HIMSS10

Brad SavageSVP & CIO

Golden Living

Technology is a key enabler.

At Golden Living, we are redefining how senior care is provided in this country…

Better Outcomes

Improved Efficiencies

Integration across the Spectrum of Care

Managing/Affecting Regulation and Policy

Mitigating Risk

TodayA Fragmented Golden Living Ecosystem

Resident at Golden Living

Referring Hospital, Discharge Planner

Physician, Facility outside

of Golden Living

Family of Golden Living Resident

TherapistClinical Pharmacist

Medical DirectorNurse

TherapistClinical Pharmacist

Medical DirectorNurse

Physician, Facility outside

of Golden Living

Resident at Golden Living

Referring Hospital, Discharge Planner

Family of Golden Living Resident

Web

Post Microsoft® Amalga Unified Intelligence SystemTM (UIS) and HealthVaultTM A Connected Ecosystem

BENEFITS Family

Patient MD

Referring Hospital

Payer

Prevention

Early intervention

Improved outcomes

More effective management of chronic disease

Amalga UIS greatly improves clinical oversight by liberating and unifying data within our own organization, and between us and outside providers, payers, and patient families.

SNF ADLs HomegrownApplication(s

DocumentImaging

Data Warehouse

ResidenceAccounting

Future Applications

LearningManagement

SNF Therapy Home Health Hospice PharmacyGeneral Ledger

DietaryHuman

ResourcesTelehealth

Rx Billing Data Mart

Care Quality Analysis

ComplianceMonitoring

StaffReporting

1M Enterprise

UnknownData Mart

Charge & Payment Analysis

FinanceData Mart

RxUtilization

UnknownData Mart

UnknownData Mart

1M Enterprise

Shadow IT Organization

Support CaregiversToday

Golden Living’s Data

SNF ADLsDocumentImaging

ResidenceAccounting

LearningManagement

SNF Therapy Home Health Hospice PharmacyGeneral Ledger

DietaryHuman

ResourcesTelehealth

Rx Billing

FinanceReporting

StaffReporting

ComplianceMonitoring

PHRConnectivity

TeleHealthInitiative

RUG & Level of Service

Monitoring

DischargeOutreach

Active Diagnostics Monitoring

HospitalOutreach

Care Quality Analysis

PhysicianOutreach

Charge & Payment Analysis

ActiveTherapy

Monitoring

Adverse Drug Event

Surveillance

RxUtilization

AppropriatePharmaceutical

Utilization

Active Quality Monitoring

Pharmacy Billing Auditing

Support Caregivers

Data Warehouse

HomegrownApplication(s

Future Applications

Post Amalga UIS Data Liquidity, Data Reuse

Rx Billing Data Mart

Care Quality Analysis

ComplianceMonitoring

StaffReporting

1M Enterprise

UnknownData Mart

Charge & Payment Analysis

FinanceData Mart

RxUtilization

UnknownData Mart

UnknownData Mart

1M Enterprise

Shadow IT Organization

Corporate Manager, Administrator Clinicians, Managers, Staff

Business and Database Analysts

EPO drug usage… what’s going on?

I don’t have insight…

I need to take action…

I’m overwhelmed with queries…

It will take two weeks to pull the data together…

Support CaregiversToday’s Golden Living Environment

Sub-optimal decision-making, redundant labor, adverse events, unnecessary hospitalizations, lost business…

Corporate Manager, Administrator Clinicians, Managers, Staff

EPO drug usage… what’s going on?

I have real-timeinsight…

I can take actionand monitor…

I can help people to understand

their data…

I can spend time on analysis…

Care Quality Analysis

FinanceReporting

Rx Billing

RUG & Level of Service Monitoring

Support CaregiversPost Amalga UIS: Your People Empowered

New workflows, New Interactions, Ease and Speed to Impact, Increased Quality and Volume of Work…

Business and Database Analysts

Patients and Families as Consumers—experiencing more control, more convenience, better service, and better value for what they spend.

Healthcare Professionals as Knowledge Workers—getting the right data in the right format at the right time to

provide the best treatment & preventative care.

Support CaregiversEmpowering People

Has this patient been

re-hospitalized three times in the last three

months?

Which patients on Coumadin

do not have an INR/PT

ordered?

Which patients are on 2 or

more psychotropic medications?

What is the root cause behind the missing INR/PT

orders?

What is the cause of potentially

avoidable hospitalizations?

What are the root causes behind

these medication orders?

Real time Over time

Support CaregiversLeveraging Clinical Experts

Patient is cooperating so much more in therapy as her cognitive skills have increased

Patient is showing much better range of motion in his

shoulder

Looks like we're starting to see more falls at this

facility

Are treatments gains resulting in decreased pain medications?

Is Nursing staff rating her as

showing fewer disruptive

behaviors on her MDS?

What percentage of our staff has

taken the E-Learning on

Balance Management?

Real time Over time

Support CaregiversLeveraging Clinical Experts

Connect Care

• Connecting the enterprise with physician communities

• Connecting the enterprise with patient-controlled data

• Connecting to acute and other healthcare organizations

Connect Care

Physicians

Pharmacies and PBMs

Hospitals

Health & FitnessDevice ManufacturersAssisted Living

Application Provider

LaboratoriesSkilled Nursing Facility

Health Plans

Health & FitnessDevice

Manufacturers

Pharmacies and PBMs

Application Provider

Hospitals

Laboratories

Physicians

HealthcareAssociations

Employers

Connect CareConnecting the Health Ecosystem

On admission to a Golden Living facility or to a hospital, a Golden Living Resident may decide to share certain data elements from their HealthVault account.

Medications, allergies, and discrete results from home devices (blood pressure, blood glucose)

While receiving routine care at Golden Living or when being discharged from a hospital, the institution can share information with the Golden Living Resident’s HealthVault account

Discrete data if available, discharge summaries, medication data, etc

Connect CareAmalga UIS/HealthVault Integration

Amalga Light – anytime, anywhere physician access

Connect CareConnecting With Physicians

Amalga Web

CommunityHealth System

• Medications• Discharge instructions• Lab test results• EKG Report• Operative Report

Record

Connect CareSolutions to Connect Care Across the Ecosystem

Physician in the home, office & hospital

Residents and Families

Consultant Pharmacists

Connect CareEnabling real-time access to data and greater

impact of data…when moments count

Q&A