PALOMAR HEALTH
HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION
NOVEMBER 3, 2015
DELLA K. SHAW, EVP STRATEGY
PALOMAR HEALTH
Palomar Health is a
California Health Care District
Palomar Medical Center
Hospitals Palomar Health Downtown Campus
Pomerado Hospital
Skilled Nursing Facility Villa Pomerado
San Marcos Ambulatory Care Center
Ambulatory /
Pomerado Outpatient Pavilion
Outpatient Centers
Palomar Outpatient Behavioral Health
Retail Health expresscare - Temecula
Expresscare - San Elijo
Expresscare -Escondido
Expresscare - Penasquitas
Medical Foundation Arch Health Partners
Palomar Health by the Numbers (FY14)
Licensed Beds
714
Medical Staff
900 +
Employees
4,350
Inpatient Discharges
Outpatient Visits
29,849
113,919
ED Visits
51,692
Surgeries
18,593
Traumas
1,373
Births
4,525
Outcomes
Process
People
Mission Sustaining Financial Performance
Customer Value
Quality | Cost | Experience| Brand
Operational Excellence
Clinical Integration | Efficiency and Effectiveness
Hassle Free Experience | Consumerism
Organizational Capabilities
World-class Workforce | Technology
Patient First Culture
4
The Population Health Roadmap
Understand
the Cohorts
Focus on the
Chronically Ill
Eliminate
the
Medically
Homeless
Reach out to
Market
all the
Wellness
Utilize
constituencies
Information
Provide
Therapy &
Health
Patient
Advocacy
Keep the
Education
Well Well
Reduce
Focus on
Health
Catastrophic Risks
Understand the
Demographics
Eliminate
Deploy
Health
Behavior
Disparities Change &
Economics
Reach out
to all
constituencies
Establish Data
Warehouse &
Analytics
5
Population Health
Changing Health Scope
Transportation
system
Extended
Health System
Scope
Government
TRADITIONAL
HEALTH SYSTEM
SCOPE
PHYSICIANS
Social
Organizations
Schools
Public Safety
HOSPITALS
PHARMACY
Housing
Assistance
Community
Groups
Adopted: Population health leading lights summit. The Advisory Board Company
6
Population Health
Program Application
ENGAGE
EDUCATE
MOTIVATE
Intervention
Education/
Motivation
Awareness
HRA/
Biometric
Screening
& Tracker
Monthly
Topics &
Other
Education
Programs
Targeted
Group
Programs
and SelfTracking
Tools
Health
Coaching
Low Intensity
ACTIVATE
Behavior
Maintenance
Ongoing
Wellness
Programs
High Intensity
7
Source: Cooper Institute
Proprietary & Confidential All Rights Reserved
Population Health
Information Challenge
Getting the right
content
to the right
patient
Patient Visit
Diagnosis Coding
at the right time
Link Content to Code
in the right
channel
E-Mail Sent to Patient
from the right
provider
From Caring Provider
8
Population Health
Analytics Progression
How can we make
it happen?
What will
happen?
Value
Why did it
happen?
What
happened?
Prescriptive
Analytics
Predictive
Analytics
Diagnostic
Analytics
Descriptive
Analytics
Difficulty
Gartner
9
Palomar Health
2013 Strategic Initiative | Road to Population Health
Progress - Process
• Population Health Steering Committee
(Physician / Multi-disciplinary membership)
• System wide gap analysis performed to
establish baseline and roadmap
• Post-acute multi-disciplinary team create
process flows for all handoffs
• Think Big, Start Small, Act Fast - 10,000 Lives
pilot
Palomar Health
2013 Strategic Initiative | Road to Population Health
Progress – Information Systems
Information Systems
– Internal Data Warehouse
– San Diego Health Exchange
– Cerner Interoperability Platform
Palomar Health
2013 Strategic Initiative | Road to Population Health
Leveraging Existing Best Practice
• Community Education Programs
• Community-based Care Transitions Program
(CCTP)
• Centers of Excellence – Total Joints, Spine,
Neuroscience, Bariatric Surgery, Obstetrics,
Minimally Invasive Gynecology,
Cardiovascular, Cardiology
• Community Action Councils
12
Palomar Health
2013 Strategic Initiative | Road to Population Health
2016
• Cerner Interoperability Platform launch
• Clinical Integrated Network development
• Improve access for medically homeless
• Behavioral Health access needs
• Expand Community Action Councils’ role in
influencing community health and lifestyle
• Application to our workforce
13
The Population Health Roadmap
Understand
the Cohorts
Focus on the
Chronically Ill
Eliminate
the
Medically
Homeless
Reach out to
Market
all the
Wellness
Utilize
constituencies
Information
Provide
Therapy &
Health
Patient
Advocacy
Keep the
Education
Well Well
Reduce
Focus on
Health
Catastrophic Risks
Understand the
Demographics
Establish Data
Warehouse &
Analytics
Eliminate
Deploy
Health
Behavior
Disparities Change &
Economics
Reach out
to all
constituencies
Drive Safely!!
14