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International Markets

International Markets. OUI 2016. International Roadmap. Why is OTTR going international? D oes OTTR going international impact my center? How?. Why this topic?. ACO talk as Keynote Speaker for OTTR OUI 2013 England, Kingdom of Saudi Arabia, and State of New South Wales, AUS are all ACOs.

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International Markets

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  1. International Markets OUI 2016

  2. International Roadmap Why is OTTR going international? Does OTTR going international impact my center? How?

  3. Why this topic? ACO talk as Keynote Speaker for OTTR OUI 2013 England, Kingdom of Saudi Arabia, and State of New South Wales, AUS are all ACOs

  4. ACO Review Accountable Care Organizations (ACOs) • Accept financial risk of managing defined population • Optimize financial profit by keeping population health optimized (in theory) • Requires deep data and analytic ability to drive efficient resource allocation

  5. ACOs – additional characteristics • Strong alignment between physicians and hospitals (need both to manage defined population) • Focus on getting the right treatment/right outcome the first time • Education and wellness are important considerations

  6. England, KSA, NSW – AUS (and Canada!) Common Traits: • Single payor – government pays for all transplant and dialysis • Defined population is everyone (in defined geographic area) • Primary through quantrinary care is provided

  7. England (Great Britian) .

  8. England (Great Britian) – Oxford Hospital

  9. KSA

  10. KSA – King Faisal Hospital

  11. NSW - AUS

  12. NSW – AUS – Royal Prince Alfred Hospital

  13. International OTTR helps transplant programs track and manage transplant patients as well as data …. The bigger cost issue for national health system is pre-transplant patient care.

  14. US at a glance (UNOS data) • 120,011 people need a lifesaving organ transplant (total waiting list candidates). Of those, 77,341 people are active waiting list candidates • 16,446 transplants performed this year • Total Transplants January - June 2016 as of 07/29/2016 • 7,766donors • Total Donors January - June 2016 as of 07/29/2016 On average, 22 people die each day waiting for a transplant!

  15. Cost of Transplantation • Bone Marrow (autologous): $375,000 • Bone Marrow (allogeneic): $925,000 • Heart: $1.2 million • Intestine: $1.5 million • Kidney: $330,000 • Pancreas: $315,000 • Liver: $735,000 • Lung: $785,000 Double Lung: $1 million • Heart/Lung: $2.3 million • Kidney/Pancreas: $550,000 • Kidney/Heart: $1.5 million • Liver/Kidney: $1.2 million • *Data based on the 2014 Milliman Research Report on U.S. organ and tissue transplants.

  16. Opportunities for Cost Savings Savings from stopping dialysis (lifetime) - $735,000 99,413 Candidates currently waiting for kidney TX 10% pre-emptive kidney TX = $6,918,555,000 savings 50% pre-emptive kidney TX = $36,534,277,000 savings Sources: USRDS 2013 annual data report; UNOS

  17. International Wheel and Spoke Model Central entity – wheel (UNOS, SCOT) – that collects and shares data with all transplant hospitals and dialysis centers – spokes Facilitates integrated care for patients and optimal financial efficiency

  18. International Wheel and Spoke Model in US Think about your organization as an ACO, with a need to communicate and collect/share data with your spokes (affiliated hospitals, referring providers, dialysis centers, ESRD network) OTTR work in International markets is helping us define better tools and process to help you accomplish this critical task

  19. Take aways • Is your organization current an ACO? How do you find out if you don’t know? • How can you help drive the conversation on helping your organization have the best possible infrastructure to support patient safety/care both inside the hospital and at your affiliated spokes? • How can we help you in this task?

  20. Thank you Mike Donnell, MHA EVP/Chief Marketing Officer mike.Donnell@ottr.com 402-398-2255

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