Professional Documents
Culture Documents
Tim Carlson Vice President and Sales Leader, Investor Owned Caleb Anderson Vice President, Ambulatory and Revenue Cycle
As the Vice President and Sales Leader of Investor Owned, Tim Carlson focuses on developing As the vice president of Cerner Ambulatory and Revenue Cycle, Caleb Anderson focuses on overseeing
strategic relationships with large Investor Owned health care organizations. He makes an impact on client relationships, business development, and market facing initiatives that add value to ambulatory clients
clients by establishing value-based relationships toward better quality, enhanced safety and improved across both clinical and revenue-cycle platforms.
operational efficiency.
Cerner Connect securely with area labs, Connect to other health care providers in Access and share patient records best care possible by
pharmacies and external practices your region regardless of where care is delivered providing a holistic view of a
Orders and results, Immunization Orders and results, Immunization registry,
CommonWell Health Alliance, Orders
and results, Immunization registry,
13.5M person's health history.
registry, ePrescribe, Direct messaging, ePrescribe, Direct messaging, HIE enrolled
today
HIE ePrescribe, Direct messaging, HIE people Sonney Sapra
Our Connectivity Hub solutions provide Your organization's patients may
8,000
Your business needs extend providers across
outside of the boundaries of your your organization with the capability to receive care in other parts of the 4,900 sites
Members represent
organization. Providers in your share many types of clinical information country. You need access to patient
3/4 of acute
community are referring patients to including electronic orders, results, clinical records regardless of where care market and
you, you’re sending information to documents, images, immunizations and is delivered. To exchange relevant 1/3 of ambulatory
prescriptions. Our secure web messaging market
area laboratories, communicating clinical information with venues of care
with practices outside your functionality allows you to communicate nationwide, Cerner uses the services
organization and viewing results with other providers, helping to improve provided by CommonWell Health
and patient alerts. Our connectivity continuity of care. Alliance for: patient identification,
solutions allow you to connect record location and retrieval, patient
securely with these organizations to consent management, certification,
share information and collaborate authentication and auditing for trusted
electronically with other care
5 20 21
22 years of experience
tools and dashboards. Completion
Our certified billing experts do more than process claims and the highest results for our clients.
Cost and utilization Practice Bundles Our HealtheIntent-powered registries and scorecards solution providers can: COPD
management enables your organization to identify, attribute, measure and
42 states
For example, our cost and utilization claims-based
clients in monitor people and providers at a person and population level.
Account
Account Denial management
Denial management Patient / provider
Patient / provider
Patient/provider
530+
derived from payer claims and enrollment data. At
resolution
resolution & prevention
and prevention experience
experience
experience its core, this package is a set of standard reports and Contract analytics Quality
Complications HealtheRegistries is a chronic condition and wellness registry
SM
Identify Include
Tableau dashboards that showcase quality assurance, measures solution, which leverages clinical, financial and operational data
people: people in the
Claims processing Denial mitigation Adoption of culture
Adoption of culture as well as a comparison of measures across providers, across disparate sources and normalizes the data into meaningful appropriate registries:
RCM associates What is this person’s
51 125
practices, payers and plans. information. Members are identified, attributed, measured and
acute ambulatory Payment posting Root cause analysis Loyalty
Loyalty
Emergency monitored at an individual or population level. HealtheRegistries
latest health and
care data?
According to this person’s
health and care data,
clients clients Online bill pay Translation to accurate Patient advocacy
Patient advocacy
11. 4 million
department is he or she diabetic
charge transactions A package can run as a standalone application or Home care Readmissions also provides the ability to identify, score and predict risks of or hypertensive?
Self pay Increased referrals
Increased referrals utilization
live or across Analysis of technical and be accessed within the enterprise data warehouse. individuals or populations to allow targeted interventions to be
Accurate payer
under contract 45 specialties reimbursement clinical denials Packages support areas such as operational, financial, implemented. HealtheRegistries is designed to enable: Attribute Pinpoint
annual EDI transactions clinical and care continuum analytics. people to the gaps in care:
• Quality measurements for chronic conditions and wellness right providers:
Continuous analysis and improvement: Pharmacy spend
Infection control Who is the person’s
If this person is diabetic,
has he or she had a foot
and adherence
Intelligence + expertise primary care provider? exam or A1C test?
