Digital Health Strategy for Value Based Care | Q-Reviews

1. The Digital Health Strategy for Value-Based Care Accelerating Success in Value-Based Care Through Digital Transformation Learn More: https://q-reviews.com/ Schedule a Session with our Digital Health Strategy Team: info@q-reviews.com

2. Accelerating Success in VBC Through Digital Transformation SECTION 1 Executive Overview SECTION 2 Digital Transformation Strategy Framework for VBC SECTION 3 Driver of Success #1: Promoting Preventative Care SECTION 4 Driver of Success #2: Strengthen Preferred Provider Network SECTION 5 Driver of Success #3: Tackling SDoH Challenges SECTION 6 Driver of Success #4: Data Transformation and Collection SECTION 7 Driver of Success #5: Managing Care Transitions SECTION 8 Toolkit for VBC Digital Transformation Q-Reviews.com

3. Accelerating Success in VBC Through Digital Transformation Executive Overview In recent years there has been a push for digital transformation in the value-based care terrain in the healthcare, to accelerate the savings and outcomes yielded to date. While enticing, there needs to be a clear strategy and assessment process for VBC entities to determine if digital transformation is appropriate. Additionally, how digital health fits to current efforts that meet clinical, operational, and financial goals. Value-Based Care has been part of the healthcare landscape, before it became a buzzword Due to the pandemic, value-based care has been a phrase adopted by many as a talking point to push for innovation and care transformation. The phrase “value-based care” has concrete pillars and a complex definition that have existed for years. Below is an overview of the value-based care landscape. 93% The Premise of Medicare spending is attributed to the managing chronic conditions Population Health Value-Based Care focus to improve clinical outcomes and manage costs for a specific population financial agreements and models within healthcare to drive population health initiatives and efforts Reimbursement segmenting patients based on their total health profile The Basics Care Delivery Risk Stratification focus on quality outcomes through preventive and chronic care payment based on quality & appropriateness of care The Tenants There are several payment models and organizational structures that exist in the Value-Based Care ecosystem üAccountable Care Organizations üMedicare Advantage üCapitation üBundle Payments üDownside/Upside Risk üHospital Value-Based Purchasing üPatient Medical Centered Home üMerit Based incentive Payment System üACO REACH Q-Reviews.com

4. Accelerating Success in VBC Through Digital Transformation The Structure to the Strategy To ensure that value-based care organizations undertake an intelligent and methodical digital transformation, they should evaluate the value digital tools have compared to currently deployed efforts within their organization. The best way to do that is to look at what factors make VBC entities successful clinically, operational, and financially. Then understand if any of those success factors can be achieved, improved, or accelerated with the introduction of a digital solution. There are common drivers of success, regardless of model, that have led to repeatable success in value-based care Future direction of value-based care and need of digital health Changes in the payer/provider relations, workforce turnover and recruitment, and narrowing fee for service margins will require VBC organizations to see if current success factors benefit from digital transformation. Automate 1 Promoting Preventative Care Strengthen Physician and Preferred Provider Network 2 3 Tackling SDoH Challenges Investing in Data Transformation and Collection 4 Managing Care Transitions Across the Care Continuum 5 To make this evaluation process easier, organizations can determine if technology can either automate, deflect, or optimize the above drivers of success across clinical, operational, or financial efforts. Impact from Digital Health Transformation Deflect Optimize Shift specific manual efforts, to allow workforce to tackle additional tasks Improve the efficiency of how processes and strategies are being delivered Minimize inbound volume of tasks, requests, and orders Purpose of E-Book: Outline a methodical approach to intelligently integrate digital solutions into your value-based care efforts, by mapping how each VBC driver of success can benefit from automation, scaling, optimization Q-Reviews.com

5. Accelerating Success in VBC Through Digital Transformation Success Driver #1: Promoting Preventive Care Preventative medicine is a core component to succeeding in value-based care and population health. Regardless of your organizational structure, there are key preventative performance measures that lead to an increase in reimbursement. But there is a larger impact on the overall quality and total cost of care for patient populations. The core benefit of preventative care is to identify rising risk in patients before they develop chronic conditions. Early identification of risk will allow for earlier clinical intervention, leading to better health outcomes and curb future higher costs attributed from chronically ill patients. A study showed that MSSP ACOs that beneficiaries that have their first annual wellness visit saw a reduction in total cost of 5.7%. Understanding Promoting Preventative Care Components Preventative Screenings Vaccinations Key Takeaway: VBC organizations need to find ways to identify care gaps in preventative care quickly, and have solutions in place to increase patient access to preventative interventions Wellness Visits and Management Technology Solutions that Fit with the Driver of Success Digital Solution (Deflect/Automate/Optimize) Telehealth Platform Optimize Patient Engagement Platform Acceleration Impact Digital Solution Impact Quickly connect with patients to do check-ins Proactive, automated outreach to educate and remind of screenings and vaccinations Automate Early identification of clinical symptoms to drive patients to preventative services Optimize Wearables/RPM Deflect Optimize Chatbots Allow patients to get health questions answered EHRs Create alerts when preventative services need to be completed Q-Reviews.com

