NextGen ® P opulation Health

1. NextGen®Population Health • “The Game Changer” May 14,2014

2. Industry dynamics driving population health management • Presented by Elise Freedman, MBA • Senior Market Manager, Business Development

3. Population Health is hot! Everyone says they have a population health solution….Really? If it was that easy…. And population health is defined differently depending on who is using the term NextGen Population Health Helps providers to deliver the most appropriate preventative care and intervention based on the patient’s condition, risk and severity of illness …. across the entire patient panel. An automated and targeted patient outreach and engagement solution • (“Set it and Forget it!”) Fully integrated with NextGen EHR, PM, Patient Portal and Dashboard Helps healthcare providers improve: • Patients health • Quality of care • Practice productivity/efficiency • Financial outcomes

4. Population Health is very “Popular”

5. Core objectives of population health management Deliver better care in lower cost settings Reduce avoidable ER visitsand hospitalizations Reduce hospital readmissions Significantly improve patient health outcomes Financial Benefits Maximize financial return for value-based care Reimbursement preventative care Payment for “non‐visit” contact Negotiate better risk sharing terms with payers

6. Dynamics driving need for population health management US healthcare system ― fragmented care, unsustainable costs Increasing chronic disease and comorbid conditions, • obesity, heart disease and diabetes Baby boomers (born between 1946 and 1964) extremely high utilizers especially end of life care • Approximately 10,000 Americans turn 65 every day • 40.3 million people age 65 or older in 2010; by 2050 projected 88.5 million; 8 in 10 seniors suffer from at least one chronic condition • About 25 percent of seniors are obese • 20 percent have diabetes • 70 percent have heart disease • Projected physician shortage • Patient non-compliance with treatment Transition to coordinated, collaborative, integrated, value-based New diagnostic/treatment available to improve chronic conditions

7. How providers get paid is changing Payer trends Started with CMS quality incentive programs, now commercial payers on board with performance-based payment models (because Medicare is going broke, had to do something) „Patient Centered Medical Home (PCMH) and practices implementing Accountable Care (ACO) programs Paying per member/per month (pm/pm) care management fees and gain sharing revenue for lowering healthcare costs Payers are buying physician groups and launching physician group practices, IPAs CMS

8. But the clincher is: Responsibility for patients’ health is shifting to providers • The onus for managing, improving and reporting the health of patients is shifting to providers, particularly primary care physicians • Reporting on these outcomes will impact how and how much they get paid • Regardless of whether or not your patients are: • Compliant • Non-compliant • Chronically ill • Sick  short term My Patients’ Health “Your patient  your responsibility”

9. The impact of patient noncompliance • Non-compliance accounts for: • 11% of all hospital admissions • 40% of nursing home admissions • 20% prescriptions never filled • 30% prescriptions never refilled Contact with doctors and hospitals is sporadic/infrequent Problems are not addressed until patient is in crisis 2020, 25% of the American population will have multiple chronic conditions Source: Wu, S., & Green, A. Projection of Chronic Illness Prevalence and Cost Inflation. In RAND Corporation.

10. The prevalence of chronic diseases has created a national health care crisis • Six "unhealthy truths" about chronic disease in the United States: • 1 Chronic diseases are the No. 1 cause of death and disability in the U.S. • 2 Treating patients with chronic diseases accounts for 75 percent of the nation's health care spending (75% of $2.8 trillion!) • 3 Two-thirds of the increase in health care spending is due to increased prevalence of treated chronic disease • 4 The doubling of obesity between 1987 and today accounts for 20 to 30 percent of the rise in health care spending • 5 The vast majority of cases of chronic disease could be better prevented or managed • 6 Many Americans are unaware of the extent chronic diseases could be better prevented or managed

11. Many chronic diseases can be prevented with lifestyle and behavioral changes Modifiable behaviors that cause illness, suffering, and early death related to chronic diseases lack of physical activity poor nutrition tobacco use excessive alcohol consumption

12. Blame is not a factor  possible reasons for patient non-compliance Language barriers (including regional semantics) • Example: (Diabetes vs Sugar) Socio-economic conditions Unwillingness to follow treatment Lack of understanding treatment instructions Insufficient provider follow-up What else is going on with my patients? Patient's personal life and circumstances could be contributing to their poor health and non-compliance

13. What percent of your patient population looks like this? Very Healthy

14. What percent of your patient population looks like this? Mostly Healthy

15. What percent of your patient population looks like this? Not so good Where does this guy go when he goes into cardiac arrest? When do you think he last saw a doctor for a check-up?

