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 We partner with our clients to implement and operate information-                    Physicians and
driven quality management solutions that assure measurable results.                     Physician
PCD Partners creates alignment between hospitals and physicians that                     Groups
    result in improved clinical outcomes for patients and improved
                  financial performance for providers.
                                                                                           Hospital
                                                                                          Executives



                                                                                          Healthcare
                                                                                          Attorneys




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                           PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
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About PCD Partners




PCD Partners is comprised of highly accomplished physicians, academics, and
entrepreneurs who have decades of experience with collaboration in medical quality
and practice improvement systems. Our principals have a peerless record of
accomplishment in improving measured clinical outcomes through the use of
evidence based treatment protocols to improve quality through consistency.

•   Core Competencies
•   Approach – Align, Measure & Improve
•   Principals
•   Careers

                       PCD Partners | 16 Cavendish Court | Lebanon, NH 03766          1.1
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    PCD Core Competencies
     PCD Partners was formed to bring together the collective experience and
     intellect of our principals to apply towards solving many of the challenges that
     physicians and hospitals are facing. Our partners are committed to playing an
     active role in improving the efficiency, quality and consistency of healthcare
     delivery. We have the clinical, administrative, quality, and systems acumen to
     help any healthcare delivery system.

•   Data Process & Capture                            •    Vascular, Cardiology and Orthopedic
•   Governance                                             Qualifications
•   Complex System Integration and                    •    Lean Six Sigma in Clinical Healthcare
    Implementation                                         Applications
•   Operation “Reboot”                                •    ISO 9001 Quality System
•   Risk Adjusted Outcomes                            •    System-wide Quality Initiatives
•   Evidence-Based Treatment Protocols
                                                      •    Process Redesign And Optimization


                                  PCD Partners | 16 Cavendish Court |                              1.2
                                         Lebanon, NH 03766
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PCD Approach: Align, Measure and Improve
 PCD’s methods are grounded in a simple framework:

        • Align co-dependent healthcare stakeholders
          (physicians, hospitals, payers and patients) using
          common metrics, structured relationships and
          financial incentives.

        • Measure the right quality and efficiency
          variables, ensure excellent data governance and buy-
          in, and make the data transparent to stakeholders.

        • Improve operations to reduce defects and increase
          efficiency using standardized tools in a way that
          reinforces the underlying stakeholder alignment.


                   PCD Partners | 16 Cavendish Court | Lebanon, NH 03766          1.3
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Align
What is it?            There are a myriad of alignment structures that are used to create different
                       levels of integration between hospitals and physicians; some are more
                       effective than others depending upon the specific objectives of creating the
                       alignment.

How does a             A CMA can provide a structure to ensure that physicians and the hospitals
                       that they practice in have their incentives aligned. The formation of an
CMA help with          alignment structure requires input from all involved parties to determine
Alignment?             physician and management roles and responsibilities, service line governance
                       and CMA fees and compensation.

How can PCD            PCD’s clinical, operational and data experience enables us offer input into
                       developing the right alignment structure. The CMA structure is the only
add value?             structure that provides on-going financial rewards; it is also the only structure
                       that requires the use of data to improve quality, and it can co-exist with any
                       other alignment structure.

What are the          CMAs are typically implemented within a service line; once the initial service
implications for      line has been implemented additional service lines can be added quickly.
a system wide         Having the right alignment structure that is repeatable across service lines
                      can facilitate a facility wide quality initiative.
quality initiative?
                                                                                                           1.3
                      PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
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Measure
What is it?            To be useful, the right data needs to be in the right format in the right
                       place at the right time. Data is required to be able to measure anything
                       in a meaningful way; without data there is no knowledge.


How does a             CMAs require that quality and efficiency performance objectives and
CMA help with          metrics, data management, training and operations plans, and valuation
                       must be defined. Incentive bonuses are earned by producing data to
Alignment?             demonstrate measurable quality improvements over specified time
                       periods.

How can PCD            PCD can help define quality and efficiency performance objectives and
                       metrics, structure a data management plan, develop and deliver training
add value?             and operations plans, and provide an independent 3rd party Valuation
                       Fairness Opinion. Our real time dashboards will help you to transform
                       data into knowledge that is meaningful for all parties.

What are the           Having the right data available and in a useful format is the key to
implications for       optimizing quality across a healthcare delivery system. The majority of
                       data required to produce an effective system wide quality system comes
a system wide          from outside of the EMR. In order to effectively identify, collect and
quality initiative?    transform all of the data required into useful knowledge requires
                       experience skill and the right tools.
                                                                                                   1.3
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Improve
What is it?            Improvement can come in many forms: increased throughput, reduced costs,
                       reduced defects, improved efficiency and most importantly, improved patient
                       outcomes. Realization of these improvements is the result analyzing and
                       optimizing processes using best practice methodologies.
How does a             CMA quality incentive bonuses are structured to provide an incentive payment
CMA help with          that is commensurate with measurable and demonstrable improvements that can
Alignment?             be proven through the data in the quality system.



How can PCD            PCD’s clinical skills, operational know-how and data expertise will combine to
                       develop the process improvements that ensure that you achieve optimal results.
add value?             PCD’s consultants are Lean Six Sigma and ISO 9001 trained to identify and reduce
                       waste, reduce defects and develop processes and procedures that are tracked by
                       an exception and corrective action tracking tool to ensure compliance and
                       visibility to quality performance.
What are the           Having the right alignment structure and measurement capabilities are pre-
implications for       requisites to realizing meaningful improvement, but do not assure improvement
a system wide          on their own. The addition of Lean Six Sigma principles does not guarantee
quality initiative?    process improvements without the role definition, process standardization and
                       reporting infrastructure that ISO 9001 compliance assures.
                                                                                                     1.3
                       PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
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Principals
The founders and principals of PCD Partners have devoted their careers to establishing
themselves as leaders in the healthcare field as physicians, academics, senior
administrators, entrepreneurs, and lawyers. Their collective wisdom and experience is a
critical component of every PCD Partners offering.


CHARLES HUTCHINSON, PhD
Chairman
Co-founder and CEO, GlycoFi, Inc. (acquired by Merck in 2006), Founder, M2S, Inc. and SustainX, Inc., Dean Emeritus, Thayer School of
Engineering at Dartmouth, Ph.D., Stanford

M. WESTON CHAPMAN
CEO
Chairman, President & CEO, M2S (acquired by AIG affiliate), Managing Director, Oppenheimer & Co. and Donaldson, Lufkin & Jenrette,
Adjunct Professor, ISO medical quality systems, Dartmouth Medical School, A.B. Dartmouth, M.B.A. Tuck

GRANT BAGLEY, MD, JD
Partner
Past Managing Partner, Healthcare Practice, Arnold & Porter, Past Director, Coverage and Analysis, Centers for Medicare & Medicaid
Services




                                                                                                                                        1.4
                                 PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
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Principals
DONALD S BIALEK MD MPH
Partner
Managing Director, Huron Consulting Group; SME, CSC Global Health Services; Physician Executive, Dearborn Advisors;
CEO, Alliance Medical Practices; CEO, Paradigm Medical Teams;
Faculty, Harvard University;
NLM Informatics Fellow, Harvard/MIT;
BSc, Univ of MD; MD, Univ of MN; MPH, Harvard University

COLIN C. BLAYDON, AM, PHD
Partner
Director, Center for Private Equity & Entrepreneurship
Dean Emeritus, Tuck School of Business at Dartmouth
Professor, Harvard Business School
Dept. Of Defense, OMB
BEE Univ. of Virginia, AM Harvard, PhD Harvard

MICHAEL A. CHOUKAS
Partner
President and CEO, Oncopartners, EVP United Biosource Corp., Chairman & CEO, Scirex Corp., Chairman & CEO Springborn
Laboratories (Now STRI,NYSE),Partner, Bain & Company, Legislative Director, US Senator Patrick Leahy, B.A. Dartmouth, M.B.A.
Harvard Business School

JOHN C. COLLINS, MPH, JD
Partner
Chair and President, Hampden Assurance Co. Ltd.,
Chief Executive Officer, Dartmouth-Hitchcock Clinic, Dartmouth-Hitchcock Medical Center
Director BCBS of Vermont
Assist. Prof. Dartmouth Medical School
BS Cornell, MPH Michigan, JD Georgetown
                                                                                                                               1.4
                                PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
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Principals
JACK CRONENWETT, MD
Partner, Chief Medical Officer
Chair Emeritus, Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center
Medical Director, Vascular Study Group of New England, Professor of Surgery, Dartmouth-Hitchcock Medical Center, B.S.
Michigan, M.D. Stanford
ADAM GROFF, MD, MBA
Partner
Division Director, Bayada Nurses, Inc., Hospitalist, Dartmouth-Hitchcock Medical Center, Assistant Professor, Dartmouth Medical
School and The Dartmouth Institute for Health Policy & Clinical Practice, A.B. Dartmouth, M.D. Penn, M.B.A. Wharton

MARK ISRAEL, MD
Partner, Chairman of the Medical Advisory Board
Director, Norris Cotton Cancer Center, Dartmouth-Hitchcock Medical Center, Professor, Pediatrics and Genetics, Dartmouth Medical
School, B.A. Hamilton, M.D. Albert Einstein

DR. GERRY O’CONNOR, PhD
Partner, Quality Program Director
Research Director, Northern New England Cardiovascular Disease Study Group, Corporate Consultant, Design and Implementation of
Clinical Quality Programs, Principal Investigator, National Quality Program, Cystic Fibrosis Foundation, Professor, Dartmouth Medical
School and The Dartmouth Institute for Health Policy & Clinical Practice, B.S. Columbia, Ph.D. Union, Sc.D. BU, M.P.A Harvard




                                                                                                                                        1.4
                                  PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
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Staff
PAUL CARREIRO, PA
Corporate Consultant
Medical Staff Officer, U.S. Merchant Marine
Consultant, New England Center for Emergency Preparedness, Dartmouth Medical School
Board of Advisors, Franklin Pierce University Physician Assistant Program
A.B. Harvard, B.S. University of Texas, JFK Special Warfare Center for Low Intensity Conflict, Flight Surgeon - School of Aviation
Medicine, U.S. Army

VEKRAM JENARTHANAN
Project Manager
Vekram has previously worked in the fields of data analytics and information management in the banking and insurance
verticals. His experiences and interests in project management and TQM make him an ideal fit for PCD. His work at PCD
involves the technical design and implementation of quality management systems.
 B.E. (Electrical and Electronics Engineering) College of Engineering Guindy - Chennai, India M.E.M. Duke University



JON LEET
Director of Sales & Marketing
Jon brings 25+ years of sales and marketing accomplishments with both large companies (Oracle, IBM) and startup companies across
a variety of technologies and industry verticals. Jon is responsible for working with PCD management to implement a structured sales
process and develop a focused marketing plan. B.A. Colorado College.




