Why Patient Centered Care Matters on the Path to Value GENA COOK - PowerPoint PPT Presentation

Why Patient Centered Care Matters on the Path to Value GENA COOK CEO, NAVIGATING CANCER October 13, 2017

Institute Insti tute for r Heal ealthcar thcare e Im Improvem vement’ ent’s Tr Triple Ai Aim He Health o of a a P Popu pulation Better Heal Be alth Benchmarking & Analytics BI Tools Utilization Management Pathway compliance Triple Reducing headcount Care Management programs Aim Increase throughput Patient Engagement programs Experience Exp ce of of Ca Care Per Capita Cost Pe Be Better Car are Be Better Val alue 2

Institute Insti tute for r Heal ealthcar thcare e Im Improvem vement’ ent’s Tr Triple Ai Aim He Health o of a a P Popu pulation Be Better Heal alth patient-centered care Triple Aim Exp Experience ce of of Ca Care Per Capita Cost Pe Be Better Car are Be Better Val alue 3

The Current State of Healthcare Tr Triage Nur Nurse Pa Patient Pr Provider St Staff 4

A better connection to the patient is key Better Staf Staff Ex Experi erienc ence Better Ph Physician Ex Expe perience Better Pa Patient Ex Expe perience Pa Patient Provider & Care Team Pr 5

Patient-centered care works but requires technology to scale 6

Managing patient care for populations is still mostly manual Excel BI Tool Analytic Tools & EMR Vendors Remember to send refill script for James D. TODAY!! Outlook Call John Smith back on 3/2 re: pain follow-up Call Cynthia L. back on 3/2 re: pain and fatigue follow-up Level of sophistication 7

An extension to the EMR for patient centered care & coordination Electronic Health Records Patient Relationship Management CAP CAPTUR URING THE HE INTERACT ACTION UN UNIFYING THE HE CAR CARE TEAM AM CONNECT CO CTING THE HE PATIENT Document in detail separate interactions A single, comprehensive view Layering in an understanding of the between different care team members enables true care coordination patient experience outside your care EMR NEW 8

Patient Portal Status Triage, Pain, Distress, Depression all show up in the ‘Documents’ tab 9

Pa Patient ent Rel elations nshi hip Mana nagem ement ent Personalized care for every patient Pa Patient Li Link The pa patient ent’s compa pani nion to empowering their own care beyond the clinic Pa Patient En Engagement Care Management Ca Population He Po Health The au automat ation engi engine ne that The di digital channel that The in integrated tools ls essential scales patient-centered care connects providers to their to the delivery of personalized from individual patients to patients and caregivers care for every patient broad populations 10

Our National Network of Cancer Clinics 1. 1.7M 7M Patients 1. 1.6K 6K Providers 11

Patient Relationship Management has proven to help 1 2 3 Better Patient Improved Lower Experience Outcomes Costs Highest industry Proven increase of time on Demonstrated cost savings engagement rates with therapy and survival with of $1M+ for the average 94% approval rating medication adherence 10-physician practice 12

Helping patients engage & providers prepare for value Reduce hospitalizations 21 st century patient tools Increase efficiency Integrated part of the care team Improve care coordination Comprehensive self care and support Meet compliance requirements Better patient and family experience 13

High adoption & engagement with tools built for patients ü Secure messaging ü Access to labs and health information 64% 64% ü Cloud-based patient intake (registration, Invited patients who join & use platform update, f/u) ü Personalized patient education 94% 94% Patient approval rating ü Automated appointment reminders 1.5M 1.5M Patient touch points ü Cancer community & resources each month ü Family & caregiver support network ü Dedicated patient support / help line INDUSTRY STANDARD ü Remote monitoring support 5% 5%-20% 20% Patient Portal Adoption, KLAS Research 14

What Patients Said: 90% of patients agree that All the information and paperwork is hard to process, but the portal has everything organized for you! having access to their data and personalized resources improves their im ir satis isfactio ion Everything one needs is right here. wi with t their c care. . Its fantastic... Easy to use and you have all your info in one place to access at any time. The service is great and easy to navigate through to find info I 93% of patients reported want or need. For me it's perfect. that they are ve very y like kely to use Navigating Care to re read in informatio ion about their ir My two daughters are able to get to my records - if I forget something, one of them will remember - thanks to the access to di diagn gnosis a and t d treatment. my information. It is a great tool. 15

