Oulu Smart Cities Seminar

Wednesday, 6 May 2015

Delivering Population Health

Copyright © 2015 Healthways, Inc. All rights reserved.

Healthways introduction

•  Founded 1981 •  $742 million in FY14 revenue •  2,500+ full-time colleagues

•  Serving 70 Million people on 4 Continents

•  100+ scientific publications backing proven solutions

•  Long-term exclusive partnership with Gallup to measure well-being globally

•  80+ health plan clients (public and

private)

•  1,000+ employer clients (public and private)

•  100+ hospital, health systems clients

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Healthcare costs are spiraling… Healthcare costs have risen >2% above GDP for >50 years across OECD countries Global spend, 2014: ±US$8-9tn

…as health outcomes plateau In many markets life expectancy is falling for the first time in history

A Global Healthcare Challenge

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Tackling chronic conditions requires addressing the complex root causes

•  Performance •  Morbidity •  Mortality •  Event

•  Stress •  Sleep •  Nutrition •  Activity •  Career

Cause

Effect

•  Productivity •  Utilization •  Disease •  Cost

•  Finances •  Hope •  Mood •  Relations •  Purpose

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Rapid growth in computing power, especially mobile

Rapid worldwide growth in mobile phone subscriptions…

… coupled to rapid growth in computing power and network speed

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Today, data offers a great opportunity to improve health and healthcare

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Historic approach to disease

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John Snow, cholera (1865)

•  Identify point source of outbreak

•  Eliminate source •  Eliminate epidemic

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World’s largest well-being database: >1.6 PB

Healthways approach 1.  Collect real-world data on

a.  Health-related behaviour, and b.  Behaviour change interventions

2.  Analyse data to a.  Stratify population, and b.  Identify individual risks

3.  Scale-up programmes to drive population well-being improvement

4.  Drive continuous improvement

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•  10,000s of small decisions every day, every year

•  Frequent gap between how people would like to act and how they really act

•  Key question is: How can we support everyday decision making to improve health and well-being outcomes?

NCDs accumulate over many years

High

Low

Medium

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Gallup and Healthways initiated a 25-year partnership in 2008 to define, measure and better understand how to influence well-being

— because health outcomes data doesn’t tell the whole story

Purpose Social Financial Community Physical Liking what you do each day and being motivated to achieve your

goals

Having supportive

relationships and love in your

life

Managing your economic life to

reduce stress and increase

security

Having good health and

enough energy to get things done daily

Liking where you live, feeling safe and having

pride in your community

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We have pioneered the measurement and improvement of Well-Being

Individual Organization Community Country Global

We measure Well-Being at multiple levels

The Gallup-Healthways Well-Being Index is the world’s largest data set on well-being, with over 2 Million completed surveys to date.

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Well-Being measurement enables Population Health Management

Effective programmes identify individual needs and address them at each stage along the spectrum from healthy to highest risk of hospitalisation

Keep Healthy

20%

Identify and Reduce Risk

70%

Optimise Care

10%

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Healthy with Good Health

Habits

Healthy but Poor Health

Habits

Health and Lifestyle

Risk Factors

Well-Managed

Chronic Condition

Poorly Managed Chronic

Condition

High Risk of

Hospitalization

Whole-population capability

•  Hospitalisation avoidance

•  Discharge support, re-hospitalisation avoidance

•  Assisted independent living

Highest risk ±2% population 20% costs

•  Disease Management (including Coaching)

•  Tele-monitoring •  Tele-care

High risk ±13% population 40% costs

•  Healthy lifestyle change

•  Well-Being Coaching

Medium risk ±70% population 30% costs

•  Healthy lifestyle change

•  Digital well-being improvement solutions

Low risk ±15% population 10% costs

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Report Impact

Establish Plan

Clinical, claims, Rx, lab, biometrics, well-being, device, social networks

Analyze & Forecast Stratify population 1 Collect data

Proprietary

Analytics and

Predictive Models

Engage and Support

How We Impact Well-Being to Create Value

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2 3

4

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Healthy

At Risk

High Risk

þ Individualized well-being plan and guidance

Self-directed Virtual coaching

Individual and Group Live Coaching

Ongoing Treatment Plan Support

High Risk and Episodic Care

Transition Management

Community / Social Determinants

Physician and individual directed well-being actions

All progress and outcomes communicated to PCP / Patient / Sponsor

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Combining science and engineering for impact

From cutting-edge science…

through solutions engineered for impact…

to individual well-being improvement.

