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5/18/2017 1 A Leading Provider of Clinical Data Exchange Solutions 5/8/2017 Who are we?

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Page 1: Who are we? - Amazon S3€¦ · • Medisys • MedTech • MD Suite • MicroMD ... • Report/query scheduling ... business case ‘yes’ to provide data

5/18/2017

1

A Leading Provider of Clinical Data Exchange Solutions

5/8/2017

Who are we?

Page 2: Who are we? - Amazon S3€¦ · • Medisys • MedTech • MD Suite • MicroMD ... • Report/query scheduling ... business case ‘yes’ to provide data

5/18/2017

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• Founded in 2000

• Headquartered near Philadelphia

• 4th Generation cloud‐based Technology Platform

• Over 200 Clients Nationwide and thousands of physician practices/clinics

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Company Background

Confidential & Proprietary

Growing & Innovative Company

4Confidential & Proprietary

Finalist for Emerging Life Sciences Company in 

2013 & 2015

Finalist for Emerging Technology CEO in 

2014 & 2016

2013 ‐2015 2015 2012‐2015

Gartner acknowledges Halfpenny Technologies as a representative vendor for Clinical Data Integration in the Hype Cycle for U.S Healthcare Payers for 

2015 & 2016

Page 3: Who are we? - Amazon S3€¦ · • Medisys • MedTech • MD Suite • MicroMD ... • Report/query scheduling ... business case ‘yes’ to provide data

5/18/2017

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Overview of Halfpenny Technologies

Halfpenny Technologies is a leading digital health provider of healthcare interoperability solutions that enable meaningful clinical data exchange.

We Serve…

Confidential & Proprietary 5

Enterprise Wide Utilization of Real‐Time Clinical Data

6Confidential & Proprietary

Quality Improved HEDIS scores

Attain targeted Star Ratings

Reduction in manual chart  reviews

Reconciliation of discharge instructions

Network/Payment Management Support development of value based contracting

Provide leading indicator data in support of financial recovery

Support Quality Payment Programs (MIPS)

Risk Management

Increased Risk Adjustment Factors

Identification and closure of gaps in care via bi‐

directional clinical data exchange

Member retention

Clinical Management Maximize member clinical outcomes through 

quality and coordination of care

Real time identification of new diagnoses and 

exacerbation of existing conditions

Reduction in avoidable utilization

Page 4: Who are we? - Amazon S3€¦ · • Medisys • MedTech • MD Suite • MicroMD ... • Report/query scheduling ... business case ‘yes’ to provide data

5/18/2017

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What is our solution?

Product & Solution Portfolio

8Confidential & Proprietary

Clinical Data Exchange

Clinical Medical Record 

Lab orders

Lab results

Radiology orders

Radiology results

ADT

Orders Management

Portal

Registration interface

Scheduling interface

PSC hold

Split requisition

Reference lab interface

Clinical Data Services

LOINC mapping

SNOMED mapping

Test Dictionary mapping

Combined Directory of Services (CDOS)

Business Intelligence & Notification

Transaction Monitoring Dashboard

ClinScope

Hospital Utilization Notification Solution

Page 5: Who are we? - Amazon S3€¦ · • Medisys • MedTech • MD Suite • MicroMD ... • Report/query scheduling ... business case ‘yes’ to provide data

5/18/2017

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Health Plan, Population Health and AnalyticsSingle Source of Clinical Data Exchange

Confidential & Proprietary 9

Acquire real time medical record, lab or ADT data in native format from provider systems 

Manage triggering of data, patient matching, and normalization Rules‐based engine – apply filters to identify specific data Map data into a standard format client can consume Send data in velocity defined by client (real time or batch)

• Abraxas Medical Solutions Inc.• Antrim Commercial Lab• Antrim/Cache• AP Easy• Apollo LIMS• CCA• Cerner ‐ Millenium• Cerner Classic• Cerner CoPath• Cerner Millennium Pathnet• Clinical Information Systems (CIS)• Clinical Software Solutions (CSS)• ClinLab• CLS‐2000• Copath Plus• Cortex• CPSI• CyberLab• Elincs• Epic• Fletcher Flora• GE (formerly Triple G))• GE Viewpoint• HBOC Horizon• HBOC Star• HMS• Impac ‐ Intellilab• Intellipath• Keane • Keane Lab Fusion• LabCorp• LabCorp LIS• LabDaq • LabGem• McKesson Horizon Lab• MDS• Medical Applied Solutions (MAS)  

• Medical Applied Systems• MediLab• Meditech• Meditech (Magic 5.64)• Meditech CS• Meditech Magic• Multi‐Tech• NetLMS• Novopath• Opus• Orchard Copia• Orchard Harvest• PMSI• PowerLab • PowerPath• Psyche• Psyche Systems LabWeb• Quest QLS• Quest Q‐Suite• Quest Lab• QuikLab• Relay Health  • Safetrace• SCC Soft• Schulyer House • SeaCoast• SMS Novius• Softlab • Spectrum• Sunquest• Sunquest AP • Sunquest Commercial 

(Antrim)  • Sunquest CoPath• Sunquest FlexiLab• Sunquest PowerPath• Sysmex Molis• Sysware PowerLab• Zotec

