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HIMSS10. Brad Savage SVP & CIO Golden Living. At Golden Living, we are redefining how senior care is provided in this country… . Better Outcomes. Improved Efficiencies. Integration across the Spectrum of Care. Managing/Affecting Regulation and Policy. Mitigating Risk.

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himss10

HIMSS10

Brad Savage

SVP & CIOGolden Living

slide4

At Golden Living, we are redefining how senior care is provided in this country…

  • Better Outcomes
  • Improved Efficiencies
  • Integration across the Spectrum of Care
  • Managing/Affecting Regulation and Policy
  • Mitigating Risk

Technology is a key enabler.

today a fragmented golden living ecosystem
TodayA Fragmented Golden Living Ecosystem

Medical Director

Nurse

Referring Hospital, Discharge Planner

Family of Golden Living Resident

Clinical Pharmacist

Therapist

Resident at Golden Living

Physician, Facility outside of Golden Living

post microsoft amalga unified intelligence system tm uis and healthvault tm a connected ecosystem
Post Microsoft® Amalga Unified Intelligence SystemTM (UIS) and HealthVaultTMA Connected Ecosystem

Medical Director

Nurse

Web

Referring Hospital, Discharge Planner

Physician, Facility outside of Golden Living

Clinical Pharmacist

Therapist

Family of Golden Living Resident

Resident at Golden Living

slide7

Amalga UIS greatly improves clinical oversight by liberating and unifying data within our own organization, and between us and outside providers, payers, and patient families.

BENEFITS

More effective management of chronic disease

Referring Hospital

Improved outcomes

Early intervention

Payer

Family

Prevention

Patient MD

today golden living s data

Support Caregivers

Today Golden Living’s Data

Shadow IT Organization

Rx Billing Data Mart

Care Quality Analysis

Compliance

Monitoring

Staff

Reporting

1M Enterprise

Unknown

Data Mart

Finance

Data Mart

Rx

Utilization

Unknown

Data Mart

Unknown

Data Mart

1M Enterprise

Charge & Payment Analysis

SNF

Therapy

Home Health

Hospice

Telehealth

Pharmacy

General

Ledger

Dietary

Human Resources

SNF ADLs

Document

Imaging

Data Warehouse

Residence

Accounting

Learning

Management

Homegrown

Application(s

Future Applications

post amalga uis data liquidity data reuse

Support Caregivers

Post Amalga UIS Data Liquidity, Data Reuse

Rx

Billing

Finance

Reporting

Staff

Reporting

Compliance

Monitoring

PHRConnectivity

TeleHealth

Initiative

RUG & Level of Service Monitoring

Discharge

Outreach

Active Diagnostics Monitoring

Hospital

Outreach

Care

Quality

Analysis

Physician

Outreach

Charge &

Payment

Analysis

Active

Therapy Monitoring

Adverse Drug Event Surveillance

Rx

Utilization

Appropriate

Pharmaceutical Utilization

Active Quality Monitoring

Pharmacy Billing Auditing

SNF

Therapy

Home Health

Hospice

Telehealth

Pharmacy

General

Ledger

Dietary

Human Resources

SNF ADLs

Document

Imaging

Data Warehouse

Residence

Accounting

Learning

Management

Homegrown

Application(s

Future Applications

slide10

Support Caregivers

Today’s Golden Living Environment Sub-optimal decision-making, redundant labor, adverse events, unnecessary hospitalizations, lost business…

I don’t have insight…

I need to take action…

I’m overwhelmed with queries…

It will take two weeks to pull the data together…

EPO drug usage… what’s going on?

Corporate Manager, Administrator

Clinicians, Managers, Staff

Business and Database Analysts

Rx Billing Data Mart

Care Quality Analysis

Compliance

Monitoring

Staff

Reporting

1M Enterprise

Unknown

Data Mart

Charge & Payment Analysis

Finance

Data Mart

Rx

Utilization

Unknown

Data Mart

Unknown

Data Mart

1M Enterprise

Shadow IT Organization

slide11

Support Caregivers

Post Amalga UIS: Your People Empowered New workflows, New Interactions, Ease and Speed to Impact, Increased Quality and Volume of Work…

I have real-time

insight…

I can take action

and monitor…

I can help people to understand their data…

I can spend time

on analysis…

EPO drug usage… what’s going on?

Corporate Manager, Administrator

Clinicians, Managers, Staff

Business and Database Analysts

Care

Quality

Analysis

Finance

Reporting

Rx

Billing

RUG & Level of Service Monitoring

empowering people

Support Caregivers

Empowering People

Patients and Families as Consumers—experiencing more control, more convenience, better service, and better value for what they spend.

Healthcare Professionals as Knowledge Workers—

getting the right data in the right format at the right time to provide the best treatment & preventative care.

leveraging clinical experts

Support Caregivers

Leveraging Clinical Experts

What is the cause of potentially avoidable hospitalizations?

Has this patient been re-hospitalized three times in the last three months?

What is the root cause behind the missing INR/PT orders?

Which patients on Coumadin do not have an INR/PT ordered?

Which patients are on 2 or more psychotropic medications?

What are the root causes behind these medication orders?

Real time

Over time

leveraging clinical experts14

Support Caregivers

Leveraging Clinical Experts

Is Nursing staff rating her as showing fewer disruptive behaviors on her MDS?

Patient is cooperating so much more in therapy as her cognitive skills have increased

Are treatments gains resulting in decreased pain medications?

Patient is showing much better range of motion in his shoulder

Looks like we're starting to see more falls at this facility

What percentage of our staff has taken the E-Learning on Balance Management?

Real time

Over time

connect care
Connecting the enterprisewith physician communities

Connecting the enterprisewith patient-controlled data

Connecting to acute and other healthcare organizations

Connect Care

Connect Care
connecting the health ecosystem

Connect Care

Connecting the Health Ecosystem

Skilled Nursing Facility

Physicians

Assisted Living

Health & Fitness

Device Manufacturers

Physicians

Health & Fitness

Device Manufacturers

Health Plans

Laboratories

Employers

Hospitals

Laboratories

HealthcareAssociations

Pharmacies and PBMs

Application Provider

Hospitals

Application Provider

Pharmacies and PBMs

amalga uis healthvault integration

Connect Care

Amalga UIS/HealthVault Integration

On admission to a Golden Living facility or to a hospital, a Golden Living Resident may decide to share certain data elements from their HealthVault account.

Medications, allergies, and discrete results from home devices (blood pressure, blood glucose)

While receiving routine care at Golden Living or when being discharged from a hospital, the institution can share information with the Golden Living Resident’s HealthVault account

Discrete data if available, discharge summaries, medication data, etc

connecting with physicians

Connect Care

Connecting With Physicians

Amalga Light – anytime, anywhere physician access

solutions to connect care across the ecosystem

Amalga Web

Connect Care

Solutions to Connect Care Across the Ecosystem

Community

Health System

  • Medications
  • Discharge instructions
  • Lab test results
  • EKG Report
  • Operative Report

Record

enabling real time access to data and greater impact of data when moments count

Connect Care

Enabling real-time access to data and greater impact of data…when moments count

Residents and Families

Physician in the home, office & hospital

Consultant Pharmacists