. PRESENTATION NAME 1 Capital TransformingCampaign:theCustomer Experience September 2022
MAVEN Project Solution & Impact
• Access to high-quality specialty care remains a crisis for millions of medically underserved Americans served by safety net clinics.
The Opportunity
• To significantly expand access to high-quality specialty care for medically underserved individuals, MAVEN Project must design and develop a mission-specific technology platform that integrates seamlessly into clinic workflows to better meet the needs of time-pressured safety net clinic providers.
• MAVEN Project, a 501c3 nonprofit organization, connects retired expert physician volunteers from leading healthcare institutions with safety net clinic providers via a telehealth platform to dramatically improve access to high-quality specialty care.
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• MAVEN Project is seeking a capital investment of $2.485MM to design an develop this technology platform.
Executive Summary
The Challenge
Funding Needed
Compounding Factors are Impacting Healthcare to
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Accessing Care Growing Complexity of DemandHealthcare ShrinkingSupplyPhysician • Inability to leave work, childcare needs, lack of transportation, and distance to clinic pose greatest challenges in accessing care1 • In 2018, 28.4 million individuals sought care at safety net clinics, up from 18.8 million in 20092 • 91% of patients at or below 200% of FPL1 • Safety net clinic visits have a 35% higher chance of including a chronic health condition, compared to private practice visits3 • A national shortage between 21,400 and 55,200 physicians is projected by 20334 1 2014 Barriers to Specialty Care - NIH 2 Uniform Data Systems, Bureau of Primary Health Care, HRSA, DHHS (2009-2018 3 Research Study (2020) Corallo, Proser, & Nocon. Comparing Chronic Condition Rates 4 2020 AAMC Report Physician Supply Demand
Barriers
5 MAVEN Project is more than a telehealth company, we’re a medical community. By enhancing the capacity of frontline safety net clinic providers to deliver timely, comprehensive care locally, we can address these critical health care challenges. MAVEN Project currently partners with 283 clinic sites that serve 1.5M patients annually, including: • 1M patients at or below 200% of FPL • More than 300,000 uninsured patients • Nearly 900,000 patients who identify as a racial or ethnic minority Each figure included is an approximation based on annual HRSA data.
Problem 1. ACA expanded access to health insurance; not access to care 2. Millions of Americans lack access to comprehensive high-quality care; this issue is especially prevalent in medically underserved populations in both urban and rural communities 19 States served coast-tocoast and Puerto Rico 8 hours Average turnaroundeConsulttime 160+ Retired expert physician volunteers 60 Specialtiescovered MAVEN Project Fast Facts A national non-profit dedicated to eliminating barriers to comprehensive high-quality health care, founded in 2014 by world-class physician, Dr. Laurie Green. 6,692 Consults completed rolling 12 months Frontline Providers at Safety Net Clinics Pool of Retired Expert Physician VolunteersSolution Leverage telehealth technology to connect retired expert physician volunteers with safety net clinics to improve access to high-quality specialty care
MAVEN Overview | Our Story
Project
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8 MAVEN Project’s Service Model and Offerings are Unique Education Sessions 1:1 MedicalMentoringConsultations VOLUNTEERSEXPERTRETIRED/SEMI-RETIREDPHYSICIAN
9 Leveraging three distinct service lines, MAVEN Project’s retired physician volunteers relationshipsbuildwith safety net providers over time, transferring a wealth of knowledge and experience in care delivery. This sets us apart from our competitors.
• Providers have unlimited access to all MAVEN Project services.
FRONTLINE SAFETY NET CLINIC PROVIDERS
• Services are available to all providers within a clinic, including nurse practitioners and physician assistants.
• Physician volunteers exercise sensitivity when interacting with providers, understanding cultural resourcedifferences,limitations, and level of educationmedical
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10 1:1 ConsultationsMedicalMentoring
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Peer-to-peer review of patient cases with experienced volunteer specialists • Asynchronous and synchronous consults allow clinic providers to access volunteer specialists when most convenient • Allows clinic providers to build relationships with trusted resources
Guaranteed response within 48 hours EducationSessions
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Live didactics on over 200 clinically focused topics • On-demand access to previously recorded sessions • Personalized sessions available for clinics upon request • Sessions offer time for Q&A and practice with case studies • Hand-selected mentors to ensure the best fit for provider • Flexible scheduling • Sessions customized to meet provider’s needs, incl. burnout prevention, patient communication, clinical skills reinforcement, and more 100+ CME sessions per year Average TurnaroundeConsultTime8hours Clinical GuidanceLeadership-focusedandandSupport MAVEN Project’s Services
Cultural Congruence
Physician volunteers align to meet the needs of clinic providers, understanding who they are, what they need, when they need it
11 Well-Rounded 162 retired or semi-retired physicians representing 60 specialties
Invested in getting clinic providers the answers and support they need
Experienced
residences and practiced at the top medical systems in the U.S.