Automated delivery of personalized patient education DIAGNOSIS CHEMO TEACH STARTING TREATMENT 30, 60, 90 days Patients arrive informed and prepared for session Automatic delivery Deliver self-care Push content to match of cancer resources patient therapy regiment instructions at every patient check-point 16

Targeted education improves patient outcomes & survival +13% +1 2017 Published Study: +5 +50 Da Days (+2 +21%) Lung Cancer Patients on IV therapy One Year Survival Rate Time on Therapy (p<0.01) (p<0.01) Patients received treatment-specific education delivered through the Navigating Cancer’s platform Patients who read the education Patients who read the education st stayed on on IV V pe pemetrexed therapy had an average one year survival an average of 286 286 da days vs. 236 236 rate of 66% 66% vs. 53% 53% versus those 2014-2016 study time period • da days versus those patients who patients who did not read the 944 patients across 58 oncology clinics • did not read the education education 17

Work still needed to improve the patient experience and deliver better care ”W ”When hen ar are e yo you u getti etting ng cal called ed back ack from yo your ur office ce when hen yo you u leave eave a a messag essage?” e?” 22% 22% i in l n les ess t tha han 30 m n 30 minut nutes es 42% 42% c called ed b back b bet etween 1 een 1-2 ho 2 hour urs 78% at 78% at risk fo for h r hospita talizati tions 17% 17% c called ed b back b bet etween 3 een 3-4 ho 4 hour urs 19% 19% c called ed b back g grea eater er t tha han 4 ho n 4 hour urs Source: 2016 Navigating Cancer Patient Survey, 2,152 respondents 18

Hardwire Support for Patients Phone Triage at the Center for Cancer and Blood Disorders Patient Patient calls Patient receives follow-up experiencing centralized triage and self-care instructions in symptom phone line their Navigating Care account ! Dedicated triage RN advises patient: RN launches symptom RN receives call management pathway • Manage at home in Navigating Care • Come to office • Go to ED 19

Triage Dashboard Triage prioritizes incoming patient issues so care team members can focus their attention on the patients that need it most. ü Visibility into patient interactions and ou outstandin ing is issues ü Standardized tri triage ge pa pathways enable comprehensive symptom assessment and management ü Ability to sc schedule follow-up up re reminders tied to an incident 20

Symptom Management Pathways to Improve Patient Care 20 20 Re Reduce ced va variability Symptom m Sy mana nagem ement ent p pathw hways Smarter Sm er Body Aches Follow Up de decision-mak making Chest Pain Nausea & Vomiting Constipation Nosebleed Consi Con sist stent Cycle One Follow-up Oral Problems documentation do Diarrhea Pain Emergency Services Respiratory Changes Fatigue Sinus & Cold Symptoms Be Better pat atient car are Fever & Chills Transitional Care Management + mor ore in develop opme ment 21

2 locations in Tacoma, WA area 9 locations in Forth Worth, TX area 10 medical oncologists 13 medical oncologists OCM participant | 3 payer pilots OCM participant | 3+ payer pilots Costs Avoid Co ided* Co Costs Avoid ided* Emergency Dept. $192,985 Emergency Dept. $177,290 Hospitalizations $1,588,562 Hospitalizations $1,376,724 Combined $1,781,547 Combined $1,555,014 Implementation of Navigating Care’s Triage & Symptom Management Pathways resulted in an annualized ~4 ~400 avoided ER visits and $3,335,561 c $3,335,561 cost s saving ngs across both mid-size practices *Calculation of costs avoided based on annualized data from January – April 2017 22

Proactive Care Reactive Care PROACTIVE CARE REACTIVE CARE PATIENTS MANAGED COST OF CARE COST OF CARE 23

PROACTIVE CARE REACTIVE CARE Health Tracker Patient Reported Triage Symptom Mgmt. Program Outcomes Dashboard Dashboard Pathways 24

Te Telehealth & Remote Mo Monitoring: Manage more high risk patients with existing staff Patients can submit how they’re Reported symptoms are immediately prioritized feeling at the click of a button on a nurse-monitored dashboard for follow-up 25

Make Symptom Reporting Easier Put the right infrastructure in place 1 2 3 Standardized Remote Symptom Proactive Support Phone Triage Monitoring of High-Risk Patients 26