Health IT Summit San Francisco 2015 - Opening Keynote “Health Care 2020: Planning for changes in...
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“Health Care 2020 Planning for changes in how and
where care is delivered”
Wesley Valdes DO [email protected]
LinkedIn Profile
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Wesley Valdes DO
• No financial conflicts of interest to report
• I will be referencing various for profit companies and their products
– I do not work for nor do I have financial relationships with any of them.
– I attempt to use generalized identifies instead of specific companies or products where possible
– Suggestions and feedback are encouraged
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•“To transform healthcare delivery, we
must first transform ourselves.”
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Key Takeaways
• Awareness of the growth of the online care delivery market
• The value of clinical call center as a resource for large healthcare systems
• Concepts for the patient room “of the future” to enhance hospital safety and reduce costs
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Healthcare delivery is undergoing a paradigm shift …
This is what we think
of when we say “see
a Doctor”.
This is what patients
are quickly beginning
to think of when they
say, “see a Doctor”
“By 2017, eight of
ten office visits will
be done virtually”
– Don Berwick
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Consumerism?
• From the historical viewpoint – Principles of Economics (Consumer Sovereignty)
• Carl Menger (1871)
– Theory of the Leisure Class • Thorstein Veblen (1899) – Conspicuous Consumption
– Hidden Persuaders and Waste Makers • Vance Packard (1957, 1960) – Creative Waste
– Mr. Consumer, the real boss and beneficiary • Ludwig Von Mises (1944) – Ruthless consumer
• John Bugas (Ford Motor Company - 1955)
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Consumerism?
• From the health sector viewpoint
– High deductible health plans (CDHP)
– Clarity in explanation of benefits
– Educate on preventive care
– Drive engagement and use of patient portals
– Greater access about network information
– This is not a bill … • http://www.whatmattersbywellmark.com/eob.php
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Consumerism?
• From the Consumer point of view – Choice where to get healthcare services
• Retail (Walmart, Walgreen’s, CVS, etc)
• Online (TelaDoc, MDLive, American Well, etc)
• Traditional healthcare system
– Access to information (instantly) • Quality
• Economic
• Convenience
• Geographic considerations
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Why it matters…
– The business model that matters most is the business model of the consumer
• They have information
• They have choice
• They have technology
• Collectively they change the landscape
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One Critical Access Hospital – Grande Ronde, Oregon
•Reverse Hub and Spoke
– Hospitalist coverage from Israel and France
– eICU coverage from St. Louis
– Local coverage for some specialties
– Contract with anyone who is qualified to provide the service at the cost the hospital can manage.
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Cardiac Surgery
Average US
• $44,000 - $200,000
• Mortality 2.4% (STS Nat’l)
• Infection rate 3.4%
• Post Sx bedsore (8-40%)
Narayana Health
• $1,500 (50% less than 13 years ago)
• Mortality 1.27%
• Infection rate 1%
• Post Sx bedsore < 1%
• Performs 12% of all cardiac surgeries in India
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The new way …
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Evolution: species come and go through time,
while they exist they change.
Common descent: organisms are descended
from one, or several common ancestors and
have diversified from this original stock
Species multiply: the diversification of life
involves populations of one species diverging
until they become two separate species; this
has probably occurred billions of times on
earth!
Gradualism: evolutionary change occurs
through incremental small changes within
populations; new species are not created
suddenly.
Natural selection: evolutionary change occurs
through variation between individuals; some
variants give the individual an extra survival
probability.
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Evolution: systems come and go through time,
while they exist they change.
Common descent: organisms are descended
from one, or several common ancestors and
have diversified from this original stock
Species multiply: the diversification of life
involves populations of one species diverging
until they become two separate species; this
has probably occurred billions of times on
earth!
Gradualism: evolutionary change occurs
through incremental small changes within
populations; new species are not created
suddenly.
Natural selection: evolutionary change occurs
through variation between individuals; some
variants give the individual an extra survival
probability.
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Call Centers
1.Bring a level of efficiency and customer service not attainable otherwise
2.With the appropriate supportive infrastructure, can be utilized for more than taking patient calls
3.Can provide virtual clinical services
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Call Center Examples
Mercy Virtual Hospital
• 120,000 sq ft facility
• 300 clinicians
• To open March 2015
Sutter Health
• 160,000 sq ft
• Two buildings
• 900 employees
• Growing for several years
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Extending TeleHealth Programs for Internal Efficiency and Cost Savings
• Facilitates delivery of a number of internal virtual services
• Live chat with families from hospital room
• Video call routing, security, and management
• Infrastructure leveraged for patient services
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