ENGAGE. Orion Health s Consumer Engagement Solution. UK & IRELAND CUSTOMER CONFERENCE 2016 Tanya Waisbrod

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1 ENGAGE Orion Health s Consumer Engagement Solution UK & IRELAND CUSTOMER CONFERENCE 2016 Tanya Waisbrod

Orion Health Global Product Portfolio Amadeus OPT Engage ENG Consult CNC Coordinate COC

Chat*** Included: Patient Portal Consumer Mobile Options: Problem List CNP Diagnostic Orders

Clinical Referrals COO Care Pathways CCM Included: Care Plan, Circle of Care, Collaborative

Management CME Community Meds CMM My Medicines ENM Included: Managed List of Medicines

2016 Orion Health group of companies Included: API s, Big Data, Privacy, EMPI, Terminology

Toolkit SAP Rhapsody Connect RCT * * Only available in US ** Only available in ROW *** In

2 Orion Health Global Product Portfolio Amadeus OPT Engage ENG Consult CNC Coordinate COC Medicines MLM Options: EMR Connect ECR Clinical Companion CLC Included: Clinical Portal Chat*** Included: Patient Portal Consumer Mobile Options: Problem List CNP Diagnostic Orders CNO Collaborative Worklists CCW ED Whiteboard CWB Clinical Documentation CDD Options: Clinical Referrals COO Care Pathways CCM Included: Care Plan, Circle of Care, Collaborative Worklists, Problem List, Core Pathways Options: Med. Management CME Community Meds CMM My Medicines ENM Included: Managed List of Medicines Options: Exchange Gateway OPX * Open APIs (Upgrade Consult Sites) API Rhapsody RIE Page Orion Health group of companies Included: API s, Big Data, Privacy, EMPI, Terminology Services, Rhapsody No SQL Database Options: IHE Toolkit IHE * Symphonia SUD/MRT/MPD/SRN SAP Toolkit SAP Rhapsody Connect RCT * * Only available in US ** Only available in ROW *** In Development Amadeus Analytics Population Health Explorer AAN Bulk Download BUL MSSP Management MSS * Other: Communicate COM * Enterprise ENT/RIS/LIS * * Cancer Screening CBS * *

3 Orion Health Global Product Portfolio Amadeus OPT Engage ENG Consult CNC Coordinate COC Medicines MLM Options: EMR Connect ECR Clinical Companion CLC Included: Clinical Portal Chat*** Included: Patient Portal Consumer Mobile Options: Problem List CNP Diagnostic Orders CNO Collaborative Worklists CCW ED Whiteboard CWB Clinical Documentation CDD Options: Clinical Referrals COO Care Pathways CCM Included: Care Plan, Circle of Care, Collaborative Worklists, Problem List, Core Pathways Options: Med. Management CME Community Meds CMM My Medicines ENM Included: Managed List of Medicines Options: Exchange Gateway OPX * Open APIs (Upgrade Consult Sites) API Rhapsody RIE Page Orion Health group of companies Included: API s, Big Data, Privacy, EMPI, Terminology Services, Rhapsody No SQL Database Options: IHE Toolkit IHE * Symphonia SUD/MRT/MPD/SRN SAP Toolkit SAP Rhapsody Connect RCT * * Only available in US ** Only available in ROW *** In Development Amadeus Analytics Population Health Explorer AAN Bulk Download BUL MSSP Management MSS * Other: Communicate COM * Enterprise ENT/RIS/LIS * * Cancer Screening CBS * *

Industry Trends New Models for Care, Accounting for Consumerisation From Disease-centric to Prevention-centric Age of Consumerisation Promotion, Cognitive Support and Wellness are demanded

4 Industry Trends New Models for Care, Accounting for Consumerisation From Disease-centric to Prevention-centric Age of Consumerisation Promotion, Cognitive Support and Wellness are demanded Precise Medicine and Genomics Social Determinants of Health Democratisation of health through: Ease of access/storage (cloud) Rise of mobile Cost of compute Page Orion Health group of companies

5 Industry Trends Smart Devices Pulse Oximeter Scales Peak Flow Heart Rate Blood Pressure Ingestible Sensors Wireless Blood Pressure iphone Blood Glucose Armband sensors for temperature, skin response, acceleration & heat flux Pedometer Smart Diapers LifeShirt Consumer tech, industry driving change through quantified self Page Orion Health group of companies

Determinants of Health Most Data Exists Outside Medical Systems A vast

from exogenous sources 80% - 90% of health determinants are NOT

sequencing Environmental Economic Activities Nutrition Social 10% from

The case for more active policy attention to health promotion.

