HEALTHY BONETM PROGRAM. Marcia A. Friesen RN, BS, FAIHQ, FACHE President Marcia Friesen & Associates, LLC

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1 HEALTHY BONETM PROGRAM Marcia A. Friesen RN, BS, FAIHQ, FACHE President Marcia Friesen & Associates, LLC

2 ENDEMIC PROPORTIONS OSTEOPOROSIS & FRAGILITY FRACTURES Women 45 + years of age, osteoporosis accounts for more days spent in hospital than many other diseases (diabetes, myocardial infarction & breast cancer) 2 25% of Fracture Patients die within the year 2 After initial fracture patients are 86% more at risk for a second fracture. 2 50% of women and 25% of men will suffer fragility fractures 1 1 Own the Bone. Osteoporosis Epidemic. Web Access 10 December hmp:// 2 InternaTonal Osteoporosis FoundaTon. StaTsTcs and Facts. Web Access: 10 December hmp:// 2

3 OSTEOPOROSIS & FRAGILITY FRACTURE MARKET TRENDS Osteoporosis Market Growth Drivers: Vitamin D deficiency 2 Low calcium intake 2 Globally increasing ageing population & life Projected $25.3 billion in costs annually and 3 million fractures by % of all healthcare costs associated with osteoporotic fractures are related to non- hip fragility fractures 3 Numerous audits of secondary preventive care show that the majority of fragility fracture patients never learn about the underlying cause of their fracture, or receive treatment to prevent it from happening again. 3 HIGH RISK PATIENTS 1 q Age: 50+ q 61 million people will be affected with Osteoporosis by 2020 q Approximately 80% are women q 50% of women age 50+ will have a fragility fracture TABLE 1 Estimated number of fractures (in thousands) at the sites shown in men and women aged 50 years or more in 2000 by World Health Organization regions 3 Region Hip Spine Forearm Humerus Other All sites Percentage Americas Bone Health Basics Get the Facts. NaTonal Osteoporosis FoundaTon. hmp://nof.org/learn/basics 2. PR Newswire. Osteoporosis Market to Cross $40 Billion by 2019: Amgen, Eli Lilly Dominate the Worldwide Osteoporosis Drugs Industry Web. 12/31/2015. hmp:// 3. Capture the Facture. InternaTonal Osteoporosis FoundaTon. 4 Jan Web. hmp://share.iodonehealth.org/wod/ 2012/report/WOD12-Report.pdf 3

4 HEALTHY BONE TM PROGRAM CLOSING THE GAP ON THE OSTEO-FRACTURE CYCLE BRIDGING THE GAP: Patient & Family Education: Osteoporosis Integrative & Conventional Health & Wellness Plan Fragility Fracture Prevention Secondary Fragility Fracture Prevention Communication between General Practitioner, Surgeon, Healthy Bone Nurse Practitioner Patient Diagnostics & Treatment Plan Osteoporosis Screening Patient Integrative & Conventional Health & Wellness Plan Healthy Diet Exercise weight lifting, walking High Risk Patient Identification Women 50+ Previous Fragility Fracture Fragility Fracture Protocols & Pathways 4 HEALTHY BONE TM PROGRAM OUTCOMES Better Quality of Care Reduced Readmissions & Complications Hospital Savings Reduced Length of Stay Quality & Performance Metrics

5 INTEGRATIVE HEALTHY BONE TM MODEL Healthy Lifestyle Support & Fragility Fracture PrevenTon Surgeon, General PracTToner & Healthy Bone Nurse Coach PaTent CommunicaTon Patient Comprehensive Intake Form to Determine Pathway Non-Surgical or Surgical Pathway Patient & Family Education Osteoporosis Fragility Fracture RehabilitaTon IntegraTve Medicine Therapies Conventional Medicine Surgical IntervenTons Health & Wellness (NutriTon & Exercise) 5

6 HEALTHY BONE TM PROGRAM Implementa/on of the Healthy Bone tm program is based on MFA s proprietary process: Purpose People Process Performance Healthy Bone tm Program Long-Term Growth & Sustainability Strategy Exceptional Patient Experience for prevention and management of Fragility Fractures customized to your target market A proprietary Change Management Process establishes ownership of the Healthy Bone tm Program Evidence Based Clinical Protocols and Pathways standardization results in reproducible and measurable outcomes Well-defined Performance and Quality Metrics managed by an internal governing structure 6