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Blue Zones Project®

SilverSneakers

Financial Well-Being (Dave Ramsey)

High Risk Cost Avoidance InnergyTM

QuitNet®

Prime® Network Disease Management

Well-Being ConnectTM & Well-BeingPlusTM

Groups & Challenges On-site Coaching SilverSneakers®

Purpose Workshops Leading for Well-Being Well-Being Ambassador

SilverSneakers

WalkadooTM

Physician Directed Population Health

Purpose

Social

Community

Physical Physical Medicine WholeHealth Networks Dr. Dean Ornish Program for Reversing Heart Disease

Financial

Overview of Our Well-Being Capabilities

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Science and Outcomes •  Foundation for the ongoing development and

continuous improvement of all our solutions •  Strong market differentiation for Healthways (many

competitors do not publish) •  Key tenet of our client value proposition •  Focused on 3 core areas

1.  Health outcomes 2.  Translation 3.  Advanced analytics

Assets •  23-member team, including 11 doctoral degrees •  World’s largest health and well-being database 1.4

petabytes •  Published >130 studies/articles, including >50

external publications •  Summary of peer-reviewed literature available online

at www.healthways.com/success/library.aspx

Proven: Healthways’ evidence base

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Health improvement can “go viral” Example: Large Employer – August 2012

Blue  dots:    Employees  Red  dots:    Others  

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Boost engagement by employing social networks

Blue  dots:    Employees  Red  dots:    Others  

Significant  clustering  among  employees  and  between  employees  and  others  

Health improvement can “go viral” Example: Large Employer – April 2013

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Resource impact of reducing hospital admission Overall 18-month outcomes of MHG

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Taking diabetes prevention to scale Sophia programme, CNAMTS France

•  CNAMTS is biggest health insurer in France (86% population ~50m members)

•  In 2011, Healthways signed Disease Management contract “Sophia”, focused on diabetes initially

•  >600,000 enrolled patients today

•  Programme now expanding

to other chronic diseases, e.g., asthma and chronic heart failure

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To deliver success Oulu should avoid reinventing the wheel, by building on proven solutions

Roots

Success •  Effective solutions •  Business opportunity

•  Science •  Evidence-base •  Proven, scalable

platform

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A healthier, happier city

Existing and new data sources

Data Exchange (secure by design)

OpenAPI

Apps and Services

City Data Exchange

•  Scalable open standards-based architecture

•  Compliant-by-design (laws, regulations, and consumer preferences)

•  Secure-by-design

•  Population denominator to measure and encourage broad community uptake

•  From the start includes both City Data Exchange and Marquee Apps and Services

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A healthier, happier community

Mobile operator

Public Data

Exchange (CIC)

Privacy by design Best practice data

principles

Health and Social Care

Personal health device Retail Transport Other

Data Extraction Layer

Transformation Layer

Personal Data Management Layer

Service Layer

Aggregated, anonymised

analytics

Secure service bus

Well-Being AppStore

Well-Being Apps and Services

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Globally replicable model Access to global markets

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Accelerating the Oulu Ecosystem •  Embrace -  Scalable platform - >$1.5bn investment - OpenAPI

•  Market-leading product portfolio - Ability to hit the ground

running to deliver impact

•  High collaborative IQ -  Local solutions for local

challenges -  Local jobs: IT, clinical,

leadership

•  Global market access - >70 million lives under

management - USA, Australia, Brazil, France,

more to come in 2015

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Any questions?

Copyright © 2015 Healthways, Inc. All rights reserved.