Insights - Current & Emerging Technologies Supporting Patient Centered Care
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Current & Emerging Technologies Supporting Patient Centered Care Wednesday, October 22, 2014 Disclaimer: Nothing that we are sharing is intended as legally binding or prescriptive advice. This presentation is a synthesis of publically available information and best practices.
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In its January 2014 Issue Brief, the ONC announced its vision that, by 2020: The power of each individual is developed and unleashed to be active in managing their health and partnering in their health care, enabled by information and technology. And it began seeking feedback on new goals and strategies for health IT-enabled, patient centered care. With this vision in mind, this session will explore current and emerging technologies supporting person centered care in the ambulatory care setting.
Transcript of Insights - Current & Emerging Technologies Supporting Patient Centered Care
Current & Emerging Technologies Supporting Patient Centered Care
Wednesday, October 22, 2014
Disclaimer: Nothing that we are sharing is intended as legally binding or prescriptive advice. This presentation is a synthesis of publically available information and best practices.
• Patient centered care can only go so far. We are now being held responsible for what patients do when they leave the clinic and become people again.
• The power of each individual is unleashed to be active in managing their health and partnering in their health care, enabled by information and technology.
Person Instead of Patient
The New HealthcareParadigm
• Individual self determination and the public good are both optimized.
• People can decide whether and how much to participate in managing their health and health care.
• People can access wellness and health care services enabled by technology that reflects their individual needs, values, and choices.
• Health care is a partnership between the patient, their caregivers, the care team, and supporting services.
• Information is shared as appropriate, between the individual and all their care partners to enable informed, participatory decision making as desired by the individual.
ONC’s Core Values
• “We will replace once and for all our fee for service model with provider-led community wide care that can compete on quality, value over volume.” Hillary Clinton, HIMSS 2014
• “Transforming health care to slow the growth of spending requires a radical restructuring of how health services are paid for. The most powerful way to reduce costs (and make room to expand coverage) is to shift away from ‘volume based’ reimbursement (the more you do, the more money you make) to ‘value-based’ reimbursement.” Newt Gingrich
Why Do We Care?
• In the Value Based Payment Modifier, we are judged on outcomes not just reporting data.
• These outcomes will be published on the Physician Compare website and are already published by some Commercial Payers.
Physicians Are Already PaidBased On Health of Patients
LOOK INTO TECHNOLOGY
• Dan Holleran: Case Study– Medtronic Minimed 530G Enlite– Medtronic CareLink USB• FollowMyHealth Mobile• Emerging Technology
Healthcare Technology
• Wellpoint already provides seniors with chronic diseases in-home monitoring equipment that alert to issues:– Diabetes – Glucometers– Hypertension – BP cuffs– CHF - Scales
Healthcare Technology
• MU2 requirement for interaction with portal and message to doctor.
• Responsibility is put on the provider for adoption.
Patient Portals
• HIEs consuming data and bringing them to payers and ACOs to identify trends.
• MU2 requirement for creating and sending a CDA for transitions of care.
• MU2 requirement to codify chart with SNOMED.
Data Aggregators
• Fitbit, Nike Fuelband, etc• Calorie Counters• MyFitnessPal
Wellness Technology
• Calorie counts on menus.• Healthy options at chain restaurants.• Smoking bans.
Nutritional Literacy
REMAINING HURDLES
• Healthcare– Healthcare technology– Patient portals– Data aggregators to pull together micro and macro
patient trends• Wellness– Wellness technology– Nutritional literacy
Separation BetweenHealthcare and Wellness
• Integrating HIE and wellness data into clinical visit.
Data Aggregation
• Reimbursement model to support care coordination and reduced visits.
Pay for Value
• Despite current challenges, Apple Health is a strong push into bringing health and wellness data into clinic and engaging with patients when they become people.
• Uptake and efficacy remain to be seen.
Closest Solution: AppleHealth
A CASE STUDY: “SAVANNAHINNOVATION CENTER”
Health Crisis in Savannah
Our Model Starts With a Patient Centered Medical Home
…Includes the Four Components of Wellness…
…And Expands to Accountable Care
Funding Models
• Shared cost savings• Subscription – Employer covered– Shared between employer and employees
• Plan Covered (In Discussions)
• NextGen EHR for clinic EHR• Netpulse for wellness integration• Mirth to compile claim, clinical, and wellness
data into actionable care management
The Underpinnings
2020: WHERE WE WILL BE
• Self management and prevention – Persons are educated and make informed choices.
• Interactions – Healthcare data flows fluidly to persons and vice versa.
• Shared management – Providers are responsible for persons actions outside visit.
• Cross-cutting – Breaking down the barrier between health and wellness.
Where ONC Wants Us to Be
• Apple Health will make wellness fashionable.• The reimbursement model to support the
personal technology and fewer visits will come from payers and employers.
• Fee for service will be increasingly replaced by pay for value.
• Physicians who don’t make change will be see lower reimbursement or be removed from networks.
The Rest of The Story
QUESTIONS?
