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HealthSparq Customer Summit Feb 25 2015

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HealthSparq Customer Summit Feb 25 2015

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HealthSparq provides pricing and shopping tools for healthcare. I spoke as an empowered consumer at their annual customer summit in Las Vegas. "HealthSparq’s disruptive technology solutions are rewiring the way people interact with the health care system. By turning passive patients into empowered shoppers, we can improve health care costs and quality—one decision at a time."

HealthSparq provides pricing and shopping tools for healthcare. I spoke as an empowered consumer at their annual customer summit in Las Vegas. "HealthSparq’s disruptive technology solutions are rewiring the way people interact with the health care system. By turning passive patients into empowered shoppers, we can improve health care costs and quality—one decision at a time."

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HealthSparq Customer Summit Feb 25 2015

  1. 1. JAMIA, 1997 “e-Patient Dave” deBronkart Twitter: @ePatientDave facebook.com / ePatientDave LinkedIn.com / in / ePatientDave dave@epatientdave.com Skype: ePatientDave How Educated Consumers Can Change Healthcare
  2. 2. “Patient” is not a third person word
  3. 3. How I came to be here •  High tech marketing •  Data geek; tech trends; automation •  2007: Cancer discover & recovery •  2008: E-Patient blogger •  2009: Participatory Medicine, Public Speaker •  2010: full time •  2011: international
  4. 4. “e-Patient Dave” deBronkart Twitter: @ePatientDave facebook.com/ePatientDave LinkedIn.com/in/ePatientDave dave@epatientdave.com e-Patient Boot Camp Athens 2013 Photo of the Acropolis here
  5. 5. “e-Patient Dave” deBronkart Twitter: @ePatientDave Cows behind a veil of secrecy Reinhardt didn’t realize! facebook.com / ePatientDave LinkedIn.com / in / ePatientDave dave@epatientdave.com
  6. 6. “I want to note especially the importance of the resource that is most often under- utilized in our information systems – our patients” Charles Safran MD, Beth Israel Deaconess quoting his colleague,Warner Slack MD Testimony to the HouseWays & Means subcommittee on health, 2004
  7. 7. e-Patients.net founder Tom Ferguson MD 1944-2006 Equipped Engaged Empowered Enabled” Doc Tom said, “e-Patients are
  8. 8. Pt of future
  9. 9. Me? An indicator of the future?? •  Who’s getting online: –  1989: Me (CompuServe sysop) –  2009: 83% of US adults (Pew) •  Who’s romancing online: –  1999: I met my wife (Match.com) –  2009: One in eight weddings in the U.S. met online –  2011: One in five couples met online
  10. 10. The Engaged Patient 12 items in my pre-appointment “agenda” email
  11. 11. The Incidental Finding Routine shoulder x-ray, Jan. 2, 2007 “Your  shoulder      will  be  fine  …      but  there’s        something        in  your  lung”  
  12. 12. Multiple tumors in both lungs Where’s This From??
  13. 13. E-Patient Activity 1: Researching my condition
  14. 14. Classic Stage IV, Grade 4 Renal Cell Carcinoma Illustration on the drug company’s web site Median Survival: 24 weeks
  15. 15. Facing the Reaper
  16. 16. My mother
  17. 17. My daughter
  18. 18. After the shock you’re left with the question: What are my options? What can I do?
  19. 19. Get engaged. Get it in gear. Do everything you can.
  20. 20. E-Patient Activity 2: “My doctor prescribed ACOR” (Community of my patient peers)
  21. 21. ACOR members told me: •  This is an uncommon disease – get to a hospital that does a lot of cases •  There’s no cure, but HDIL-2 sometimes works. –  When it does, about half the time it’s permanent –  The side effects are severe. •  Don’t let them give you anything else first •  Here are four doctors in your area who do it –  And one of them was at my hospital
  22. 22. E-Patient Activity 3: Reading (and sharing) my hospital data online
  23. 23. Surgery & Interleukin worked. Target Lesion 1 – Left Upper Lobe Baseline: 39x43 mm 50 weeks: 20x12 mm
  24. 24. Question:
  25. 25. How can it be that the most useful and relevant and up-to-the-minute information can exist outside of traditional channels?
  26. 26. “If I read two journal articles every night, at the end of a year I’d be 400 years behind.” It’s not humanly possible to keep up. Dr. Lindberg: 400 years