7 HEALTHY BONETM PROGRAM PURPOSE Vision Exercise Alignment of Key Stakeholders, Physicians, Caregivers & Administration Discuss and Define all elements that are necessary to provide the best possible outcomes for the patients Strengths and Weakness Analysis Accounting Capabilities / Data Analysis Physician Leadership DEFINE THE VISION On-site Analysis to Assess the Current State of: Staff Competencies Surgeon Commitment Levels & Current Protocols / Variances in Practice Culture Patient & Family Education Osteoporosis & Fragility Fracture Care VISION EXERCISE Gather Key Stakeholders to create a customized vision Board Example: Exceptional Patient Experience Present Vision Board to Interdepartmental Teams for Input & Buy-in Revise Vision Board accordingly & Present the final Vision to Key Stakeholders & Interdepartmental Teams 7 ConfidenTal & Proprietary, Marcia Friesen and Associates, 2015

8 HEALTHY BONETM PROGRAM PEOPLE Interdisciplinary Care Team Members IHB Nurse We establish alignment between the Physician, Surgeon, Hospital and Caregivers. Hospital Staff, Caregivers, Physician Osteoporosis & Fragility Fracture Educational Sessions Establish a Physician Advisory Committee Direct Patient Contact Guides Patient through Healthy Bonetm Program Responsible for Patients History & Goals for Health & Wellness Collaboration between: Physicians & Surgeons Nurses Medical Assistants IHB Nurse is integral to guiding the Nutritionist patient through the Healthy Bone wellness process to optimize the patient s health and wellbeing through the prevention and management of bone health. Collaborate & Coordinate with specialties impacting patient care outcomes and cost 8 ConfidenTal & Proprietary, Marcia Friesen and Associates, 2015

9 HEALTHY BONETM PROGRAM 2 1 PROCESS Patient & Family Education Our team of experts will customize and tailor the standardization of the Wellness Model of Care Continuum to your culture based on scientific evidence supported by industry best care practices. 3 Healthy Lifestyle Fragility Fracture Exceptional Patient Experience Patient & Family Education minimize risk of fragility fracture TOOLS FOR SUCCESS Tools for Success Non-Surgical Pathway or Surgical Experience Preparation Day of Surgery Rehabilitation Healthy Lifestyle Transition Plan Standardizing reduces risk and patient care outcomes become reproducible and measurable. Surgical Pathway 9 High Risk Patient Identification Patient Education Notebook Standardized Anesthesia Protocols Standardized Pain Protocols Standardized Order Sets Clinical Pathways for Fragility Fracture Transition Plans / Health and Wellness Outcomes and Benchmarks Comprehensive Marketing Plan ConfidenTal & Proprietary, Marcia Friesen and Associates, 2015

10 HEALTHY BONE TM PROGRAM PERFORMANCE At Marcia Friesen & Associates, our team will help you implement, manage, and sustain growth by establishing: Program Performance Evaluation Metrics Provider Quality Metrics Measure & monitor quality of care, cost effectiveness and performance of bundled payments KEY PERFORMANCE METRICS Quality Metrics Cost Metrics Decrease in Cost per Case Increased Contribution Margin/case Clinical Processes Clinical Outcomes Program Activity Metrics Administrative Financial Health Statues Patient Satisfaction Volume & Market Share Market Differentiation 10

11 MARCIA FRIESEN & ASSOCIATES, LLC VISION: Redefining Orthopaedics and Healthcare BUSINESS SOLUTIONS: Ø ASC Program Ø Bundled Payment Ø Clinical Care Delivery Redesign Ø Healthy Bone tm Program Ø Integrative Advantage tm BIOGRAPHY: Marcia A. Friesen RN, BS, FAIHQ, FACHE Marcia Friesen is an innovative leader in healthcare who is nationally and internationally recognized as an expert in the design and implementation of high performing orthopaedic and spine services. In addition to her clinical and business background, her experience includes serving as a senior officer at Biomet, a hospital executive at a large integrated delivery system, an executive director of government managed care programs for a large payer system, and over 12 years owning and operating Orthopaedic Advantage a successful global orthopaedic consulting company where she has worked with hundreds of surgeons and administrators to develop top performing, efficient, patient-centered, cost effective healthcare delivery systems. Marcia is a Registered Nurse, holds a degree in business administration and is a Fellow of the American Institute for Healthcare Quality as well as the American College of Healthcare Executives. She has served as a Malcolm Baldrige Quality Award Examiner at both the National and State levels and a judge at the State level. She is currently preparing for her board certification as an International Integrative Health Nurse Coach. Marcia is the founder of Marcia Friesen & Associates, a global health care consulting firm that specializes in designing exceptional patient experiences, outpatient total joint replacement programs and orthopaedic service line strategic planning, business development, and performance improvement. 11

12 Thank You! Marcia A. Friesen RN, BS, FAIHQ, FACHE President Marcia Friesen & Associates, LLC 225 N. Columbus Drive Suite 7105 Chicago, IL