The ReachCare Exchange
Innovating Care Delivery in the Community
Prepared by
Sean McKelvey
Network Healthcare
Outline
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Who is Network Healthcare?
The Evolution of Navigation
Community Care Delivery - the New “Facility”
Introduction to the ReachCare Exchange
– What is it?
– How does it close care gaps?
– Why should you care?
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Who is Network Healthcare?
• Founded in 2002 by pharmacists
• Develop and deliver innovative health services
through sophisticated networks of healthcare
professionals
• Specialize in managing large scale Provincial services
and practice change initiatives.
• Current focus is on technology enabled navigation,
care plan synchronization and effective integration of
multidisciplinary teams
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Network Healthcare Services
• HealthLink BC (since 2003)
• HEALTHLink Alberta (since 2007)
• Alberta Pharmacy Practice Models Initiative (PPMI)
(2008-2010)
• BC Medication Management Project (BCMMP)
(2010 – Jan 31, 2012)
• ReachCare Exchange Development (2010 – Present)
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The Evolution of Navigation
How Technology has Revolutionized “Getting There”
A life’s work…
A vacation of a lifetime…
A cool gift…
Just another app!!!
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Navigating our Health Care System
Personal Responsibility is the Name of the Game
The 5 Rules:
• Rule One: Stay Healthy.
• Rule Two: Know as Much as
You Possibly Can.
• Rule Three: Organize Your
Care Team.
• Rule Four: Have an Advocate.
• Rule Five: Take Control of Your
Care - Don’t Be a Passive
Patient.
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Reality Check!!
The Current Health Care System is NOT Patient Centered
YO-YO
You’re On You’re Own
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Community Healthcare Delivery: Business Challenges
The Evolution of Integrated Health Care within an ‘Extended’ Delivery System
Proactive
Community
• Phase One: Efficiency
Play (process
improvement)
• Centralized
• Closed System: where they
are
• Individual Clinical
Knowledge
Acute
•Phase Two: Utilization Play
(asset leverage & marginal
capacity management)
•Distributed
•Smart System: pledged
availability
Reactive
• Phase Three:
Optimization Play (both
assets & delivery)
• Personalized
• Intelligent System: when I
need it
• Individualized
Individual
Current Challenge Area
Emergent Challenge Area
Primary focus on ‘structural delivery
Improvements’
Future Challenge Area
Increasingly important delivery
system in 21st century
Tomorrow’s consideration: how to
Incorporate individualized delivery
Area of focus for Network Healthcare’s ReachCare Exchange
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Community Care Delivery - the new “Facility”
Liberating the Full Value and Capacity of Community Based Providers
• Efficiency Play
•Reduced pressure on ER
•Better individual access
•Move people to ‘best supply
point’
Efficiency Focus
Utilization
Focus
• Utilization Play
•Better use of what’s there
•Enhanced use of health
professional capacity
•Liberate currently
unavailable capacity
Proactive
• Optimization Play
•Protocol knowledge
management
•Care within a ‘Care Plan’
•Enhanced role of the
multidisciplinary team
•CDM care delivery focus
Optimization
Focus
Reactive
Closing the Care Delivery Gap
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Acute
Community
Individual
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ReachCare Exchange
Dynamic, Real-Time Skills-Based Matching for Community Care Delivery
Pharmacist
Update Plan
Assign new tasks
The ReachCare Exchange
Hospital
Healthcare
Provider
Provincial
Health Line
Protocol
Library
- Clinical
Protocols
- Standard &
Modularized
Care Plans
- Structured
Care Pathways
Capacity
Logistics
Engine
Clinical
Positioning
System
- Identify
available
capacity
-Skills-Based
routing of Care
Plan
assignment
- Auto tracking
for capacity
- Synchronized
Plans
- Monitored
Assignments
- Report
Confirmation
of Completed
Task
Post Discharge
Physician
Phone consult
Nurse
practitioner
Telehealth
consult
In-person
Dietician
Physiotherapist
Proactive Patient Management
Procured Clinical Services and Care Plans
