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The Center for Patient Safety Research and Practice Executive Council Mary Beth Navarra-Sirio, RN, MBA Patient Safety Officer Friday, July 17, 2015 McKesson at a Glance America’s oldest and largest healthcare services company 2 © 2014 McKesson Corporation Company Founded: Headquarters: 1833 San Francisco Fortune 500: Employees: Ranked 14th 43,500 Revenue: Segments: $122.5 billion Distribution Solutions and Technology Solutions Leadership Positions in Both Segments Distribution Solutions Technology Solutions #1 pharmaceutical distributor in U.S. and Canada Leading provider of software and services to hospitals, physician practices, and health plans #1 generics distributor #1 in medical-surgical distribution to alternate care sites 3 © 2014 McKesson Corporation Leader in connectivity, analytics, and value-based care transformation tools Better Health 2020 TM Jobs to be Done Blocking and Tackling Manage Core Operations Efficiently and effectively manage core operations for your: – Hospital Continuous Improvement Optimize Performance & Quality • Make decisions based on actionable intelligence • Optimize resource and – Physician Network – Health Plan system-wide efficiency for better performance and quality • Protect and grow profitable service lines 4 © 2014 McKesson Corporation Unification Connect for Quality & Operational Efficiency • Movement of data and information between payers, providers, health systems, patients, labs and pharmacies • Facilitate coordination of care and reduction of administrative complexity Transformation Support Valuebased Care • Move from volumeto value-based reimbursement • Drive physician and consumer engagement • Manage patient populations • Optimize revenue and decrease risk Better Health 2020 TM Jobs to be Done Blocking and Tackling Manage Core Operations Efficiently and effectively manage core operations for your: – Hospital Continuous Improvement Optimize Performance & Quality • Make decisions based on actionable intelligence • Optimize resource and – Physician Network – Health Plan system-wide efficiency for better performance and quality • Protect and grow profitable service lines 6 © 2014 McKesson Corporation Unification Connect for Quality & Operational Efficiency • Movement of data and information between payers, providers, health systems, patients, labs and pharmacies • Facilitate coordination of care and reduction of administrative complexity Transformation Support Valuebased Care • Move from volumeto value-based reimbursement • Drive physician and consumer engagement • Manage patient populations • Optimize revenue and decrease risk Connect for Quality & Operational Efficiency Support the creation of a unified enterprise via connectivity Connections • Physicians & Ambulatory Surgery Centers • Home & Long Term Care Hospitals / Physicians • Health Plans • Pharmacies • Consumers Health Plans Consumers Pharmacies 7 • Hospitals / Physicians • Pharmacies Business Needs • Financial clearance and settlement • Health information exchange • Connected orders and results • Medication history / compliance / adherence • Administrative connectivity • Benefit management • Medicare Part D Transaction Connected personal health records Prescription renewals Secure communications Consolidated billing and online payment • Hospitals / Physicians • Health Plans • • • • • Health Plans / PBMs • e-Prescribing • Hospitals / Physicians • Medication history / compliance / adherence © 2014 McKesson Corporation Connect for Quality & Operational Efficiency Experience and Results 531 Connected Practices 1,475 Connected Physicians 20,221 Patient Queries 107,988 Connected Patients 1,803,818 Results & Messages 20+ participating organizations • Serving a population of 6 million+ people across 10 counties • Interoperability with: - 8 AllScripts Athenahealth Cerner CVS Eclipsys eMDs Epic eCW GE - Greenway LabCorp McKesson NextGen Meridian Misys Siemens © 2014 McKesson Corporation 42,000+ “McKesson’s experience with providers, payers, pharmacies and claims processing positions them better than any other vendor to take us where we need to go.” connected providers 180+ Deane Morrison CIO Capital Region Healthcare Concord, NH Health Systems & IPAs 70+ private & public HIEs 37M+ patient records 50K+ 14B+ retail pharmacies prescription transactions per year RxSafety Advisor What’s monitored? Look-alike/Sound-alike (LASA) as well as drug dosing in pediatrics and geriatrics. Alerts delivered at the point of dispense in retail pharmacies. Messages occur only when the claims data indicates there is a probable LASA error, therefore, stores average about ~1.9 invokes/store/day. ~3.7 Million alerts were sent to pharmacies to aid in error prevention ~11.7% • Percentage of all RxSA alerts that resulted in a positive change or probable verification by physician ~6.5% • Clinically significant change to Rx ~5.2% • Probable verification by prescriber