Integration, Implementation &

Innovation

2018 Telehealth Alliance of OregonKristi Henderson, DNP, NP-C, FAAN, FAEN

@kristihendersonVP- Access, Care Transformation & Virtual Care

Clinical Professor of Population Health at Dell Medical School at UT-Austin

Influencers in Healthcare Financial Pressures

Consumers

New Players

New Technology

New Policy

Regulation

Price

The Market

• Who is doing what?• Mergers/acquisitions• Closures• New Players• Redesign of care: Kaiser, VA,

Provider D2C subscription models

• Virtual Care marketplace• New trends: AI, VR, pay models

Health System Response

• Any doctor or my doctor?• Rethink how we use existing resources• Integration of virtual care into the

operating model making it easy for everyone

• Transitioning virtual care from outsourced services back into system

• Medicare Advantage, ACOs, partnerships

Insurance Company Response

Mergers

New services with partners

Increased reimbursement

Focus on substitutive versus additive cost

Technology response • Rapid growth; 83% of health systems will invest in telehealth technology

• # of new technology solutions & start-ups

• Sales shifting from health systems to non-traditional providers- insurance companies, businesses, D2C, retail…

• Health systems are reducing platforms and standardizing products

Consumer response

• Demanding convenience & simplicity

• Convenience & Service trumps loyalty

• Want price transparency• Expect quality

Yesterday’s Approach

• Telemedicine driven as projects• Primarily a physician service• Siloed department leading

telemedicine• Cool factor but lacked sustainability• Inconsistent & unpredictable

reimbursement• Dependent on clinical champions

with passion for work • Policies, Comp plans & Forms didn’t

include virtual care

Today’s Approach

• Integrated System of Care• Policies, Forms & Comp plans include

virtual care

• No longer just for physicians; now includes all health services

• Technology expense decreased• Reimbursement more consistent &

predictable

• Fewer technology applications needed

• Integrated with EMR• Value proposition better understood

GoodHealth Solutions Center

Comprehensive patient access, healthcare delivery transformation & digital health services all under the same roof

Disconnected

Dissatisfied

Costly

without

Rethink Everything!Workforce

Transformation

Operating Model Transformation

Information Transformation

Experience Transformation

Leadership Transformation

Connected

Coordinated

Optimized

with

Coordinated & Connected System of Care

Access Center

Remote Care Delivery

Hospital Support Services

Delivering a

healthcare network

Expert Multidisciplinary

Team

Unified Mission

Consolidated Resources

360 Degree Vantage Point

Collaborative Environment

Upgraded and Integrated

Technology

Synchronized Information

Systems

Continuous Data-Driven

Improvement

Virtual Care: Improving Access, Quality & Cost

• Telehealth• Virtual Provider Office• Remote Patient Monitoring

Level 3: GoodHealth Kit

Level 1: Telephonic Outreach

Level 2: Enhanced Care, Self-Reported

A Modern Approach to Care Management

Stress Management

Outcomes• Growth• Improved Quality• Improved system efficiency• Improved coordination between

transitions• Increased customer satisfaction• Increased adoption by clinical team• Expanded sites of service

Taking Data to Intervention

The Future

• Sensors & RPM• Augmented Intelligence• Facial Recognition• Precision Medicine & Scientific Wellness• Socially Intelligent Robots• Payment/Financial options• Speed of Wireless connections• Psychographics