                                                                                                                                       1.4
                                  PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
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          Why Should Physicians Talk to PCD Partners
          About Co-Management Arrangements (CMAs)?
           When your group or practice is considering integration alternatives with the
           hospitals that you practice in.
 Align
           When you are feeling pressure to evaluate the economic security of hospital
           employment despite your desire to remain independent.
           When you are seeking additional sources of revenue to replace reduced
Measure
           reimbursements and changing incentives under new payment models.
           When you are looking to collaborate with your hospital to promote evidence-
           based medicine, coordination of care, outcome measurement and reporting,
Improve    operational efficiencies and other organizational improvement efforts.
           When you want a stepping stone to serve as a template for an accountable care
           organization (“ACO”) or as the foundation for a bundled payment arrangement
           without resorting to hospital employment or selling your practice.

                               PCD Partners | 16 Cavendish Court | Lebanon, NH 03766           2.1
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          Why a CMA Versus Other Structures?
            Clinical (or service-line) Co-Management Arrangements (CMA) are one of
            the most successful strategies that hospitals and physicians are using to
            achieve clinical integration, strategic alignment and collaboration.
            A CMA allows the physicians to share in the hospital’s service line revenue in
 Align
            addition to their own professional fees in exchange for providing operational
            oversight of the service line.
            The CMA is an effective structure for creating collaboration between
Measure     physicians and the hospitals where they practice. It is the only structure that
            provides on-going financial rewards; it is also the only structure that requires
            the use of data to improve quality, and it can co-exist with any other
            alignment structure.
Improve
            A CMA provides the structure for the physicians and the hospital to work
            together to leverage the work done in a co-management arrangement to
            succeed under new payment models and to position the physicians and
            hospital with ACOs that are looking for efficient partners.

                              PCD Partners | 16 Cavendish Court | Lebanon, NH 03766            2.1
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          How Do CMA Financial Incentives Work?
            The Co-Management Arrangement (CMA) will specify additional
            administrative and bonus compensation to be paid by the hospital to
            the physicians to provide incentives for the physicians to take
            responsibility for improving metrics related to quality, efficiency, and
 Align      budget in a hospital service line.
            CMAs are a vehicle which permit the physicians to share in the hospital
            revenue for a specific service line without violating Stark, kickback or
            other civil monetary regulations.
Measure
            Physicians earn financial bonuses for improvements in a service line’s
            operational, clinical and budgetary performance.

Improve
            The co-management model rewards physician leadership during
            significant and rapid change and can be used to empower physicians to
            be the architects in redesigning the healthcare delivery model.



                              PCD Partners | 16 Cavendish Court | Lebanon, NH 03766          2.1
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What is the Result of a Properly Implemented CMA?
                     A common plan                        Patients get the
                    and vision that is                benefit from a system
                    created jointly by                that is working closely
                      the physicians                   together to achieve a
                    and the hospital;                     common set of
                                                            objectives.




Physicians have greater                 Financial incentives for                 Joint implementation of
  impact on achieving                  physicians for measuring                     quality and safety
operational and process               and improving quality and                      standards by the
    improvements;                             efficiency;                           physicians and the
                                                                                         hospital;     2.1
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          Who is PCD Partners?
            PCD Partners is comprised of world class physicians, academics, and
            entrepreneurs who have decades of experience with collaboration in
            medical quality and practice improvement systems for large scale practice
            management and clinical practice improvement.
 Align
            The founders and principals of PCD Partners have devoted their careers to
            establishing themselves as leaders in the healthcare field as physicians,
            academics, senior administrators, entrepreneurs, and lawyers. Their
            collective wisdom and experience is a critical component of every PCD
Measure
            Partners offering.
            PCD Partners was formed to bring together the combined experience and
            intellect of our principals to apply towards solving many of the challenges
Improve     that physicians and hospitals are facing. Our partners are committed to
            playing an active role in improving the efficiency, quality and consistency of
            healthcare delivery. We have the clinical, administrative, quality, and
            systems acumen to help any healthcare delivery system.

                              PCD Partners | 16 Cavendish Court | Lebanon, NH 03766          2.1
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         What Are PCD Partners’ Deliverables?
           PCD can help define quality and efficiency performance objectives and metrics,
           structure a data management plan, develop and deliver training and
           operations plans, and provide an independent 3rd party Valuation Fairness
           Opinion. Our real time dashboards will help to transform data into knowledge
 Align     that is meaningful for all parties.
           PCD can help to maximize the incentive bonuses by leveraging our experience
           in gathering meaningful clinical data and transforming it into knowledge to
           improve patient outcomes.
Measure
           PCD has the clinical skills, operational know-how and the data expertise to
           help to develop the process improvements that ensure the realization of
           measurable and meaningful results.
Improve
           PCD’s consultants are trained in Lean Six Sigma and ISO 9001 to identify and
           reduce waste, reduce defects and develop processes and procedures that are
           reinforced by a variance reporting and corrective action tracking tool to ensure
           compliance and visibility to quality improvements.

                            PCD Partners | 16 Cavendish Court | Lebanon, NH 03766          2.1
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         How Do I Get Started?
           PCD would be happy to schedule an initial no cost phone consultation to help
           you to assess how we can help your practice.
           Click to contact PCD Partners: Contact
 Align


                        Please call Jon Leet at (781) 544-0312 or
                        send an email to jleet@pcdpartners.com
Measure                 with any questions.



Improve




                             PCD Partners | 16 Cavendish Court | Lebanon, NH 03766          2.1
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         When Should a Hospital Talk to PCD Partners
         about Co-Management Arrangements (CMAs)?
          When it is seeking a strategy to engage physicians in strategic planning,
          managing hospital product and service lines, or in programs to improve
 Align    efficiency, clinical quality, and patient safety.
          When it needs to collaborate with its disconnected silos of currently employed
          physicians, independently owned practices, and joint ventures to manage costs
          and quality.
Measure
          When it needs a way to recruit, retain and involve private practice physicians
          who not interested in hospital employment.
          When its existing quality initiatives are not delivering optimal results.
Improve
          When it wants to build a foundation for measuring and improving quality to
          better position itself for shared risk reimbursement models and accountable
          care.
          When it is struggling to create a single hospital-physician “brand.”
                             PCD Partners | 16 Cavendish Court | Lebanon, NH 03766          3.1
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         Why a CMA Versus Other Structures?
           Clinical (or service-line) Co-Management Arrangements (CMA) are one of the
           most successful strategies that physicians and hospitals can use to achieve
           clinical integration, strategic alignment and collaboration.
           The CMA can be used to define physician and management roles and
           responsibilities, service line governance, quality metrics and on-going financial
 Align
           rewards for physicians without violating Stark, anti-kickback or other
           regulations.
           The CMA can co-exist with any other alignment structure and it is the only
Measure    structure that requires the use of data to improve quality.
           A CMA allows physicians to share in the hospital’s service line revenue in
           exchange for providing operational oversight of the service line and achieving
           defined quality goals.
Improve
           A CMA can foster a close working relationship between a hospital and its
           physicians to place a priority on working toward common economic and
           patient-centered goals.
           A CMA can be used to build the foundation to position physicians and hospitals
           with ACOs that are looking for efficient partners.
                          PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
                                                                                       3.1
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         How Do CMA Financial Incentives Work?
           A co-management agreement is generally set up to provide additional
           administrative and bonus compensation to reward physicians for taking
           responsibility for improving metrics related to quality, efficiency, and budget
           in a hospital service line.
 Align
           Physicians are directly rewarded for improvements in a service line’s
           operational, clinical and budgetary performance and compensated in
           addition to their professional fees.
Measure    The CMA can provide the incentive for physicians to do more work in that
           particular hospital, subsidize the physicians’ incomes, and reduce the
           incentive for the physician to compete with the hospital.

Improve
           The CMA incentive compensation can be an attractive alternative to hospital
           employment, while still aligning interests to help the hospital to become
           more competitive.



                             PCD Partners | 16 Cavendish Court | Lebanon, NH 03766           3.1
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What is the Result of a Properly Implemented CMA?
                     A common plan                        Patients get the
                    and vision that is                benefit from a system
                    created jointly by                that is working closely
                      the physicians                   together to achieve a
                    and the hospital;                     common set of
                                                            objectives.




