1. The Home Intensivist Practice Linking Patient Needs to Care Expertise

3. You’ve got to fish where the fishes is?

4. Where The Fishes Is H IGH NEED PATIENTS REPRESENT THE GREATEST OPPORTUNITY TO SAVE Based on Commercial Lives @ Blue Cross Blue Shield/ WellPoint LOW RISK MEMBERS OPTIMIZE RESOURCES IN ACUTE EPISODES OF CARE, POPULATION CARE MODERATE RISK MEMBERS DM AND EDUCATION, RISK AVOIDANCE WELL MEMBERS PREVENTION AND EDUCATION HIGH RISK, MULTIPLE DISEASES EPISODIC CARE MGMT, CLINICAL GUIDELINES, HIGH RISK DM COMPLEX & INTENSIVE CARE TOTAL CARE INTEGRATION Population 50% 20% 25% 4% 1% MEDICAL COSTS 10% 10% 25% 30% 25% High need patients with avoidable institutional services pre-65 =.3% to .8%, post-65 = 3 to 5%

8. Practice of Medicine vs. Disease Management Why DM produces small impact Disease Management Scope of Practice Practice of Medicine Scope of Practice

9. The Difference with a Home Intensivist Practice MEDICINE PRACTICED EVERYDAY: LIFEVIEW CARE Day 1 Day 2 Every Day Medical Practice : individual care plans adjusted daily & &

10. Home Intensivist Practice LifeView Care Team FAMILY DM Nurse Primary Care Hospital/ Facility Services Physicians Homecare Basic Network Telecare Clinician Pharmacist Chronic Care Specialist Specialists Nutritionist PARTICIPANT

12. Tools to Keep Patients Stable at Home Stitches RX and OTC Confirmation Clinician Dashboard Injections

14. ATI Strengthens the “Patient-PHP” Relationship ACM TM PROGRAM

17. Connect Expert Care Where & When Needed Provider Station LifeView™ Video Patient Station