Getting the Right Care at the Right Time in the Right Place at the … · 1 | © 2017 Grand Rounds,...

1 | © 2017 Grand Rounds, Inc. — Proprietary and Confidential

Getting the Right Care at the Right Time in the

Right Place at the Right PriceInnovative Approaches to Accelerate Employee Engagement and Empowerment


Why we exist

Co-founder Dr. Rusty Hofmann

and his son, GradyA few of the thousands of patients and

doctors we connect every month


Interventions

Grand Rounds Experts make significant interventions across medical specialties

51% 51% 44%

51% 42% 42%

17% 17% 23% 12%

8% 2%

69% 67% 67%62%

50%

44%

0%

20%

40%

60%

80%

100%

OB/GYN Neurology Gastrointestinal Orthopedics Cardiology Oncology

∆ in Treatment

44%

62%

50%

67%68%68%


Selected states

CMS, medical societies, hospitals, group practices, additional states

State APCDs and commercial data vendors

Grand Rounds proprietary data

2005

Availability of Provider-Level Data Grand Rounds Analysis

2010 2015

7 Billion clinical data points measured and new data

incorporated monthly

> 96% of MDs rated based on clinical quality

Grand Rounds physician quality algorithm Quality scores are based on vast, newly available datasets

Background Data

• Specialization

• Board Certification

• Peer Recognition

• Medical School

• Residency

• Fellowship

• Yrs. of Experience

• Practice Location(s)

• Hospital Affiliation(s)

Performance Data

• Clinical Outcomes

• Patient Volumes

• Procedure Volumes

• Process Measures

• Patient Satisfaction

• Referral Patterns

• Treatment Adherence

• Utilization Rates

• Sanctions / Lawsuits


Average physician quality across U.S.

Sources: Based on quality algorithm output for each HSA with 3+ orthopedists


Physician Quality

Quality within the top 10% of physicians

0-19% (Lowest)

20-39%

40-59%

60-79%

80-99% (Highest)

Sources: Based on quality algorithm output for each HSA with 3+ orthopedists

Top quality physicians achieve:

• 15% lower hospital readmission rates

• 20–25% lower complication rates

• 30–40% lower mortality rates

• 10–30% lower cost per patient


Alliance Data Case Study


Alliance Data Overview


The ChallengeAddress these challenges while staying true to Alliance Data corporate culture

Challenges

• Provide best in class benefits for associates, that

are easy to use

• Manage costs, particularly for high spend areas like

musculoskeletal procedures

• Connect the unconnected to high quality care

• Improve associate health

• Give associates choice and accountability


The Solution: Grand Rounds

Compelling support

• Data driven — quality algorithm that identifies the top

10% of doctors, optimally matched to the patient’s needs

and preferences

• Helps associates navigate health system

• Addresses the 5% and 50%

• Meaningful patient engagement

• Cost-savings methodology

“I have to give Alliance Data big kudos for giving

their employees this benefit. Grand Rounds has

to be the best "new" addition to our benefits.”

—Alliance Data associate via user survey


Grand Rounds Beacon

Office Visits

Concierge-style with best-

matched physicians

Expert Opinions

Remote second opinions

from world-class physicians

In-Hospital Support

Real-time clinical support

while in the hospital


Multi-Channel Launch Campaign

Digital Print Onsite Materials Key Referrers

● Launch email

● Patient testimonial on

company intranet

● Blog posts

● Information on company

intranet

● SSO

● Magnet postcards mailed

to homes

● Posters

● Flyers

● Info cards

● Digital displays

● Training sessions for HR

● Trainings sessions for

vendor partners

● Reference materials for

key referrers


Incentivizing Grand Rounds Use

• Incentive for completing an Expert Opinion

prior to back, hip, or knee surgery

• Incentive is 5% additional coinsurance that

Alliance Data pays for these procedures

• Incentive (vs. penalty) has driven additional

program goodwill, and is less challenging

from a communications perspective


Vendor Integration

Integration with Onsite

Health Clinics

Carrier Care Manager

Training for Referrals

Multi-vendor

communications

campaigns

Protect and extend our existing investments.

Single Sign-on


Engagement and Impact

Utilization tracks to

5.3%

per year

based on

completed cases


Engagement and Impact

• Alliance Data

associates reach out for

help across many

different geographies

• Strong word-of-mouth in

largest locations in Ohio

and Texas


Grand Rounds to Avoid Urgent Care

Finding a physician is tough and finding

one you like is even tougher. After moving to

Columbus and putting off finding a doctor,

I would hop from urgent care to urgent care

for my medical needs. I knew I needed to

start “adulting” so I set out to find a primary

care doctor.

My care coordinator recommended a primary

care physician based on my medical needs who

is on my insurance plan. They were even willing

to schedule an appointment for me. The process

was easy, convenient, saved me hours of

research, and additional costly trips to urgent

care. Adulting has never been easier!”

—Alliance Data associate


Questions?

Getting the Right Care at the Right Time in the Right Place at the … · 1 | © 2017 Grand Rounds,...

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