Physicians have greater                 Financial incentives for                 Joint implementation of
  impact on achieving                  physicians for measuring                     quality and safety
operational and process               and improving quality and                      standards by the
    improvements;                             efficiency;                           physicians and the
                                                                                         hospital;     3.1
HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT



         Who is PCD Partners?
           PCD Partners is comprised of world class physicians, academics, and
           entrepreneurs who have decades of experience with collaboration in
           medical quality and practice improvement systems for large scale practice
           management and clinical practice improvement.
 Align
           The founders and principals of PCD Partners have devoted their careers to
           establishing themselves as leaders in the healthcare field as physicians,
           academics, senior administrators, entrepreneurs, and lawyers. Their
           collective wisdom and experience is a critical component of every PCD
Measure
           Partners offering.
           PCD Partners was formed to bring together the combined experience and
           intellect of our principals to apply towards solving many of the challenges
Improve    that physicians and hospitals are facing. Our partners are committed to
           playing an active role in improving the efficiency, quality and consistency
           of healthcare delivery. We have the clinical, administrative, quality, and
           systems acumen to help any healthcare delivery system.


                             PCD Partners | 16 Cavendish Court | Lebanon, NH 03766          3.1
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         What Are PCD Partners’ Deliverables?
           PCD can help define quality and efficiency performance objectives and metrics,
           structure a data management plan, develop and deliver training and
           operations plans, and provide an independent 3rd party Valuation Fairness
           Opinion. Our real time dashboards will help to transform data into knowledge
 Align     that is meaningful for all parties.
           PCD can help to maximize quality improvements by leveraging our experience
           in gathering meaningful clinical data and transforming it into evidence based
           treatment protocols to improve patient outcomes.
Measure
           PCD has the clinical skills, operational know-how and the data expertise to
           help to develop the process improvements that ensure the realization of
           measurable and meaningful results.
Improve
           PCD’s consultants are trained in Lean Six Sigma and ISO 9001 to identify and
           reduce waste, reduce defects and develop processes and procedures that are
           reinforced by a variance reporting and corrective action tracking tool to ensure
           compliance and visibility to quality improvements.

                            PCD Partners | 16 Cavendish Court | Lebanon, NH 03766             3.1
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         How Do I Get Started?
            PCD would be happy to schedule an initial no cost phone consultation to
            help you to assess how we can help your practice.
            Click to contact PCD Partners: Contact
 Align

                           Please call Jon Leet at (781) 544-0312 or
                           send an email to jleet@pcdpartners.com
                           with any questions.
Measure




Improve




                            PCD Partners | 16 Cavendish Court | Lebanon, NH 03766           3.1
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 Why Should Attorneys Consider Recommending a
 Co-Management Arrangement to Healthcare Clients?
          The health care industry’s increasing emphasis on quality of care and improving
          outcomes has created a need for innovative business models that align the
          interests of physicians and hospitals without conflicting with fraud and abuse
          laws.
 Align
          Hospital/Physician alignment is a prerequisite for hospitals to be able to realize
          meaningful change.
          There are many alignment structures that can be used depending on the goals of
Measure
          the alignment.
          The CMA is a very versatile and effective structure because:
          •   It can co-exist with any other alignment structure,
Improve
          •   It provides on-going financial rewards for the physicians,
          •   It’s flexible and adaptable,
          •   It can provide a first step towards accountable care , and
          •   It leads to improved patient outcomes and establishes a process for
              continuous improvement.
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          What Role Does PCD Play in a CMA?



 Align




Measure




Improve




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         When Is It Advantageous To Use a CMA?
           CMAs can add significant value when:
           An entity is acquiring hospitals,
           A hospital desires to be acquired,
 Align
           A hospital desires to elevate a service line to a “center of excellence”
           or an “institute”,
           A hospital in a competitive market wants to differentiate itself by
Measure    allowing physicians to remain independent,
           A hospital needs help retaining and recruiting physicians,
           A hospital wants to build a foundation for ACO, and/or
Improve
           Existing quality initiatives not delivering desired results.




                             PCD Partners | 16 Cavendish Court | Lebanon, NH 03766          4.1
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          How Can a CMA Help?
            Acquiring Entity             Continuity of Physicians
                                         Establish Quality Metrics
                                         Financial Incentives for Physician Contributions
                                         Infrastructure for Protocol Based Care
 Align      Being Acquired               Assure continuity of available physicians
                                         Empirically demonstrate quality achievements
            Elevate Service Line         Incentives for physicians for leadership of service
                                         line and attainment of quality improvements
                                                                     X
Measure
            Physician                    Assures joint hospital/physician management and
            Independence                 financial incentives for high performance
            ACO readiness                Establish a durable quality infrastructure
Improve                                  Incentives for providing accountable care
                                         Defines protocols for multiple providers
            Retention & Recruiting Can be used to create favorable and flexible work
                                   conditions while providing financial incentives.

                              PCD Partners | 16 Cavendish Court | Lebanon, NH 03766            4.1
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What is the Result of a Properly Implemented CMA?
                     A common plan                        Patients get the
                    and vision that is                benefit from a system
                    created jointly by                that is working closely
                      the physicians                   together to achieve a
                    and the hospital;                     common set of
                                                            objectives.




Physicians have greater                 Financial incentives for                 Joint implementation of
  impact on achieving                  physicians for measuring                     quality and safety
operational and process               and improving quality and                      standards by the
    improvements;                             efficiency;                           physicians and the
                                                                                         hospital;     4.1
HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT



         Who is PCD Partners?
           PCD Partners is comprised of world class physicians, academics, and
           entrepreneurs who have decades of experience with collaboration in
           medical quality and practice improvement systems for large scale
           practice management and clinical practice improvement.
 Align
           The founders and principals of PCD Partners have devoted their careers
           to establishing themselves as leaders in the healthcare field as
           physicians, academics, senior administrators, entrepreneurs, and lawyers.
           Their collective wisdom and experience is a critical component of every
Measure
           PCD Partners offering.
           PCD Partners was formed to bring together the combined experience and
           intellect of our principals to apply towards solving many of the challenges
Improve    that physicians and hospitals are facing. Our partners are committed to
           playing an active role in improving the efficiency, quality and consistency
           of healthcare delivery. We have the clinical, administrative, quality, and
           systems acumen to help any healthcare delivery system.


                             PCD Partners | 16 Cavendish Court | Lebanon, NH 03766          4.1
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         What Are PCD Partners’ Deliverables?
           PCD can help define quality and efficiency performance objectives and metrics,
           structure a data management plan, develop and deliver training and
           operations plans, and provide an independent 3rd party Valuation Fairness
           Opinion. Our real time dashboards will help to transform data into knowledge
 Align     that is meaningful for all parties.
           PCD can help to maximize quality improvements by leveraging our experience
           in gathering meaningful clinical data and transforming it into evidence based
           treatment protocols to improve patient outcomes.
Measure
           PCD has the clinical skills, operational know-how and the data expertise to
           help to develop the process improvements that ensure the realization of
           measurable and meaningful results.
Improve
           PCD’s consultants are trained in Lean Six Sigma and ISO 9001 to identify and
           reduce waste, reduce defects and develop processes and procedures that are
           reinforced by a variance reporting and corrective action tracking tool to ensure
           compliance and visibility to quality improvements.

                           PCD Partners | 16 Cavendish Court | Lebanon, NH 03766           4.1
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         How Do I Get Started?
            PCD would be happy to schedule an initial no cost phone consultation to
            help you to assess how we can help your practice.
            Click to contact PCD Partners: Contact
 Align
                       Please call Jon Leet at (781) 544-0312 or
                       send an email to jleet@pcdpartners.com
                       with any questions.
Measure




Improve




                            PCD Partners | 16 Cavendish Court | Lebanon, NH 03766           4.1
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       PCD Services




Co-Management Arrangements             PCD Partners’ world class physicians, academics, and entrepreneurs have
                                       decades of experience with collaboration in medical quality and practice
Quality Data Capture System            improvement systems for large scale practice management and clinical
Service Line Process Redesign and      practice improvement. Their collective wisdom and experience is a critical
Optimization                           component of every PCD Partners offering.
                                       PCD Partners offers a variety of services that our built around our core
Design, Implementation and           competencies comprised of:
Operation of Multi-Center Registries •   Extensive clinical skills,
Quality System                         •     Capture, design, implementation and presentation of clinical data,
Design, Implementation and             •     Effective operational expertise,
Operation
                                       •     Lean Six Sigma and ISO 9001 based process design and implementation.
Operational “Reboot”
                                  PCD Partners | 16 Cavendish Court | Lebanon, NH 03766                             5.1
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          Co-Management Arrangements




          PCD helps your organization – whether it is a physician group, hospital or integrated delivery system – develop the best
 Align    structure for aligning stakeholders to allow for improved integration, enhanced performance and increased value and quality.

          •CMAs are permitted contractual relationships to establish a quality system
          with financial incentives for meeting aligned performance goals

          •CMAs allow hospitals to share facility fees with non-staff physicians
          without violating Stark and anti-kickback laws
Measure
          •CMAs require the development and collection of metrics for process
          quality and efficiency measurement and management, with a prohibition
          of measures that could induce denial of service

          •CMAs were first created in 2008 based on the Advisory Opinion 08-16
Improve
          and are not affected by PPACA
                                      PCD Partners | 16 Cavendish Court | Lebanon, NH 03766                                   5.2
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            Quality Data Capture System




  Align
                   We support your healthcare organization's alignment structure
           Our platform includes a Data Capture and Reporting interface designed to create a robust, secure and HIPAA-compliant quality
           solution with minimal set-up costs.

