WE AT ARAM
ARE YOUR PARTNER
IN YOUR QUEST FOR
BETTER HEALTH CARE
AT LOWER COST

  GAPS IN MEDICAL CARE 


• NATIONAL HEDIS DATA SHOWS THAT MORE THAN 50% PATIENTS WITH A CHRONIC ILLNESS DO NOT GET THE RIGHT CARE RECOMMENDED FOR THEM.

• SUCH GAPS IN CARE LEAD TO ADVERSE OUTCOMES LIKE ANGINA, HEART ATTACK, STROKE, LEG AMPUTATION, BLINDNESS, IMPOTENCE, KIDNEY FAILURE, RESPIRATORY FAILURE AND DEATH. GAPS IN MEDICAL CARE

• 25% WOMEN HAVE NOT HAD A BREAST CANCER SCREENING. IN SOME STATES THIS IS EVEN WORSE.

• 40% DIABETICS HAVE POOR CHOLESTEROL CONTROL PUTTING THEM AT INCREASED RISK OF A HEART ATTACK AND STROKE.

• 35% INDIVIDUALS HAVE POOR CONTROL OF CHOLESTEROL LEVELS EVEN AFTER A CARDIOVASCULAR EVENT. 



 POOR COORDINATION OF HEALTHCARE

• A PHYSICIAN DOES NOT KNOW WHAT THE OTHER TREATING SPECIALIST IS DOING FOR THE PATIENT IN MOST CASES. • THERE IS NO WRITTEN OFFICAL COMMUNICATION AMONGST PROVIDERS.

• MOST EXCHANGES OF INFORMATION AMONG DOCTORS ABOUT THE PATIENT ARE EITHER ON THE PHONE OR IN THE CORRIDORS.

• THIS IS NOT LIKELY TO CHANGE SOON.



  IN THE SHORT TERM 


• THIS POOR CONTROL OF CHRONIC MEDICAL CONDITIONS LEADS TO INCREASED EMERGENCY ROOM UTILIZATION AND HOSPITAL ADMISSIONS

• THIS CONTRIBUTES SIGNIFICANTLY TO THE INCREASING COST OF HEALTHCARE AND SUFFERING FOR THE PATIENT


 
  IN THE LONG TERM 


• POOR CONTROL OF CHRONIC MEDICAL CONDITIONS LEADS TO KIDNEY FAILURE, HEART ATTACKS, STROKES, BLINDNESS

• LACK OF CO-ORDINATED CARE CAUSES MISSED OPPORTUNITIES TO PREVENT COMPLICATIONS.


 NO WONDER
COST OF MANAGING A CHRONIC ILLNESSES IS OUT OF CONTROL
AND KEEPS RISING

   YOUR MEMBERS  
DESERVE BETTER HEALTHCARE 


• OVER 50% OF PATIENTS DO NOT GET THE OPTIMAL HEALTH CARE FOR THEIR CHRONIC MEDICAL CONDITIONS •

OVER 80% COST IS ASSOCIATED WITH 20% SICKEST MEMBERS WITH CHRONIC MEDICAL PROBLEMS 



  WE AT ARAM
FOCUS ON THOSE
GAPS IN THE CARE  


• YOUR MEMBERS NEED NOT SUFFER ANY MORE DUE TO FAILURES OF THE HEALTHCARE SYSTEM

• IN ARAM DISEASE MANAGEMENT YOUR MEMBERS WILL FIND A COACH, A PARTNER AND AN ADVOCATE THAT WILL ENSURE BEST POSSIBLE MEDICAL CARE FOR THEM



WE FOLLOW DMAA’s
6 COMPONENTS OF DISEASE MANAGEMENT
 

– POPULATION IDENTIFICATION
– EVIDENCE BASED PRACTICE GUIDELINES
– COLLABORATIVE PRACTICE MODEL TO INCUDE PHYSICIANS AND SUPPORT SERVICES PROVIDERS
– PATIENT SELF MANAGEMENT EDUCATION
– PROCESS AND OUTCOME MEASUREMENT
– ROUTINE REPORTING FEEDBACK LOOP



 WE USE
INDIVIDUALIZED
APPROACH

• We do not use cookie cutter approach used by so many companies.

• Through years of experience we have devised individual focused protocols that are goal driven.

• Our patient management protocols are unique, with definite urgency based end points that must be met for each patient.



 Effectiveness of
Our Health Coaches
 in Diabetes  

• We increased the glucometer rate from 60% to 98%.

