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POPULATION HEALTH MANAGEMENT THE DESTINATION IS IN SIGHT. WE CAN HELP YOU GET THERE.

Transcript of population management health - Home - Enli · 2020-05-20 · POPULATION HEALTH THROUGHOUT THE CARE...

Page 1: population management health - Home - Enli · 2020-05-20 · POPULATION HEALTH THROUGHOUT THE CARE ECOSYSTEM Stratify at-risk segments workflows in the clinic Optimize technology

population health managementTHE DESTINATION IS IN SIGHT. WE CAN HELP YOU GET THERE.

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neW moDelS oF CaRe DeliVeRY The end of volume-based healthcare is in sight as care delivery moves to a patient-centered,

coordinated approach. With the right technologies, physician groups and integrated delivery

networks are poised to drive this shift toward population health management and

value-based care.

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© COPYRIGHT ENLI HEALTH INTELLIGENCE – 2015 ALL RIGHTS RESERvED.

Care delivery transformation is more than an IT solution, but technology provides necessary insight into clinical and financial data,

risk analysis, intervention outcomes, and return on investment. Even so, care teams are justifiably hesitant to layer additional technology

on an already-burdened system. If the goal is to put patients first, new approaches must complement established practices and

systems—not add overhead.

ENLI. BETTER OUTCOMES FOR EVERYONE.Enli helps healthcare delivery organizations meet today’s

challenges head-on. Our population health and patient

relationship management software incorporates clinical and

financial data to identify opportunities at the point-of-care,

so our customers can improve care quality, practice efficiency,

and overall accountability. This innovative technology is quickly

and easily integrated into care teams’ current systems and

practices, and complements existing IT investments. Enli

solutions are trusted by large integrated delivery systems,

accountable care organizations, ambulatory clinics, and

independent physician group practices.

Let us show you a new approach for empowered, activated healthcare.

THE TRANSITION TO CARE TEAMS

EB001 | 2

For more details on the transition to accountable care teams and an in-depth review of Enli CareManager, see Frost & Sullivan’s white paper,

The Accountable Care Team: A Guide for Care Delivery Transformation.

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ENLI CAREMANAGER™ ACHIEvE HEALTHCARE’S TRIpLE AIM

EB001 | 3

Care teams can achieve healthcare’s “Triple Aim” with information that is accurate, timely—and above all, actionable. CareManager

complements existing IT infrastructure and workflow, while helping care teams drive this organizational change.

ENHANCES EXPERIENCE OF CARE• Engages patients in their care

• Informs practitioners team-wide

• Ensures the right care at the right time

REDUCES PER CAPITA COST OF CARE• Optimizes team member practices

• Reduces unwarranted care variations

• Makes patients active care team members

IMPROVES HEALTH OF POPULATIONSStratifies at-risk populations •

Increases visibility for interventions •

Reduces care gaps, omissions, & commissions •

CAREMANAGER

© COPYRIGHT ENLI HEALTH INTELLIGENCE – 2015 ALL RIGHTS RESERvED.

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© COPYRIGHT ENLI HEALTH INTELLIGENCE – 2015 ALL RIGHTS RESERvED. EB001 | 4

The 2014 IDC Health Insights MarketScape report recognizes Enli as a market leader in population health management.

IDC Health Insights believes that integration at the point of care delivers more effective care management; to be sustainable, accountable care programs must take advantage of every encounter with a patient.

CLICK ON IMAGE TO PLAY VIDEO DEMO

WATCH THE COMPLETE VIDEO CLICK HERE

Cynthia Burghard Research Director

Accountable Care Organizations

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© COPYRIGHT ENLI HEALTH INTELLIGENCE – 2015 ALL RIGHTS RESERvED. EB001 | 5

ACTIvATE YOUR TEAM AT THE pOINT OF CARE Enli’s approach is ideally suited to care teams that are committed to driving engagement throughout the care ecosystem. By

building on existing IT infrastructures, we help care teams quickly and effectively identify populations at risk, create and monitor

care plans, interact with individuals and groups of patients, and measure and efficacy of interventions.