6. Accelerating Success in VBC Through Digital Transformation Success Driver #2: Strengthen Provider Network Regardless of the value-based care model your organization belongs to, there will always be a large, intricate network of providers responsible for different aspects of patient care. When we think of providers, it is very common for us to think about physicians. The truth is the provider network consists of a diverse range of constituents. This is needed manage the entire care journey and meet all the clinical needs within a managed population. This is defined in value-based care as- Preferred Provider Network. PCPs are paramount to the Preferred Provider Network and success of a value-based care organization. They are directly or indirectly drive many of the clinical and financial goals of a value-based care organization. Top performing value-based organizations have a 7% higher utilization in PCPs services. Understanding the Components that Strengthen Provider Networks PCP Visits PAC Utilization Key Takeaway: VBC Organizations must find ways to keep the Preferred Provider Networks easily connected, so patient hand offs are not lost and gaps in care don’t occur Network Referrals Advanced Care Professionals Technology Solutions that Fit with the Driver of Success Digital Solution (Deflect/Automate/Optimize) EHRs Optimize Acceleration Impact Digital Solution Impact Central source of truth for patient information to make physician coordination easier Deflect Scheduling Tools Patients can get schedule care on their terms Tech Enabled Specialty Clinical Services Virtual Scribe Augment referrals with tech companies that have clinicians on staff, preventing gaps in care to tuck the patient back to PCP Optimize Ease documentation burden and give physicians more time and capacity AI tool patients can leverage to scale referrals to appropriate level of care Identify rising clinical issues so providers can quickly intervene with appropriate care Proactive, automated messages and education to remind patients about booking care Automate Deflect Symptom Checker Optimize Wearables/RPM Patient Engagement Platform Automate Q-Reviews.com

7. Accelerating Success in VBC Through Digital Transformation Success Driver #3: Tackling SDoH Challenges The non-clinical factors that surround a population’s environment have tremendous impact on their health. SDoH challenges not only directly impact patient outcomes, but also create roadblocks at times for value- based organizations to reach, engage, and manage patient Outlining the Components that Constitute SDoH Economic Stability Education populations. Uncontrolled management of SDoH are strongly associated with increased costs to value-based care organizations. Patients with unmet social needs have 10% higher annual health expenditures, approximately $2,443 per year. Key Takeaway: VBC Organizations must find ways to analyze, assess, and address the SDoH challenges that pertain to their patient populations, and invest in non-clinical interventions beyond social service referrals Healthcare Access Neighborhood & Environment Social & Community Context Technology Solutions that Fit with the Driver of Success Digital Solution (Deflect/Automate/Optimize) Omnichannel Surveying Multilingual Translators Patient Engagement Platform Community Asset Aggregator Telehealth Platform Optimize Automate Wearables/RPM Optimize Natural Language Processing Digital Farmacy Optimize Acceleration Impact Digital Solution Impact Automate Assess the SDoH needs of patients Deflect Increase clinical education and comprehension Proactive outreach with resources and education, for patients with limited resources Automate Automate Route patients to community resources based on SDoH gaps Meet patients where access is challenging Transportation Apps Help patients where distance prevents access to care Monitor patients’ health who have access challenges Understand patient needs directly from their voice, overcoming literacy gaps Automate Food for medicine to address food insecurity Q-Reviews.com