Care Consumer
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Home
care
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End-State Vision
Synchronized Community Care Providing Maximum Value to the System
Hospital
Systems
Ambulatory
Systems
Community
Systems
Client Identity
Lab
data
Provider Identity
Patient
Demographics
Public
Health
Systems
Drug
data
Primary &
Specialist
EMRs
Health
Link
Systems
Diagnostic
Imaging
Pharmacy Systems
Lab
Systems
Transcribed
Reports
Interfaced Rx & Clinical
Documentation
Immunizations
ECGs
EHR
DI
Systems
Personal Health
Portal
Home
Monitoring
Other Clinical
Documentation
Patient-Provided
Information
Systems & Clinical Information
Patient’s Care Plan
HIAL (pHIE)
Hospital
Systems & Data Access
Pharmacist
Demand
Health
Line
ReachCare
Exchange
Synchronizing Community Care
Community Supply
Physician
Physiotherapist
Physician
Home care
Nurse practitioner
Individual
Patient Care Plans
Dietician
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Supportive living
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Closing the Gap of Care
Between Patient & Provider, Community & Acute, Care-Plan & Care-Pathway
Synchronizing
Evidenced-Based Clinical
Standards of Care
① Activities between Patient & Providers
② Acute Care Plans & Community Delivery
③ Care-Plans & Care-Pathways
Clinical Protocols
Provides the ability to:
a) Offer optimum protocol selection provide healthcare professionals with
real-time access to credible care
requirements; addresses immediate
access to care
Care-Pathway
ReachCare
b) Assign healthcare providers prompt access to competent care; going
beyond referral
c) Ensures fulfillment - guaranteeing
time sensitive specified care is
delivered; providing outcomes and
accountability management.
Care-Plan
Tasks & Activities
Patients
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Providers
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The ReachCare Exchange
Synchronizing Community Based Care Delivery
Transforming Community into a Coherent Whole
The ReachCare™ Engine
Identifies
Logistics
Management
Protocol
Library &
Capacity
&Management
Interaction
Repository
•Demand Matching
•Delivery Data
•Personal
Information
•Preferred Course
of Actions within
network capacity
Creating structure and standards in a systematized manner
Assigns
Synchronization
Engine
•Skills / Roles
•Activities
•Linking care
episodes
•Service Levels
•Integration
Monitors
Automated
Automated Assignment
Management
&
Management
Monitoring
Clinical
Protocols
Matching
Logistics
Care
Plan
Care
Pathway
Particular Data
Network Assets
Choice
Feedback
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•Performance
Management
•Stakeholder
Reporting
•Task
Adjustment
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Key Points to Remember
More Effective Utilization of Community Based Resources
• ReachCare™ effectively integrates and enables care
delivery in a very complex and fragmented community
healthcare system
• Public and Private care delivery seamlessly co-exist,
ensuring maximum efficiency and optimal use of
community resources
• Pharmacists will play an extremely valuable role by
providing medication management services
– Multidisciplinary care plans improve patient care and
health outcomes
– Ensures optimal use of a pharmacists scope of practice
– Protocols drive efficiency and maximize value of the
practice
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Key Points to Remember
Synchronized Care Plans and Patient Focused Care is Good Business
• Provides plan sponsors, insurers and the benefit industry
with the following:
– Customizable and targeted services following clearly
defined evidence informed protocols
– Flexibility to manage care plans within open or closed
networks
– Effective utilization of public health care funding within
each care plan
– Access to a high quality network of multidisciplinary
providers
– Extensive reporting and progress monitoring
– Provides mechanism for partnering with Governments on
mutually beneficial health care initiatives
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Contact Information
Sean McKelvey
Network Healthcare
604-231-3244
smckelvey@networkhealthcare.ca
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