Prepared by Sean McKelvey Network Healthcare Innovating Care Delivery in the Community The ReachCare...
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Transcript of Prepared by Sean McKelvey Network Healthcare Innovating Care Delivery in the Community The ReachCare...
Prepared by Sean McKelvey
Network Healthcare
Innovating Care Delivery in the Community
The ReachCare Exchange
Copyright © 2011 - ReachCare™
• Who is Network Healthcare?• The Evolution of Navigation• Community Care Delivery - the New “Facility”• Introduction to the ReachCare Exchange
– What is it?– How does it close care gaps?– Why should you care?
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Outline
Copyright © 2011 - ReachCare™
• Founded in 2002 by pharmacists• Develop and deliver innovative health services
through sophisticated networks of healthcare professionals
• Specialize in managing large scale Provincial services and practice change initiatives.
• Current focus is on technology enabled navigation, care plan synchronization and effective integration of multidisciplinary teams
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Who is Network Healthcare?
Copyright © 2011 - ReachCare™
• HealthLink BC (since 2003)• HEALTHLink Alberta (since 2007)• Alberta Pharmacy Practice Models Initiative (PPMI)
(2008-2010)• BC Medication Management Project (BCMMP)
(2010 – Jan 31, 2012)• ReachCare Exchange Development (2010 – Present)
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Network Healthcare Services
Copyright © 2011 - ReachCare™ 5
The Evolution of Navigation How Technology has Revolutionized “Getting There”
A life’s work… A vacation of a lifetime…
A cool gift… Just another app!!!
Copyright © 2011 - ReachCare™
Navigating our Health Care SystemPersonal Responsibility is the Name of the Game
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The 5 Rules:• Rule One: Stay Healthy.• Rule Two: Know as Much as
You Possibly Can.• Rule Three: Organize Your
Care Team.• Rule Four: Have an Advocate.• Rule Five: Take Control of Your
Care - Don’t Be a Passive Patient.
Copyright © 2011 - ReachCare™
YO-YO
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Reality Check!!The Current Health Care System is NOT Patient Centered
You’re On You’re Own
Copyright © 2011 - ReachCare™ 8
Reactive
Proactive
Emergent Challenge AreaIncreasingly important deliverysystem in 21st century
Emergent Challenge AreaIncreasingly important deliverysystem in 21st century
Current Challenge AreaPrimary focus on ‘structural deliveryImprovements’
Current Challenge AreaPrimary focus on ‘structural deliveryImprovements’
Future Challenge AreaTomorrow’s consideration: how to Incorporate individualized delivery
Future Challenge AreaTomorrow’s consideration: how to Incorporate individualized delivery
Community Healthcare Delivery: Business ChallengesThe Evolution of Integrated Health Care within an ‘Extended’ Delivery System
Area of focus for Network Healthcare’s ReachCare Exchange
Copyright © 2011 - ReachCare™ 9
Reactive
Proactive
Closing the Care Delivery Gap
Community Care Delivery - the new “Facility”Liberating the Full Value and Capacity of Community Based Providers
AcuteAcute IndividualIndividualCommunityCommunity
Copyright © 2011 - ReachCare™ 10
Hospital
Healthcare Provider
Provincial Health Line
Care Consumer
Pharmacist
Physician
Home care
Dietician
Nurse practitioner
Physiotherapist
Protocol Library
- Clinical Protocols
- Standard & Modularized
Care Plans- Structured
Care Pathways
Protocol Library
- Clinical Protocols
- Standard & Modularized
Care Plans- Structured
Care Pathways
Clinical Positioning
System
- Synchronized Plans
- Monitored Assignments
- Report Confirmation of Completed
Task
Clinical Positioning
System
- Synchronized Plans
- Monitored Assignments
- Report Confirmation of Completed
Task
Capacity Logistics Engine
- Identify available capacity
-Skills-Based routing of Care
Plan assignment
- Auto tracking for capacity
Capacity Logistics Engine
- Identify available capacity
-Skills-Based routing of Care
Plan assignment
- Auto tracking for capacity
Post DischargePost Discharge
Procured Clinical Services and Care PlansProcured Clinical Services and Care Plans
