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Automated Clinical Guidelines, LLC (ACG)
Cofounders:
     Douglas K. Dew, MD, MBA
     Frank J. Thomas, RIA, MSM
ACG’s Medicare Compliance Tool Apps
Douglas K. Dew/CEO
                                                         1
Copyright © 2011 Allscripts Healthcare Solutions, Inc.
Solution Overview
 High Level Solution Description:
       ACG has developed an innovative mobile healthcare ecosystem that is
       patient-centered, real-time, language-independent, EMR/EHR independent and
       delivers evidence based medicine for application on a worldwide basis.

 Healthcare/Business problem addressed:
       The ACG expert system represents a breakthrough in processing structured clinical
       information utilizing automated clinical guidelines. Its disruptive nature maintains a
       focus of medically necessary resources on patient care with the results being
       measured by the positive impact it has on healthcare efficiency, effectiveness, the
       revenue cycle, and profitability.

 The application developed addresses the following categories:
       1) Tackles the high cost of medical delivery and its inefficiencies
       2) Provides clinical documentation that reduces Fraud and Waste
       3) Is a Patented and Innovative approach to value-based care imperatives.



A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc.   2
Usability and Design
 The ACG expert system represents a breakthrough in processing structured clinical
 information utilizing automated clinical guidelines.

 It is a constructively disruptive approach that focuses the delivery of medically necessary
 resources on patient care with the results being measured by the positive impact it has on
 healthcare efficiency, effectiveness and improvements in the quality of care.

 ACG by design is focused on significantly reducing healthcare fraud, waste, and
 bureaucracy while delivering evidence based products to U.S. and world healthcare
 markets. ACG has developed "An Elegant System for Doing the Right Things for the
 Patients and for Those Who Pay.“

 ACG products are applied at a patient level beginning with Mobile Health Record (iMHR)
 and then at every level of provider and hospital interactions with that patient throughout
 their course of treatment. The provider will use our clinical documentation apps along
 side with the treatment of the patient to assist the provider in following best practice
 clinical guidelines and collecting information resulting in a real time transcript of the
 provider –patient encounter including auto coding and identification of co-morbidities.



A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc.   3
Development Stage

   Please indicate the development stage as of the Phase 1
          Submission Date: February 3, 2013

              Applications and Beta site evaluations complete and in contract negotiations with various hospital clients.

              ACG is an early stage company with it first product suite completed and priced for hospital use. We have completed
              the entire knowledge base of all LCD and NCD’s used in Florida and we are fully compliant with CMS requirements
              for these.




A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc.                                    4
Integration Description

             All ACG application products are released and vetted as internet ready products.
             They are medically vetted to insure accuracy and quality by providers in their
             area of specialty .

             Once they are released for delivery and integration with an EMR integrator like
             Allscripts they can be used across all installations nationwide on a contractual
             basis offered as an ACG Clinical Documentation product line by Allscripts or ACG
             can deliver these apps directly to hospital IT departments that will integrate them
             through their IT departments with their systems.

             All ACG products are Internet centric and independent of EMR or EHR systems
             and require no training to providers or their staff and are available cross
             platforms such as desktops, tablets and smartphones.




A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc.     5
Go to Market Plans

Provide information on business plans, including:


                      ACG products will be brought to market by an annual licensing fee contract that can
                      be initiated by relationships with:
                                                      1) EMR/EHR System Vendors
                                                      2) Revenue Cycle Management Companies
                                                      3) Direct and Rep firms serving Physicians and Hospitals


                      ACG will target all Allscripts segments that involve a patient, provider and a payor.


                      The proposed price will be a function of the number of applications licensed.



    A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc.                     6
Go to Market Plans

Provide information on business plans, including:


                      ACG products will be brought to market by an annual licensing fee contract that can
                      be initiated by relationships with:
                                                      1) EMR/EHR System Vendors
                                                      2) Revenue Cycle Management Companies
                                                      3) Direct and Rep firms serving Physicians and Hospitals


                      ACG will target all Allscripts segments that involve a patient, provider and a payor.


                      The proposed price will be a function of the number of applications licensed.



    A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc.                     6
Why will this solution be selected?

ACG will be selected for the following reasons:
1)      ACG is a Disruptive Breakthrough in Clinical Documentation

2)      ACG’s Knowledge Base Is Extensive, in Place and Product Rollout is Underway

3)      ACG ‘s Ease of Use, Requires No Training and Offers a Self Audit Capability

4)      ACG is Cost Effective and Will Result in Significant Reductions in Waste & Fraud

5)      ACG Software is Smart, Internet Based and Platform and EMR/EHR Independent

6)      ACG is Patent Protected and Already in Use at Physician and Hospital Beta Sites

7)      ACG is the Only Real Solution to the Healthcare Crisis


     A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc.   6
Aging
             Health Care       Health Care
Population
               Costs             Costs



Regulatory
                           A
Complexity    Waste &
               Fraud       C   Waste &
                                Fraud


 Doctor
                           G
Shortage
               Patient           Patient
                Care              Care



 ACG, LLC                                    9
Health Improvement Activities
                                      Patient Education & Safety
                                      Decrease Hospital Readmissions
Traditional   Health Care Claims      Health Information Technology …
   MLR            Premiums

                                              ACG
              Health Care Claims + Quality Improvement Expenses
 ACA MLR
                Premiums – Taxes, Licensing & Regulatory Fees

                                       Administration Costs
                                       Marketing Costs
                 ACG                   Profits

