... a KAISER PERMANENTE Innovation

1. Applications of IndiGO to ACOsDavid M Eddy MD PhDFounder and Chief Medical Officer EmeritusArchimedesSan Francisco, CA ... a KAISER PERMANENTE Innovation

2. “Individualized Guidelines”IndiGO • Quality and cost of healthcare are largely determined by guidelines • Current guidelines are clunky • IndiGO Spans multiple conditions, risk factors, treatments to create a single “integrated guideline”

4. Uses of IndiGO for ACOs • Individual patient-physician decision making • Improves patient adherence • Improves outcomes • Reduces hospitalizations and costs • Prioritize outreach programs • A personal health score • A population-level health score

5. CVD Benefit

6. Prioritize outreach programs A ranked list of patients

7. Better prioritization increases value • In the ARIC population • Compared to current national guidelines, treating BP and cholesterol in order of CVD benefit • Delivered same benefit as current guidelines, at 67% lower cost • Or delivered 43% more benefit at same cost

8. Uses of IndiGO for ACOs • Individual patient-physician decision making • During a patient visit • Direct patient access • Prioritize outreach programs • A personal health score: “GO Score” • A population-level health GO score

9. Potential Benefit Current Benefit Patient’s GO Score = current benefit/potential benefit = 30%

10. Potential Benefit New Benefit Patient’s newScore = new benefit/potential benefit = 83%

11. Uses of Health GO Scores • Measure of patient’s current risk and potential benefit • Create incentives for patients and physicians • Add up individual scores to get scores for groups of patients • Physician’s panel • Health system, ACO • Geographical region • Special patient populations (e.g. elderly, diabetes) • Measure, compare, and monitor quality • Being evaluated by NCQA