Future of Healthcare Transformation and Patient-Centric Innovations
The Hope of HIM
Matt Beglinger
Medical Software Consultant
Organizations that I’ve supported
Let’s Talk About What the Future of
Healthcare Will Look Like
“Everything should be made as simple as possible, but not
simpler”
- Albert Einstein
Improving the Patient Experience of Care
Improving the Health of Populations
Reducing Per Capita Costs of Healthcare
IHI Triple Aim
as our
Framework
Future of
Healthcare
Improving the Patient Experience of Care
Improving the Health of Populations
Reducing Per Capita Costs of Healthcare
IHI Triple Aim
as our
Framework
Future of
Healthcare
“In the future, UnityPoint’s main competition will
not be from other healthcare organizations but
rather from patients and their wearables. In order
to remain relevant, UnityPoint will need to support
patients’ use of them by adding value around the
information they provide.”
John Hendricks, CTO
UnityPoint Health
http://www.patentlyapple.com/patently-apple/2015/06/walgreens-continues-
to-work-hard-and-think-ahead-for-their-apple-watch-app.html
Improving the Patient Experience of Care
Improving the Health of Populations
Reducing Per Capita Costs of Healthcare
IHI Triple Aim
as our
Framework
Future of
Healthcare
“Advances in genomic and molecular medicine hold the potential to
radically transform human health by enabling much more precise
prediction, prevention, and treatment of disease on an individual
level. But realizing this potential requires a total rethinking of how
health care is delivered—from designing new models of care that
incorporate unprecedented technologies and a greater focus on
prevention, to changing financial reimbursement to support these
models, to empowering patients to play a leading role in their care.”
Geoffrey Ginsburg, MD, PhD
Director, Center for Personalized and Precision Medicine
Duke University
Improving the Patient Experience of Care
Improving the Health of Populations
Reducing Per Capita Costs of Healthcare
IHI Triple Aim
as our
Framework
Future of
Healthcare
“[Presently] the sickest 15% take up 15% of the GDP, if we
extrapolate this out over the next two decades, with the growth
of baby boomers, at this rate it’s 60% of the GDP. I offer 60% of
the GDP has very little to do with healthcare at that point. It has
to do with a gallon of milk, it has to do with college tuition, it has
to do with everything we value and everything we know,
presently.”
Timothy Ihrig, MD
Medical Director of Palliative Medicine
UnityPoint Fort Dodge
Improving the Patient Experience of Care
Improving the Health of Populations
Reducing Per Capita Costs of Healthcare
IHI Triple Aim
as our
Framework
Future of
Healthcare
One Point of Clarification
If we’re going to improve the patient experience…
we’re going to first need to know what is it that
patients want.
And ensure it aligns with our solution.
What patients want…
https://www.advisory.com/~/media/Advisory-
com/Research/MPLC/Resources/2015/30502_MPLC_Consumer_Survery_IG_web.pdf
How will this all be enabled by healthcare IT?
The Office of the National Coordinator for
Health IT (ONC) has a potential solution.
The Nationwide Learning Health System
“An environment that links the care delivery system with communities and
societal supports in ‘closed loops’ of electronic health information flow, at
many different levels, to enable continuous learning and improved health. This
kind of system allows individuals to select platforms and apps to share and use
their own electronic health information to meet their needs without undue
constraints.”
http://www.healthit.gov/sites/default/files/nationwide-interoperability-
roadmap-draft-version-1.0.pdf
Goals of the Nationwide Learning Health
System
•
A system for meeting the Triple Aim – “This ‘learning health system’ should also result in lower
health care costs (by identifying and reducing waste), improved population health, truly
empowered consumers and ongoing technological innovation. “
•
Enables individuals and providers to “send, receive, find, and use a common set of clinical
information”
•
Utilizes many data sources across the spectrum of care
•
Feeds data to researchers and helps reduce the amount of time it takes from evidence to practice
•
The system is never ending and cyclical
•
“Sharing and use of patient-generated health data leads to consumer empowerment, person-
centered care, active individual health management, and greater information sharing with the
public health community”
http://www.healthit.gov/sites/default/files/nationwide-interoperability-roadmap-draft-version-1.0.pdf
http://www.healthit.gov/sites/default/files/shared_nationwide_interoperability_roadmap.pdf
End of 2017 (3 Year Goal – Widespread
Interoperability)
http://www.healthit.gov/sites/default/files/sha
red_nationwide_interoperability_roadmap.pdf
End of 2020 (6 Year Goal – The Connected
Patient)
http://www.healthit.gov/sites/default/files/sha
red_nationwide_interoperability_roadmap.pdf
End of 2024 (10 Year Goal – The Learning
Health System)
http://www.healthit.gov/sites/default/files/sha
red_nationwide_interoperability_roadmap.pdf
How does this meet the Triple Aim?