16. Then, there’s everyone else… When’s the last time you had a preventative screening on time? How many doctor’s appointments did you cancel this year because you were too busy? Do you always take your medications as prescribed? Do you stop taking medication when you start feeling better? Do you eat properly? Exercise regularly? Get enough sleep? www.shamedog.com

17. Population Health as it relates to NextGen Care Coordination

18. You can’t measure what you don’t track P4P programs (PCMH/ACO) earn incentive payments for programs such PQRS, Bridge to Excellence (BTE) and MU Practices must track and monitor the health status of their entire patient population Providers are responsible for documenting and reporting outreach efforts Bottom line: You can’t get paid on what you don’t report

19. NextGen Population Health generates reports that track and analyze performance Physicians and practice administrators can produce analytical reports on CQM performance as well as detailed patient reports identifying treatment opportunities within the patient population • Outreach communication reports that can be scheduled for delivery • Graphical reports to measure performance of outreach program

20. NextGen Health Quality Measures (HQM) collects EHR data organized by patient encounter • Produces summary and detail outcomes results per program rules • Performs automated calculation, tracking and reporting • Extracts new clinical data • Provides useable reports to provide insight and performance metrics at a practice, provider and patient level • Enables clients to receive incentive for performance • Automatically submits CQM reports for MU Compliance

21. Integrated NextGen solutions in a single platform  bringing it all together • CCO Phase1 integrates and optimizes NextGen products in our Ambulatory EHR and EPM • Patient Registry (new!) • Population Health • Patient Portal • NextGen Share • Dashboard • KBM

22. Tools for comprehensive provider-driven population health management • CCO Phase 2 provides a complete, vendor-agnostic solution leveraging Mirth products by providing: • Comprehensive care management and collaborative chronic disease management • Central Data Repository and Data exchange • Population health activation • Advanced “cohort” analytics and risk modeling

23. Advanced data analytics identify treatment opportunities and report those outcomes Ultimately, providers will need to predict which patients are likely to get sick to minimize future costs Data driven workflows manage care plans, track events, and schedule appointments and reminders. Patient engagement tools that enable patient participating in their healthcare goals Population Health Analytics

24. NextGen care coordination goals Improve care quality and patient safety for decreased hospitalizations and re-admittance Increase staff efficiency by reducing time required to develop care plan Greater focus on patient goals and expected outcomes Establishes clear, organized and specific interventions to improve patient care Improved patient compliance with their prescribed care plans through automated communications and clinical decision support

25. Care coordination workflow Identify care team members and define roles Enter, review and modify referral information Identify barriers to care: • patient disabilities and limitations • other issues impacting patients ability to comply with care plan Review and modify current care plan and track progress Log and review all patient-related communications, including: • phone calls • emails • text messages • Patient communications documented by various categories and filtered to show all or selected data

26. Manage the shared care plan Standardized care plan accessible to and modifiable by designated providers, case managers and caregivers Customized to patient needs: • Health maintenance • Chronic care management • Complex cases • Advanced directives Includes patient directed goals • Patient preferences and directives • Planned provider and patient interventions • Barriers to care

27. Templates that advance PCMH & Collaborative Care Enhanced care coordination templates provide efficient and reliable care coordination among multiple providers to provide safer and more effective healthcare

28. Proactive Patient Engagement

29. Proactive instead of Reactive • Today you see patients when they are sick or due for an appointment • They call you to make an appointment • As we shift from volume-based to value-based • care, providers need to focus on: • Proactive patient engagement for preventative care • Keeping patients from falling through the cracks • Quality reporting for an ever-increasing volume of measures and mandates

30. Really important NextGen Population Health differentiators • Fully integrated with NextGen • EHR • EPM • Patient Portal • Dashboard • No interfaces required! • But wait…there’s more! • With other PH vendors… • Patient receives an alert to schedule appointment for a mammogram • When patient calls to schedule the appointment, reception pulls up the patient chart but there is no info in the patient record regarding the alert and why the patient is calling • But…NextGen is fully integrated so all patient info is integrated within the workflow, The receptionist will have all information about the alert sent for each patient contacted