Measure Physician group and hospital executives are provided with real-time dashboards that display information on key performance
           measures. Data that is collected from source systems is validated through a transparent governance process to ensure
           physicians and hospitals can trust the results.

           As a "data arbiter", PCD ensures that the measurements used to monitor quality and drive financial incentives are valid and
           trusted by all stakeholders.
                                          PCD Partners | 16 Cavendish Court | Lebanon, NH 03766                                          5.3
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          Service Line Process Redesign and Optimization

              Service Line Prioritization: Diagnoses service line
              performance vís a vís one another
              System-Wide Service Line Rationalization: Prioritizes system
              growth at service line and sub-service line
              Technology Evaluation Process Redesign: Identifies
 Align        opportunities to improve innovation management
              Capital Prioritization: Investigates need- and nice-to-have
              capital equipment in the coming years

Measure




Improve
                            PCD Partners | 16 Cavendish Court | Lebanon, NH 03766          5.4
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          Design, Implementation and Operation of
          Multi-Center Registries



 Align




Measure




                            PCD Partners | 16 Cavendish Court | Lebanon, NH 03766          5.5
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          Quality System Design, Implementation and
          Operation



 Align




Measure




Improve

                            PCD Partners | 16 Cavendish Court | Lebanon, NH 03766          5.6
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          Operational “Reboot”




 Align




Measure




Improve

                            PCD Partners | 16 Cavendish Court | Lebanon, NH 03766          5.7
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        Videos
Click                 Wes Chapman discussing the mandate to integrate
 to
View                  System-wide quality systems to survive reform.

Click                  Dr. Jack Cronenwett discusses lessons learned through his research
 to
View                   through the Vascular Study Group of New England

Click                 John Collins discusses the new demands reform is putting on
 to
View                  Hospital administrators

Click                 Dr. Don Bialek discusses the challenges facing independent
 to
View                  physicians to meet the IT requirements to comply with reform.

Click                 Dr. Adam Groff provides insights into the development of ACOs
 to
View
                      and offers suggestions on hospitals and physicians can begin
                      preparing for reform today.
                          PCD Partners | 16 Cavendish Court | Lebanon, NH 03766          6.1
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    White Papers
 Click to         Dr. Grant Bagley and Wes Chapman offer insights on how
Download          Co-Management Arrangements provide a realistic strategy for
                  efficiency, quality & alignment.
 Click to
Download          OIG Advisory Opinion No. 08-16



 Click to         Dr. Vekram and Wes Chapman discuss complexity and its
Download          impact on the selection of quality systems.


                  Dr. Vekram and Wes Chapman offer insights on how
 Click to         volume impacts quality.
Download



                  Dr. Vekram and Wes Chapman provide a roadmap for
 Click to
                  using your quality system to make you money.
Download

                          PCD Partners | 16 Cavendish Court | Lebanon, NH 03766          6.1
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    User Stories
                  “I want to be able to go to my computer and be able to see all of my quality
 Click to
Download
                  measures and get a quick assessment of their effectiveness……….


                  “I want to build a registry to collect all of the pertinent data on a certain procedure,
 Click to
Download           initially to get an internal perspective, but ultimately I would like to be able to
                  merge that data across a broader sample………..”

                  “I would like a single view of all of my quality
 Click to
Download          projects…………”

                  “I have this CMA contract but I don’t know what
 Click to
Download
                  quality measures to use and I can’t get an IT resource
                  to save my life…………”




                          PCD Partners | 16 Cavendish Court | Lebanon, NH 03766                    6.1
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    News
 Click to         PCD Partners achieves ISO Certification
Download




 Click to         Dr. Don Bialek joins PCD Partners
Download




 Click to         PCD Implements Best Practices at NCCC
Download


 Click to
Download
                  PCD Partners and Acesis join forces




                          PCD Partners | 16 Cavendish Court | Lebanon, NH 03766          6.2
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Careers
We are seeking talented individuals who want to have a
meaningful impact on improving our healthcare system
If you enjoy working with smart and ambitious people who know how to build successful venture backed companies, this is the place for you.
Summer Intern
Department: Quality Assurance
Duration of Internship: 3 months Job Summary
We are currently seeking summer interns to support configuration and validation of the internal document management system, and general technical support. This may
include creating and maintaining records in accordance with ISO 9001 standards and PCD Partners' standard operating procedures. Qualifications/Requirements
•Must be enrolled in a degree seeking program of study; preferably
computer science, computer engineering, or equivalent technical discipline
•Proficiency with MS Office, databases, and imaging/scanning systems;
knowledge of document management systems desirable
•Motivated self-starter; extreme attention to detail
•Working knowledge of ISO 9001, or willingness to gain working knowledge
of ISO 9001 Responsibilities
•Help configure and validate a cloud-based document management system
that adheres to ISO 9001 standards
•Establish that all key aspects of the document management system
installation adhere to the PCD's predetermined specifications
•Establish process control limits and action levels which result in a product
that meets all predetermined requirements
•Establish that the process, under anticipated conditions, consistently produces a
product which meets all predetermined requirements
•Confirmation by examination and provision of objective evidence that the
specified requirements have been fulfilled
•Create a document stating in detail the validation protocol, including test
parameters, product characteristics, and decision points on what constitutes
acceptable test results
•Tactical and strategic planning capabilities as dictated by the Position
•Assist as technical resource as needed
How to Apply
Please send an email indicating your interest with your resume attached to Vekram Jenarthanan: vekram@pcdpartners.com


                                       PCD Partners | 16 Cavendish Court | Lebanon, NH 03766                                                                   7.1
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Contact
                             Please contact us for more information about our
                             integrated quality improvement system.

                             PCD Partners, Inc.
                             16 Cavendish Court
                             Lebanon NH 03766
                              603 727 7300

                             info@pcdpartners.com
Or use our auto-form for more specific response:
 Name:
 Position:
 Organization:
 Best Way to Reach You:
 Situation:




                          PCD Partners | 16 Cavendish Court | Lebanon, NH 03766         7.2
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         Data Process & Capture

 Align




Measure




Improve




                           PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT



         Governance

 Align




Measure




Improve




                           PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT



   Complex System Integration and Implementation

 Align




Measure




Improve




                        PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
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         Clinical Qualifications

 Align




Measure




Improve




                            PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT



         Operation “Reboot”

 Align




Measure




Improve




                           PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT



         Risk Adjusted Outcomes

 Align




Measure




Improve




                           PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
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         Lean Six Sigma
         Lean hospital and physician group techniques improve the velocity of your
         processes by eliminating waste to improve efficiency and utilization. Six Sigma
         reduces defects by applying a proven methodology to help you to optimize your
         processes to improve care quality. Together, Lean Six Sigma allows your staff to
 Align   improve both outcomes and cost, thus driving value.
        Along with faculty from the Dartmouth community, PCD has developed a custom
        Lean Six Sigma for Clinical Healthcare training program to support your staff in
Measure
        executing your organization's improvement structure and quality improvement
        goals.
        As part of its web-based technology platform, PCD provides Lean Six Sigma project
        management software. Corrective actions are ranked on a cost / benefit scale on
Improve
        our integrated Lean Six Sigma Project Management tool. We assist your team in
        selecting projects that yield the maximum value for the lowest cost




                               PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
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         ISO 9001 Quality System
               Robust documentation and standardized roles are critical for sustainable
               improvement and quality initiatives. ISO 9001 is the proven system that
               manages these quality management standards.
 Align

               This ISO 9001 Quality System standardizes processes, transmits
               procedures, keeps records of training completed and provides a way for
               clients to initiate and track corrective actions on their quality
Measure        improvement projects.

               We guarantee ISO 9001 certification for your quality system. In addition,
               we act as an independent third-party to manage data and processes,
Improve
               oversee quality improvement projects, and channel the flow of incentive
               payments through the CMA to keep your organization and stakeholders
               aligned and compliant.


                           PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
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         System Wide Quality Initiatives

 Align




Measure




Improve




                           PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT



         Process Redesign and Optimization

 Align




Measure




Improve




                           PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
PCD Homepage Wireframe & Site Map
                                            HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT

                                         PCD- Homepage

     HOME | ABOUT| COMPETENCIES | PRINCIPALS | SERVICES |RESOURCES | NEWS | CAREERS |
                                     CONTACT | SITE MAP


        PCD Partners is a group of academics, clinicians and entrepreneurs
        who share a common experience of improving healthcare delivery
                                                                                    2.0 Physicians and         1.1 About PCD
         systems. We partner with our clients to implement and operate
          information-driven quality management solutions that assure                Physician Groups             Partners            2.1 Why Should
                                                                                                                                                          3.1 When Should a
        measurable results. PCD creates alignment between hospitals and                                                              Physicians Talk to
         physicians that result in improved clinical outcomes for patients                                                                                  Hospital Talk to
                and improved financial performance for providers.                                                                      PCD Partners
                                                                                                               1.2 PCD Core                                  PCD Partners
                                                                                        3.0 Hospital                                     About Co-
                                                                                        Executives             Competencies                                   about Co-
                                                                                                                                       Management
                                                                                                                                                             Management
                                                                                                                                       Arrangements
                                                                                                                                                            Arrangements
                                                                                                                                          (CMAs)?
                                                                                                                                                               (CMAs)?
                                                                                      4.0 Healthcare
                                                                                         Attorneys                                     Why a CMA
                                                                                                                                                          Why a CMA versus
                                                                                                              1.3 Align Measure        versus other
                                                                                                                                                          other structures?
                                                                                                                  & Improve             structures?
Rolling user story Rolling user story Rolling user story Rolling user story Rolling user story
                                                                                                             • Align                                          How do
                                                                                                             • Measure                   How do
                                                                                                                                                            CMA financial
                                                                                                             • Improve                 CMA financial
                                                                                                                                                          incentives work?
                                                                                                                                     incentives work?
                                                                                                                                                          Result of a proper
                                                                                                                                     Result of a proper
                                                                                                                                                                 CMA
                                                                                                                                            CMA
                                                                                                                                                           Implementation
                                                                                                                                      Implementation
                                                                                                               1.4 Principals                                  Who is
                                                                                                                 (Partners)               Who is
                                                                                                                                                               PCD?
                                                                                                                                          PCD?
                                                                                                                                                            What Are PCD
                                                                                                                                      What Are PCD
                                                                                                                                                              Partners’
                                                                                                                                        Partners’
                                                                                                                                                            Deliverables?
                                                                                                                                      Deliverables?
                                                                                                                                                            How Do I Get
                                                                                                                                       How Do I Get
                                                                                                                                                              Started?
                                                                                                                                         Started?




