Summary - ehcca.com · Healthcare IT, Big Data Analytics, Internet Media, Search Expertise. 5/30...
Transcript of Summary - ehcca.com · Healthcare IT, Big Data Analytics, Internet Media, Search Expertise. 5/30...
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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
5/30/2012 www.apixio.com Confidential
Copyright 2012, Apixio Inc.
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*
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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
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
HIEHIE
Billing SystemBilling System
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
5/30/2012 www.apixio.com Confidential Copyright 2012, Apixio Inc.
EHR(Acute)EHR(Acute)
Quality
Analytics/
Reporting
Quality
Analytics/
ReportingApplication
DataSource
EHR(Clinic)EHR(Clinic)
EHREHR
Care Provider or Manager Coder
Billing SystemBilling System
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
5/30/2012 www.apixio.com Confidential
Copyright 2012, Apixio Inc.
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?
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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
125/30/2012
Longitudinal Record Aggregation and Access From Within Your EHR
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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
5/30/2012 www.apixio.com Confidential
Copyright 2012, Apixio Inc.
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
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Efficient Data Mining for Care Management
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Solutions
5/30/2012 www.apixio.com Confidential
Copyright 2012, Apixio Inc.
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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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
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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
5/30/2012 www.apixio.com Confidential
Copyright 2012, Apixio Inc.
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
5/30/2012 www.apixio.com Confidential
Copyright 2012, Apixio Inc.
Thank You!Questions?
Darren Schulte, MDChief Medical [email protected]