•
In a nutshell it is the Triple Aim:
•
Improvements are never ending
•
It goals are to improve the patient experience, improve the health of
populations, and to reduce per capita costs
What’s happening today?
Change Is Happening
•
In a February 2015 article from the Harvard Business Review, they
interviewed 150 healthcare executives. “More than 70% of
participants reported that they felt their organizations were well
positioned for future success”
•
They also had minimal fear of new competition
•
However, “more than half of the executives” felt “their operational
model is in need of change and disruption”
https://hbr.org/2015/02/the-biggest-u-s-health-care-challenges-are-management-challenges
When things are going well, why disrupt?
•
The Affordable Care Act made cost of healthcare top of mind and
“crystalized the need for reform”.
•
“Many providers are leading the charge, moving further and faster to
redesign care delivery than the law requires. Many health care
leaders understand that there will be little room in the health care
landscape of the next decade for laggards. These leaders may feel
confident about their strategic direction, but they know their current
models won’t get them where they need to go. Thus they need to
become their own disruptors.”
https://hbr.org/2015/02/the-biggest-u-s-health-care-challenges-are-management-challenges
Efforts Underway at UnityPoint Health
•
UnityPoint Health as an example is leveraging MyChart, supporting
Wearables, and developing a Mobile App
•
Innovations Lab
•
Stock wearables and allow providers to borrow them for their own trial
•
UnityPoint At Home’s use of telehealth
•
Allowing patients to check and send in their vitals from the comfort of their
own home
Our first job should be to ensure the privacy
and safety of patient information
•
As an industry, we will continue to collect more and more patient
information and patient information will become ever more
accessible, so as a result patients are at an ever increasing risk of
becoming vulnerable and exploited.
•
The Learning Health System calls for lots of patient information to be
collected and shared, how do we protect patients and their rights?
•
Ultimately, patient trust will need to be earned
Great Example: Mayo Clinic
•
The Mayo Clinic has built from the ground up a new way of protecting patient
information through the formation of their Office of Information Security
•
Goal of the office according to Jim Nelms, their CISO: “There is a great deal of technology
between a patient and a doctor, that we want to ensure does exactly what the physician
says it’s supposed to do, no more and no less .”
•
Their security technology is “cutting edge” and in some ways they’ve had to build their
own tools
•
They have hired many individuals from outside of healthcare, individuals from the DoD,
financial, and other sectors. Their goal was to hire the best of the best.
•
Their approach is to consider the path from patient to provider and all information that
flows. Where are the places that this information can become compromised. Their
perspective is this information is a matter of “life or death” as decisions are made on this
information.
http://www.mayoclinic.org/jobs/career-profiles/information-security/overview
But Let’s Not Forget The Real Challenge
Facing Healthcare
•
Not reaching the right patients (elderly and poor)
•
If we had to generalize, the elderly and the poor on average are the sickest
and the ones most in need of help
•
However, sadly they are also the ones least likely to benefit from
improvements in care that result from technology. For this group,
technology is either not in their vocabulary or financially out of their reach.
•
So the big question will be how to engage these patients in the Learning
Health System
http://www.marketplace.org/topics/economy/health-care/getting-know-sickest-patients
http://kff.org/medicare/video/old-and-poor-americas-forgotten/
So is there Hope in HIM?
•
Health Information Technology (HIT) enables Health Information
Management (HIM)
•
Ultimately, it’s effective use of Health Information Management (HIM)
that’s shows the most promise of supporting the Triple Aim
•
So, can HIM help healthcare achieve the Triple Aim?
•
Can it help improve the patient experience of care?
•
Can it help to improve health of populations?
•
Can it help to reduce per capita healthcare costs?
Call to Action
“The [Nationwide Learning Health System] Roadmap identifies critical
actions that should be taken by a wide range of stakeholders to help advance
nationwide interoperability. I invite you to review the Roadmap, provide your
input and choose a critical action that you are willing to commit to, or even
take the lead on. It is only through everyone’s combined efforts that we will
achieve a learning health system that brings real value to electronic health
information as a means to better care, wiser spending, and healthier
people.”