6 Determinants of Health Most Data Exists Outside Medical Systems A vast amount of untapped data could have a great impact on our health 60% from exogenous sources 80% - 90% of health determinants are NOT related to health care Other Determinants of Health: 30% from genomic sequencing Environmental Economic Activities Nutrition Social 10% from health systems Source: Health Aff (Millwood) Mar-Apr;21(2): The case for more active policy attention to health promotion. McGinnis JM, Williams-Russo P, Knickman JR. Page Orion Health group of companies

7 How Does Orion Health Define Consumer Engagement? Member of care team Patient led care Opt in/ Opt out Experience and empathy Care tools Patient Empowerment My health My data Privacy Consumer Engagement Predictive Control record (EHR) Education Preference Personalised Transparency Page Orion Health group of companies

Orion Health Consumer Engagement Announcement Available November 2016 Citizen Engagement Extension of Coordinate Tools Consumer Mobility

8 Orion Health Consumer Engagement Announcement Available November 2016 Citizen Engagement Extension of Coordinate Tools Consumer Mobility Connection with care team Remote care management Highly intuitive and interactive Goals and Observations Page Orion Health group of companies

Population Health Management Priority Solutions to Design and Deliver Analytics Led Solutions Care Gaps & Measurement Year Quality Programs Episode Based Quality and Reimbursement

Management Engage Led Solutions Remote patient self- care Health education Clinician-to-patient communications Each solution will require functionality from all product lines

9 Population Health Management Priority Solutions to Design and Deliver Analytics Led Solutions Care Gaps & Measurement Year Quality Programs Episode Based Quality and Reimbursement Programs Risk Stratification & Algorithms Cost & Utilization Analytics Coordinate Led Solutions Care Coordination Transitions of Care Management Referrals Med Adherence / Meds Management Engage Led Solutions Remote patient self- care Health education Clinician-to-patient communications Each solution will require functionality from all product lines Amadeus, Analytics, Coordinate and Engage. The categorization identifies the product line that will own and lead the design, market validation and scheduling Page Orion Health group of companies

Orion Health The Importance of Consumer and Patient Engagement Northern Ireland ehealth and Care Strategy: Through ehealth, we will empower people to be more active in their own care NHS England Five

10 Orion Health The Importance of Consumer and Patient Engagement Northern Ireland ehealth and Care Strategy: Through ehealth, we will empower people to be more active in their own care NHS England Five year forward view sets out: Forward View sets out how the health service needs to change, arguing for a more engaged relationship with patients, carers and citizens. We will invest in new options for our workforce, and raise our game on health technology radically improving patients experience of interacting with the NHS. Page Orion Health group of companies

11 CONSUMER ENGAGEMENT

12 Why We re Here Health is what happens between appointments Page Orion Health group of companies

13 Engage Consumer Moving to Value-Based Models of Care Improve Acute Care Better clinical linkages Enhanced Coordination Empowered Consumers Closer to Home Page Orion Health group of companies

14 Engage Consumer Early Adopters and the New Wave Early adopters in the USA & Canada Alaska ehealth Network Louisiana HIE North Dakota Huntsville Inland Empire EHR Resource Centre Mary Washington North Dakota Bell Canada (Quebec) New Wave in APAC & EMEA CDHB (New Zealand) Medical City (TCI) (Philippines) VINMEC (Vietnam) ACT Health (Australia) Paris (France) Burgundy (France) Golden Jubilee (Scotland) Compliance Behaviour Change Page Orion Health group of companies

15 Engage Consumer Value Proposition Closer to home Behaviour Change Preventable Admissions ENGAGE Greater Personalisation Appointment Attendance Medication Adherence Page Orion Health group of companies

16 Engage Consumer Future Empowerment Personalisation Convenience Support consumers to control access, get advice, contribute their own data and updates Personalise risk profile, educational content, visually track trends and gamify experience Enable mobility and allow patients to message, navigate, transact, and be notified Page Orion Health group of companies

17 Engage Consumer Latest Features Track Goals and Observations Connect With the Circle of Care View PDF documents Page Orion Health group of companies

18 Engage Consumer Coming Soon Medications List and Schedule Tasks and Questionnaires Secure Patient to Clinician Chat MEDICATION ADHERENCE Page Orion Health group of companies

