Quality Metrics for Improved Practice Management: There’s an App for That!

1. Quality Metrics for Improved Practice Management: There’s an App for That!

2. Agenda • CECity Executive Summary • Emdeon Executive Summary • Healthcare Reform Drivers for Enhanced Practice Management Tools • Review of Clinical Quality Measurement, Reporting and Improvement Solutions Confidential

3. CECity Executive Summary

4. CECity Executive Summaryleader in enterprise quality reporting, registries, improvement & lifelong learning Healthcare’s leading social enterprise cloud platform to address needs under healthcare reform by aligning, simplifying, integrating and cost-effectively scaling • Performance Improvement • Pay for Performance • Professional Certification • CECity is… • Neutral - layer or bolt onto EMR/HIT as collaborative value-added partner • Dot Connector – gateway between EMR, society partners and payors; link to world leaders in performance improvement • #1 Footprint - own largest footprint in professional certification, quality reporting & performance improvement space CECity Deployment Options… Multi-Tenant Private Portals Confidential Confidential

5. CECity’s Performance Management Solution…At the Point of ConvergenceAligning solutions across the “3Ps” to engage providers in improvement

6. CECity’s Cost-Effective, Scalable Solution Layers onto EMRsaddressing the burgeoning needs under reform in synergy with existing HIT Goal oriented Incentives Feed Useful Analytics, Gaps, Outliers and Quality Reports BACK for qualityimprovement & research GAPS Feed Dataforward from EMRs and other Data Sources Performance Learning Communities of practice andcommunication networks ePortfolio Goal: enhance the value of EMRs by seamlessly layering or integrating unique, exclusive and/or necessary services that support the EMR’s quest to measure and manage quality, report for payment or other incentives, and move providers from measurement to improvement

7. CECity’s unique footprint and partnershipsmore than technology…relationships, experience, and trust Partnerships Commitment Quality & Professionalism

8. Why are we here today?

9. Why are we here today? • Healthcare reform is rapidly shifting from early stage data capture, collection activities (EMR, eRX) to later stage requirements driven by payment reform (MU Stage 2, 3) for ACO, IDN, VBP, MA Stars, and other shared-risk models • Customer needs and focus shifting to performance measurement and management (pop health, patient care gap analysis, patient (CG surveys) and practice improvement), value-based payment, external (to EMR) reporting to national specialty registries, rapid cycle learning and compliance Meaningful Use Stages

10. Why are we here today? • Payment, compliance requirements growing & converging beyond the EMR • Providers don’t know what to do, where to turn, how to handle them all! Public Payors Protect Members & Own P4P Physicians / Groups Professional, Financial, Self Regulation PO (Physician Org) QI and P4P Program Group / Hospital QI and P4P Program Group / Hospital Care Redesign Credentialing / Re-Credentialing Medicare Advantage Star Ratings Private Payors Attract/Protect Members & Own P4P OPPE/FPPE Hospital Accreditation Protect Patient Quality Meaningful Use CQM, Specialized Registries Hospitals VBP Readmission, Never Events Physician VBP Federal: PQRS & VBM Commercial: BTE & P4P Improve Patient Experience of Care Shift from FFS to Value Based Contracts and Shared Risk (ACO) MOL Coming Soon CME Requirements Maintenance of Certification Board Exams State Licensing Boards Protect Public from Harm Specialty Boards Professional Self Regulation 10 Confidential

11. Why are we here today? • Penalties and Requirements are being ratcheted upwards! • Providers need help now, but most are struggling to meet them all on their own 2013/2014 Year of the Penalty

12. There’s An App for That

13. Quality Measurement, Reporting and Compliance Solutions Comprehensive suite of quality products and services to help providerssatisfy their healthcare reform requirements via one integrated, cost-effective solution • Integrated Products Satisfy Multiple Requirements • Standalone Product Modules CommercialVBP Menu Item 6 Specialized Registry Reporting Meaningful UseStage 2 Clinical Quality Measures Reporting via Registry PQRS via QualifiedClinical Data Registry Federal VBP Professional

14. ImpaQt™ One-to-Many Clinical Quality Gateway • Connect to a network of specialized registries via one clinical quality gateway And More includingthe Societyof Societies ImpaQt™ One to ManyClinical Quality Gateway Registry EHR

15. Meaningful Use Stage 2 – Continuous Reporting to Specialized RegistriesCECity’s position provides unique opportunity to bring value to customers, access to sustainable model for MU2 and QI Immunization Registry Specialized ClinicalRegistries Cancer Registry Data SpecializedRegistryGateway (option to add PQRS, CQM) Data Value EMR Data

16. Bridges to Excellence® #1 Commercial P4P Program • #1 US Pay for Performance Program to Commercial Health Plans • Data pipelines established with leading EMRs and HIT companies (GE, Meridios, NextGen, eCW, Athenahealth) • Key States: Texas, California, NY, Carolinas

17. Multiple Data Entry Options & Dynamic Progress Monitor

18. Detailed Progress Report by Practice and Provider

19. Performance Measures -Clinician View

20. BTE Recognition Scoring

21. PQRSwizard® like Turbo-Tax® for PQRS - mandated federal Value-based Purchasing program • #1 Cloud-Based PQRS Registry Platform • #1 Payment Success Rate (>99.5%) • Proven Business Model, Revenue Share for Partners • Only 25% eligible provider participation • CMS Qualified for Registry, DSV, GPRO, and Qualified Clinical Data Registry (QCDR) • CECity is bringing it all together – BTE, PQRS, QCDR, MU2 CQM and Specialized Registries with Societies

22. ACP Specialized Registry MU2, CQM, PQRS

23. Patient SurveyPatient Centered Satisfaction, Outcomes, Risk Assessments

24. MGMA DataDive Metrics for Practice Management

25. Patient Population AnalysisAggregates demographic and diagnoses information

26. Practice PerformanceFeatures process and utilization measures with flexible benchmarking.

27. Financial Analysis Revenue, cost, profit based on billings/cost allocation models

28. Financial InformationDrill down into any item to view the basis of the calculation.

29. Track Changes Over Time Revenue, cost, profit based on billings/cost allocation models

30. Data Connectivity Choose to automatically populate data through one of the connected data feeds.

31. Professional Compliance (Maintenance of Certification) multi-faceted Apps incorporate or link to MOC Part IV and other compliance programs Send upstream to ABIMSelf Directed PIM for Credit

32. Performance Improvement Apps via CECity Access tools and resources from the world’s leaders in quality improvementDeliver them to providers in practice to move from measurement to improved outcomes Quality Training PCMH Survey PI Toolkits

33. Thank You • CECity Contact: • Ariann Polasky, Director, Provider Products • apolasky@cecity.com • Emdeon Contact: • Matt Koerlin • mkoerlin@emdeon.com