Karen B. DeSalvo, MD, MPH, MSc
National Coordinator for Health Information Technology
http://www.healthit.gov/sites/default/files/nationwide-interoperability-roadmap-draft-version-1.0.pdf
Thank You!
Embracing patient experience enhancement, unity with wearables, and cutting-edge medical advancements will shape the future of healthcare. Organizations like UnityPoint and Walgreens are adapting to support patient needs in a tech-driven healthcare landscape.
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Presentation Transcript
Matt Beglinger Medical Software Consultant
Lets Talk About What the Future of Healthcare Will Look Like
Everything should be made as simple as possible, but not simpler - Albert Einstein
Improving the Patient Experience of Care IHI Triple Aim as our Framework Future of Healthcare Improving the Health of Populations Reducing Per Capita Costs of Healthcare
Improving the Patient Experience of Care IHI Triple Aim as our Framework Future of Healthcare Improving the Health of Populations Reducing Per Capita Costs of Healthcare
In the future, UnityPoints main competition will not be from other healthcare organizations but rather from patients and their wearables. In order to remain relevant, UnityPoint will need to support patients use of them by adding value around the information they provide. John Hendricks, CTO UnityPoint Health
http://www.patentlyapple.com/patently-apple/2015/06/walgreens-continues-http://www.patentlyapple.com/patently-apple/2015/06/walgreens-continues- to-work-hard-and-think-ahead-for-their-apple-watch-app.html
Improving the Patient Experience of Care IHI Triple Aim as our Framework Future of Healthcare Improving the Health of Populations Reducing Per Capita Costs of Healthcare
Advances in genomic and molecular medicine hold the potential to radically transform human health by enabling much more precise prediction, prevention, and treatment of disease on an individual level. But realizing this potential requires a total rethinking of how health care is delivered from designing new models of care that incorporate unprecedented technologies and a greater focus on prevention, to changing financial reimbursement to support these models, to empowering patients to play a leading role in their care. Geoffrey Ginsburg, MD, PhD Director, Center for Personalized and Precision Medicine Duke University
Improving the Patient Experience of Care IHI Triple Aim as our Framework Future of Healthcare Improving the Health of Populations Reducing Per Capita Costs of Healthcare
[Presently] the sickest 15% take up 15% of the GDP, if we extrapolate this out over the next two decades, with the growth of baby boomers, at this rate it s 60% of the GDP. I offer 60% of the GDP has very little to do with healthcare at that point. It has to do with a gallon of milk, it has to do with college tuition, it has to do with everything we value and everything we know, presently. Timothy Ihrig, MD Medical Director of Palliative Medicine UnityPoint Fort Dodge
Improving the Patient Experience of Care IHI Triple Aim as our Framework Future of Healthcare Improving the Health of Populations Reducing Per Capita Costs of Healthcare
If were going to improve the patient experience we re going to first need to know what is it that patients want. And ensure it aligns with our solution.
What patients want https://www.advisory.com/~/media/Advisory- com/Research/MPLC/Resources/2015/30502_MPLC_Consumer_Survery_IG_web.pdf
How will this all be enabled by healthcare IT? The Office of the National Coordinator for Health IT (ONC) has a potential solution.
