ASC Care Coordination Overview

Design, Implementation, Management

June 11, 2016

Over 600 fully equipped treatment facilities

in 24 states

3rd Largest PT provider in the nation

Serving over 300,000 patients annually

Fully integrated IT infrastructure with real-time visibility to operational & quality metrics

Actively engaged in Case Management via BPCI and ACO Programs

Patients are the most under utilized resource in the achievement of better outcomes at lower costs

Patients want to engage, you just need to make it easy

What is HealthLoop

HealthLoop is an automated patient engagement solution that coordinates care to reduce costs,

improve outcomes, and drive a 5-star patient experience. We collect actionable data

through engaging guidance and reassuring interactions to provide timely intervention with

the patients that need it most.

Partners

HealthLoop’s Platform A technology enabled solution to drive high performance through ASC episodes of care. The award winning patient engagement platform that guides patients throughout an episode of care with automated empathy.

• Impress patients with high-touch follow-up

• Reinforce education and plan in between visits

• Capture patient reported outcomes (PROs)

• Drive satisfied patients to publicly share their experience

• Monitor adherence and clinical status

• Identify at-risk patients early to reduce complications

• Ensure optimal preparation and adherence to the care plan

• Capture baseline PROs

• Monitor for post-operative complications

• Detect and triage surgical complications

• Continuous collaboration between physician team, and post-acute care providers

• Collect patient and payer data regarding ER utilization and surgical complications

• Collect PROs in the months & years following surgery

ATI Physical Therapy Case Managing Entire Episode

• D igital check in w ith patients daily

• Rou tine edu cation & gu idance automation

• Anticipate rou tine qu estions and elim inate phone calls

• Identify patients w ith concerning sym ptom s

• ATI first responder for patients that do not adopt HealthLoop platform and/or patients that are identified as high risk

• Collect Patient Reported Ou tcom es (PROs)

• Identify thrilled patients & direct them to rate you online

How does it work?

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• RN call center model has difficulty engaging patient

• Physical Therapist has a comprehensive view of the patient’s condition which encompasses medical issues

• Physical Therapy is hands-on as much as 3x per week post surgery * • Home health is typically driven by progress with rehabilitation (PT/OT) vs. medical

care * • Medical issues addressed using ATI Nurse Practitioner combined with collaborative

relationships between surgeon, and home health

* Time Driven Activity Based Costing (TDABC) of Total Knee Replacement Surgery; Alvin Chen, The Knee, December 2015, Volume 22, Issue 6

“PT Centric” Case Management

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• ATI is notified by HealthLoop when patients have early signs/complications

• Secure messaging and photo sharing are a convenience for patients and managed by ATI

• Patients are triaged by ATI care management – Surgeon’s clinical team engaged as needed.

• Care coordination tools for seamless collaboration

Advanced capabilities for patient centered care

• 81% activation rate

• 61-70 year olds most likely to engage

• 87% of patients are thrilled

• 11% increase to HCAHPS scores

• 25% reduced complications

• 45% increased comprehension

• 68% post public reviews when prompted

• 62% PRO completion rate

HealthLoop Results

BPCI Case Management Results ATI Physical Therapy

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• Opportunity Assessment

• Phys ician Protocols / Pathways

• Preferred Post-Acute Provider Network

Care Model Design & Management

Step Two: • HealthLoop Implementation

1. Patient Email

2. Imbed Physician Protocol

3. Surgery Schedule Implementation

• Site of Service Case Management

• HH/Outpatient PT Management

Patient & Program Performance Tracking

Step Three: • Quarterly Data Analytics

• Outcomes / Quality Metrics

Program Evaluation & Setup

Step One:

Questions?