Post on 20-Jan-2017
CONNECTEDHEALTH
CONNECTEDHEALTHCONSHOHOCKENHEALTHINNOVATIONMEETUP
MAY24,2016
PHILLIP THOMAS | DENOVOMD
CONNECTEDHEALTH
AGENDA
• Introduc)on
• Defining Connected Health
• The Promise of Connected Health
• Sectors & Current State of Connected Health
• Gaps & Opportuni)es
• The Future
• Ques)ons/Discussion
CONNECTEDHEALTH
“The healthcare ecosystem is increasingly converging on pa)ent centric technology solu)ons. The role of the provider is to expand far beyond the walls of the exam room, especially as our healthcare system transi)ons towards value based purchasing. The Connected Health findings illustrate the importance of interac)ve rela)onships between physicians and individuals and technology as a means to advance comprehensive health and healthcare.”
....
TomMarIn,Ph.D.,DirectorofHealthcareInformaIonSystemsforHIMSS
CONNECTEDHEALTH
The Problem with Defini)on
• ConnectedHealthisoPendefinedfromtheperspecIveofthesiloorfocusareathatanenIty/personoperatesin.
• Thiscreatesalogicalfallacy
CONNECTEDHEALTH
For Today: Connected Health
• People-CenteredConnectedHealth:whencareandinformaIonistrulycoordinatedaroundthepaIenttoachieveopImalresultsatthelowestcost
• ConnectedHealthshould• ExpandAccess• EmpowerPeople• IncreaseEfficiency
CONNECTEDHEALTH
Why Connected Health
COST QUALITY ENGAGEMENT Total Cost = Unit Price x Volume
Some unit prices are high due to irra)onality of pricing (price variability). Some volume is driven by unnecessary services (medical waste). Medical waste is es)mate at 30% of all health care expenditures ($765B in 2009) Source: Ins,tute of Medicine
We need to ensure that necessary care is not adversely affected by cost and u)liza)on control and that we achieve high preven)ve service usage and strong medica)on adherence. The US health care system ranks 38th compared to other countries Source: World Health Organiza,on
Individuals are not engaged in the health care system. 99% of Americans can read but on 12% are health literate. Poor health literacy is linked to 100,000 deaths every year.
EXPERIENCE An individual’s healthcare experience can vary widely. In fact, only 54% of Americans rate the quality of healthcare in this country as good.
Source: Gallup 2013, Triple Aim: Ins,tute for Health Care Improvement
CONNECTEDHEALTH
Three Models
CUSTOMER EXPERIENCE
MODEL
EFFICIENCY MODEL
Knowledge & Insights Model
• IncreasePaIentEngagementandMedicaIonAdherence
• IncreasedPaIentVolume
• ImproveProducts&Services
• IncreaseProducIvity
• DecreaseRisk&Liability
• MeetAccounIngrequirementsfornewpaymentmodels
• IncreaseHealthcareQuality&ImprovePaIentSafety
• FacilitateQualityReporIngandImprovedCareCoordinaIon
CONNECTEDHEALTH
HIMSS: Focus Areas
MobileandConnectedHealth
Cyber-Security
PopulaIonHealth
Connectedhealthis
transformingcaredeliveryandcreaIngopportuniIesforpaIent
self-management
CONNECTEDHEALTH
Thepromiseofconnectedhealthwillberealizedwhenitbecomesthe“internet”equivalentofthehealthcareworld.Allpeople,insItuIons,dataanddevicesoperaInginagnosIc,seamlessandsecureconnecIvity.
CONNECTEDHEALTH
15
But something is missing…..
• Greater investment around the patient’s care system, central to which is the provider
CONNECTEDHEALTH
Connected Health & Popula)on Management
THE R
IGHT
PATIE
NT... TargeIng
membersthroughrulesandmodelsthatprovidehighsensiIvityandspecificity ...S
EEN
THE R
IGHT
WAY
... ProvidingpaIentswithholisIc,seamlessandcoordinatedcare,onthepaIent’sterms ....
..AT T
HE R
IGHT
TIME
.
DeliveringcarewhenitismosteffecIveinproducingthebestoutcomes,withafocusonmodifyingrisk
Source:adaptedfrom
CONNECTEDHEALTH
What does Success look like? • SingleSign-On• Clinicalefficacy• Sharedknowledge• IncenIvizesthatwork• CareTransformaIon• BusinessEffecIveness• OpImizedPricing• InvestedPaIent,&• ……...........................
CONNECTEDHEALTH
• AgreeonadefiniIon• Outlinewhatsuccesswouldlooklike• Interoperabilitymustbeareality• Standardizeddataframework• Securitymustconstantlyevaluatedandstandardized
• Encouragethegreateruseofplaforms• TechnologyPla.orms:easeofconnecIon• BusinessPla.orms:wherethemarginalcostsdecreases
• ….......................................................
A Path Forward
CONNECTEDHEALTH
The Future: Defined by Vision or Crisis?
• ASecuritymechanismsimilartoaNaIonalDefenseSystem?
• AMarketplacesimilartoastockexchange?• AnInsurancePricingmodelliketheGSA?• ADatamodelcooperaIvesimilartoastandardsinsItuIon?
• AninteroperabilitymonitorsimilartotheFederalTradeCommission?
• OtherIdeas…............................?
CONNECTEDHEALTH
CLOSING THOUGHTS
Success is like winning in soccer. How you manage the space decides the effec)veness of the outcome. And space control is a team effort!
(with credit to David Brooks)
CONNECTEDHEALTH
“INORDERTOCHANGEANEXISTINGPARADIGMYOUDONOTSTRUGGLETOTRYANDCHANGETHEPROBLEMATICMODEL.YOUCREATEANEWMODELMAKETHEOLDONEOBSOLETE.”BUCKMINSTERFULLER