Average
Reputable
35+ years of clinical experience
Eager to Support
Committed to Volunteering
Strong spirit of volunteerism, not constrained by money or time
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Our Expert Physician Volunteers
Completed
12 5 Greater Access for Patients Partnership (GAPP): ‘Patients are Waiting: America’s Dermatology Appointment Wait Times Crisis’ 6 NEJM Catalyst: ‘Can eConsults save Medicaid?’ *Based on post-consult survey results 2021 Average Turnaround Time is 8 hours for eConsults 97% of consults result in otherapplicableeducationtopatients* 73% of eliminatedconsultsneedforreferral* $$ Saving patients from long wait times, travel and costs* Initial specialty visit for Medicaid patients that resulted in ‘no-show’ or cancellation 40%6 Average wait times for dermatology appointment (based on data from 4 major U.S. cities) 56 Days5 Dermatology: most ProjectspecialtyrequestedforMAVENconsultations Volunteers Eliminate Untimely and Delayed Referrals
14 $295 Projected total avoided medical costs for individual patients as a result of MAVEN Project consultation† 6,692 † Projections based on internal MAVEN Project data, sourced literature (including AHA and KFF), diagnosis mix data (from CMS), and average clinician panel size. Four major medical costs were considered (specialist visit, lab tests & imagery, ED visits and inpatient care), across three disease areas (endocrinology, cardiology, and dermatology), weighted by frequency of consults. ConsultationsMedical Rolling 12 months Units of Engagement (medical consultations) 4,885 Rolling 12 months of medical consultations that eliminated the need for a referral $9,370,000 MAVEN Project annualized referral avoidance impact 6.5 Projected number of times information is used on future patients =xx 73% Percentage of consults that eliminated the need for a referral Eliminating Referrals Results in Significant Cost Avoidance
16 1:1EducationSessionsMentoringSessionsMedicalConsultations 77,038 Impacted patients *McKinsey Multiplier effect: each interaction between a physician volunteer and a clinic provider results in information gleaned that can be used on future patients. = Rolling 12 months Units of Engagement 4,4596,692701++ x 6.5 Projected number of times information is used on future patients Knowledge Gained by Providers Impacts Future Patients
18 Utilization Per User Current Future 2x Increase Current Future 3x Increase Number of Users Two-year Performance Goals Impact of an Investment in MAVEN Project 6x increase in total utilization of serviceMAVEN Expanded Access to SpecialtyHigh-qualityCare Referral Avoidance at Increased Scale Resource & Cost Reduction for Safety Net Clinics To become indispensable in how safety net clinics and providers execute day-to-day clinical operations and provide patient care, MAVEN Project must deliver curated customer experiences and seamless integration, enabled by a new platform. Utilization Increases Lead to Greater Patient Impact
Scheduled Consults
Provider interacts with physician volunteers through eConsult or scheduled appointment
Provider recognizes the need to consult with physician volunteer and immediately accesses platform
1. On-Demand 2. Future
consultreceivesProviderpost-survey
Provider matches with volunteerphysician
Provider builds lasting relationships and can reconnect directly with specific volunteers
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Provider has easy access to utility and performance data eConsult Turnaround Time 8 hours** Interaction with Volunteer**
On-Demand Consults
Seamless Integration with Clinic EHR & Provider Workflows
Provider fills out a medical consult form Appt.
Impact Reporting and Dashboard
A New Platform Provides Seamless Access
Engagement History
Provider logs onto the portal
3. eConsult
Expert
CX breakthrough delivered via new platform **Average
**Immediate
With one click, provider has direct access to clinical expertise of available volunteers, allowing for immediate clinical intervention.
• Integrate with day-to-day clinical operations, including EHRs, allowing safety net clinic providers to optimize the use of their time and MAVEN Project services.
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Curated customer experiences and seamless integration with clinical workflows, enabled by a new platform, will make MAVEN Project indispensable in safety net clinics by optimizing every second of a clinic providers limited time and delivering value at each interaction.
Critical Objectives:
Objectives of CX Platform Development
• Nurture an environment that encourages physician volunteers and safety net clinic providers to engage with their peers, develop a sense of medical community, and develop long-standing reliable relationships.
• Design and build a set of curated customer experiences through reliable and comprehensive workflows that enable clinic providers to more effectively deliver care.
