Building Health 2.0 Into the Delivery System
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Building Health 2.0 into the Delivery System
Scott Shreeve, MDChief Executive Officer
April 14, 2009
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Agenda
/ Intro/ Panelist/ Discussion/ Presenters/ Discussion
Integrated/GH Academic/BIDMC Group/DHCM Independent/RenH
Integrated/Kaiser Interdependent/Myca Independent/Google
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The Cathedral and the Bazaar
vs
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Cathedral CareVertical
HospitalServices
Ancillary Services
PhysicianServices
PatientServices
Characteristics:• Kaiser, Group Health, Geisinger, etc• Optimization at the system level• Full coordination of care• Information technology supports• Incentives aligned for outcomes• Reward for results• Patient consumer for life• Consumer is guided through process
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Bazaar CareNon - Integrated
PhysicianServices
Characteristcs:• Fee for Service• Optimization at the component level • Disease Care• Lack of coordination• No Accountability• Consumer left to navigate• Incented for volume not value
Ancillary Services
ConsumerServices(None)
HospitalServices
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Transformation
Current System
H2.0
Future System
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The BazedralVirtual Health 2.0 Opportunity:
• Software/services integration layer• Coordinates patients, providers, and payment• Dramatic increase in health care value
Key points of “Virtualization”• Financing (payment / business models)• Delivery (new types of arrangements)• Incentives (increased $ for increased value)
Org
aniz
ing
Entit
y
PhysicianServices
Ancillary Services
ConsumerServices(None)
HospitalServices
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Perspectives
James Hereford• VP Quality, Group Health• Integrated Delivery System
John Halamka, MD• CIO, BIDMC• Academic Medical Center
Dan Caruso, MD• Med Director, Dartmouth• Community Group Practice
Rushika Fernadouplle, MD• Founder, Renaissance Health• Individual Medical Clinics
Integrated Academic Group Independent
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Cathedral or Bazaar?
vs
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Ferrari Medicine
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Ferrari Medicine
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vs
Independent or Systemic?
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Virtual
Org
aniz
ing
Entit
y
PhysicianServices
Ancillary Services
ConsumerServices(None)
HospitalServices
Vertical
HospitalServices
Ancillary Services
PhysicianServices
PatientServices
vs
Vertical or Virtual?
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vs
On or Off the Grid?
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PresentersRoni Zieger, MD• Project Manager, Google Health
Sean Khoizon, MD• Medical Director, Hello Health
Ted Eytan, MD• Clinical Innovation, Kaiser Permanente
Integrated/KaiserInterdependent/Myca Independent/Google
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Free Flow or Gated Stream?
vs
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“Almost always, disruptive innovations such as these have been ignored or opposed by the leading institutions in their industries for perfectly rational reasons”
- Clayton Christensen
Per
form
ance
Sustaining or Disruptive?N
ew M
easu
re o
fP
erfo
rman
ce Time
Time
Incumbents win
New Entrants win
1. Enabling technology2. New Business Model3. Value Based Network
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EHR
PHR
PHR
PHR
PHR
Phrm Provider
vs
Payor Patient
Tethered or Untethered?
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Takeaway Memes
1.Health 2.0 from just Promise to the Practical
2.Innovation from Inside as well as Outside
3.Relationships from Paternalistic to Participatory
The enabling tools and technology of H2.0 arecreating the next Generation Health System NOW
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Join In!
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