Innovation Applications of IndiGO to ACOs David M Eddy MD PhD Founder and Chief Medical Officer Emeritus Archimedes San Francisco CA Individualized Guidelines IndiGO Quality and cost of healthcare are largely determined by guidelines ID: 545366
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... a KAISER PERMANENTE Innovation
Applications of IndiGO to ACOs
David M Eddy MD PhD
Founder and Chief Medical Officer Emeritus
Archimedes
San Francisco, CASlide2
“Individualized Guidelines”IndiGOQuality and cost of healthcare are largely determined by guidelines
Current guidelines are clunky
IndiGO Spans
multiple conditions, risk factors, treatments
to create a
single “integrated guideline”Slide3Slide4
Uses of IndiGO for ACOsIndividual patient-physician decision makingImproves patient adherenceImproves outcomes
Reduces hospitalizations and costs
Prioritize outreach programs
A personal health score
A population-level health scoreSlide5
CVD BenefitSlide6
Prioritize outreach programs
A ranked list of patientsSlide7
Better prioritization increases valueIn the ARIC populationCompared
to current national guidelines, treating BP and cholesterol in order of CVD benefit
Delivered
same benefit
as current guidelines, at
67% lower cost
Or delivered 43% more benefit at same costSlide8
Uses of IndiGO for ACOsIndividual patient-physician decision makingDuring a patient visitDirect patient access
Prioritize outreach programs
A personal health
score: “GO Score”
A population-level health
GO scoreSlide9
Current Benefit
Potential Benefit
Patient’s
GO
Score =
current benefit/potential
benefit = 30%Slide10
New Benefit
Potential Benefit
Patient’s
new
Score
=
new benefit/potential
benefit = 83%Slide11
Uses of Health GO ScoresMeasure of patient’s current risk and potential benefit
Create incentives for patients and physicians
Add up individual scores to get scores for groups of patients
Physician’s panel
Health
system, ACO
Geographical regionSpecial patient populations (e.g.
elderly, diabetes)Measure, compare, and monitor quality Being evaluated by NCQA