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Team Recommind
  Decisiv Care Connect


Kathleen Aller, Sr. Manager, Healthcare Solutions
Neil Etheridge, Sr. Director, Product Inception Group
Copyright © 2011 Allscripts Healthcare Solutions, Inc.   1
Solution Overview
  Decisive Care Connect:
         • Replaces traditional static physician searches based on specialty and
           location
         • Joins provider characteristics with billing data and clinical documentation
           so that
                • Providers can search for the experience and skill sets their patients need
                • Patients can identify caregivers whose values match their own
  Healthcare/Business problem addressed:
         • Patient engagement is enhanced by shared values
         • Care coordination is improved by shared expectations
         • Patients who truly understand their options, and participate in appropriate
           shared decision making have been shown to consume less healthcare
  The application developed addresses the following category:
          Applications that improve management of high cost chronic diseases.
          Innovative approaches to addressing value-based care imperatives.
          Both


A Connected Community of Health   | Copyright © 2011 Allscripts Healthcare Solutions, Inc.     2
Usability and Design: Technologies
Decisiv Care Connect brings together:

 Patient and provider records from Allscripts Sunrise and
     Allscripts Professional EHRs, with

 Recommind’s CORE® (Context Optimized Relevancy Engine)
       • CORE takes unstructured healthcare data such as progress notes and
         feeds it through Recommind’s Probabilistic Latent Semantic Analysis
         (PLSA) tools, including concept grouping, entity extraction and
         categorization
       • The structured information thus created is combined with coded clinical
         data such as problems to create an enriched clinical information set

                   The result: Healthcare Information, Understood
A Connected Community of Health   | Copyright © 2011 Allscripts Healthcare Solutions, Inc.   3
Usability and Design: Workflow
 Patient and provider records are extracted nightly from the EHRs of
     participating providers, indexed, and made available within Decisiv Care
     Connect
 Physicians access Care Connect through a link from Sunrise or Enterprise
     Professional
 Patients access Care Connect through the patient portal or website of the
     physician office, hospital or health system
 Providers and patients search based on condition or treatment, using either
     standard medical terminology or lay descriptions
 Standard search terms such as gender, specialty and language are also
     available



A Connected Community of Health   | Copyright © 2011 Allscripts Healthcare Solutions, Inc.   4
Usability and Design: Results
 Relevant patient information summarized by provider

 Select a provider record to display additional profile data
     along with characteristics that match the search

 Providers:
       • Review results with patients
       • Generate the referral

 Patients: use the results to contact caregivers for more
     information



A Connected Community of Health   | Copyright © 2011 Allscripts Healthcare Solutions, Inc.   5
Development Stage
 Development stage as of the Phase 1 Submission Date:
        Idea
        Prototype (Healthcare Edition)
        Code development in progress
        Code complete (Legal and Corporate Editions)
        Code complete, tested and approved by Allscripts
 Recommind’s Decisiv Matters and Expertise, and Decisiv Projects and
     Expertise offerings have been widely used to manage the collective
     expertise of law practices and major corporations for over 5 years
 Decisiv Care Connect is a healthcare-specific prototype adaptation
     of otherwise generally available software


A Connected Community of Health   | Copyright © 2011 Allscripts Healthcare Solutions, Inc.   6
Integration Description
 Provider and patient data is gathered via Enterprise
  Professional Web Services API and/or Helios Web Services

    Unity Web Services API Calls                                                             Helios Web Services API Calls

           •    GETCHANGEDPATIENTS                                                                •   PatientInfo.GetAllPatientInfo

           •    GETPATIENT                                                                        •   PatientInfo.GetAddresses

           •    GETDOCUMENTS                                                                      •   PatientSelect.GetPatientVisits

           •    GETHIEDOCUMENT                                                                    •   Documents.GetDocuments

           •    GETDOCUMENTIMAGE                                                                  •   Documents.GetDocumentDetail

           •    GETENCOUNTERLIST                                                                  •   ClinicalInfo.GetProblems

           •    GETPATIENTSECTIONS

           •    GETPATIENTPROBLEMS

           •    GETPROVIDERS


A Connected Community of Health   | Copyright © 2011 Allscripts Healthcare Solutions, Inc.                                             7
Go to Market Plans
 Decisiv Care Connect is intended primarily for health systems,
     hospitals, and large multi-specialty physician practices

 Since the application will be accessed by patients through
     either the provider’s website or the patient portal we expect to
     go to market through our EHR partners; supplemented by direct
     sales by Recommind.

 Pricing has not yet been determined but is expected to be in
     line with similar applications we have developed for other
     industries
A Connected Community of Health   | Copyright © 2011 Allscripts Healthcare Solutions, Inc.   8
Video Demonstration
 Ed Williams has been diagnosed with Stage 1 prostate cancer

 Uncomfortable with the aggressive treatment recommendation
     he has received, Ed is in search of cancer caregiver who will be
     his partner in the journey ahead

 The video walks through the search process highlighting the
     unique features of Decisive Care Connect

 http://www.youtube.com/watch?v=pILxvtA9Y3w



A Connected Community of Health   | Copyright © 2011 Allscripts Healthcare Solutions, Inc.   9
Why Decisiv Care Connect?

