabetes Urine Screening(evidence of nephropathy)



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Solutions



Longitudinal

Record Access

Longitudinal

Record Access

Population

Analysis

Population

Analysis

HCC

Optimization

HCC

Optimization

Quality Reporting

Optimization

Quality Reporting

Optimization

Clinical

Knowledge

Exchange

Clinical

Knowledge Exchange

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HCC Optimization beta (Coder Solution)

5/30/2012

$916est. add’l

revenue per

patient per

year

$916est. add’l

revenue per

patient per

year



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Apixio: Clinical Knowledge Exchange Key to ACO/ PCMH Success

Connect multiple systems within 3 ‐ 4 monthsAssemble and provide intelligent and instant access to the complete longitudinal record (textual + coded data) from within your clinical workflowCompliment and optimize analytics and connectivity tools already in placeScalable and cost‐effective solutionOnly 20 hours of IT resources required from client



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Summary



Thank You!Questions?

Darren Schulte, MDChief Medical [email protected]

mailto:[email protected]