Note: Statistics represent Q3 FY14 10 © 7/17/2015 RelayHealth and/or its affiliates. All Rights Reserved. Proprietary and Confidential. NotifyRx Just-in-time, “in context” safety messaging at the point of dispense Safety notifications delivered at the point of dispense: • Discontinued medications • FDA warnings • Manufacturer safety alerts NotifyRx Message Pharmacy Messages delivered in association with the pharmacy claim Hold for Override Payer Sample Message *NRx* [Product] discontinued MM/DD/YYYY; contact prescriber to discuss [New Product]. NDC XXXXX-XXXX-XX. Counsel patient. Override: XXXXXXXXXXX 11 © 7/17/2015 RelayHealth and/or its affiliates. All Rights Reserved. Proprietary and Confidential. PriorAuthPlus Reduce Prescription Abandonment Through Facilitation of Prior Authorization Completion Electronically via Pharmacy Case Study for a GI Drug Offers for PA assistance sent to the pharmacy… PA Messages Sent 25,000 20,000 15,000 10,000 5,000 28,000+ 1 2 3 4 5 6 7 8 Months Facilitated more PA resubmissions from the prescriber… Resulting in… 7,000 6,000 5,000 4,000 3,000 2,000 1,000 - Sustained 3-4x impact on prescription fulfillment 1 2 3 4 5 6 7 8 Months 12 filled Rxs over 8 month period PA Submissions Filled Prescriptions © 7/17/2015 RelayHealth and/or its affiliates. All Rights Reserved. Proprietary and Confidential. Better Health 2020 TM Jobs to be Done Blocking and Tackling Manage Core Operations Efficiently and effectively manage core operations for your: – Hospital Continuous Improvement Optimize Performance & Quality • Make decisions based on actionable intelligence • Optimize resource and – Physician Network – Health Plan system-wide efficiency for better performance and quality • Protect and grow profitable service lines 13 © 2014 McKesson Corporation Unification Connect for Quality & Operational Efficiency • Movement of data and information between payers, providers, health systems, patients, labs and pharmacies • Facilitate coordination of care and reduction of administrative complexity Transformation Support Valuebased Care • Move from volumeto value-based reimbursement • Drive physician and consumer engagement • Manage patient populations • Optimize revenue and decrease risk Support Value-based Care Tools and services to support transformation Connect Engage • Acquisition and aggregation of clinical & financial data to create a holistic view of the patient Patient Engagement • Secure messaging Analyze • Financial and clinical quality analytics to risk stratify patients • Gap in care identification and patient registries for actionable workflows • Provider practice pattern analysis • Cost, utilization management across key contract success drivers • Network management to drive consistent care • Advanced payment modeling and risk contract performance Intervene • Rules-driven outreach workflow to address patient gaps in care • Dynamic care plans and assessments to guide patient interactions 14 © 2014 McKesson Corporation • Patient portal • Coaching support for patient/family • Care plan sharing and education Provider & Network Engagement • Workflow integration, notifications, alerts, and performance dashboards • Steerage and referral management • Intelligent contracting Support • Executive alignment, technology rollout, opportunity identification, benchmarks • Advisory support for care models, care team, and payment models • Physician network development & operations • Financial risk & utilization management • Practice transformation • Care coordination • Administrative services Support Value-based Care Experience and Results Physician buy-in with data & analytics Continuous improvement culture • Network with 6 acute facilities and 1,795 physicians • Largest network in LA: • Leveraging McKesson services to move from a data “wish list” to meaningful set of success metrics – reduced data noise by 12% • Focus on data well understood and within organization’s control, with MD champion as key stakeholder 75+ Customers undertaking the transformation to a value-based organization 15 © 2014 McKesson Corporation • 9 acute facilities • ~3,500 physicians (employed and affiliated) • 128k at-risk lives • Focused on cost engineering, variation reduction, and process improvement service line by service line • Teams led by MDs with operations, clinical, and analytics members to break down cultural silos Payer – provider collaboration • Triple S is biggest health plan in Puerto Rico, partnering with 6,200+ providers • High Medicare Advantage and dual eligible population • 6% reduction in readmissions • 19% improvement in breast cancer screening • 28% improvement in colorectal cancer screening Our Strengths… • 360° market view • Scale • Point of view • Innovation Manage Core Operations Optimize Performance & Quality Connect for Quality & Operational Efficiency Support Valuebased Care When the road ahead is uncertain, you need a partner that can help you stay ahead of the curve.