Engage Consumer Product Overview Lab Results View Lab results in a consumer friendly format View Documents Produce and manage Patient care documentation Goals & Observations Track progress towards

19 Engage Consumer Product Overview Lab Results View Lab results in a consumer friendly format View Documents Produce and manage Patient care documentation Goals & Observations Track progress towards personal health goals Engage Consumer Enables: Circle of Care Family and friends can care for others by being part of their circle of care Appointments View upcoming appointments and receive reminders Shared Files Upload documents, photos and videos for clinicians and patients to view Notifications Receive notifications for any changes to your patient health records Health Library Provide patient-centric health resources to consumers Page Orion Health group of companies

20 Engage Consumer Product Overview Lab Results View Lab results in a consumer friendly format View Documents Produce and manage Patient care documentation Goals & Observations Track progress towards personal health goals Engage Consumer Enables: Circle of Care Family and friends can care for others by being part of their circle of care Appointments View upcoming appointments and receive reminders Shared Files Upload documents, photos and videos for clinicians and patients to view Notifications Receive notifications for any changes to your patient health records Health Library Provide patient-centric health resources to consumers Page Orion Health group of companies

Engage Consumer Product Overview Goals & Observations Track progress towards personal health goals Lab Results View Lab results in a consumer friendly format Engage

Appointments View upcoming appointments and receive email reminders Shared Files Upload documents, photos and videos for clinicians and patients to view Notifications

21 Engage Consumer Product Overview Goals & Observations Track progress towards personal health goals Lab Results View Lab results in a consumer friendly format Engage Consumer Enables: View Documents Produce and manage Patient care documentation Circle of Care Family and friends can care for others by being part of their circle of care Appointments View upcoming appointments and receive reminders Shared Files Upload documents, photos and videos for clinicians and patients to view Notifications Receive notifications for any changes to your patient health records Health Library Provide patient-centric health resources to consumers Page Orion Health group of companies

22 Engage Consumer Product Overview Lab Results View Lab results in a consumer friendly format View Documents Produce and manage Patient care documentation Goals & Observations Track progress towards personal health goals Engage Consumer Enables: Circle of Care Family and friends can care for others by being part of their circle of care Appointments View upcoming appointments and receive reminders Shared Files Upload documents, photos and videos for clinicians and patients to view Notifications Receive notifications for any changes to your patient health records Health Library Provide patient-centric health resources to consumers Page Orion Health group of companies

23 Engage Consumer Product Overview Lab Results View Lab results in a consumer friendly format View Documents Produce and manage Patient care documentation Goals & Observations Track progress towards personal health goals Engage Consumer Enables: Circle of Care Family and friends can care for others by being part of their circle of care Appointments View upcoming appointments and receive reminders Shared Files Upload documents, photos and videos for clinicians and patients to view Notifications Receive notifications for any changes to your patient health records Health Library Provide patient-centric health resources to consumers Page Orion Health group of companies

24 Feature PDF Document Viewer View Documents Produce and manage Patient care documentation Page Orion Health group of companies

25 Demo Personal Health Goals Goals & Observations Track progress towards personal health goals Page Orion Health group of companies

26 Demo Appointments Appointments View upcoming appointments and receive reminders Page Orion Health group of companies

27 Demo Circle of Care Circle of Care Family and friends can care for others by being part of their circle of care Page Orion Health group of companies

28 Orion Health Engage Mobile Product Demo Page Orion Health group of companies

29 ENGAGE Pathway to behaviour change Introducing Mobility 2016 Presenting health information to a user through a familiar interface Greater Interaction Early 2017 Enabling consumers to respond and contribute detailed health information Personal Insights Late 2017 Using data analytics to present relevant health risk insights Behaviour Nudge 2018 Intersecting psychology, data & technology to nudge behaviour Page Orion Health group of companies

30 Final Thoughts Tell us about your pain points and the experience that you want for your consumers, and we will build truly lovable products. Page Orion Health group of companies

Insights as a Service. Balaji R. Krishnapuram Distinguished Engineer, Director of Analytics, IBM Watson Health

Insights as a Service. Balaji R. Krishnapuram Distinguished Engineer, Director of Analytics, IBM Watson Health Insights as a Service Balaji R. Krishnapuram Distinguished Engineer, Director of Analytics, IBM Watson Health Data & Knowledge Explosion: New data about individuals, used in new ways helps determines health