31. NextGen integration  no interfaces required NextGen Practice Management and NextGen Ambulatory EHR streamline workflow Display outcomes performance in NextGen Dashboard • Creates alerts on patient chart with triggering event • Alert cleared when appointment is kept • Chart notes added in Practice Management with reasons for outreach • Follow-up documentation goes directly into EHR • Evidence-based quality measures leveraged using NextGen Health Quality Measures (HQM) • Data mining capability within PM and EHR

32. “Set it and Forget it” • While you are away on vacation… • 2,500 automated flu shot reminders have just been sent from your NextGen® Ambulatory EHR to a targeted group of patients • During the week, 50 patients schedule their flu shots Pre-programed notifications are automatically sent to your patients

33. Target patients for follow-up and preventative care • Hypertensive patients for blood pressure control • Diabetic patients with A1C levels greater than seven • Women age 55, who require pap smears and mammograms in May • Men, age 60 who require prostate exams in September

34. Patient engagement outreach channels • Phone & Interactive Voice Response (IVR) • Text Message • Email • Patient Portal • Mobile & Remote Monitoring Integration

35. Program alerts using a stratified approach These alerts have been automatically programmed in your NextGen EHR As these patients schedule appointments, all encounters aredocumented and tracked in your EHR You can generate reports as you need them Congratulations…!!! You have just met an important Meaningful Use 2 requirement • Reminders: “Use clinically relevant information to identify patients who should receive reminders for preventive/follow-up care” • Secure Messaging: “Use secure electronic messaging to communicate with patients on relevant health information for 5% “

36. The patient profiler for simple stratification • Diabetic patients with A1C greater than 7 • Women age 50, require pap smear and mammograms in May

37. The patient profiler for more complex stratification Identify male patients age 40 who have: • Diabetes with history of high A1C • High blood pressure and Hyperlipidemia with high total cholesterol and LDL • No foot or eye exam for last 6 months and • No booking for next 2 months

38. ROI, NextGen client  Infinity Primary Care Expected Revenue Projection • Reminders sent: 10,000 per month (calculated on full provider participation) • Roughly three patients contacted for each provider per day • % Patient of patients responded: Between 20 – 45%; average of 33% • Approximate revenue per visit: $95 • Generating one additional visit per day for each provider • Additional Annual Revenue: $3,420,000

39. Infinity Primary Care success story “NextGen Population Health fills an important gap between patient communication and patient health management. In the past, we would dedicate hours of staff time attempting to contact a small percentage of patients. Now, we use a stratified approach to engage our at-risk patients with a single click. NextGen Population Health has improved the way we care for our patients.” • 30% Average response rate • 3 Patients contacted daily per provider • 10,000 patient reminders monthly Patrick Stevenson Director of IT

40. ROI roughly ½ million $ additional annual revenue

41. Coming soon…. • Data Integration & Analytics • Integration with Payer data (CCLF) • Integration with third-party Risk Stratification (Statictical and Predictive modeling) tools • Dashboards: • Chronic Condition • Payer Analysis • Care Coordination • Enhance care coordination workflows in NextGen EHR with population health data (outreach & gaps in care) • Actionable Patient Registry with Referral Management • Patient Engagement • Enhance patient communication methods • Gather survey and remote monitoring data from patients A C B

42. Ready to take a deeper dive? • We will now demonstrate how easy NextGen Population Health is to use • Kim Root will now show you various features and functionality

43. Let’s see NextGen Population Health in Action Live Demo presented by Kim Root NextGen Application Specialist

44. NextGen Population Health results  Healthier clinical and financial outcomes Outreach communications is the first step in managing chronic conditions Increase revenue from additional patient encounters and treatment opportunities Improves patients engagement which is essential to meet health reform requirements Augments EHR to meet ACO, PCMH, and MU2 criteria

45. Questions?

46. NextGen Population Health Resources • Population Health web page • Watch for future monthly population health webinars demos • White paper • Demo • Video • Brochure • Contact your sales representative • Request a live demo • efreedman@nextgen.com • swilliamson@nextgen.com

47. Thank You !