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EDIE Enables Communication PowerPoint Presentation
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EDIE Enables Communication

EDIE Enables Communication

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EDIE Enables Communication

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  1. EDIE Enables Communication • EDIE Network • Designed to coalesce and normalize disparate data sources such as payers, hospitals, physicians, and government entities • Leverage different data source strengths to provide optimal results in identifying and better treating high utilization & special needs patients • System of intelligent algorithms gear towards accurate patient identification and hospital- and payer-level fraud prevention • EDIE Care Coordination • Framework specifically designed for management of patients by case workers and physicians to improve the treatment and outcomes of frequent-visitor patients • Real time notification system at the triage level designed to alert care providers of patient visit history between EDs, medications, diagnoses, and existing care plans • Timely notifications to key providers and stakeholders in patient’s care team • Platform to source and manage patient Care Guidelines • Bridges the gap and enables collaboration between providers

  2. EDIE Notifications • Event Driven • Patient Admit/Discharge • Treatment Plan Creation/Modification • Program Referral Creation • Prescribed Narcotic Dosage Reached • Patient Utilization Trend Shift & Other Behavioral Patterns • Automated • Criteria & Rules Based • General / Targeted • Timely • ED notifications within 3 minutes of patient registration • Actionable • Deliver information to stake holders can take action on

  3. How EDIE Notifications Work • Patient Event Occurs (i.e. patient visits ED) • Hospital sends EDIE patient data • EDIE evaluates data against all patient criteria • Patient Level • The care management program Level • Facility Level • EDIE sends out Notifications determined by criteria • EDIE continues to receive data from other various sources to evaluate patient events against

  4. EDIE Care Guidelines • Multipurpose • Utilization • Narcotics Abuse / Diversion • Chronic Disease Management • Consistent • Care Providers can see same set of guidelines regardless of care setting or location • Automated • Criteria & Rules Based • General / Targeted • Timely • ED notifications within 3 minutes of patient registration • Actionable • Deliver information to stake holders can take action on • Collaborative • Guideline provides shared platform to communicate between PCP, Community Care Coordinator, Case Manager, Mental Health Provider, ED Physician, and other stake holders of the patient

  5. Consistent & Coordinated Care Mercy Medical Urgent Care Clinic General Hospital Rural Hospital Care Guideline EDIE

  6. Consistent & Coordinated Care Mercy Medical Urgent Care Clinic General Hospital Rural Hospital Care Guideline ED Physician Community Care Coordinator PCP

  7. EDIE Benefits • Improved Care • Collaborative Patient Guidelines • Case Management Framework • Patient Visit Analytics • Real-time Notifications • Reduced Costs • Care Channel Migration (High-cost Emergent -> Low-cost Primary) • Early Payer Notification • Financial Reporting • Targeted Utilization • Reduce disproportionate resource strain by small population of over-users