Proactive Patient ManagementProactive Patient Management
The ReachCare Exchange
ReachCare ExchangeDynamic, Real-Time Skills-Based Matching for Community Care Delivery
Phone consult
Telehealth consult
In-person
Update Plan
Assign new tasks
Copyright © 2011 - ReachCare™ 11
ReachCareExchange
Systems & Clinical InformationSystems & Clinical Information
D
eman
d
D
eman
d
Pharmacist
Physician
Home care
Dietician
Nurse practitioner
Physiotherapist
Supportive living
Hospital
Physician
Health Line
Individual
EHR
Patient’s Care Plan
Patient Demographics
Drugdata
Labdata
Diagnostic Imaging
Transcribed Reports Immunizations ECGs Other Clinical
Documentation
Patient-Provided Information
Lab Systems
Lab Systems
Pharmacy SystemsPharmacy SystemsHospital SystemsHospital Systems
Ambulatory Systems
Ambulatory Systems
Primary &Specialist
EMRs
Primary &Specialist
EMRs
Personal Health Portal
Personal Health Portal
Community Systems
Community Systems
Public Health
Systems
Public Health
Systems
Health Link Systems
Health Link Systems
Home Monitoring
Home Monitoring
Client IdentityClient Identity
Provider IdentityProvider Identity
DISystems
DISystemsInterfaced Rx & Clinical
Documentation
Interfaced Rx & Clinical Documentation
Systems & Data AccessSystems & Data Access
Comm
unity Supply Com
munity Supply
Patient Care PlansPatient Care Plans
Synchronizing Community Care
HIAL (pHIE)
End-State VisionSynchronized Community Care Providing Maximum Value to the System
Copyright © 2011 - ReachCare™ 12
Closing the Gap of CareBetween Patient & Provider, Community & Acute, Care-Plan & Care-Pathway
Care-Pathway
Care-Plan
Providers
Clinical Protocols
Tasks & Activities
Patients
ReachCare
Evidenced-Based ClinicalStandards of Care
Synchronizing① Activities between Patient & Providers② Acute Care Plans & Community Delivery ③ Care-Plans & Care-Pathways
Provides the ability to:a) Offer optimum protocol selection - provide healthcare professionals with real-time access to credible care requirements; addresses immediate access to care
b) Assign healthcare providers - prompt access to competent care; going beyond referral
c) Ensures fulfillment - guaranteeing time sensitive specified care is delivered; providing outcomes and accountability management.
Copyright © 2011 - ReachCare™
Transforming Community into a Coherent WholeCreating structure and standards in a systematized manner
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Identifies MonitorsAssigns
Clinical Protocols
CarePlan
CarePathway
Particular DataParticular Data FeedbackFeedbackChoiceChoice
Matching Logistics
Network AssetsNetwork Assets
Synchronization Engine
Protocol Library & Capacity Management
Automated AssignmentManagement
The ReachCare ExchangeSynchronizing Community Based Care Delivery
Copyright © 2011 - ReachCare™
• ReachCare™ effectively integrates and enables care delivery in a very complex and fragmented community healthcare system
• Public and Private care delivery seamlessly co-exist, ensuring maximum efficiency and optimal use of community resources
• Pharmacists will play an extremely valuable role by providing medication management services– Multidisciplinary care plans improve patient care and
health outcomes– Ensures optimal use of a pharmacists scope of practice– Protocols drive efficiency and maximize value of the
practice
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Key Points to RememberMore Effective Utilization of Community Based Resources
Copyright © 2011 - ReachCare™
• Provides plan sponsors, insurers and the benefit industry with the following:– Customizable and targeted services following clearly
defined evidence informed protocols– Flexibility to manage care plans within open or closed
networks– Effective utilization of public health care funding within
each care plan– Access to a high quality network of multidisciplinary
providers– Extensive reporting and progress monitoring – Provides mechanism for partnering with Governments on
mutually beneficial health care initiatives
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Key Points to RememberSynchronized Care Plans and Patient Focused Care is Good Business