The Nationwide Learning Health System An environment that links the care delivery system with communities and societal supports in closed loops of electronic health information flow, at many different levels, to enable continuous learning and improved health. This kind of system allows individuals to select platforms and apps to share and use their own electronic health information to meet their needs without undue constraints. http://www.healthit.gov/sites/default/files/nationwide-interoperability- roadmap-draft-version-1.0.pdf
Goals of the Nationwide Learning Health System A system for meeting the Triple Aim This learning health system should also result in lower health care costs (by identifying and reducing waste), improved population health, truly empowered consumers and ongoing technological innovation. Enables individuals and providers to send, receive, find, and use a common set of clinical information Utilizes many data sources across the spectrum of care Feeds data to researchers and helps reduce the amount of time it takes from evidence to practice The system is never ending and cyclical Sharing and use of patient-generated health data leads to consumer empowerment, person- centered care, active individual health management, and greater information sharing with the public health community http://www.healthit.gov/sites/default/files/nationwide-interoperability-roadmap-draft-version-1.0.pdf http://www.healthit.gov/sites/default/files/shared_nationwide_interoperability_roadmap.pdf
End of 2017 (3 Year Goal Widespread Interoperability) http://www.healthit.gov/sites/default/files/sha red_nationwide_interoperability_roadmap.pdf
End of 2020 (6 Year Goal The Connected Patient) http://www.healthit.gov/sites/default/files/sha red_nationwide_interoperability_roadmap.pdf
End of 2024 (10 Year Goal The Learning Health System) http://www.healthit.gov/sites/default/files/sha red_nationwide_interoperability_roadmap.pdf
How does this meet the Triple Aim? In a nutshell it is the Triple Aim: Improvements are never ending It goals are to improve the patient experience, improve the health of populations, and to reduce per capita costs
Change Is Happening In a February 2015 article from the Harvard Business Review, they interviewed 150 healthcare executives. More than 70% of participants reported that they felt their organizations were well positioned for future success They also had minimal fear of new competition However, more than half of the executives felt their operational model is in need of change and disruption https://hbr.org/2015/02/the-biggest-u-s-health-care-challenges-are-management-challenges
When things are going well, why disrupt? The Affordable Care Act made cost of healthcare top of mind and crystalized the need for reform . Many providers are leading the charge, moving further and faster to redesign care delivery than the law requires. Many health care leaders understand that there will be little room in the health care landscape of the next decade for laggards. These leaders may feel confident about their strategic direction, but they know their current models won t get them where they need to go. Thus they need to become their own disruptors. https://hbr.org/2015/02/the-biggest-u-s-health-care-challenges-are-management-challenges
Efforts Underway at UnityPoint Health UnityPoint Health as an example is leveraging MyChart, supporting Wearables, and developing a Mobile App Innovations Lab Stock wearables and allow providers to borrow them for their own trial UnityPoint At Home s use of telehealth Allowing patients to check and send in their vitals from the comfort of their own home
Our first job should be to ensure the privacy and safety of patient information As an industry, we will continue to collect more and more patient information and patient information will become ever more accessible, so as a result patients are at an ever increasing risk of becoming vulnerable and exploited. The Learning Health System calls for lots of patient information to be collected and shared, how do we protect patients and their rights? Ultimately, patient trust will need to be earned
Great Example: Mayo Clinic The Mayo Clinic has built from the ground up a new way of protecting patient information through the formation of their Office of Information Security Goal of the office according to Jim Nelms, their CISO: There is a great deal of technology between a patient and a doctor, that we want to ensure does exactly what the physician says it s supposed to do, no more and no less . Their security technology is cutting edge and in some ways they ve had to build their own tools They have hired many individuals from outside of healthcare, individuals from the DoD, financial, and other sectors. Their goal was to hire the best of the best. Their approach is to consider the path from patient to provider and all information that flows. Where are the places that this information can become compromised. Their perspective is this information is a matter of life or death as decisions are made on this information. http://www.mayoclinic.org/jobs/career-profiles/information-security/overview
But Lets Not Forget The Real Challenge Facing Healthcare Not reaching the right patients (elderly and poor) If we had to generalize, the elderly and the poor on average are the sickest and the ones most in need of help However, sadly they are also the ones least likely to benefit from improvements in care that result from technology. For this group, technology is either not in their vocabulary or financially out of their reach. So the big question will be how to engage these patients in the Learning Health System http://www.marketplace.org/topics/economy/health-care/getting-know-sickest-patients http://kff.org/medicare/video/old-and-poor-americas-forgotten/
So is there Hope in HIM? Health Information Technology (HIT) enables Health Information Management (HIM) Ultimately, it s effective use of Health Information Management (HIM) that s shows the most promise of supporting the Triple Aim So, can HIM help healthcare achieve the Triple Aim? Can it help improve the patient experience of care? Can it help to improve health of populations? Can it help to reduce per capita healthcare costs?
Call to Action The [Nationwide Learning Health System] Roadmap identifies critical actions that should be taken by a wide range of stakeholders to help advance nationwide interoperability. I invite you to review the Roadmap, provide your input and choose a critical action that you are willing to commit to, or even take the lead on. It is only through everyone s combined efforts that we will achieve a learning health system that brings real value to electronic health information as a means to better care, wiser spending, and healthier people. Karen B. DeSalvo, MD, MPH, MSc National Coordinator for Health Information Technology http://www.healthit.gov/sites/default/files/nationwide-interoperability-roadmap-draft-version-1.0.pdf
