2016 iHT2 Miami Health IT Summit
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Transcript of 2016 iHT2 Miami Health IT Summit
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iHT2 Health IT Summit Miami Consumerism in Healthcare
February 3, 2016
Shafiq Rab, M.D., MPH
Vice President, Chief Information Officer
Hackensack University Medical Center
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About Hackensack University Health Network
New Jersey-based parent company of HackensackUMC, HackensackUMC Palisades, the
HackensackUMC Foundation, Hackensack University Medical Groups, HackensackUMC
at Pascack Valley and HackensackUMC Mountainside.
Part of the nation’s largest healthcare consortium, AllSpire Health Partners; with a total
of 28 hospitals and service area of more than six million people.
More than 11,300 employees, 3,100 credentialed medical staff members and 1,697
hospital and nursing home beds at hospitals within the Network#1 hospital in New
Jersey and one of the top four New York metro area by the U.S. News & World
Healthgrades® America’s Best 100 Hospitals in 10 different areas – more than any other
hospital in the nation
Healthgrades America's 50 Best Hospitals™ for nine years in a row
Healthgrades Distinguished Hospital Award for Clinical Excellence™ 13 years in a row
23 Gold Seals of Approval™ by the Joint Commission – more than any other hospital in
the country
HackensackUMC is the Hometown Hospital of the New York Giants and the New York
Red Bulls
www.HackensackUMC.org
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HackensackUMC’s Main Ingredients
Recipe for Risk Based Care & Consumerism
HackensackUMC has been ahead
of the curve by strategically
planning and preparing for the
new and emerging care models
for many years
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Recipe for Risk Based Care & Consumerism
1) Patients are Number One and Are the Center of All Efforts!
2) We have a passion for what we do
3) Doctors truly believe that we can impact healthcare outcomes
4) We Believe in Patient Participation and Patient Engagement Including Patient Family
5) The Care Model / Payment model is important but the Patient and the outcomes come First
HackensackUMC’s Main Ingredients
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Recipe for Risk Based Care & Consumerism
1) Less Days in Acute Care Setting
2) Less Days in Skilled Nursing Facility
3) Patient Adherence to Medication Regiment and PCP visit schedule
4) Engaging Patients to Understand Their Own Symptomology and their Care options
5) Active Care Coordination Tools and Active Care Coordination TEAM
HackensackUMC’s Main Ingredients
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Recipe for Risk Based Care & Consumerism
Using the ingredients above:
1) We Enable Providers and Patients to Work together as a TEAM
2) We Tighten Integration Across The Entire Continuum of Care
3) We Create a Unified View of the Patient and Their Care
4) We Manage the Actions That Improve Outcomes and Reduce
Costs
5) Interconnect all aspects of the patient’s care via integrated
interoperability
a.Using the technologies and tools below to achieve
standardization
i. PCMH Certified Practices
ii.Practices with ONC Certified EHRs
iii.Standard Order sets
iv. Standard Care plans
v.Standard Protocols (HL7 & FHIR)
HackensackUMC’s Main Ingredients
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Why the Focus
Improving Costs, Quality and Satisfaction
Source: Identifying and Quantifying the Cost of Uncoordinated Care: Opportunities for Savings and Improved
Outcomes, Mary Kay Owens, R.Ph.,C.Ph, Institute of Medicine, 2009.
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HackensackUMC’s Growth
Towards Over 100,000 Beneficiaries
2012 - Medicare ACO
2014 – Horizon Blue Cross ACO
2015 – Aetna – Medicare Advantage
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Background on Medicare ACO
Hackensack Alliance ACO
– 2013: Medicare Savings of $10.75M
– 2014: Medicare Savings of $6.5M
– The Hackensack ACO is one of only 37 Medicare Shared Savings
ACOs in the country to achieve a savings bonus in each of its first 2
years, and their total earned bonus ranks them 22nd in the country.
