Shaping a Culture of Innovation from Idea to Execution

April 15, 2015

Barbara Adams, MSHI, MBA, Vice President, ITS

Tricia Nguyen, MD, MBA, Executive Vice President, Population Health & President of Population Health,

Education & Innovation Center

Texas Health Resources DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.

Conflict of Interest

Barbara Adams, MSHI, MBA Has no real or apparent conflicts of interest to report. Tricia Nguyen, MD, MBA Has no real or apparent conflicts of interest to report.

© HIMSS 2015 2

Learning Objectives

• Create a common definition of innovation across the enterprise

• Define pragmatic steps to create a culture of innovation

• Design an infrastructure to promote innovation across the enterprise

• Create a process for evaluating and selecting high impact innovations for further development and execution

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Engaged and empowered employees are ready to offer their creativity and innovative ideas. Innovation will help lead the way in disrupting traditional healthcare models.

One approach to solve for the unsustainable cost is individual accountability. In order to have accountability, we must empower front line staff as they see firsthand the gaps and barriers.

Innovative ideas can lead to improvements in treatments and clinical outcomes.

Healthcare is lagging behind other industries. Information and data are critical to increasing patient engagement as we move into offering anytime, anywhere healthcare.

Opportunity identified by line staff on readmissions which involved Medication Recon and Post Visit Discharge. While it appeared to be a simple idea about access to drugs and physicians, it made a huge impact.

Value Steps Linked to a Culture of Innovation

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22 outpatient facilities

Texas Health Resources

More than 22,000 employees

25 hospitals in North Texas

More than 5,500 physicians with active staff privileges

Physicians Group: 500+ physicians and 200+ physician assistants & nurse practitioners

THA, THAL, THAZ, THC THD, THDN, THFW, THSH,

THS, THSW, THK

John E. Gall Jr. CIO of the Year Award

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More than half a trillion dollars of annual healthcare spend is related to inefficiencies with overuse, underuse, duplication, and system failures.

3 of every 10 medical tests are re-ordered because results cannot be located.

Over 1/5 of medical errors are due to lack of immediate access to patient information.

Healthcare Is Broken-We Must Innovate To Survive

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Bill Gates

• “To be innovative, you cannot be afraid to obsolete your own products. If you are, others will obsolete them for you. Innovate or Die.”

Steve Jobs

• "Innovation has nothing to do with money. It's about the people you have, how they are led, and how much you get it."

Albert Einstein

• “We cannot solve a problem by using the same kind of thinking we used when we created them.”

How is Innovation Defined?

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What is a Culture of Innovation?

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Improving Patient Care Through Innovative Steps

Robust applied research program

Fueled by visionary

ideas

Direct improvement in the care of

the communities

we serve

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Innovation is encouraged through our Office of Commercialization.

The office assists in the development of health-care

related innovations originated by employees, physicians and contractors.

New Policy and Process

Now reaching out for all levels of innovations – across the system

Already 13 disclosures

Some are moving forward

Exploring commercialization

Office of Commercialization

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Innovation Steps

New Care Delivery Model

Vertical on care redesign People – redeploying care teams

Process – workflow Technology - platform

Pitch Day

A call for innovative ideas

Promoting

Quality Improvements with awards Leadership

Buy-In Gaining board commitment

Gaining Senior Leadership Buy-In Leveraging ITS

cHealth Launching an

innovative Connected Health

Offering

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Brought together multi-disciplinary team to brainstorm and determine steps and timelines

Sought senior management approval for “Pitch” activities and awards

Included legal input for handling IP protection

Narrowed down to the three finalists who received coaching for the “Pitch” event

Held “Pitch” event at reVive; audience voted, winner announced

Innovation Pitch Day

Innovation Pitch Day Process

Communicated announcements and the proposal formats; including scoring guidelines

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Innovation Pitch Day

50+ Entries Received

Broad Spectrum of

Ideas

Take away success and

lessons learned for next annual

event

Winning team working with leadership to

explore options of turning their idea

into a reality

Innovative thinking is

critical to Texas Health, both in

helping us improve patient care while helping us achieve

recognition as a nationally

benchmarked health care system.

Innovation Pitch Day Outcomes Achieved

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Competing Priorities

Confusion around who

owns innovation

What is the payment structure

when implementing

innovative ideas

Decision making on when and

what innovative ideas to invest in

Culture of Innovation Challenges and Barriers

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Gain board commitment

Gain Senior Leadership buy-in

Promote culture of innovation throughout the enterprise

Culture of Innovation Recommendations

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Culture of Innovation in other Industries

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What’s in Common?