                                                                             PCD Partners | 16 Cavendish Court | Lebanon, NH 03766                                           8.1
PCD Homepage Wireframe & Site Map
                                            HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT                                     Resources

                                                                                                                                                       •   Videos

                                         PCD- Homepage                                                                                  News           •   White Papers

                                                                                                                                                       •   User Stories
     HOME | ABOUT| COMPETENCIES | PRINCIPALS | SERVICES |RESOURCES | NEWS | CAREERS |
                                     CONTACT | SITE MAP


        PCD Partners is a group of academics, clinicians and entrepreneurs
        who share a common experience of improving healthcare delivery
                                                                                  2.0 Physicians and      4.1 Why Should
         systems. We partner with our clients to implement and operate
          information-driven quality management solutions that assure              Physician Groups          Attorneys
        measurable results. PCD creates alignment between hospitals and                                       Consider                5.1 Services
         physicians that result in improved clinical outcomes for patients
                and improved financial performance for providers.
                                                                                                         Recommending a
                                                                                        3.0 Hospital     Co-Management                  5.2 Co-
                                                                                        Executives        Arrangement to             Management
                                                                                                            Healthcare               Arrangements
                                                                                                              Clients?
                                                                                      4.0 Healthcare
                                                                                         Attorneys       What Role Does          5.3 Quality Data
                                                                                                          PCD Play in a          Capture System
                                                                                                             CMA?
Rolling user story Rolling user story Rolling user story Rolling user story Rolling user story
                                                                                                            When is it
                                                                                                         Advantageous to          5.4 Service Line
                                                                                                           use a CMA?            Process Redesign
                                                                                                                                 and Optimization
                                                                                                          How can a CMA
                                                                                                              help?
                                                                                                                                    5.5 Design,
                                                                                                         Result of a proper      Implementation
                                                                                                                CMA              and Operation of
                                                                                                          Implementation            Registries

                                                                                                              Who is
                                                                                                                                5.6 Quality System
                                                                                                              PCD?
                                                                                                                                     Design,
                                                                                                                                 Implementation
                                                                                                          What Are PCD
                                                                                                                                  and Operation
                                                                                                            Partners’
                                                                                                          Deliverables?
                                                                                                                                     5.7 Operational
                                                                                                           How Do I Get                 “Reboot”
                                                                                                             Started?

                                                                             PCD Partners | 16 Cavendish Court | Lebanon, NH 03766                                        8.1
HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT



         Evidence-Based Treatment Protocols

 Align




Measure




Improve




                           PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
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      This Page is Under Construction



                      PCD Partners | 16 Cavendish Court |
                             Lebanon, NH 03766