• We increased the foot exam by the podiatrist from by almost 100%

• We increased the eye exam rate by 200%




  Effectiveness of
Our Health Coaches
  in Asthma 

• We increased the rate of use of peak flow meter from 16% to 42%
 
• Appropriate use of steroid inhaler rate from 62% to 93% 



  Effectiveness of 
 Our Health Coaches in
 Post Inpatient
Discharge Management

• We decreased 30 day readmit rate significantly in an extremely sick group of patients.



 Excellent Patient Satisfaction

• We have a satisfaction score of over 95% with not a single complaint in over 28,000 calls that we made.



 MEMBERS WIN THROUGH


• UNDERSTANDING THE NATURE OF THE ILLNESS

• UNDERSTANDING COMPLICATIONS OF THE ILLNESS WITH OUR NEED BASED EDUCATION

• PREVENTING COMPLICATIONS FROM OCCURING

• TREATING COMPLICATIONS EARLY TO MINIMIZE ADVERSE EFFECT ON PATIENT’S HEALTH

• REDUCED EMERGENCY ROOM VISIT AND HOSPITALIZATION 


 OUR FOCUS IS
 DISEASE  MANAGEMENT

• we keep our staff updated with the developments in the relevant medical fields

• We enable our staff to prioritize and focus on individual needs of the patient

• we do not involve in any other activity


  WE GO BEYOND EDUCATING THE
 PATIENT

• We recognize the pivotal role of the patient’s Health Care provider and work with them as a team

• We coordinate our efforts with the patient’s provider; alert them on gaps in medical care, if any, that need to be addressed urgently.

• we did not have a single problem educating the physicians.


 WE ALSO 
COORDINATE CARE WITH
 THE PROVIDERS

• We did not have a single problem educating the physicians.

• We find it easy and very rewarding to educate the physicians.

• Physicians have always expressed their appreciation for our coordination of services for their patients.


 PROVIDERS WIN

• PROVIDING PHYSICIANS AND OTHER PROVIDERS WITH FEEDBACK, CUES, REMINDERS AND PROMPTS TO DELIVER EVIDENCE BASED MEDICINE TO OPTIMIZE MEMBER’S HEALTH.

• PHYSICIANS BENEFIT FROM OUR COORDINATION OF HEALTHCARE SERVICES FOR THEIR PATIENTS.



 Our Platform is Unique

• Our platform focuses on clinically important issues

• we have automatic triggers and alerts that help our staff achieve their objective

• We provide focused, specific health education leading to patient empowerment

 We Offer
Health Coach Based
 Disease Management  

We focus on the
disease conditions
that can be helped the most
and cost most money
to you and your members 
    
– Diabetes Mellitus 
         – Congestive Heart Failure
– Coronary Artery Disease
– Lipid Disorders (Cholesterol) Management
– Bronchial Asthma



We Can Also Provide
Health Coach Based
Disease Management for

– Emergency Room over-utilization

– Post Discharge Care

– Smoking Cessation

– Overweight Problems

– Post partum Cases

– Hepatitis

– HIV Disease


 INNOVATIVE SOLUTIONS  

– Our unique new web based platform helps members start their health management immediately.

– This programme can be further supported by the availability of a health coach to guide the member through the decisions about their chronic medical conditions


 WE CAN PROVIDE 

EITHER SEPARATELY
OR
IN COMBINATION,
OUR HEALTH COACH BASED AND WEB BASED PROGRAMS


REGULAR REPORTS


• We provide basic quarterly and annual reports free

• Additionally We can provide customized reports on request for a small charge


 WHAT WE WILL NEED
FROM YOU


• YOUR OBJECTIVES AND GOALS

• MEMBER’S DEMOGRAPHIC DATA

• MEMBER UTILIZATION OF SERVICES

• EMERGENCY ROOM UTILIZATION

• HOSPITALIZATION

• PHARMACY USE

• DOCTOR VISIT

• OTHER RELEVANT INFORMATION



We will provide a

Customized proposal

Based on your needs and priorities


 
  WITH ARAM 
 YOU WILL BE
    A WINNER   


THROUGH OUR DISEASE MANAGEMENT PROGRAM WE CAN HELP YOU
REDUCE COST AND
ENHANCE QUALITY
OF MEDICAL CARE


  We would like to be
your strategic partner
to achieve your goals for


 BETTER HEALTHCARE AT LOWER COST




Contact Us At

• ARAM Disease Management
800.941.2726 or 732.222.2006

• Ask for – M. Mudaliar, MS, MBA • VP Marketing and Sales

– Dr Anup, MD • CEO


THANK YOU

ARAM
Disease Management of America