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What is Disruptive Innovation?

1. Launches as an inferior product and lower in price than the incumbent. Price sensitive customers are attracted by its low price.

2. Then, it must evolve to become “good enough” in performance while at the same time remaining lower in price.

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Retail Clinics

Tele-health

Personalized Medicine

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Potential Healthcare Disruptive Innovations

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• As the environment changes, so too must the organization

• As the organization changes, so too must thinking/models

• Things that don’t change, remain the same

Change Requires Risk Taking

Environment

Organization

Thinking

cHealth Environment Statistics

• App usage statistics:

• 1 billion annual health and fitness app downloads by the year 2016 (ABI)

• Azumio (Instant Heart Rate): 20 million downloads

• Nike+: 18 million downloads

• iTriage: 12 million downloads

• Mayo App: 75 thousand downloads

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Wellness-focused

Used for daily activities User derives direct

value from apps

Health-focused Used mostly when special

events occur Apps support treatment to be

received at physical facility

Insource Outsource

Where are We Today in cHealth?

Nike Fuel Band Weight Bots

Fitbit Jawbone Up

Mayo Clinic App

THR cHealth iTriage EPIC

Airstrip THR Current

State

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Consumerism Trend

Consumer expectations are evolving; empowered and tech-enabled consumers are more

knowledgeable and have higher expectations of care provided.

Stay Competitive

Systems must “do more with less” to accommodate increasing

demand despite downward cost pressures – relying on technology

for productivity increases.

THR Findings The Women’s Initiative found that

patients are willing to switch providers for more convenient

access to care.

Market Research Studies show convenience is a driving

factor for choosing a physician. A recent BCG study found that 26% of consumers rank online scheduling as

a top 2 priority.

Market Dynamics

Idea: Online Appointment Scheduling

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Pilot Details • Launched on 10/22/14

• 10 THPG PCP’s • 7 Offices Total

Pilot Statistics

• 121 Total Appointments • Wellness Visits • New Patient Visits

Patient Feedback

• Patients love the 24/7

accessibility of this feature. • Direct quote from one of

our patients: “This is how I will be making my appointments from now on!”

Execution: Online Appointment Scheduling

Total Appointments

30% New Patients 70%

Existing Patients

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1 • Track and analyze

consumer behavior

• Identify and develop

predictive scheduling

models

• Increase physician in-

office efficiency

2 • Consistent and

convenient access

• Easier the access,

greater the outreach

• Satisfaction measurable

through surveys

3 • Increase referrals

• Target specific

consumers

• Track the trends

Results: Online Appointment Scheduling

Economic Consumer Experience Growth

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Future rollouts based on pilot results

Use reactive data to build a proactive ROI

Fine tune the adoption process

Communicate feedback & plans with transparency

Future Plans: Online Appointment Scheduling

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Where do We Want to Be in cHealth?

Future State

Keeps THR

ahead of technology curve as

Millennials come of

age

Gives providers

more accurate

information about patient

wellness

Aligns with long term

goal of population

health

Nike Fuel Band Weight Bots

Fitbit Jawbone Up

Mayo Clinic App

THR cHealth iTriage EPIC

Airstrip

Wellness- focused

Health- focused

Insource Outsource

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Engaged and empowered employees are ready to offer their creativity and innovative ideas. Innovation will help lead the way in disrupting traditional healthcare models.

One approach to solve for the unsustainable cost is individual accountability. In order to have accountability, we must empower front line staff as they see firsthand the gaps and barriers.

Innovative ideas can lead to improvements in treatments and clinical outcomes.

Healthcare is lagging behind other industries. Information and data are critical to increasing patient engagement as we move into offering anytime, anywhere healthcare.

Opportunity identified by line staff on readmissions which involved Medication Recon and Post Visit Discharge. While it appeared to be a simple idea about access to drugs and physicians, it made a huge impact.

Value Steps Linked to a Culture of Innovation

S

T

E

P

S

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Questions? Thank You! Barbara Adams, MSHI, MBA Vice President, Innovative Technology Services – Texas Health Resources

• Office: 972-739-3090 • Email: barbaraadams@texashealth.org

Tricia Nguyen, MD, MBA Executive Vice President, Population Health & President of Population Health, Education & Innovation Center – Texas Health Resources

• Office 682-236-7950 • Email: TriciaNguyen@texashealth.org

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