 ACG, LLC                                                               10
Utilization         Diagnostic
             Management          Treatment Options




Admissions                                           Emergency




                                                                 X-rays


Education                                             Physicians

                           ACG




                                                                   11

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Acg allscripts powerpoint app submission

  • 1. Automated Clinical Guidelines, LLC (ACG) Cofounders: Douglas K. Dew, MD, MBA Frank J. Thomas, RIA, MSM ACG’s Medicare Compliance Tool Apps Douglas K. Dew/CEO 1 Copyright © 2011 Allscripts Healthcare Solutions, Inc.
  • 2. Solution Overview High Level Solution Description: ACG has developed an innovative mobile healthcare ecosystem that is patient-centered, real-time, language-independent, EMR/EHR independent and delivers evidence based medicine for application on a worldwide basis. Healthcare/Business problem addressed: The ACG expert system represents a breakthrough in processing structured clinical information utilizing automated clinical guidelines. Its disruptive nature maintains a focus of medically necessary resources on patient care with the results being measured by the positive impact it has on healthcare efficiency, effectiveness, the revenue cycle, and profitability. The application developed addresses the following categories: 1) Tackles the high cost of medical delivery and its inefficiencies 2) Provides clinical documentation that reduces Fraud and Waste 3) Is a Patented and Innovative approach to value-based care imperatives. A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 2
  • 3. Usability and Design The ACG expert system represents a breakthrough in processing structured clinical information utilizing automated clinical guidelines. It is a constructively disruptive approach that focuses the delivery of medically necessary resources on patient care with the results being measured by the positive impact it has on healthcare efficiency, effectiveness and improvements in the quality of care. ACG by design is focused on significantly reducing healthcare fraud, waste, and bureaucracy while delivering evidence based products to U.S. and world healthcare markets. ACG has developed "An Elegant System for Doing the Right Things for the Patients and for Those Who Pay.“ ACG products are applied at a patient level beginning with Mobile Health Record (iMHR) and then at every level of provider and hospital interactions with that patient throughout their course of treatment. The provider will use our clinical documentation apps along side with the treatment of the patient to assist the provider in following best practice clinical guidelines and collecting information resulting in a real time transcript of the provider –patient encounter including auto coding and identification of co-morbidities. A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 3
  • 4. Development Stage Please indicate the development stage as of the Phase 1 Submission Date: February 3, 2013 Applications and Beta site evaluations complete and in contract negotiations with various hospital clients. ACG is an early stage company with it first product suite completed and priced for hospital use. We have completed the entire knowledge base of all LCD and NCD’s used in Florida and we are fully compliant with CMS requirements for these. A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 4
  • 5. Integration Description All ACG application products are released and vetted as internet ready products. They are medically vetted to insure accuracy and quality by providers in their area of specialty . Once they are released for delivery and integration with an EMR integrator like Allscripts they can be used across all installations nationwide on a contractual basis offered as an ACG Clinical Documentation product line by Allscripts or ACG can deliver these apps directly to hospital IT departments that will integrate them through their IT departments with their systems. All ACG products are Internet centric and independent of EMR or EHR systems and require no training to providers or their staff and are available cross platforms such as desktops, tablets and smartphones. A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 5
  • 6. Go to Market Plans Provide information on business plans, including: ACG products will be brought to market by an annual licensing fee contract that can be initiated by relationships with: 1) EMR/EHR System Vendors 2) Revenue Cycle Management Companies 3) Direct and Rep firms serving Physicians and Hospitals ACG will target all Allscripts segments that involve a patient, provider and a payor. The proposed price will be a function of the number of applications licensed. A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 6
  • 7. Go to Market Plans Provide information on business plans, including: ACG products will be brought to market by an annual licensing fee contract that can be initiated by relationships with: 1) EMR/EHR System Vendors 2) Revenue Cycle Management Companies 3) Direct and Rep firms serving Physicians and Hospitals ACG will target all Allscripts segments that involve a patient, provider and a payor. The proposed price will be a function of the number of applications licensed. A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 6
  • 8. Why will this solution be selected? ACG will be selected for the following reasons: 1) ACG is a Disruptive Breakthrough in Clinical Documentation 2) ACG’s Knowledge Base Is Extensive, in Place and Product Rollout is Underway 3) ACG ‘s Ease of Use, Requires No Training and Offers a Self Audit Capability 4) ACG is Cost Effective and Will Result in Significant Reductions in Waste & Fraud 5) ACG Software is Smart, Internet Based and Platform and EMR/EHR Independent 6) ACG is Patent Protected and Already in Use at Physician and Hospital Beta Sites 7) ACG is the Only Real Solution to the Healthcare Crisis A Connected Community of Health | Copyright © 2011 Allscripts Healthcare Solutions, Inc. 6
  • 9. Aging Health Care Health Care Population Costs Costs Regulatory A Complexity Waste & Fraud C Waste & Fraud Doctor G Shortage Patient Patient Care Care ACG, LLC 9
  • 10. Health Improvement Activities Patient Education & Safety Decrease Hospital Readmissions Traditional Health Care Claims Health Information Technology … MLR Premiums ACG Health Care Claims + Quality Improvement Expenses ACA MLR Premiums – Taxes, Licensing & Regulatory Fees Administration Costs Marketing Costs ACG Profits ACG, LLC 10
  • 11. Utilization Diagnostic Management Treatment Options Admissions Emergency X-rays Education Physicians ACG 11