• Scorecard performance at the provider and organizational level
OVER FOUR DECADES OF RCM EXPERIENCE
• Generic and therapeutic substitution views
Measure Monitor
1 Revenue cycle • Member outreach outcomes: at the person or
Is this person’s A1C population level:
being managed? What should the clinician
focus on for this person
or population?
48 49 56 57
30
CommunityWorks Katherine Shaw Bethea Hospital
new clients
85% eligible, live clients
Neshoba County General Hospital
health care
in 2017
Philadelphia, Mississippi
HIMSS stage 6 acute facilities
Northeastern Health System
Tahlequah, Oklahoma
CommunityWorks manages EIGHT domains
Perry County Memorial Hospital
13 hospitals named iVantage 2018 Top 100 Critical Access Hospitals Perryville, Missouri
4 5
Like big data. We’re not just ready for it – we’ve already put it to work.
Health care organizations deal with huge amounts of internal and external Connected physician Connectivity across the
data: financial, demographic, clinical. We show that data to providers so that client community continuum of care
they can make the best possible clinical decisions for their patients. We give
population health teams access to that data so they can better understand Cerner Acute clients
and serve their communities. And we capture that data and make it Cerner CommWx clients
consumable so that you can use it to streamline your revenue cycle.
Since we began in 1979, we’ve kept one foot in the present and one in the
future. We are dedicated to maintaining a single EHR, and we are always
expanding and evolving our vision of the next-generation platform for
managing the health of your population.
Uninterrupted system Predictable total cost
management of ownership
8 9 6
SOCIAL
At Cerner, we focus on connecting traditional venues, the care continuum and advanced information about
individuals’ lifestyles to empower them to be active participants in their health and care.
Half of all deaths in the U.S. involve behavioral causes.1
Our programmable, comprehensive suite of solutions and services enables you to: Behaviors associated with good health and a healthy
• Know and predict what will happen within a population lifestyle are strongly shaped by social factors.
• Engage individuals, their families and care teams to act
• Manage to an optimal outcome to improve health and care The impact of social determinants of health on the
Medicaid population provides insight into potential barriers
determinants of health
Connect beneficiary care:
and opportunities to improve health and decrease health
Put data into action with Medicaid care coordination. Gather data, generate population- and person-level insights
care expenses.
and engage beneficiaries to facilitate long-term health and financial outcome improvements.
12.9%
community Economic
stability stability
Education
Conditions
Health
of Medicaid households say
Medications they can’t afford to eat
balanced meals2
Environment Treatments
Gather social determinants
of health and clinical data Transportation • Safety • Parks
• Playgrounds • Walkability • Housing
Social factors and behaviors strongly
Neighborhood
$26,000
impact the health of a population.
and physical
environment
Understand data at a population level
Identify patterns and correlations within a population
to define focus areas, enabling the greatest impact in estimated annual health care costs per homeless
to health and financial outcomes. Medicaid enrollee compared to
$5,790 on average3
Chronic conditions Literacy • Language • Early childhood education
• Vocational training • Higher education
Cancer
Education
58.8%
Acute conditions
Wellness
ACO
Identify needs by segmenting of adults in the Medicaid target population
HEDIS
the population into registries have no prior experience with Medicaid, low
Develop programs and interventions based on the needs of the health insurance literacy and few sources of
population identified in registries to align with state goals and health insurance information
realize financial improvements.
30%
community
context
9.8%
facilitate optimal needed can result in materials and to meet the Health and
outcomes. readmissions and more scheduled person, provider,
costly treatment for the appointments. organization and
health care
beneficiary and state. state needs.
Improve communication
Empower beneficiaries to be more engaged and informed about their health and care,
and an active part of their care team through provider communication,
care oversight and access to medical information via their patient portal.
1
(McGinnis JM, Williams-Russo P, Knickman JR. The case for more active policy attention to health promotion.
Health Aff (Millwood) 2002;21:78–93.)
2
http://www.chcs.org/media/Housing-SGC-Brief_Final2.pdf
3
http://hrms.urban.org/briefs/medicaid_experience.html
4
DH-17 Increase the proportion of adults with disabilities who report sufficient social and emotional support
5
MACStats: Medicaid and CHIP Data Book, December 2016, pg 12
1712038934_Pop_Health_Medicaid_Care_Coordination_v1/Mar2018
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