CONNECTEDHEALTH

CONNECTEDHEALTHCONSHOHOCKENHEALTHINNOVATIONMEETUP

MAY24,2016

PHILLIP THOMAS | DENOVOMD

CONNECTEDHEALTH

AGENDA

•  Introduc)on

•  Defining Connected Health

•  The Promise of Connected Health

•  Sectors & Current State of Connected Health

•  Gaps & Opportuni)es

•  The Future

•  Ques)ons/Discussion

CONNECTEDHEALTH

“EVERYONEHASAPLANUNTILYOUGETPUNCHEDINTHEFACE.”MikeTyson

CONNECTEDHEALTH

“The healthcare ecosystem is increasingly converging on pa)ent centric technology solu)ons. The role of the provider is to expand far beyond the walls of the exam room, especially as our healthcare system transi)ons towards value based purchasing. The Connected Health findings illustrate the importance of interac)ve rela)onships between physicians and individuals and technology as a means to advance comprehensive health and healthcare.”

....

TomMarIn,Ph.D.,DirectorofHealthcareInformaIonSystemsforHIMSS

CONNECTEDHEALTH

The Problem with Defini)on

• ConnectedHealthisoPendefinedfromtheperspecIveofthesiloorfocusareathatanenIty/personoperatesin.

•  Thiscreatesalogicalfallacy

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CONNECTEDHEALTH

For Today: Connected Health

• People-CenteredConnectedHealth:whencareandinformaIonistrulycoordinatedaroundthepaIenttoachieveopImalresultsatthelowestcost

• ConnectedHealthshould•  ExpandAccess•  EmpowerPeople•  IncreaseEfficiency

CONNECTEDHEALTH

Why Connected Health

COST QUALITY ENGAGEMENT Total Cost = Unit Price x Volume

Some unit prices are high due to irra)onality of pricing (price variability). Some volume is driven by unnecessary services (medical waste). Medical waste is es)mate at 30% of all health care expenditures ($765B in 2009) Source: Ins,tute of Medicine

We need to ensure that necessary care is not adversely affected by cost and u)liza)on control and that we achieve high preven)ve service usage and strong medica)on adherence. The US health care system ranks 38th compared to other countries Source: World Health Organiza,on

Individuals are not engaged in the health care system. 99% of Americans can read but on 12% are health literate. Poor health literacy is linked to 100,000 deaths every year.

EXPERIENCE An individual’s healthcare experience can vary widely. In fact, only 54% of Americans rate the quality of healthcare in this country as good.

Source: Gallup 2013, Triple Aim: Ins,tute for Health Care Improvement

CONNECTEDHEALTH

Three Models

CUSTOMER EXPERIENCE

MODEL

EFFICIENCY MODEL

Knowledge & Insights Model

•  IncreasePaIentEngagementandMedicaIonAdherence

•  IncreasedPaIentVolume

•  ImproveProducts&Services

•  IncreaseProducIvity

•  DecreaseRisk&Liability

•  MeetAccounIngrequirementsfornewpaymentmodels

•  IncreaseHealthcareQuality&ImprovePaIentSafety

•  FacilitateQualityReporIngandImprovedCareCoordinaIon

CONNECTEDHEALTH

HIMSS: Focus Areas

MobileandConnectedHealth

Cyber-Security

PopulaIonHealth

Connectedhealthis

transformingcaredeliveryandcreaIngopportuniIesforpaIent

self-management

CONNECTEDHEALTH

ISTHEPROMISEOF“CONNECTEDHEALTH”BEINGFULFILLED?

CONNECTEDHEALTH

“PROBLEMSCANNOTBESOLVEDBYTHESAMELEVELOFTHINKINGTHATCREATEDTHEM.”ALBERTEINSTEIN

CONNECTEDHEALTH

Thepromiseofconnectedhealthwillberealizedwhenitbecomesthe“internet”equivalentofthehealthcareworld.Allpeople,insItuIons,dataanddevicesoperaInginagnosIc,seamlessandsecureconnecIvity.

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The Connected Health Ecosystem

Source:

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15

But something is missing…..

• Greater investment around the patient’s care system, central to which is the provider

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The Provider-Pa)ent Ecosystem

Source:

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Connected Health & Popula)on Management

THE R

IGHT

PATIE

NT... TargeIng

membersthroughrulesandmodelsthatprovidehighsensiIvityandspecificity ...S

EEN

THE R

IGHT

WAY

... ProvidingpaIentswithholisIc,seamlessandcoordinatedcare,onthepaIent’sterms ....

..AT T

HE R

IGHT

TIME

.

DeliveringcarewhenitismosteffecIveinproducingthebestoutcomes,withafocusonmodifyingrisk

Source:adaptedfrom

CONNECTEDHEALTH

What does Success look like? •  SingleSign-On• Clinicalefficacy•  Sharedknowledge•  IncenIvizesthatwork• CareTransformaIon• BusinessEffecIveness• OpImizedPricing•  InvestedPaIent,&• ……...........................

CONNECTEDHEALTH

• AgreeonadefiniIon• Outlinewhatsuccesswouldlooklike•  Interoperabilitymustbeareality•  Standardizeddataframework•  Securitymustconstantlyevaluatedandstandardized

•  Encouragethegreateruseofplaforms•  TechnologyPla.orms:easeofconnecIon•  BusinessPla.orms:wherethemarginalcostsdecreases

• ….......................................................

A Path Forward

CONNECTEDHEALTH

The Future: Defined by Vision or Crisis?

• ASecuritymechanismsimilartoaNaIonalDefenseSystem?

• AMarketplacesimilartoastockexchange?• AnInsurancePricingmodelliketheGSA?• ADatamodelcooperaIvesimilartoastandardsinsItuIon?

• AninteroperabilitymonitorsimilartotheFederalTradeCommission?

• OtherIdeas…............................?

CONNECTEDHEALTH

CLOSING THOUGHTS

Success is like winning in soccer. How you manage the space decides the effec)veness of the outcome. And space control is a team effort!

(with credit to David Brooks)

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“INORDERTOCHANGEANEXISTINGPARADIGMYOUDONOTSTRUGGLETOTRYANDCHANGETHEPROBLEMATICMODEL.YOUCREATEANEWMODELMAKETHEOLDONEOBSOLETE.”BUCKMINSTERFULLER

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THANK YOU

QUESTIONS?

PHILLIP THOMAS | PhILLIP@DENOVONOW.COM | +1.484.897.0868