• EDIE Network
– Designed to coalesce and normalize disparate data sources such as payers, hospitals, physicians, and government entities
– Leverage different data source strengths to provide optimal results in identifying and better treating high utilization & special needs patients
– System of intelligent algorithms gear towards accurate patient identification and hospital- and payer-level fraud prevention
• EDIE Care Coordination
– Framework specifically designed for management of patients by case workers and physicians to improve the treatment and outcomes of frequent-visitor patients
– Real time notification system at the triage level designed to alert care providers of patient visit history between EDs, medications, diagnoses, and existing care plans
– Timely notifications to key providers and stakeholders in patient’s care team
– Platform to source and manage patient Care Guidelines
– Bridges the gap and enables collaboration between providers

• Event Driven
– Patient Admit/Discharge
– Treatment Plan Creation/Modification
– Program Referral Creation
– Prescribed Narcotic Dosage Reached
– Patient Utilization Trend Shift & Other Behavioral Patterns
• Automated
– Criteria & Rules Based
– General / Targeted
• Timely
– ED notifications within 3 minutes of patient registration
• Actionable
– Deliver information to stake holders can take action on

1. Patient Event Occurs (i.e. patient visits ED)
2. Hospital sends EDIE patient data
3. EDIE evaluates data against all patient criteria
– Patient Level
– The care management program Level
– Facility Level
4. EDIE sends out Notifications determined by criteria
5. EDIE continues to receive data from other various sources to evaluate patient events against

• Multipurpose
– Utilization
– Narcotics Abuse / Diversion
– Chronic Disease Management
• Consistent
– Care Providers can see same set of guidelines regardless of care setting or location
• Automated
– Criteria & Rules Based
– General / Targeted
• Timely
– ED notifications within 3 minutes of patient registration
• Actionable
– Deliver information to stake holders can take action on
• Collaborative
– Guideline provides shared platform to communicate between PCP, Community Care
Coordinator, Case Manager, Mental Health Provider, ED Physician, and other stake holders of the patient

Mercy Medical Urgent Care Clinic General Hospital Rural Hospital
Care Guideline
EDIE

Mercy Medical Urgent Care Clinic General Hospital Rural Hospital
Care Guideline
ED Physician Community Care Coordinator PCP

• Improved Care
– Collaborative Patient Guidelines
– Case Management Framework
– Patient Visit Analytics
– Real-time Notifications
• Reduced Costs
– Care Channel Migration (High-cost Emergent -> Low-cost
Primary)
– Early Payer Notification
– Financial Reporting
• Targeted Utilization
– Reduce disproportionate resource strain by small population of over-users