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  • 1. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT We partner with our clients to implement and operate information- Physicians and driven quality management solutions that assure measurable results. Physician PCD Partners creates alignment between hospitals and physicians that Groups result in improved clinical outcomes for patients and improved financial performance for providers. Hospital Executives Healthcare Attorneys Rolling user story Rolling user story Rolling user story Rolling user story Rolling user story PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
  • 2. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT About PCD Partners PCD Partners is comprised of highly accomplished physicians, academics, and entrepreneurs who have decades of experience with collaboration in medical quality and practice improvement systems. Our principals have a peerless record of accomplishment in improving measured clinical outcomes through the use of evidence based treatment protocols to improve quality through consistency. • Core Competencies • Approach – Align, Measure & Improve • Principals • Careers PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 1.1
  • 3. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT PCD Core Competencies PCD Partners was formed to bring together the collective experience and intellect of our principals to apply towards solving many of the challenges that physicians and hospitals are facing. Our partners are committed to playing an active role in improving the efficiency, quality and consistency of healthcare delivery. We have the clinical, administrative, quality, and systems acumen to help any healthcare delivery system. • Data Process & Capture • Vascular, Cardiology and Orthopedic • Governance Qualifications • Complex System Integration and • Lean Six Sigma in Clinical Healthcare Implementation Applications • Operation “Reboot” • ISO 9001 Quality System • Risk Adjusted Outcomes • System-wide Quality Initiatives • Evidence-Based Treatment Protocols • Process Redesign And Optimization PCD Partners | 16 Cavendish Court | 1.2 Lebanon, NH 03766
  • 4. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT PCD Approach: Align, Measure and Improve PCD’s methods are grounded in a simple framework: • Align co-dependent healthcare stakeholders (physicians, hospitals, payers and patients) using common metrics, structured relationships and financial incentives. • Measure the right quality and efficiency variables, ensure excellent data governance and buy- in, and make the data transparent to stakeholders. • Improve operations to reduce defects and increase efficiency using standardized tools in a way that reinforces the underlying stakeholder alignment. PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 1.3
  • 5. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Align What is it? There are a myriad of alignment structures that are used to create different levels of integration between hospitals and physicians; some are more effective than others depending upon the specific objectives of creating the alignment. How does a A CMA can provide a structure to ensure that physicians and the hospitals that they practice in have their incentives aligned. The formation of an CMA help with alignment structure requires input from all involved parties to determine Alignment? physician and management roles and responsibilities, service line governance and CMA fees and compensation. How can PCD PCD’s clinical, operational and data experience enables us offer input into developing the right alignment structure. The CMA structure is the only add value? structure that provides on-going financial rewards; it is also the only structure that requires the use of data to improve quality, and it can co-exist with any other alignment structure. What are the CMAs are typically implemented within a service line; once the initial service implications for line has been implemented additional service lines can be added quickly. a system wide Having the right alignment structure that is repeatable across service lines can facilitate a facility wide quality initiative. quality initiative? 1.3 PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
  • 6. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Measure What is it? To be useful, the right data needs to be in the right format in the right place at the right time. Data is required to be able to measure anything in a meaningful way; without data there is no knowledge. How does a CMAs require that quality and efficiency performance objectives and CMA help with metrics, data management, training and operations plans, and valuation must be defined. Incentive bonuses are earned by producing data to Alignment? demonstrate measurable quality improvements over specified time periods. How can PCD PCD can help define quality and efficiency performance objectives and metrics, structure a data management plan, develop and deliver training add value? and operations plans, and provide an independent 3rd party Valuation Fairness Opinion. Our real time dashboards will help you to transform data into knowledge that is meaningful for all parties. What are the Having the right data available and in a useful format is the key to implications for optimizing quality across a healthcare delivery system. The majority of data required to produce an effective system wide quality system comes a system wide from outside of the EMR. In order to effectively identify, collect and quality initiative? transform all of the data required into useful knowledge requires experience skill and the right tools. 1.3 PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
  • 7. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Improve What is it? Improvement can come in many forms: increased throughput, reduced costs, reduced defects, improved efficiency and most importantly, improved patient outcomes. Realization of these improvements is the result analyzing and optimizing processes using best practice methodologies. How does a CMA quality incentive bonuses are structured to provide an incentive payment CMA help with that is commensurate with measurable and demonstrable improvements that can Alignment? be proven through the data in the quality system. How can PCD PCD’s clinical skills, operational know-how and data expertise will combine to develop the process improvements that ensure that you achieve optimal results. add value? PCD’s consultants are Lean Six Sigma and ISO 9001 trained to identify and reduce waste, reduce defects and develop processes and procedures that are tracked by an exception and corrective action tracking tool to ensure compliance and visibility to quality performance. What are the Having the right alignment structure and measurement capabilities are pre- implications for requisites to realizing meaningful improvement, but do not assure improvement a system wide on their own. The addition of Lean Six Sigma principles does not guarantee quality initiative? process improvements without the role definition, process standardization and reporting infrastructure that ISO 9001 compliance assures. 1.3 PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
  • 8. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Principals The founders and principals of PCD Partners have devoted their careers to establishing themselves as leaders in the healthcare field as physicians, academics, senior administrators, entrepreneurs, and lawyers. Their collective wisdom and experience is a critical component of every PCD Partners offering. CHARLES HUTCHINSON, PhD Chairman Co-founder and CEO, GlycoFi, Inc. (acquired by Merck in 2006), Founder, M2S, Inc. and SustainX, Inc., Dean Emeritus, Thayer School of Engineering at Dartmouth, Ph.D., Stanford M. WESTON CHAPMAN CEO Chairman, President & CEO, M2S (acquired by AIG affiliate), Managing Director, Oppenheimer & Co. and Donaldson, Lufkin & Jenrette, Adjunct Professor, ISO medical quality systems, Dartmouth Medical School, A.B. Dartmouth, M.B.A. Tuck GRANT BAGLEY, MD, JD Partner Past Managing Partner, Healthcare Practice, Arnold & Porter, Past Director, Coverage and Analysis, Centers for Medicare & Medicaid Services 1.4 PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
  • 9. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Principals DONALD S BIALEK MD MPH Partner Managing Director, Huron Consulting Group; SME, CSC Global Health Services; Physician Executive, Dearborn Advisors; CEO, Alliance Medical Practices; CEO, Paradigm Medical Teams; Faculty, Harvard University; NLM Informatics Fellow, Harvard/MIT; BSc, Univ of MD; MD, Univ of MN; MPH, Harvard University COLIN C. BLAYDON, AM, PHD Partner Director, Center for Private Equity & Entrepreneurship Dean Emeritus, Tuck School of Business at Dartmouth Professor, Harvard Business School Dept. Of Defense, OMB BEE Univ. of Virginia, AM Harvard, PhD Harvard MICHAEL A. CHOUKAS Partner President and CEO, Oncopartners, EVP United Biosource Corp., Chairman & CEO, Scirex Corp., Chairman & CEO Springborn Laboratories (Now STRI,NYSE),Partner, Bain & Company, Legislative Director, US Senator Patrick Leahy, B.A. Dartmouth, M.B.A. Harvard Business School JOHN C. COLLINS, MPH, JD Partner Chair and President, Hampden Assurance Co. Ltd., Chief Executive Officer, Dartmouth-Hitchcock Clinic, Dartmouth-Hitchcock Medical Center Director BCBS of Vermont Assist. Prof. Dartmouth Medical School BS Cornell, MPH Michigan, JD Georgetown 1.4 PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
  • 10. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Principals JACK CRONENWETT, MD Partner, Chief Medical Officer Chair Emeritus, Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center Medical Director, Vascular Study Group of New England, Professor of Surgery, Dartmouth-Hitchcock Medical Center, B.S. Michigan, M.D. Stanford ADAM GROFF, MD, MBA Partner Division Director, Bayada Nurses, Inc., Hospitalist, Dartmouth-Hitchcock Medical Center, Assistant Professor, Dartmouth Medical School and The Dartmouth Institute for Health Policy & Clinical Practice, A.B. Dartmouth, M.D. Penn, M.B.A. Wharton MARK ISRAEL, MD Partner, Chairman of the Medical Advisory Board Director, Norris Cotton Cancer Center, Dartmouth-Hitchcock Medical Center, Professor, Pediatrics and Genetics, Dartmouth Medical School, B.A. Hamilton, M.D. Albert Einstein DR. GERRY O’CONNOR, PhD Partner, Quality Program Director Research Director, Northern New England Cardiovascular Disease Study Group, Corporate Consultant, Design and Implementation of Clinical Quality Programs, Principal Investigator, National Quality Program, Cystic Fibrosis Foundation, Professor, Dartmouth Medical School and The Dartmouth Institute for Health Policy & Clinical Practice, B.S. Columbia, Ph.D. Union, Sc.D. BU, M.P.A Harvard 1.4 PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
  • 11. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Staff PAUL CARREIRO, PA Corporate Consultant Medical Staff Officer, U.S. Merchant Marine Consultant, New England Center for Emergency Preparedness, Dartmouth Medical School Board of Advisors, Franklin Pierce University Physician Assistant Program A.B. Harvard, B.S. University of Texas, JFK Special Warfare Center for Low Intensity Conflict, Flight Surgeon - School of Aviation Medicine, U.S. Army VEKRAM JENARTHANAN Project Manager Vekram has previously worked in the fields of data analytics and information management in the banking and insurance verticals. His experiences and interests in project management and TQM make him an ideal fit for PCD. His work at PCD involves the technical design and implementation of quality management systems. B.E. (Electrical and Electronics Engineering) College of Engineering Guindy - Chennai, India M.E.M. Duke University JON LEET Director of Sales & Marketing Jon brings 25+ years of sales and marketing accomplishments with both large companies (Oracle, IBM) and startup companies across a variety of technologies and industry verticals. Jon is responsible for working with PCD management to implement a structured sales process and develop a focused marketing plan. B.A. Colorado College. 1.4 PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
  • 12. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Why Should Physicians Talk to PCD Partners About Co-Management Arrangements (CMAs)? When your group or practice is considering integration alternatives with the hospitals that you practice in. Align When you are feeling pressure to evaluate the economic security of hospital employment despite your desire to remain independent. When you are seeking additional sources of revenue to replace reduced Measure reimbursements and changing incentives under new payment models. When you are looking to collaborate with your hospital to promote evidence- based medicine, coordination of care, outcome measurement and reporting, Improve operational efficiencies and other organizational improvement efforts. When you want a stepping stone to serve as a template for an accountable care organization (“ACO”) or as the foundation for a bundled payment arrangement without resorting to hospital employment or selling your practice. PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 2.1
  • 13. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Why a CMA Versus Other Structures? Clinical (or service-line) Co-Management Arrangements (CMA) are one of the most successful strategies that hospitals and physicians are using to achieve clinical integration, strategic alignment and collaboration. A CMA allows the physicians to share in the hospital’s service line revenue in Align addition to their own professional fees in exchange for providing operational oversight of the service line. The CMA is an effective structure for creating collaboration between Measure physicians and the hospitals where they practice. It is the only structure that provides on-going financial rewards; it is also the only structure that requires the use of data to improve quality, and it can co-exist with any other alignment structure. Improve A CMA provides the structure for the physicians and the hospital to work together to leverage the work done in a co-management arrangement to succeed under new payment models and to position the physicians and hospital with ACOs that are looking for efficient partners. PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 2.1
  • 14. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT How Do CMA Financial Incentives Work? The Co-Management Arrangement (CMA) will specify additional administrative and bonus compensation to be paid by the hospital to the physicians to provide incentives for the physicians to take responsibility for improving metrics related to quality, efficiency, and Align budget in a hospital service line. CMAs are a vehicle which permit the physicians to share in the hospital revenue for a specific service line without violating Stark, kickback or other civil monetary regulations. Measure Physicians earn financial bonuses for improvements in a service line’s operational, clinical and budgetary performance. Improve The co-management model rewards physician leadership during significant and rapid change and can be used to empower physicians to be the architects in redesigning the healthcare delivery model. PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 2.1
