The document discusses population health and value-based care. It provides information on how providers are approaching population health management, including tackling the transition in-house, engaging third-party managed services, or using third-party consulting. Data shows most provider mindshare is focused on managed services. A poll found most providers believe population health management will surpass fee-for-service in 3-5 years. The document also discusses the current state of population health solutions and key capabilities needed around data aggregation.

1. KLAS Population Health
Webinar
BRADLEY HUNTER
RESEARCH DIRECTOR, POPULATION HEALTH
KLAS RESEARCH
© Copyright KLAS 2017 1

2. 2
Aggregation Layer Care Coordination
Health
Improvement
Patient
Engagement
Clinician
Engagement
Administrative
Financial
Analyze Layer
Climbing the Population Health Mountain of Success
P4P
Shared
Savings
Bundled
Payments
Shared
Risk
Capitation Provider
Sponsored
Health
Plan

3. 3
2016 Keystone Summit: Population Health

4. 4
Firm DNA – Value Base Care Report 2016

5. 5
How are Providers attacking Value based Care
Engaging a third party for
VBC managed services:
Some organizations engage
managed services firms,
which offer a suite of end-
to-end solutions to manage
the transformation and
provide ongoing support for
VBC initiatives.
Engaging a third party for
VBC consulting/advisory
services: Some
organizations engage firms
in an advisory capacity to
support them as they learn
the skills needed to sustain
their own VBC initiatives.
Tackling the transition in-
house: Some advanced
organizations may have the
necessary experience and
capabilities to make the
transition to VBC
independently.
Managed Services VBC Consulting PHM Technology

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Where is most of energy focused?
Managed Services VBC Consulting PHM Technology
90%
Mindshare
6%
Mindshare
4%
Mindshare
22% Growth
Year over Year
384% Growth
Year over Year
688% Growth
Year over Year

7. Opinion Poll
When do you think managing your patient
population's health will surpass fee-for-service as
your organization's standard mode of operation?
Respondents: 225
A: 1-2 years – 11%
B: 3-5 years – 40%
C: 6+ years – 24%
D: Unsure – 25%

8. Riding the
VBC Waves
When do you think managing your
patient population's health will surpass
fee-for-service as your organization's
standard mode of operation?
Value Based Care Timing Report 2016

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No Vendor Can Do Everything
We evaluated 12 different pop health vendors and we
narrowed it down to 3 and ended picking the one that
met our current needs and that is to do care
management. One thing we learned was that no one
can do everything. They all had their various strengths
and weaknesses. We were looking for a tool that can
pull data from other EMR’s outside our core EMR. We
will still leverage our EMR’s Pop Health tools, but none
of the tools out there can do everything that we need
them to do. So we will likely continue to use multiple
tools.
- VP of Population Health

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What is KLAS hearing?
Where are providers getting value?
- There are many place that providers are getting value, but there is variability that is contingent on what
the providers expectations were. The most value comes from strong partnerships, aligned with provider
needs that drive outcomes.
What are providers still missing?
- This varies as well, but missing product functionality is the largest gap. Two key drivers in satisfaction here
are integration, and having data available at the point of care. Providers still ask for these pieces.
Providers report that getting the data is the hardest challenge.
What are the 2 or 3 things that would make a difference?
1. Partnership: Strive toward deeper partnerships between providers and vendors working together focused on
provider identified tangible outcomes.
2. Provider Readiness: a look in the mirror and assessing the support from the top to the skill sets of the front line, and
the facilitation ability of the middle management.
3. Usability: Drive deep adoption with end users through:
• Provider-led training to enhance usability.
• Best practice leadership from the vendor.

11. Opinion Poll: Where are you on the football field?
Respondents: 167

12. How far developed are solutions?
Providers
said 35%
Vendors said
67%

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Aggregation: Vertical 1
Basic Functionalities
• Ability to incorporate data using common industry
standards
• Timely aggregation/incorporation of ADT feeds
• Pharmacy, prescription data
• Claims/payer data
• Inpatient clinical (EMR) data
• Outpatient clinical (EMR) data
• Aggregation of data from multiple, disparate sources
• Incorporation of platform-generated data (such as
assignments to registries)
• Ability to normalize and clean incoming data
• Reliable MPI (including duplicate record merging/deletion)
• Compilation of a longitudinal record (multi-sourced
longitudinal summary of all clinical activity, including
clinical, claims, and care management interventions)
Compilation of disparate clinical/administrative data sources to support
population health.
Advanced Functionalities
• Integration with other organization MPIs
• Advanced data quality monitoring tools
(automated recognition and flagging)
• Data quality monitoring tools
• Aggregation of Patient-sourced data
• Social determinants of health/community health
data
• Nontraditional data sets (i.e. public data sets,
genomics, bio-market structures, etc.)
• Imaging data

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Population Health Perception 2016

15. 15
2016 Population Health Performance study
• Healthcare Provider reported

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2016 Population Health Performance study

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2016 Population Health Performance study

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2016 Population Health Performance study