HOUSTON METHODIST POPULATION HEALTH MANAGEMENT

1. HOUSTON METHODIST POPULATION HEALTH MANAGEMENT Julia Andrieni, MD, FACP Vice President, Population Health and Primary Care A Value-Based Healthcare Delivery Model

2. Population Health Management Key Elements Nursing Care Management Program • Community-Based Primary Care Physician Network • Engage Physicians • Enhance Patient Access and Patient Convenience • Focus on Prevention and High Risk Conditions Primary Care Physician Network Informatics Infrastructure • Nursing Care Management Program • Identify Barriers to Achieving Better Health Outcomes • Coordinate Individualized Care Plans • Focus on High Risk and Rising Risk Patients • Data Driven Clinical Decision Making • Advanced Informatics to Stratify Health Risks • Predictive Analytics to Guide Resource Utilization • Patient Engagement Strategy • Improve and Sustain Health Outcomes at a Lower Cost • Home Health Monitoring Devices Increase Patient Awareness and Education Patient Engagement Strategy

3. 2015 GROWTH of primary care physician networkquality = clinical outcomes + Patient satisfaction

4. POPULATION HEALTH PROGRAM PROVIDED AN OPPORTUNITY TO LINK EMPLOYEES TO OUR PRIMARY CARE PHYSICIAN NETWORK SOURCE: 2014 and 2015 Biometric Data Houston Methodist San Jacinto Population Health Pilot

5. HOUSTON METHODIST POPULATION HEALTH PROGRAM

6. 50% OF employees ACHIEVED CONTROL OF DIABETES, HYPERTENSION, AND NICOTINE+ WITHIN 6 MONTHS OF PARTICIPATING IN PROGRAM July 2014 – December 2014 * Includes Smokers, Uncontrolled Hypertension, and Uncontrolled Diabetes SOURCE: 2014 Biometric Data Houston Methodist San Jacinto Population Health Pilot

7. POPULATION HEALTH PARTICIPANTS LOWERED THEIR HEALTH RISKS FOR ALL CONDITIONS

8. 82% of Employees enrolled in the Program to improve their health

9. 94% of employees believed the Population health program increased their productivity

10. POPULATION HEALTH MANAGEMENTGOALS AND BENEFITS Goal 1: Create a Sustainable Healthy Employee Population by Lowering Individual Health Risks Benefits:● Match Employees to Houston Methodist Primary Care Physician Network. ● Improve Clinical Outcomes with Individualized Care Plans based on Health Risks. ● Increase Patient Engagement and Education to Sustain Results. Goal 2: Increase Primary Care Physician Engagement with a Population Health Partner Strategy Benefits:● Create Partnerships with Physicians and Population Health Care Navigators to Coordinate Individualized Patient Care Plans. ● Increase Patient Access and Convenience. Goal 3: Direct To Employer Strategy Promotes Wellness and Chronic Condition Management for Self-Insured Employers Benefits:● Decrease ED and Urgent Care Utilization, by Matching Employees to Primary Care Physicians. ● Decrease Employee Hospitalizations. ●Increase Cancer Screening for Early Detection and Prevention. ● Decrease Employee Per Member Per Month (PMPM) Spend.

11. CORPORATE POPULATION HEALTH: DIRECT TO EMPLOYER STRATEGY