  • 15. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT What is the Result of a Properly Implemented CMA? A common plan Patients get the and vision that is benefit from a system created jointly by that is working closely the physicians together to achieve a and the hospital; common set of objectives. Physicians have greater Financial incentives for Joint implementation of impact on achieving physicians for measuring quality and safety operational and process and improving quality and standards by the improvements; efficiency; physicians and the hospital; 2.1
  • 16. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Who is PCD Partners? PCD Partners is comprised of world class physicians, academics, and entrepreneurs who have decades of experience with collaboration in medical quality and practice improvement systems for large scale practice management and clinical practice improvement. Align The founders and principals of PCD Partners have devoted their careers to establishing themselves as leaders in the healthcare field as physicians, academics, senior administrators, entrepreneurs, and lawyers. Their collective wisdom and experience is a critical component of every PCD Measure Partners offering. PCD Partners was formed to bring together the combined experience and intellect of our principals to apply towards solving many of the challenges Improve that physicians and hospitals are facing. Our partners are committed to playing an active role in improving the efficiency, quality and consistency of healthcare delivery. We have the clinical, administrative, quality, and systems acumen to help any healthcare delivery system. PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 2.1
  • 17. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT What Are PCD Partners’ Deliverables? PCD can help define quality and efficiency performance objectives and metrics, structure a data management plan, develop and deliver training and operations plans, and provide an independent 3rd party Valuation Fairness Opinion. Our real time dashboards will help to transform data into knowledge Align that is meaningful for all parties. PCD can help to maximize the incentive bonuses by leveraging our experience in gathering meaningful clinical data and transforming it into knowledge to improve patient outcomes. Measure PCD has the clinical skills, operational know-how and the data expertise to help to develop the process improvements that ensure the realization of measurable and meaningful results. Improve PCD’s consultants are trained in Lean Six Sigma and ISO 9001 to identify and reduce waste, reduce defects and develop processes and procedures that are reinforced by a variance reporting and corrective action tracking tool to ensure compliance and visibility to quality improvements. PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 2.1
  • 18. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT How Do I Get Started? PCD would be happy to schedule an initial no cost phone consultation to help you to assess how we can help your practice. Click to contact PCD Partners: Contact Align Please call Jon Leet at (781) 544-0312 or send an email to jleet@pcdpartners.com Measure with any questions. Improve PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 2.1
  • 19. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT When Should a Hospital Talk to PCD Partners about Co-Management Arrangements (CMAs)? When it is seeking a strategy to engage physicians in strategic planning, managing hospital product and service lines, or in programs to improve Align efficiency, clinical quality, and patient safety. When it needs to collaborate with its disconnected silos of currently employed physicians, independently owned practices, and joint ventures to manage costs and quality. Measure When it needs a way to recruit, retain and involve private practice physicians who not interested in hospital employment. When its existing quality initiatives are not delivering optimal results. Improve When it wants to build a foundation for measuring and improving quality to better position itself for shared risk reimbursement models and accountable care. When it is struggling to create a single hospital-physician “brand.” PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 3.1
  • 20. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Why a CMA Versus Other Structures? Clinical (or service-line) Co-Management Arrangements (CMA) are one of the most successful strategies that physicians and hospitals can use to achieve clinical integration, strategic alignment and collaboration. The CMA can be used to define physician and management roles and responsibilities, service line governance, quality metrics and on-going financial Align rewards for physicians without violating Stark, anti-kickback or other regulations. The CMA can co-exist with any other alignment structure and it is the only Measure structure that requires the use of data to improve quality. A CMA allows physicians to share in the hospital’s service line revenue in exchange for providing operational oversight of the service line and achieving defined quality goals. Improve A CMA can foster a close working relationship between a hospital and its physicians to place a priority on working toward common economic and patient-centered goals. A CMA can be used to build the foundation to position physicians and hospitals with ACOs that are looking for efficient partners. PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 3.1
  • 21. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT How Do CMA Financial Incentives Work? A co-management agreement is generally set up to provide additional administrative and bonus compensation to reward physicians for taking responsibility for improving metrics related to quality, efficiency, and budget in a hospital service line. Align Physicians are directly rewarded for improvements in a service line’s operational, clinical and budgetary performance and compensated in addition to their professional fees. Measure The CMA can provide the incentive for physicians to do more work in that particular hospital, subsidize the physicians’ incomes, and reduce the incentive for the physician to compete with the hospital. Improve The CMA incentive compensation can be an attractive alternative to hospital employment, while still aligning interests to help the hospital to become more competitive. PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 3.1
  • 22. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT What is the Result of a Properly Implemented CMA? A common plan Patients get the and vision that is benefit from a system created jointly by that is working closely the physicians together to achieve a and the hospital; common set of objectives. Physicians have greater Financial incentives for Joint implementation of impact on achieving physicians for measuring quality and safety operational and process and improving quality and standards by the improvements; efficiency; physicians and the hospital; 3.1
  • 23. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Who is PCD Partners? PCD Partners is comprised of world class physicians, academics, and entrepreneurs who have decades of experience with collaboration in medical quality and practice improvement systems for large scale practice management and clinical practice improvement. Align The founders and principals of PCD Partners have devoted their careers to establishing themselves as leaders in the healthcare field as physicians, academics, senior administrators, entrepreneurs, and lawyers. Their collective wisdom and experience is a critical component of every PCD Measure Partners offering. PCD Partners was formed to bring together the combined experience and intellect of our principals to apply towards solving many of the challenges Improve that physicians and hospitals are facing. Our partners are committed to playing an active role in improving the efficiency, quality and consistency of healthcare delivery. We have the clinical, administrative, quality, and systems acumen to help any healthcare delivery system. PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 3.1
  • 24. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT What Are PCD Partners’ Deliverables? PCD can help define quality and efficiency performance objectives and metrics, structure a data management plan, develop and deliver training and operations plans, and provide an independent 3rd party Valuation Fairness Opinion. Our real time dashboards will help to transform data into knowledge Align that is meaningful for all parties. PCD can help to maximize quality improvements by leveraging our experience in gathering meaningful clinical data and transforming it into evidence based treatment protocols to improve patient outcomes. Measure PCD has the clinical skills, operational know-how and the data expertise to help to develop the process improvements that ensure the realization of measurable and meaningful results. Improve PCD’s consultants are trained in Lean Six Sigma and ISO 9001 to identify and reduce waste, reduce defects and develop processes and procedures that are reinforced by a variance reporting and corrective action tracking tool to ensure compliance and visibility to quality improvements. PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 3.1
  • 25. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT How Do I Get Started? PCD would be happy to schedule an initial no cost phone consultation to help you to assess how we can help your practice. Click to contact PCD Partners: Contact Align Please call Jon Leet at (781) 544-0312 or send an email to jleet@pcdpartners.com with any questions. Measure Improve PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 3.1
  • 26. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Why Should Attorneys Consider Recommending a Co-Management Arrangement to Healthcare Clients? The health care industry’s increasing emphasis on quality of care and improving outcomes has created a need for innovative business models that align the interests of physicians and hospitals without conflicting with fraud and abuse laws. Align Hospital/Physician alignment is a prerequisite for hospitals to be able to realize meaningful change. There are many alignment structures that can be used depending on the goals of Measure the alignment. The CMA is a very versatile and effective structure because: • It can co-exist with any other alignment structure, Improve • It provides on-going financial rewards for the physicians, • It’s flexible and adaptable, • It can provide a first step towards accountable care , and • It leads to improved patient outcomes and establishes a process for continuous improvement. PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 4.1
  • 27. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT What Role Does PCD Play in a CMA? Align Measure Improve PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 4.1
  • 28. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT When Is It Advantageous To Use a CMA? CMAs can add significant value when: An entity is acquiring hospitals, A hospital desires to be acquired, Align A hospital desires to elevate a service line to a “center of excellence” or an “institute”, A hospital in a competitive market wants to differentiate itself by Measure allowing physicians to remain independent, A hospital needs help retaining and recruiting physicians, A hospital wants to build a foundation for ACO, and/or Improve Existing quality initiatives not delivering desired results. PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 4.1
  • 29. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT How Can a CMA Help? Acquiring Entity Continuity of Physicians Establish Quality Metrics Financial Incentives for Physician Contributions Infrastructure for Protocol Based Care Align Being Acquired Assure continuity of available physicians Empirically demonstrate quality achievements Elevate Service Line Incentives for physicians for leadership of service line and attainment of quality improvements X Measure Physician Assures joint hospital/physician management and Independence financial incentives for high performance ACO readiness Establish a durable quality infrastructure Improve Incentives for providing accountable care Defines protocols for multiple providers Retention & Recruiting Can be used to create favorable and flexible work conditions while providing financial incentives. PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 4.1
  • 30. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT What is the Result of a Properly Implemented CMA? A common plan Patients get the and vision that is benefit from a system created jointly by that is working closely the physicians together to achieve a and the hospital; common set of objectives. Physicians have greater Financial incentives for Joint implementation of impact on achieving physicians for measuring quality and safety operational and process and improving quality and standards by the improvements; efficiency; physicians and the hospital; 4.1
  • 31. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Who is PCD Partners? PCD Partners is comprised of world class physicians, academics, and entrepreneurs who have decades of experience with collaboration in medical quality and practice improvement systems for large scale practice management and clinical practice improvement. Align The founders and principals of PCD Partners have devoted their careers to establishing themselves as leaders in the healthcare field as physicians, academics, senior administrators, entrepreneurs, and lawyers. Their collective wisdom and experience is a critical component of every Measure PCD Partners offering. PCD Partners was formed to bring together the combined experience and intellect of our principals to apply towards solving many of the challenges Improve that physicians and hospitals are facing. Our partners are committed to playing an active role in improving the efficiency, quality and consistency of healthcare delivery. We have the clinical, administrative, quality, and systems acumen to help any healthcare delivery system. PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 4.1
  • 32. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT What Are PCD Partners’ Deliverables? PCD can help define quality and efficiency performance objectives and metrics, structure a data management plan, develop and deliver training and operations plans, and provide an independent 3rd party Valuation Fairness Opinion. Our real time dashboards will help to transform data into knowledge Align that is meaningful for all parties. PCD can help to maximize quality improvements by leveraging our experience in gathering meaningful clinical data and transforming it into evidence based treatment protocols to improve patient outcomes. Measure PCD has the clinical skills, operational know-how and the data expertise to help to develop the process improvements that ensure the realization of measurable and meaningful results. Improve PCD’s consultants are trained in Lean Six Sigma and ISO 9001 to identify and reduce waste, reduce defects and develop processes and procedures that are reinforced by a variance reporting and corrective action tracking tool to ensure compliance and visibility to quality improvements. PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 4.1
  • 33. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT How Do I Get Started? PCD would be happy to schedule an initial no cost phone consultation to help you to assess how we can help your practice. Click to contact PCD Partners: Contact Align Please call Jon Leet at (781) 544-0312 or send an email to jleet@pcdpartners.com with any questions. Measure Improve PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 4.1
