Exploring New Models of Care

14th September 2016

Sunnyville,California

HealthXL Summary Report

Increasing costs and limited resources in hospital systems

around the world are driving the need to revaluate the methods

for delivery of healthcare services to people.

HealthXL, together with Plug&Play and our partner Johnson &

Johnson, were delighted to be joined by 20 healthcare

professionals, industry experts and innovators for a workshop

to discuss how new models of care can be devised through

collaboration to address the increasing pressures on healthcare

access and delivery.

The workshop in Plug&Play, Sunnyvale forms part of a global

program where the HealthXL community in Singapore, California

and Melbourne are examining the challenges and opportunities

that exist to redefine patient access to both acute care but also

drive prevention promotion.

We initiated the workshop by highlighting work that providers

are undertaking to change the access patients have to crucial

healthcare services. SutterHealth, University of Mississippi

Medical Center and Schlon Klinic brought the group through

their respective organizations efforts in this area and

highlighted some pain points they are experiencing facilitating

the transition of care. After hearing from the providers, the

group brainstormed opportunities for transition of care, heard

from Roni Zeiger of Smart Patients after which they prioritised

what the patient would want in a new model of care and ideated

around the minimal viable product required to begin the

transformation in their chosen area facilitated by HealthXL.

The primary theme that emerged from our collective

discussions was - empowering the patient to have more control

over their health and access to medical care.

Attendees

Alexandra Castillo UMMC

Lucia Soares Johnson & Johnson

Ruchita Sinha GE Ventures

Peter Whitehead SISU Health

Xiaoxu Kang Kangaroo Health

Kathy Doran Johnson & Johnson

Gregg Ringold Careskore

Leslie Musshafen UMMC

Chris Jaeger Sutter Health

Theo Lau AARP

Jo Ann Swasey Johnson & Johnson

Roni Zeiger Smart Patients

Michael Dillhyon YouBase

Shawn Leavitt Comcast

Lowinn Kibbey Johnson & Johnson

Terrence Hibbert UMMC

Alexander Grunewald Johnson & Johnson

Alexander Hauenschild Schoen Klinik

Cheryl Lejbolle UnitedHealthcare

Jonathan Kipp Comcast

Margy Drumheller AARP

Key Areas where Opportunity for New Models

of Care exist

In working groups, the participants laid out what they believed were the top

opportunities to change the status quo, and move the delivery of care from an

acute-led service to a community or home-based care delivery.

• In-home care for elderly

e.g. Remote monitoring, care services from community nurses

• Chronic disease management

e.g. Patients with diabetes

Depression/mental health services – access to quality services

and treatments outside of hospitals

• Health Management Optimization

e.g. effective referrals, triaging

Barriers & Frustrations for Clinical Providers

With technology maturing that is capable of delivering the opportunities, we

discussed with out clinical providers what their top frustrations and barriers were for

delivery of new models of care.

• Difficulty in proving out cost-savings

• Existing across two billing worlds

• Fee for service

• Value-based payments

• Technology infrastructure

• Rural communities and connectivity to them

• Skewed incentives for progressive care models

• Health literacy of communities

Barriers & Frustrations for Clinical Providers

A patient’s perspective - What matters to me?

Roni Zeiger, CEO of Smart Patients, delivered an excellent patient viewpoint for the

attendees to consider.

Regardless of the location and person whom delivers the care, what are the most important

factors that need to be front and centre in a solution are features that meet the fundamental

needs and wants of a patient.

To often buzzword descriptions for what appears desirable rather than reality are banded

and accepted. Patient-centred care is often one of those terms, therefore the participants

were challenges to define “Patient-Centred-Care” and share what they believed to be a

examples of this care description.

Definition 1

Through conversation and partnership with healthcare professionals – the outcomes of care

and success is prioritized by the patient and guided by the professional

Definition 2

Personalised care, that is not financially motivated. An exceptional experience that meets

the needs of the patients

Definition 3

Care that empowers the patient, connecting them with both doctors and peers to design a

care program that meets their reality and avoids redundancies.

From buzzword to reality for patient-centred care

The Challenge for Tomorrow

The problems and solutions, raised and discussed by the workshop participants are

complex, there is no magic bullet or single point solution to deliver the utopia of low-cost,

non-acute based healthcare. However – for every journey there must be a starting point,

so each working group was challenged to design an experiment they could start the next

day (budget $300,000) to begin working on a new model of care.

Challenge 1

To help people living with diabetes define realistic health outcomes and then help them

execute them.

Challenge 2

In-home care for seniors, a house of the future, equipped to allow real-time engagement

and communications for occupants with community of care providers.

Challenge 3

Collaborate with trusted community/social groups in the community, to reduce health risks

(hypertension/stroke) in lower socio-economic sectors.

As an entire group – the priority as given to Challenge 3 – collaborations between care

providers and communities to deliver new models of care. Reaching all sectors of society

via trusted channels to reduce health risks such as strokes, hypertension and diabetes.

Workshop Learnings Across a number of clinical providers present there was shared frustrations and

barriers as to why it is difficult to move from acute-led services to more community

based care. Alignment is needed from administration, payors, industry and

physicians to drive the change required.

Patient-centred care requires decision-making led by the patient and guided by the

physician and wider healthcare professional communities. The needs AND wants of

patients needs to be front and centre of decisions taken for care.

To deliver new models of care to all sectors of society, there is a need to explore

new collaborations with non-traditional groups such as religious, social and sporting

clubs. Leveraging the already trusted relationships to drive change in lifestyles and

reduce health risks.

Next Steps

Taking the proposed challenges raised by the workshop participants HealthXL will

prepare a report on digital health solutions that exist that could potentially address

some solution required.

HealthXL invite all workshop participants to join us in Basel (21st Feb 2017), where

we will bring our global community together, presenting the summary of the

workshops and how digital technology is playing a role in addressing the Challenges

raised.

Meet the HealthXL Community

A number of solutions are currently operating in the market which may support some of the issues

and barriers raised at the workshop. Below HealthXL have included a shortlist of companies

addressing some of the issues.

Sense.ly, a virtual nurse platform for personalized follow up care with

a strong focus on chronic conditions. Automated risk assessment

allowing clinicians to triage patients.

Baylon Health, a telemedicine solution that combines AI & remote

care. A subscription-based remote GP consultation service. “check”

function triages patients automatically before they talk to a GP

Jaga-Me is a platform for patients and their families to access

professional home nursing and caregiving services in Singapore at

home, on-demand.

The Twine Collaborative Care Platform helps patients build self-

efficacy via support from coaches/clinicians. Twine has demonstrated

that their platform contributed to improved outcomes for diabetic

patients.

Akili are building clinically-validated cognitive therapeutics,

assessments, and diagnostics that feel like video games that will be

deployed remotely directly to patients anywhere, prescribed and

tracked by physicians.

Bloomberg meets LinkedIn for digital health

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them to collaborate and learn from each other

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