– Inpatient Utilization of ACO Patients Lower than Index Group
– Emergency Department Utilization of ACO Patients Lower than Index
Group
– 1st Year Reduction on 30-day Readmissions for ACO Patients
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Background on Blue Cross ACO
Hackensack Alliance ACO
– Update:
– Achieved Bonus in 2015
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Background on Aetna Medicare Advantage
Hackensack Alliance ACO
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AllSpire Health Partners
• 7 Health Systems with 25 hospitals
• Health Systems remain separate entities
• Combined revenue of $10.5 billion
• Largest health care consortium in the
country
• Focus on population health and group
purchasing
• Service area of more than 9 million
people
• $7 million invested to form alliance
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Merger with Meridian Health
Hackensack Meridian Health
• “Committed to implementing innovative models of
care”
• “Garrett said the success of the two ACO’s
provides evidence of their commitment to
transforming health care”
• “We are in the minority in the country of ACOs
that have actually worked.”
• “We are both trying to develop significant
infrastructures for population health”
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Focus of Risk Based Care
Manage Care & Costs Across Continuum of Care
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How HackensackUMC Manages
Risk Based Care for their Multiple Populations
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How HackensackUMC Manages
Risk Based Care for their Multiple Populations
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Active Care Coordination Platform
Systematic Action Through Coordination
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Active Care Coordination Platform
Systematic Action Through Coordination
PCP Post
AcuteHome
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Blue Button Interoperability
Hospitals & Clinics
Analytics
Proteomics
Genomics
IoT & Wearables
Location Spending Habits
Nutrition Social Determinants & Mental Health
Rx Network
EHR My Life
Bank Personal
Profile
Cardiologist A
pp
oin
tmen
ts
ER V
isit
s Patient &
Family Care
Coordinator
Oracle
Power BI
Caradigm Azure Machine Learning Azure
Stream
Population Health Systems
Disease Registries
My Connected Life What Makes Us - Us
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The Value of Technology The Shift Toward Prevention
1) Advanced warning toward total prevention
2) Point of care actionable alerts for behavior modification
3) Facilitation of social and behavioral change
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Prevention
Primary Care
Ambulatory Setting
Home
Components of the Shift
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The Pressure is On A Quest for Customer Loyalty
Convenience is Required
Whenever Access is Guaranteed
High Quality is a Given
Patient Reported Outcome Reimbursement
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2016 Healthcare IT Innovations Artificial Retinas
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2016 Healthcare IT Innovations Robotic Nurse Assistant
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2016 Healthcare IT Innovations DARPA Advances in Prosthetics
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2016 Healthcare IT Innovations Anti-aging Drugs
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2016 Healthcare IT Innovations Tooth Regeneration
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2016 Healthcare IT Innovations Lightbulbs that Disinfect and Kill Bacteria
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The Consumer Will See You Now… Devices, Wearables, Implantables
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Healthcare Could be Free Self Service & Funded
Technology allowing more and more tests to be done at home
Day will come that ALL tests can be done at home
Payers will be able to pay for it
Healthcare might become free
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What Are We Doing Now The Basics
We digitalized the records
Analytics
Predictive Analytics
Value Creation
Decision Making
(Strategic & Tactical)
Now we want to get the data out as meaningful
information via analytics to create value
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Apple Healthkit Keeping connected to patients
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ADOPT MEOWS Redefining Quantified Blood Loss as a Vital Sign
Feed as Vital
Sign to EHR
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St. Jude’s Medical CardioMEMS Implanted Pulmonary Artery Sensor
Transmit
from
Home to
EHR
Implanted
in Artery
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Participation
Facilitating Change Putting the Power in the Hand of the Patient
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Creating Value from Data Smart Patient
Wearables
Detect Future
Heart Attack
Schedule Doctor
Visit and forward
EKG
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www.HackensackUMC.org
Thank You
[email protected] 551-996-3669
Contact or Follow Dr. Shafiq Rab
@CIOSHAFIQ