  • 34. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT PCD Services Co-Management Arrangements PCD Partners’ world class physicians, academics, and entrepreneurs have decades of experience with collaboration in medical quality and practice Quality Data Capture System improvement systems for large scale practice management and clinical Service Line Process Redesign and practice improvement. Their collective wisdom and experience is a critical Optimization component of every PCD Partners offering. PCD Partners offers a variety of services that our built around our core Design, Implementation and competencies comprised of: Operation of Multi-Center Registries • Extensive clinical skills, Quality System • Capture, design, implementation and presentation of clinical data, Design, Implementation and • Effective operational expertise, Operation • Lean Six Sigma and ISO 9001 based process design and implementation. Operational “Reboot” PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 5.1
  • 35. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Co-Management Arrangements PCD helps your organization – whether it is a physician group, hospital or integrated delivery system – develop the best Align structure for aligning stakeholders to allow for improved integration, enhanced performance and increased value and quality. •CMAs are permitted contractual relationships to establish a quality system with financial incentives for meeting aligned performance goals •CMAs allow hospitals to share facility fees with non-staff physicians without violating Stark and anti-kickback laws Measure •CMAs require the development and collection of metrics for process quality and efficiency measurement and management, with a prohibition of measures that could induce denial of service •CMAs were first created in 2008 based on the Advisory Opinion 08-16 Improve and are not affected by PPACA PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 5.2
  • 36. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Quality Data Capture System Align We support your healthcare organization's alignment structure Our platform includes a Data Capture and Reporting interface designed to create a robust, secure and HIPAA-compliant quality solution with minimal set-up costs. Measure Physician group and hospital executives are provided with real-time dashboards that display information on key performance measures. Data that is collected from source systems is validated through a transparent governance process to ensure physicians and hospitals can trust the results. As a "data arbiter", PCD ensures that the measurements used to monitor quality and drive financial incentives are valid and trusted by all stakeholders. PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 5.3
  • 37. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Service Line Process Redesign and Optimization Service Line Prioritization: Diagnoses service line performance vís a vís one another System-Wide Service Line Rationalization: Prioritizes system growth at service line and sub-service line Technology Evaluation Process Redesign: Identifies Align opportunities to improve innovation management Capital Prioritization: Investigates need- and nice-to-have capital equipment in the coming years Measure Improve PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 5.4
  • 38. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Design, Implementation and Operation of Multi-Center Registries Align Measure PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 5.5
  • 39. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Quality System Design, Implementation and Operation Align Measure Improve PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 5.6
  • 40. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Operational “Reboot” Align Measure Improve PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 5.7
  • 41. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Videos Click Wes Chapman discussing the mandate to integrate to View System-wide quality systems to survive reform. Click Dr. Jack Cronenwett discusses lessons learned through his research to View through the Vascular Study Group of New England Click John Collins discusses the new demands reform is putting on to View Hospital administrators Click Dr. Don Bialek discusses the challenges facing independent to View physicians to meet the IT requirements to comply with reform. Click Dr. Adam Groff provides insights into the development of ACOs to View and offers suggestions on hospitals and physicians can begin preparing for reform today. PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 6.1
  • 42. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT White Papers Click to Dr. Grant Bagley and Wes Chapman offer insights on how Download Co-Management Arrangements provide a realistic strategy for efficiency, quality & alignment. Click to Download OIG Advisory Opinion No. 08-16 Click to Dr. Vekram and Wes Chapman discuss complexity and its Download impact on the selection of quality systems. Dr. Vekram and Wes Chapman offer insights on how Click to volume impacts quality. Download Dr. Vekram and Wes Chapman provide a roadmap for Click to using your quality system to make you money. Download PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 6.1
  • 43. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT User Stories “I want to be able to go to my computer and be able to see all of my quality Click to Download measures and get a quick assessment of their effectiveness………. “I want to build a registry to collect all of the pertinent data on a certain procedure, Click to Download initially to get an internal perspective, but ultimately I would like to be able to merge that data across a broader sample………..” “I would like a single view of all of my quality Click to Download projects…………” “I have this CMA contract but I don’t know what Click to Download quality measures to use and I can’t get an IT resource to save my life…………” PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 6.1
  • 44. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT News Click to PCD Partners achieves ISO Certification Download Click to Dr. Don Bialek joins PCD Partners Download Click to PCD Implements Best Practices at NCCC Download Click to Download PCD Partners and Acesis join forces PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 6.2
  • 45. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Careers We are seeking talented individuals who want to have a meaningful impact on improving our healthcare system If you enjoy working with smart and ambitious people who know how to build successful venture backed companies, this is the place for you. Summer Intern Department: Quality Assurance Duration of Internship: 3 months Job Summary We are currently seeking summer interns to support configuration and validation of the internal document management system, and general technical support. This may include creating and maintaining records in accordance with ISO 9001 standards and PCD Partners' standard operating procedures. Qualifications/Requirements •Must be enrolled in a degree seeking program of study; preferably computer science, computer engineering, or equivalent technical discipline •Proficiency with MS Office, databases, and imaging/scanning systems; knowledge of document management systems desirable •Motivated self-starter; extreme attention to detail •Working knowledge of ISO 9001, or willingness to gain working knowledge of ISO 9001 Responsibilities •Help configure and validate a cloud-based document management system that adheres to ISO 9001 standards •Establish that all key aspects of the document management system installation adhere to the PCD's predetermined specifications •Establish process control limits and action levels which result in a product that meets all predetermined requirements •Establish that the process, under anticipated conditions, consistently produces a product which meets all predetermined requirements •Confirmation by examination and provision of objective evidence that the specified requirements have been fulfilled •Create a document stating in detail the validation protocol, including test parameters, product characteristics, and decision points on what constitutes acceptable test results •Tactical and strategic planning capabilities as dictated by the Position •Assist as technical resource as needed How to Apply Please send an email indicating your interest with your resume attached to Vekram Jenarthanan: vekram@pcdpartners.com PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 7.1
  • 46. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Contact Please contact us for more information about our integrated quality improvement system. PCD Partners, Inc. 16 Cavendish Court Lebanon NH 03766 603 727 7300 info@pcdpartners.com Or use our auto-form for more specific response: Name: Position: Organization: Best Way to Reach You: Situation: PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 7.2
  • 47. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Data Process & Capture Align Measure Improve PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
  • 48. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Governance Align Measure Improve PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
  • 49. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Complex System Integration and Implementation Align Measure Improve PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
  • 50. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Clinical Qualifications Align Measure Improve PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
  • 51. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Operation “Reboot” Align Measure Improve PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
  • 52. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Risk Adjusted Outcomes Align Measure Improve PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
  • 53. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Lean Six Sigma Lean hospital and physician group techniques improve the velocity of your processes by eliminating waste to improve efficiency and utilization. Six Sigma reduces defects by applying a proven methodology to help you to optimize your processes to improve care quality. Together, Lean Six Sigma allows your staff to Align improve both outcomes and cost, thus driving value. Along with faculty from the Dartmouth community, PCD has developed a custom Lean Six Sigma for Clinical Healthcare training program to support your staff in Measure executing your organization's improvement structure and quality improvement goals. As part of its web-based technology platform, PCD provides Lean Six Sigma project management software. Corrective actions are ranked on a cost / benefit scale on Improve our integrated Lean Six Sigma Project Management tool. We assist your team in selecting projects that yield the maximum value for the lowest cost PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
  • 54. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT ISO 9001 Quality System Robust documentation and standardized roles are critical for sustainable improvement and quality initiatives. ISO 9001 is the proven system that manages these quality management standards. Align This ISO 9001 Quality System standardizes processes, transmits procedures, keeps records of training completed and provides a way for clients to initiate and track corrective actions on their quality Measure improvement projects. We guarantee ISO 9001 certification for your quality system. In addition, we act as an independent third-party to manage data and processes, Improve oversee quality improvement projects, and channel the flow of incentive payments through the CMA to keep your organization and stakeholders aligned and compliant. PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
  • 55. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT System Wide Quality Initiatives Align Measure Improve PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
  • 56. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Process Redesign and Optimization Align Measure Improve PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
  • 57. PCD Homepage Wireframe & Site Map HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT PCD- Homepage HOME | ABOUT| COMPETENCIES | PRINCIPALS | SERVICES |RESOURCES | NEWS | CAREERS | CONTACT | SITE MAP PCD Partners is a group of academics, clinicians and entrepreneurs who share a common experience of improving healthcare delivery 2.0 Physicians and 1.1 About PCD systems. We partner with our clients to implement and operate information-driven quality management solutions that assure Physician Groups Partners 2.1 Why Should 3.1 When Should a measurable results. PCD creates alignment between hospitals and Physicians Talk to physicians that result in improved clinical outcomes for patients Hospital Talk to and improved financial performance for providers. PCD Partners 1.2 PCD Core PCD Partners 3.0 Hospital About Co- Executives Competencies about Co- Management Management Arrangements Arrangements (CMAs)? (CMAs)? 4.0 Healthcare Attorneys Why a CMA Why a CMA versus 1.3 Align Measure versus other other structures? & Improve structures? Rolling user story Rolling user story Rolling user story Rolling user story Rolling user story • Align How do • Measure How do CMA financial • Improve CMA financial incentives work? incentives work? Result of a proper Result of a proper CMA CMA Implementation Implementation 1.4 Principals Who is (Partners) Who is PCD? PCD? What Are PCD What Are PCD Partners’ Partners’ Deliverables? Deliverables? How Do I Get How Do I Get Started? Started? PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 8.1
  • 58. PCD Homepage Wireframe & Site Map HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Resources • Videos PCD- Homepage News • White Papers • User Stories HOME | ABOUT| COMPETENCIES | PRINCIPALS | SERVICES |RESOURCES | NEWS | CAREERS | CONTACT | SITE MAP PCD Partners is a group of academics, clinicians and entrepreneurs who share a common experience of improving healthcare delivery 2.0 Physicians and 4.1 Why Should systems. We partner with our clients to implement and operate information-driven quality management solutions that assure Physician Groups Attorneys measurable results. PCD creates alignment between hospitals and Consider 5.1 Services physicians that result in improved clinical outcomes for patients and improved financial performance for providers. Recommending a 3.0 Hospital Co-Management 5.2 Co- Executives Arrangement to Management Healthcare Arrangements Clients? 4.0 Healthcare Attorneys What Role Does 5.3 Quality Data PCD Play in a Capture System CMA? Rolling user story Rolling user story Rolling user story Rolling user story Rolling user story When is it Advantageous to 5.4 Service Line use a CMA? Process Redesign and Optimization How can a CMA help? 5.5 Design, Result of a proper Implementation CMA and Operation of Implementation Registries Who is 5.6 Quality System PCD? Design, Implementation What Are PCD and Operation Partners’ Deliverables? 5.7 Operational How Do I Get “Reboot” Started? PCD Partners | 16 Cavendish Court | Lebanon, NH 03766 8.1
  • 59. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT Evidence-Based Treatment Protocols Align Measure Improve PCD Partners | 16 Cavendish Court | Lebanon, NH 03766
  • 60. HOME | ABOUT| APPROACH | PRINCIPALS | SERVICES |RESOURCES | NEWS | CONTACT This Page is Under Construction PCD Partners | 16 Cavendish Court | Lebanon, NH 03766