O slideshow foi denunciado.
Utilizamos seu perfil e dados de atividades no LinkedIn para personalizar e exibir anúncios mais relevantes. Altere suas preferências de anúncios quando desejar.
N
Streamlining the referral process
for dramatic results.
February 27, 20161
Provider Symposium – Health 2.0 Conference
Pr...
2
Brent Stackhouse
Mount Sinai Ventures
Vytas Kisielius
ReferWell
Panelists
Mount Sinai Health System Overview
3
• Mount Sinai Health System
• 7 Hospitals in New York City with 3,500 beds and 135 op...
4
 Tracking patient flow and care coordination is difficult
 Referral workflows are not consistent
 Care teams do not hav...
6
Patient
45-65%
of referrals are not fulfilled,
costing providers
66%
of the time PCPs don’t
learn results of referral
55...
7
ReferWell
Balances
Complementary
Needs
Patient Payer
Provider
 Simplify referral process and network conformance
 Impr...
8
The Right Doctor, Right Away - Better Patient Compliance - Easy Data Sharing
Appointment at point of care
Specialist who...
9
PILOT RESULTS
• Start:August 2014
• End: November 2014
• Scope: 100 users, 50 locations
• Targeted referrals: 5K
• Build...
10
Successful Pilot
Tips
Recommendations for
Vendors
• Preparation: Choose Wisely
– Project champion is the keystone
– Kee...
Questions to Ask Pilot Organization
• How do you maximize adoption of a solution?
• Who are the key stakeholders? (Financi...
12
Vytas Kisielius
(302) 897-8768
vytas@referwell.com
Brent Stackhouse
(917) 608-1268
brent.stackhouse@mountsinai.org
For ...
Próximos SlideShares
Carregando em…5
×

Anatomy of a Pilot at Health 2.0 Provider Symposium - Refer Well and Mount Sinai Health Ventures

212 visualizações

Publicada em

Refer Well and Mount Sinai Health Ventures - Health 2.0 10th Annual Fall Conference

Publicada em: Saúde e medicina
  • Seja o primeiro a comentar

  • Seja a primeira pessoa a gostar disto

Anatomy of a Pilot at Health 2.0 Provider Symposium - Refer Well and Mount Sinai Health Ventures

  1. 1. N Streamlining the referral process for dramatic results. February 27, 20161 Provider Symposium – Health 2.0 Conference Presented Sept 25, 2016 Anatomy of a Pilot
  2. 2. 2 Brent Stackhouse Mount Sinai Ventures Vytas Kisielius ReferWell Panelists
  3. 3. Mount Sinai Health System Overview 3 • Mount Sinai Health System • 7 Hospitals in New York City with 3,500 beds and 135 operating rooms • More than 150 ambulatory locations, 33 Departments • Top ranked Icahn School of Medicine trains over 2,000 students and fellows • Research program is leading recipient of NIH funding • 36,000 staff, 6,500 nurses, 6,200 physicians, and 2,000 residents and fellows • More than Over 3.26m patient visits in 2015 • Mount Sinai Innovation Partners leading tech transfer and commercialization initiatives • Mount Sinai Ventures • Mission to invest in strategic opportunities that improve population health management • $9m deployed with a $31m return in 6 years
  4. 4. 4
  5. 5.  Tracking patient flow and care coordination is difficult  Referral workflows are not consistent  Care teams do not have necessary information to make the best recommendation  Sooner scheduled, more likely to go  Network management is key in risk-based reimbursement arrangements As a result:  Patients seek care inappropriately, or not at all  System loses patients to competitors  Receiving provider does not have necessary information  Patient hit with out of network cost based on referring provider recommendation Referral Management Challenges 5
  6. 6. 6 Patient 45-65% of referrals are not fulfilled, costing providers 66% of the time PCPs don’t learn results of referral 55% of the time Specialists get no data or reason for visit Payer Provider
  7. 7. 7 ReferWell Balances Complementary Needs Patient Payer Provider  Simplify referral process and network conformance  Improve care coordination  Increase referral visit capture  Improve health outcomes  Reduce unreimbursed costs  Improve compliance, satisfaction  Increase referrals to high quality/low cost provider  Reduce Out-of-Network visits  Decrease inappropriate or unnecessary treatments
  8. 8. 8 The Right Doctor, Right Away - Better Patient Compliance - Easy Data Sharing Appointment at point of care Specialist who takes my insurance 50-92% increase in patient visits EMR agnostic Cloud-based
  9. 9. 9 PILOT RESULTS • Start:August 2014 • End: November 2014 • Scope: 100 users, 50 locations • Targeted referrals: 5K • Build integration to Epic & IDX • Start: November 2014 (soft launch) January 2015 (full launch) • End: June 2015 • Scope: 125 users, 50+ locations • Referrals supported: 24K • Integration to Epic: complete • Integration to scheduling pending (new interface underway at Sinai) PILOT PROPOSAL
  10. 10. 10 Successful Pilot Tips Recommendations for Vendors • Preparation: Choose Wisely – Project champion is the keystone – Keep ROI for partner in mind – Ask a lot of questions • Contracting: Execute Quickly – Legal moves slow, politics change fast – Include post-pilot considerations • Implementation: Thoroughly Plan – Metrics match everyone’s ROI • Communicate, Communicate… – Internal and External PR • Design with Post-Pilot in mind
  11. 11. Questions to Ask Pilot Organization • How do you maximize adoption of a solution? • Who are the key stakeholders? (Financial/Clinical/etc) • What is the process for disseminating information across key stakeholders? • How does each stakeholder define success? • What is the procurement process and budget cycle? • What metrics are used for evaluation? • Who else has piloted at the organization? What were the lessons learned? 11
  12. 12. 12 Vytas Kisielius (302) 897-8768 vytas@referwell.com Brent Stackhouse (917) 608-1268 brent.stackhouse@mountsinai.org For more information

×