prepared by sean mckelvey network healthcare

Prepared by Sean McKelvey

Network Healthcare

Innovating Care Delivery in the Community

The ReachCare Exchange

Copyright © 2011 - ReachCare™

• Who is Network Healthcare?• The Evolution of Navigation• Community Care Delivery - the New “Facility”• Introduction to the ReachCare Exchange

– What is it?– How does it close care gaps?– Why should you care?

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Outline


• Founded in 2002 by pharmacists• Develop and deliver innovative health services

through sophisticated networks of healthcare professionals

• Specialize in managing large scale Provincial services and practice change initiatives.

• Current focus is on technology enabled navigation, care plan synchronization and effective integration of multidisciplinary teams

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Who is Network Healthcare?


• HealthLink BC (since 2003)• HEALTHLink Alberta (since 2007)• Alberta Pharmacy Practice Models Initiative (PPMI)

(2008-2010)• BC Medication Management Project (BCMMP)

(2010 – Jan 31, 2012)• ReachCare Exchange Development (2010 – Present)

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Network Healthcare Services

Copyright © 2011 - ReachCare™ 5

The Evolution of Navigation How Technology has Revolutionized “Getting There”

A life’s work… A vacation of a lifetime…

A cool gift… Just another app!!!


Navigating our Health Care SystemPersonal Responsibility is the Name of the Game

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The 5 Rules:• Rule One: Stay Healthy.• Rule Two: Know as Much as

You Possibly Can.• Rule Three: Organize Your

Care Team.• Rule Four: Have an Advocate.• Rule Five: Take Control of Your

Care - Don’t Be a Passive Patient.


YO-YO

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Reality Check!!The Current Health Care System is NOT Patient Centered

You’re On You’re Own


Reactive

Proactive

Emergent Challenge AreaIncreasingly important deliverysystem in 21st century

Emergent Challenge AreaIncreasingly important deliverysystem in 21st century

Current Challenge AreaPrimary focus on ‘structural deliveryImprovements’

Current Challenge AreaPrimary focus on ‘structural deliveryImprovements’

Future Challenge AreaTomorrow’s consideration: how to Incorporate individualized delivery

Future Challenge AreaTomorrow’s consideration: how to Incorporate individualized delivery

Community Healthcare Delivery: Business ChallengesThe Evolution of Integrated Health Care within an ‘Extended’ Delivery System

Area of focus for Network Healthcare’s ReachCare Exchange


Reactive

Proactive

Closing the Care Delivery Gap

Community Care Delivery - the new “Facility”Liberating the Full Value and Capacity of Community Based Providers

AcuteAcute IndividualIndividualCommunityCommunity


Hospital

Healthcare Provider

Provincial Health Line

Care Consumer

Pharmacist

Physician

Home care

Dietician

Nurse practitioner

Physiotherapist

Protocol Library

- Clinical Protocols

- Standard & Modularized

Care Plans- Structured

Care Pathways

Protocol Library

- Clinical Protocols

- Standard & Modularized

Care Plans- Structured

Care Pathways

Clinical Positioning

System

- Synchronized Plans

- Monitored Assignments

- Report Confirmation of Completed

Task

Clinical Positioning

System

- Synchronized Plans

- Monitored Assignments

- Report Confirmation of Completed

Task

Capacity Logistics Engine

- Identify available capacity

-Skills-Based routing of Care

Plan assignment

- Auto tracking for capacity

Capacity Logistics Engine

- Identify available capacity

-Skills-Based routing of Care

Plan assignment

- Auto tracking for capacity

Post DischargePost Discharge

Procured Clinical Services and Care PlansProcured Clinical Services and Care Plans

Proactive Patient ManagementProactive Patient Management

The ReachCare Exchange

ReachCare ExchangeDynamic, Real-Time Skills-Based Matching for Community Care Delivery

Phone consult

Telehealth consult

In-person

Update Plan

Assign new tasks


ReachCareExchange

Systems & Clinical InformationSystems & Clinical Information

D

eman

d

D

eman

d

Pharmacist

Physician

Home care

Dietician

Nurse practitioner

Physiotherapist

Supportive living

Hospital

Physician

Health Line

Individual

EHR

Patient’s Care Plan

Patient Demographics

Drugdata

Labdata

Diagnostic Imaging

Transcribed Reports Immunizations ECGs Other Clinical

Documentation

Patient-Provided Information

Lab Systems

Lab Systems

Pharmacy SystemsPharmacy SystemsHospital SystemsHospital Systems

Ambulatory Systems

Ambulatory Systems

Primary &Specialist

EMRs

Primary &Specialist

EMRs

Personal Health Portal

Personal Health Portal

Community Systems

Community Systems

Public Health

Systems

Public Health

Systems

Health Link Systems

Health Link Systems

Home Monitoring

Home Monitoring

Client IdentityClient Identity

Provider IdentityProvider Identity

DISystems

DISystemsInterfaced Rx & Clinical

Documentation

Interfaced Rx & Clinical Documentation

Systems & Data AccessSystems & Data Access

Comm

unity Supply Com

munity Supply

Patient Care PlansPatient Care Plans

Synchronizing Community Care

HIAL (pHIE)

End-State VisionSynchronized Community Care Providing Maximum Value to the System


Closing the Gap of CareBetween Patient & Provider, Community & Acute, Care-Plan & Care-Pathway

Care-Pathway

Care-Plan

Providers

Clinical Protocols

Tasks & Activities

Patients

ReachCare

Evidenced-Based ClinicalStandards of Care

Synchronizing① Activities between Patient & Providers② Acute Care Plans & Community Delivery ③ Care-Plans & Care-Pathways

Provides the ability to:a) Offer optimum protocol selection - provide healthcare professionals with real-time access to credible care requirements; addresses immediate access to care

b) Assign healthcare providers - prompt access to competent care; going beyond referral

c) Ensures fulfillment - guaranteeing time sensitive specified care is delivered; providing outcomes and accountability management.


Transforming Community into a Coherent WholeCreating structure and standards in a systematized manner

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Identifies MonitorsAssigns

Clinical Protocols

CarePlan

CarePathway

Particular DataParticular Data FeedbackFeedbackChoiceChoice

Matching Logistics

Network AssetsNetwork Assets

Synchronization Engine

Protocol Library & Capacity Management

Automated AssignmentManagement

The ReachCare ExchangeSynchronizing Community Based Care Delivery


• ReachCare™ effectively integrates and enables care delivery in a very complex and fragmented community healthcare system

• Public and Private care delivery seamlessly co-exist, ensuring maximum efficiency and optimal use of community resources

• Pharmacists will play an extremely valuable role by providing medication management services– Multidisciplinary care plans improve patient care and

health outcomes– Ensures optimal use of a pharmacists scope of practice– Protocols drive efficiency and maximize value of the

practice

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Key Points to RememberMore Effective Utilization of Community Based Resources


• Provides plan sponsors, insurers and the benefit industry with the following:– Customizable and targeted services following clearly

defined evidence informed protocols– Flexibility to manage care plans within open or closed

networks– Effective utilization of public health care funding within

each care plan– Access to a high quality network of multidisciplinary

providers– Extensive reporting and progress monitoring – Provides mechanism for partnering with Governments on

mutually beneficial health care initiatives

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Key Points to RememberSynchronized Care Plans and Patient Focused Care is Good Business


Sean McKelveyNetwork Healthcare

[email protected]

Contact Information

prepared by sean mckelvey network healthcare

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