Halfpenny Technologies LIS/HIS Adapters

Over 75 Reusable Adapters

Confidential & Proprietary 10

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EHR Vendor Experience 

11Confidential & Proprietary

• AdvancedMD

• Allscripts

• Arete

• Athenahealth

• BestNotes

• CareCloud

• Caretracker

• Change Healthcare

• ChartLogic

• ClinixMD

• Core Solutions

• CureMD

• Digichart

• Dr. First

• eClinicalWorks

• Elation

• EMRge

• GE Centricity

• Greenway

• Healthfusion

• Healthland

• Informedika

• Intellidox

• Intivia

• Lifepoint

• Medcentrix

• Medisoft

• Medisys

• MedTech

• MD Suite

• MicroMD

• NetSmart

• Nextgen

• NueMD

• Optum Insight

• Orchard Soft

• PatientNow

• PowerSoftMD

• PhyGeneSYS

• Practice Fusion

• PracticeSuite

• PrognoCIS

• Simplify

• SOAPware

• TriMed

• Versasuite

• VitalAxis

• XIFIN

• Zipchart

Complete Medical Record Data

Structured ‐ XML Body (C‐CDA templates)

Unstructured ‐ nonXML Body (Text or image)

Structured – Free form narrative text

Templates: CCD Discharge Summary History & Physical Progress note Etc.Reusable sections: Allergies Meds Immunizations Encounters Problem List Results Vitals Etc..

Plan of Care Doctors comments Clinical narrative, etc.

Complete Vitals History of Present Illness Review of Symptoms Pathology Reports Discharge Summary Care Plans Assessments

Confidential & Proprietary12

Page 7: Who are we? - Amazon S3€¦ · • Medisys • MedTech • MD Suite • MicroMD ... • Report/query scheduling ... business case ‘yes’ to provide data

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Workflow Overview

Lab & Radiology Workflow

Hospital Labs

HL7

Filter by  location, insurance plan and product

Southwest DX Imaging 

14Confidential & Proprietary

Commercial Labs

Health Plan 

Page 8: Who are we? - Amazon S3€¦ · • Medisys • MedTech • MD Suite • MicroMD ... • Report/query scheduling ... business case ‘yes’ to provide data

5/18/2017

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ADT Workflow

Hospital (HIS)

ADT HL7 Message

Text Message Notification  (non‐PHI data)

HTI Mobile Notification

• HL7 message structure• Real‐time Transmission• Filter by Location (hospital) 

and Message type• Event  determination for 

mobile notification

Log onto HIS

Filter by hospital, ADT type, etc.

Filter by hospital, ADT type, etc.

Hospital/PCMH

15Confidential & Proprietary

Health Plan 

Clinical Medical Record – Bidirectional Workflow

Push/pull structured and unstructured EHR data 

Select message segments

• EHR‐Agnostic• Push/Pull  Capability• Configurable filters

Push/pull structured and unstructured EHR data

Request pull of data from EHR

PCMH EHR

Care Management

Initial history and updates

Quality Management

16Confidential & Proprietary

Health Plan 

Page 9: Who are we? - Amazon S3€¦ · • Medisys • MedTech • MD Suite • MicroMD ... • Report/query scheduling ... business case ‘yes’ to provide data

5/18/2017

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Functionality

• Query tool into clinical data warehouse

• Configurable dashboard & queries driven by user roles

• Report/query scheduling

• Provides real‐time tracking of patient population clinical data  

• Provides snapshot views of quality compliance measures such as HEDIS & STAR ratings

• Provides real‐time patient utilization dashboards by hospital

Value Proposition

• Enables improved management of frequent utilizers & at risk patient populations

• Earlier view into quality compliance measures

• Enables risk adjustment factor documentation for chronic disease states

• Earlier identification of patients for disease management

• Segmentation of patients by disease state

ClinScope® Overview

Confidential & Proprietary 17

Hospital Utilization Reports

18Confidential & Proprietary

Hospital location filter Utilization 

type filter

Patient selection Patient selection to view Care 

detail

Service date & time range

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Services Overview

Confidential & Proprietary 20

Implementation Responsibilities 

What you do? What hospital/physician does?

Initiate  request with provider and obtain business case ‘yes’ to provide data

Disclose any specific  security/ connectivity requirements

Specify health plan format for receiving data Provide description of data format for requested data

Select preferred connectivity method between Health Choice Arizona and Halfpenny

Agree upon strategy for member identification 

Specify data to be secured and frequency of sending data  to your data warehouse

Send test data

Validate provider files received from Halfpenny Transmission begins 

Ongoing data transmission begins

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Implementation Responsibilities 

21Confidential & Proprietary

What we do?

Work with the provider to determine how to identify members

Identify best connectivity method with provider

Accept data in any format preferred by provider

Implement and QA interface with provider

Normalize the inbound data, LOINC Map if required

Store and forward data in batch delivery

Format data in Health Choice Arizona requested format and deliver as specified

Benefits of a Single Source Clinical Data  Exchange Partner

• One vendor interacting with your various network facilities and physician offices

• One contract, pricing model, and contact for support

• Your IT team will only need to support oneinterface for all incoming clinical data

• Data will be delivered in one consistent and normalized format 

– No additional IT resources required to normalize or reformat data

• Any changes in data specifications are communicated to one entity – if provider communication is required, Halfpenny manages on your organization’s behalf

22Confidential & Proprietary

Requirements

Page 12: Who are we? - Amazon S3€¦ · • Medisys • MedTech • MD Suite • MicroMD ... • Report/query scheduling ... business case ‘yes’ to provide data

5/18/2017

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Linda GroffVP and GM of Health Plan Market [email protected]‐894‐9481

Halfpenny Technologies Team

23

Thank you!

Confidential & Proprietary