POPULATION HEALTH THROUGHOUT THE CARE ECOSYSTEM

Stratify at-risk segments

workflows in the clinicOptimize technology and

Coordinate resources across the enterprise

Enli CareManager™ is a field-proven, peer-reviewed suite of applications for population health and patient relationship management.

PAT I N T

Synchronize care throughout the provider community

C O M M U N I T YC O M M U N I T Y

E N T E R P R I S E

C L I N IC

P O P U L AT I O N

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CAREMANAGER PRIORITIzES SEGMENTS wITH THE GREATEST HEALTH ANd FINANCIAL RISk

• Ingests data from multiple sources

• Stratifies populations according to clinical & financial risk

• Identifies priority cohorts using predictive modeling

© COPYRIGHT ENLI HEALTH INTELLIGENCE – 2015 ALL RIGHTS RESERvED. EB001 | 6

StRatiFY the patient populationCareManager automatically assesses and stratifies population segments using data from multiple sources. Evidence-based clinical guidelines,

curated by Enli’s CareManager Advisory Group, drive appropriate care plans. For individuals who need outreach and intervention,

care coordinators can build work queues for provider teams. Individuals at lower risk can be set up to receive automated communications.

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optimiZe CliniC WoRKFloWCareManager is deeply integrated with industry-leading electronic medical records (EMRs) and facilitates bi-directional data exchange.

Care team members have easy access to patient data at the point of care—without logging in to a separate application—to support clinical

decision-making and close gaps in care. And with CareManager’s intuitive, graphical dashboards, providers can quickly view and share

gaps in care while interacting with patients, providing an engaging means for patients to take an active role in managing their health.

CAREMANAGER IN THE CLINIC dELIVERS EVIdENCEd-BASEd GUIdELINES TO THE POINT OF CARE

• Reduces unwarranted variation in care

• Allows care team members to practice at the height of their licensure

• Makes the patient an active member of the care team

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CooRDinate ReSouRCeS aCRoSS the enteRpRiSeCareManager coordinates care by providing a consistent view to all team members. Patients are automatically arrayed into registries

by leveraging native EMR and claims data. With no requirement for data aggregation, deployment is typically completed within only

90 days. Care coordinators can be assigned tasks and access information related to individual patient measures, patient outcomes can

be tracked, and follow-up interventions can be initiated. The result is a rapid deployment of population health interventions to quickly

reduce costs and improve the quality of care.

CAREMANAGER FOR THE ENTERPRISE ALIGNS TASkS, RESOURCES, ANd CARE PLANS

• Stratifies at-risk populations to receive the appropriate care

• Aligns resources for cost-effective care

• Supports individualized patient messaging, coordinated across the organization

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SYnChRoniZe CaRe thRoughout the CommunitY

CareManager is the conduit that brings external data to the care team. The software leverages data from business intelligence analytics to

identify cohorts and prioritize interventions for every patient in the panel. Network data is used to create a graphical timeline of a patient’s

care and compliance with the care plan. Finally, CareManager reads and interprets data to generate real-time alerts that can minimize

omissions, commissions, and gaps in care.

© COPYRIGHT ENLI HEALTH INTELLIGENCE – 2015 ALL RIGHTS RESERvED. EB001 | 9

CAREMANAGER TAPS THE NETwORk TO MONITOR PATIENT ACTIVITY EVERYwHERE IN THE COMMUNITY

• Reduces omissions, commissions, & gaps in care

• Increases visibility of where the patient has been to enable appropriate care

• Makes care history available across the continuum

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Dr. Ogechika Alozie talks about how CareManager helped Texas Tech University Health Sciences Center at El Paso

streamline processes and improve care.