8. Accelerating Success in VBC Through Digital Transformation Success Driver #4: Data Transformation & Collection Data is a driving force for any healthcare organization. With value-based care entities, data is fundamental even before one can get involved with population health or an alternative payment model. Much of the analysis completed to even assess the feasibility of a value-based care organization is driven by data. jointly. Component Essential to Data Transformation and Collection Claims Data Clinical Data The transformation impact on the success of a value- based care organization. Data transformation is paramount to analytical transformation and risk stratification, which in turn will impact the payment, operational, and care transformation efforts at times, separately, and very often, importance of long data term The quality and extent of data sources being ingested to drive transformational changes of a value-based care organization, can be biggest barrier Richness of data and information for risk stratification can be the difference between success or failure for value-based care. has at times. Key Takeaway: VBC Organizations must invest in improving data quality and increasing data sources, to drive better analytics that will provide better insight for clinical, operational, and financial teams to succeed in VBC Cost Data Technology Solutions that Fit with the Driver of Success Digital Solution (Deflect/Automate/Optimize) EHRs Optimize Wearables/RPM Optimize Health Information Exchange Patient Engagement Platform Mobile Health Apps Optimize Omnichannel Surveying Natural Language Processing Acceleration Impact Digital Solution Impact Single source of data to empower all functions of organization Collect wider set of clinical data, outside of site of care Connect data across the patient journey that can have disparate data systems Optimize Collect more qualitative data that can be incorporated in risk stratification Automate Collect wider set of clinical data, outside of site of care Collect more qualitative data that can be incorporated in risk stratification Automate Automate Capture more HCC codes to improve risk stratification Q-Reviews.com

9. Accelerating Success in VBC Through Digital Transformation Success Driver #5: Managing Care Transitions Care transitions across the care continuum span from site of care, discharge, post-acute, to the final transition to home. Patients within a population can find navigating the care continuum challenging and often get lost. Many times, value-based care organizations themselves struggle tracking where patients are across the continuum. This impacts overall success of a VBC entity. If PCPs serve as the coach or GM of the clinical team in a VBC organization, then care coordinators are the quarterbacks who run the clinical plans for all the patients in the managed population. Care transitions across the continuum come with a focus of navigating patients to the right resource at the right time. This driver of success is pertinent to patients of all levels of risk, adding the challenge of creating a range of care plans. Understanding the Components for Managing Care Transitions Care Management Readmission & ED Revisits Key Takeaway: VBC Organizations should appreciate the intricate and delicate nature of a patient population’s care journey, and develop an infrastructure that helps managing care transitions Monitoring and Tracking Chronic Care Management Technology Solutions that Fit with the Driver of Success Digital Solution (Deflect/Automate/Optimize) Health Information Exchange Wearables/RPM Optimize Patient Engagement Platform Mobile Health Apps Deflect Tech Enabled Specialty Clinical Services Community Asset Aggregator Telehealth Platform Optimize Acceleration Impact Digital Solution Impact Quickly identify where a patient is across the care continuum, to tackle readmissions Identify risking risk from clinical readings to quickly intervene and prevent readmissions Proactive, automated outreach to educate and remind how to manage chronic conditions at home Connect, monitor, and track patients where they are along the care continuum Fill care gaps with clinical services that could be outside preferred network Optimize Automate Optimize Connect patients with community resources to better care management and address SDoH issues Automate Meet patients where and when they need help Q-Reviews.com

10. Accelerating Success in VBC Through Digital Transformation Toolkit for Value-Based Care Digital Transformation Step by Step Framework to Assess Current Digital Health Gaps and Align to Value-Based Care Strategic Drivers of Success üStep 1: Create a Digital Health Governance Team that is Multidisciplinary üStep 2: Look at Each Success Factor üStep 3: Pick the Top 2- 3 Factors that are Core to Your Organization’s Value-Based Care Strategy üStep 4: Focus on the Components in your Chosen Success Factors that Yield Greatest Returns for your Value-Based Care Goals üStep 5: Recruit Front Line and Leaders Responsible for Each Success Factor to Help the Evaluation Process üStep 6: Then Analyze if Scaling, Automating, or Optimizing is the Desired Acceleration Impact for the Success Factor Chosen for your Organization üStep 7: Then Pick the Corresponding Technology Aligned with the Acceleration Impact üStep 8: Establish an Evaluation Process Corresponding Technology Vendors üStep 9: Use the Following Checklist to Consider and Evaluate Tools ?Depth of integration capabilities with current EHR ?Enhancing Interoperability ?Connecting Disparate Tech Systems ?Does Not Add Manual Workflows After Tech Implementation ?Ability for Customization and Personalization to Workforce Staff ?Solutions can Address Different Risk Stratified Patient Segmentations ?Allow for Human Workforce to Operate Outside of Technology if Needed ?Provide Data that Enhances Analytic Functionality for Organizations üStep 10: Establish a Proof of Concept with Chosen Vendors to Understand and Identify Challenges and Changes that Need to be Made with the Technology Schedule a Session with our Digital Health Strategy Team: info@q-reviews.com Q-Reviews.com