Advisory Board Established & Held in Denver, Colorado September 2016 ▪ GuidingCare 8® ▪ Move to Single Codebase ▪ January 1, 2018: 80% Deployed ▪ Priorities ▪ Pharmacy Solutions ▪ Business Rules Engine ▪ Smarter UM ▪ Open Platform (API) ▪ Expanded HIE Integration 2016 CAB Takeaways
Busy Year – Establishing and Launching GuidingCare 8 and Continuing Market Leading Feature Development Delivered Business Capability Business Rules Engine (FICO) Improved Pharmacy Mobile Care Coordination Reporting (Tableau) Enhanced Letter Solution SDoH Integration Improved Work Queues Script Forms MTM Module Provider Dashboard Streamlined UM Data Entry Quality Dashboard Referral Management Module Configurations Delivered Technology, Quality, Operations DB Performance Enhanced Regression Suite SLA Management Performance Suite Version Control Change Management Tools Change Data Capture API Management (WSO2) Continuous Integration Enhanced SSO Xamarin (iOS, Windows) Event-Driven BRE GuidingCare 8 – Industry’s Best Medical Management & Population Health Platform
PLATFORM Moving to Product Processes, Enabling Technology, Configurability Investments and Feature Governance ▪ Workflow Enablement & Customization Through Configuration & Business Rules ▪ Feature Planning via the Release Calendar (Upgrade to New Versions) ▪ …we are making investments to further enable this with technology like FICO Blaze Advisor GuidingCare 8 is a Product Platform Product Do’s ▪ “It Used to Work Like” Discussions Will Shift to a Product Management Forum to Enable Capability Using Product Approach ▪ “I Need The Enhancement Now” Shifts to Industry-standard Approach of Enhancements Aligned to Release Calendar & Staying Current Product Don'ts Focus in 2018 Will Be Continuing Expansion With Emphasis on Quality…
a quarterly basis. Patches are released as required. TYPE RELEASE CONTENTS QUALITY USE FOR QUARTERLY ▪ Large Functional Enhancements (Epics) ▪ New Modules ▪ All defect types (High/Medium/Low) ▪ Mobile Releases ▪ 2 Week Hardening Sprint as Last Sprint ▪ Full regression for all old plus all new features ▪ Full scalability and performance coverage ▪ Upgrading for latest capability when current version is 1+ quarters behind ▪ New implementations with no enhancements EXCEPTION ▪ Urgent Compliance Requirements ▪ Full regression for all *old* features plus regression for all prior month maintenance enhancements ▪ Full scalability and performance coverage at Generally Available date ▪ Enhancements by Exception Only PATCH ▪ Defect Fixes as Required by Service Agreement ▪ Optional regression depending on size and scope of changes in release. ▪ Optional scalability and performance coverage ▪ Defects Only (no enhancements) Note: Enhancements will not be back-ported from future completed versions to any former Quarterly, Exception or Patch Release. An upgrade path must be set and the latest appropriate release installed for new enhancements. Patches will always be brought to then-current latest release. 8. X. X. X RELEASE RELEASE DATE 8.6 End of Q1, 2018 8.7 End of Q2, 2018 8.8 End of Q3, 2018 8.9 End of Q4, 2018
Workflows Mobile Care Coordination for Field-Based Clinical Staff GUIDINGCARE 8® ROADMAP | CARE COORDINATION Mobile Enablement, Business Rules Engine for Configurability and Innovations in SDoH LEGEND: Improved Pharmacy Support for Medication Review & MTM Member Engagement Strategies – Mobile & Web In Progress 8.5 / 8.6 Roadmap 8.6 + FICO Business Rules Engine C Medication Therapy Management C Mobile Care Coordination (iOS/Win) C User Experience Enhancements O SDoH Integration C Machine Learning M Configuration Automation O Mobile Member / Enhanced Portal C Incentive Module M Internet of Things M ePrescribing C Care Team Chat & SMS Messaging C Compliance / Clinical Model C Efficiency / User Experience O Medical Cost / Innovation M Business Priorities
Authorization Process / Provider Intake GUIDINGCARE 8® ROADMAP | UTILIZATION MANAGEMENT Focusing on Operational Improvements, Data Enablement and Automation of Manual Tasks LEGEND: Fax & Letter Solutions Enhanced Reporting In Progress 8.5 / 8.6 Roadmap 8.6 + Enhanced User Experience O External UM Services (API) C Fax Integration (Inbound) O Tableau Reporting O User Experience (Ongoing) O 3rd Party Letter Integration O FICO Business Rules Integration O Fax Integration (Outbound) O Benefit Integration O MCG – Population Health Portal O Enterprise Content Management Int. O Compliance / Clinical Model C Efficiency / User Experience O Medical Cost / Innovation M Business Priorities MCG – Auto Authorization O
EMR Integration – Bi-Directional GUIDINGCARE 8® ROADMAP | PROVIDER Focusing on Operational Improvements and Automations LEGEND: Population Analytics – Driving Focused Engagement In Progress 8.5 / 8.6 Roadmap 8.6 + Plan of Care Dashboards C Sensitive Data Security C Enhanced User Experience O HIE/EMR Integration M Bi-Directional EMR Integration M Contract Management M Tableau / Population Analytics C Provider Services C STARS Dashboard C MTM Dashboard M Compliance / Clinical Model C Efficiency / User Experience O Medical Cost / Innovation M Business Priorities Referral Management M
Provider Member Regulatory & Innovation Enable Shift to Collaborative Care Models, Drive Quality Improvement, and Reduce Medical Spend Drive Care and Quality Shift From Payers to Providers To Support New Clinical Models Deliver Patient Engagement To Improve Experience, Inform Patient, and Drive Contract Performance Innovate With Solutions For State & Regulatory Initiatives and HIT Investments CC Collaborative and Configurable Care Coordination mC Mobile Clinician Platform for Offline Care UM Utilization Management AG Appeals and Grievances PH Population Health Management PA Integrated Predictive Analytics EHR EHR Aggregator ML Machine Learning MP Member Portal With Integrated Health Record mM Mobile Member (Smartphone) Member Incentive Solutions DIR DIRECT Messaging for EHR Integration INC Social Coordination for SDoH Initiatives SDH HIT Health IT Integration with HIE (ADT,C-CDA) CRM Integrated Customer Service LEGEND Generally Available Deploying In Build MTM MTM Module BRE Business Rules Engine (FICO) RPT Real-Time Reporting (Tableau) RM Referral Management
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