A patient may have come in for a sore throat, but the physician can quickly get a snapshot of other risks that are part of their care plan as a diabetic and intervene. Previously, the doctor would have had to remember all the standards for diabetes and then look for each measure in the patient’s chart. CareManager allows the doctor to consume a lot of information in a quick fashion in the application they have open during the office encounter, in the EMR.

CLICK ON IMAGE TO PLAY VIDEO DEMO

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EVALUATING THE IMPACT OF IMPLEMENTING CAREMANAGER IN 13 LOCATIONS, CARING FOR MORE THAN 6,000 PATIENTS WITH DIABETES1Conclusion: “Implementation of a physician-directed, multifaceted HIT system [CareManager] in primary care was associated with significantly improved diabe-tes process and outcome measures.”

To read more: http://www.ncbi.nlm.nih.gov/pubmed/20074429

TRIAL OF CAREMANAGER IN A TEAM-BASED, PRIMARY CARE SETTING TO STUDY THE IMPACT OF PHYSICIAN-PHARMACIST COLLABORATION ON UNCONTROLLED HYPERTENSION2

Conclusion: “In this study, subjects cared for in the physician-pharmacist team model were 40% more likely to achieve their goal blood pressure compared to those cared for by their physician alone.”

TO READ MORE: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2596500/

EVALUATING THE IMPACT OF PHYSICIAN-PHARMACIST TEAM-BASED CARE USING CAREMANAGER FOR CHOLESTEROL MANAGEMENT IN DIABETES MELLITUS3

Conclusion: “The study found the model was both efficient and effective, yielding significant improvements in LDL goal attainment, reaching 86% in diabetes patients with the highest risk of subsequent cardiovascular events.”TO READ MORE: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2596500/

LDL goal attainment

improved from 32% to 56%

86% of patients at highest risk saw

improvements in LDL goal attainment

BP goal attainment increased from

30% to 52%.

Subjects receiving the intervention achieved

significantly lower systolic and diastolic

blood pressures compared to control

62% of intervention subjects achieved target blood pressure compared to 44% of control subjects

137/75 vs.

143/78 62% vs.

44%

86%

pEER-REvIEWED STUDIES pROvEN OUTCOMES

Significant improvements were observed in almost all diabetes-related outcomes.

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CAREMANAGER IS THE CLEAR CHOICE

“Deepest EHR workflow integration” IDC Health Insights

Begin with a single clinic, scale to the entire system

51 customers, 7 years of peer-reviewed results

INTEGRATED PROVEN SCALABLE

Enli CareManager is the only population health management application available from a third-party vendor that offers bi-directional EHR

integration. Our collaborative, visionary customer base is one of the largest in the industry, and is actively involved in the ongoing development and

success of CareManager.

© COPYRIGHT ENLI HEALTH INTELLIGENCE – 2015 ALL RIGHTS RESERvED. EB001 | 12

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CORPORATE OFFICE

844.572.6400

1600 NW 167TH PL SUITE 330 BEAVERTON, OR 97006

enli.net [email protected]

Enli Health Intelligence™ is a market leader in population health management.

Enli enables care teams to perform to their full potential by integrating healthcare

data with evidence-based guidelines embedded in provider workflows across the

population and at the point of care.

1. Hunt JS, et al. The Impact of a Physician-Directed Health Information Technology System on Diabetes Outcomes in Primary Care: A Pre- and Post-Implementation Study. Inform Prim Care. 2009;17:165-74.

http://www.ncbi.nlm.nih.gov/pubmed/20074429

2. Hunt JS, et al. A Randomized Controlled Trial of Team-Based Care: Impact of Physician-Pharmacist Collaboration on Uncontrolled Hypertension. J Gen Intern Med. 2008;23:1966-22.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2596500/

3. Pape GA, et al. Team-Based Care Approach to Cholesterol Management in Diabetes Mellitus. Two-Year Cluster Randomized Controlled Trial.

http://www.ncbi.nlm.nih.gov/pubmed/21911633