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Projected Costs for Design & Development
Initiative Funding Amount ($)* Phase 1: Creating the Business Case Self-funded Process Model Development and Customer Experience & Platform Wireframe Design ~ Phase 2: Detailed Platform Design and ‘Quick Win’ Execution $475,000 Customer Experience Design, ‘Quick win’ Project Execution, Platform Scoping & Selection, and Product Roadmap Development $475,000 Phase 3: Platform Development $2,010,000 Platform as a Service (PaaS) Acquisition $215,000 Development of MAVEN Project Platform $772,000 MAVEN Project Platform Maintenance $100,000 New Marketing & Training Materials $210,000 MAVEN Project Platform Implementation for Existing Clinics & Physician Volunteers $530,000 10% Contingency (based on prospective changes to platform cost) $183,000 Total $2,485,000 *Expected capital costs. Funding amount does not include operating costs.
Significant technology advances over the past few years provide an opportunity for MAVEN Project to build its platform of the future to better meet the needs of safety net clinics.
Invest in Breakthrough Specialty Care Access
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A technology platform specifically designed to enable efficient, provider-centric connections between frontline providers and retired volunteer specialists will increase our impact by reaching more medically underserved patients.
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A capital investment of $2.485MM would enable MAVEN Project to build the platform, scale significantly, and transform healthcare delivery for medically underserved populations.
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MAVEN Project has proven its unique value through its ability to radically improve timely access to high-quality health care services.
Dave Segal Chief Executive dsegal@mavenproject.orgOfficer CONTACT
Appendix
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4 Exhibit ES-1: Total
• Physician shortages pose a significant
4 2020 AAMC Report Physician Supply Demand
risk, especially for medically populationsunderserved 4
• Physician burnout suggests retirement will be more likely to accelerate than delay Projected
Shrinking Physician Supply
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Physician Shortfall Range, 2017-2032 “Ifadditionalcouldbarriers,fewerpopulationspatternshealthpopulationsunderservedhadcareuselikewithaccessdemandrisebyan74,100 to 145,500 physicians,” the report says. Source: 2020 AAMC Report
• Shifts in retirement patterns will have implications for healthcare demand. A national shortage between 21,400 and 55,200 is projected by 2033
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• More than 40% of active physicians in the US will be 65 or older within the next decade
Growing Healthcare Demand
• Safety net clinics serve over 1 in 11 people in the U.S.1 • 91% of safety net patients are below 200% of the Federal Poverty Line1 • Safety net clinic visits have a 35% higher chance of including a chronic health condition, compared to private practice visits2 • In 2020, almost 50% of Americans living on low incomes reported cost-related difficulties in accessing care; 27% of high-earning Americans reported the same difficulty 3 Growth in Safety Net Clinic Patients and Visits, 2009-2018 1 National Association of Community Health Centers 2022, Community Health Center Chartbook 2 Research Study (2020) Corallo, Proser, & Nocon. Comparing Chronic Condition Rates 3 Commonwealth Fund Organization (2020) Income Related Inequalities 27 1 Uniform Data Systems, Bureau of Primary Health Care, HRSA, DHHS (2009-2018 2 Research Study (2020) Corallo, Proser, & Nocon. Comparing Chronic Condition Rates
• Inability to leave work, childcare needs, lack of transportation, and distance to clinic pose greatest challenges in accessing care5 • Underserved families that face 4+ barriers are least likely to access care5 • The average wait time among commonly requested specialties is about 25 days6 Health Insurance Coverage Inconvenient office hours Interpreters GettingCommunicatingLocatingavailableofficewithofficeUnderstandingprovidersanappointmentquicklyTransportationChildcareLeavingwork0% 10% 20% 30% 40% 50% 60% 70% Percentage of Families Reporting Barriers Source: 2014- National Library of Medicine, HHS 6 5 2014 Barriers to Specialty Care - NIH 6 2017 Meritt Hawkins Report: Survey of Physician Appointment Wait Times Barriers to Accessing Care 28
Quotes from Frontline Providers
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“Very appreciative of this consult! My greatest appreciation is the fact that this consult gives me the ability to better serve future patients.”
“This physician both with the original consult and this follow up consult have been more helpful than me sending my patient to a specialist. He not only gave me answers but took the time to guide my clinical practice and gave me perspective link a mentor.”
“Wow, this was a very helpful consult written in a supportive way with specific, concrete action steps I can take and evaluate. I appreciate the understanding of our limited ability to access some diagnostic tools. Thank you so much!”
“Excellent consultation. This was returned within an hour and gave me more information than waiting months to send my patient out of town for a consult…exceed my expectations and I am truly grateful to have this information for my patient.”