 The leader in unstructured data management, governance and
     analysis technology

 Delivers search-powered healthcare solutions on the CORE platform

 CORE automatically accesses, organizes and analyzes large volumes
     of information in context from myriad sources to

 Transform the way patients and providers find, manage, analyze and
     act upon clinical information



A Connected Community of Health   | Copyright © 2011 Allscripts Healthcare Solutions, Inc.   10

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Open app challenge phase 1 submission team recommind

  • 1. Team Recommind Decisiv Care Connect Kathleen Aller, Sr. Manager, Healthcare Solutions Neil Etheridge, Sr. Director, Product Inception Group Copyright © 2011 Allscripts Healthcare Solutions, Inc. 1
  • 2. Solution Overview  Decisive Care Connect: • Replaces traditional static physician searches based on specialty and location • Joins provider characteristics with billing data and clinical documentation so that • Providers can search for the experience and skill sets their patients need • Patients can identify caregivers whose values match their own  Healthcare/Business problem addressed: • Patient engagement is enhanced by shared values • Care coordination is improved by shared expectations • Patients who truly understand their options, and participate in appropriate shared decision making have been shown to consume less healthcare  The application developed addresses the following category:  Applications that improve management of high cost chronic diseases.  Innovative approaches to addressing value-based care imperatives.  Both A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 2
  • 3. Usability and Design: Technologies Decisiv Care Connect brings together:  Patient and provider records from Allscripts Sunrise and Allscripts Professional EHRs, with  Recommind’s CORE® (Context Optimized Relevancy Engine) • CORE takes unstructured healthcare data such as progress notes and feeds it through Recommind’s Probabilistic Latent Semantic Analysis (PLSA) tools, including concept grouping, entity extraction and categorization • The structured information thus created is combined with coded clinical data such as problems to create an enriched clinical information set The result: Healthcare Information, Understood A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 3
  • 4. Usability and Design: Workflow  Patient and provider records are extracted nightly from the EHRs of participating providers, indexed, and made available within Decisiv Care Connect  Physicians access Care Connect through a link from Sunrise or Enterprise Professional  Patients access Care Connect through the patient portal or website of the physician office, hospital or health system  Providers and patients search based on condition or treatment, using either standard medical terminology or lay descriptions  Standard search terms such as gender, specialty and language are also available A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 4
  • 5. Usability and Design: Results  Relevant patient information summarized by provider  Select a provider record to display additional profile data along with characteristics that match the search  Providers: • Review results with patients • Generate the referral  Patients: use the results to contact caregivers for more information A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 5
  • 6. Development Stage  Development stage as of the Phase 1 Submission Date:  Idea  Prototype (Healthcare Edition)  Code development in progress  Code complete (Legal and Corporate Editions)  Code complete, tested and approved by Allscripts  Recommind’s Decisiv Matters and Expertise, and Decisiv Projects and Expertise offerings have been widely used to manage the collective expertise of law practices and major corporations for over 5 years  Decisiv Care Connect is a healthcare-specific prototype adaptation of otherwise generally available software A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 6
  • 7. Integration Description  Provider and patient data is gathered via Enterprise Professional Web Services API and/or Helios Web Services Unity Web Services API Calls Helios Web Services API Calls • GETCHANGEDPATIENTS • PatientInfo.GetAllPatientInfo • GETPATIENT • PatientInfo.GetAddresses • GETDOCUMENTS • PatientSelect.GetPatientVisits • GETHIEDOCUMENT • Documents.GetDocuments • GETDOCUMENTIMAGE • Documents.GetDocumentDetail • GETENCOUNTERLIST • ClinicalInfo.GetProblems • GETPATIENTSECTIONS • GETPATIENTPROBLEMS • GETPROVIDERS A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 7
  • 8. Go to Market Plans  Decisiv Care Connect is intended primarily for health systems, hospitals, and large multi-specialty physician practices  Since the application will be accessed by patients through either the provider’s website or the patient portal we expect to go to market through our EHR partners; supplemented by direct sales by Recommind.  Pricing has not yet been determined but is expected to be in line with similar applications we have developed for other industries A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 8
  • 9. Video Demonstration  Ed Williams has been diagnosed with Stage 1 prostate cancer  Uncomfortable with the aggressive treatment recommendation he has received, Ed is in search of cancer caregiver who will be his partner in the journey ahead  The video walks through the search process highlighting the unique features of Decisive Care Connect  http://www.youtube.com/watch?v=pILxvtA9Y3w A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 9
  • 10. Why Decisiv Care Connect?  The leader in unstructured data management, governance and analysis technology  Delivers search-powered healthcare solutions on the CORE platform  CORE automatically accesses, organizes and analyzes large volumes of information in context from myriad sources to  Transform the way patients and providers find, manage, analyze and act upon clinical information A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 10