  27. 27. The lethal lag time: 2-5 years During this time, people who might have benefitted can die. Patients have all the time in the world to look for such things. The time it takes after successful research is completed before publication is completed and the article’s been read.
  28. 28. Because of the Web, Patients Can Connect to Information and Each Other (and other Providers)
  29. 29. “Data Liberación!” Todd Park Innovator Entrepreneur HHS Chief Technical Officer US Chief Technical Officer
  30. 30. “Information liquidity” transforms what’s possible
  31. 31. Not liquid Liquid •  Moving it takes effort •  Slow and predictable •  Arrival on unexplained “tracks” is suspicious •  Frictionless – controlling the flow takes effort •  Fast and unpredictable •  “Tracks” are everywhere
  32. 32. Compare with - “To Err is Human” (98,000 deaths/yr Nov 1999) Death by Googling: Not. (Dr. Gunther Eysenbach, Europe: 0 deaths found in a three year search)
  33. 33. “It may be more dangerous not to google your condition.”
  34. 34. “These conclusions are no more anti-doctor or anti-medicine than Copernicus and Galileo ..were anti-astronomer.” Patients can simply contribute more today than in the past.
  35. 35. Obstacle to adoption: “But patients don’t understand this stuff.”
  36. 36. If the data’s unclear let’s MAKE it clear Like other industries do.
  37. 37. Thomas Goetz, Wired
  38. 38. Thomas Goetz, Wired “It’s time to redesign medical data”
  39. 39. Same data – better software. Information: clearer. Consumer: informed, enabled.
  40. 40. Things look different when you get the center right Source: Wikipedia, Copernican Revolution
  41. 41. Everyone’s saying “Patient engagement is the blockbuster drug of the century”
  42. 42. Not so fast. Let’s look deeper.
  43. 43. Drugs have two components: the Active Ingredient that produces the result, and the Vehicle, which carries the active ingredient to the point where it can act to produce value.
  44. 44. Patient engagement per se is just the vehicle. It enables potential value to reach the point of need.
  45. 45. But what’s the active ingredient??
  46. 46. What are the concrete, specific, real, tangible ways that patient engagement genuinely alters value in clinical and business reality?
  47. 47. People perform better when they’re informed better.
  48. 48. It’s perverse to keep people in the dark and call them ignorant Corollary:
  49. 49. What happens when a consumer tries to be responsible about costs?
  50. 50. N.H. insurance shopping, 2011 Premium     Deduc+ble     Co-­‐pay   a4er     deduc+ble   Max  OOP     (deduc+ble     +  co-­‐pay)   Stop-­‐loss  max   (in-­‐network  +   out)   Op#on  A   $894     Op#on  B   $705     Op#on  C   $581     Op#on  D   $495     Op#on  H   $624    
  51. 51. The choices they offered Premium     Deduc+ble     Co-­‐pay   a4er     deduc+ble   Max  OOP     (deduc+ble     +  co-­‐pay)   Stop-­‐loss  max   (in-­‐network  +   out)   Op#on  A   $894     $1,000     Op#on  B   $705     $2,500     Op#on  C   $581     $5,000     Op#on  D   $495     $10,000     Op#on  H   $624     $5,950    
  52. 52. The choices they offered Premium     Deduc+ble     Co-­‐pay   a4er     deduc+ble   Max  OOP     (deduc+ble     +  co-­‐pay)   Stop-­‐loss  max   (in-­‐network  +   out)   Op#on  A   $894     $1,000     20%   Op#on  B   $705     $2,500     20%   Op#on  C   $581     $5,000     20%   Op#on  D   $495     $10,000     0%   Op#on  H   $624     $5,950     0%  
  53. 53. The choices they offered Premium     Deduc+ble     Co-­‐pay   a4er     deduc+ble   Max  OOP     (deduc+ble     +  co-­‐pay)   Stop-­‐loss  max   (in-­‐network  +   out)   Op#on  A   $894     $1,000     20%   $3,500     $12,500     Op#on  B   $705     $2,500     20%   $5,000     $12,500     Op#on  C   $581     $5,000     20%   $7,500     $12,500     Op#on  D   $495     $10,000     0%   $10,000     n/a   Op#on  H   $624     $5,950     0%   $5,950     $12,500    
  54. 54. I know – run some scenarios!
  55. 55. =IF(maxoop<J17+J18,maxoop,J17+J18)
  56. 56. I know – graph it!
  57. 57. My favorite complaint:
  58. 58. “Patients are the only ones who don’t have any skin in the game” - Practice manager, quoted in Health Leaders, Fall 2011
  59. 59. 2011: EOB for a scan
  60. 60. Winter: Shingles vaccines
  61. 61. Speaking of skin in the game…
  62. 62. Doing what empowered buyers do dave.pt/skincancerRFP
  63. 63. Obstacle to adoption: “My patients aren’t asking for this.”
  64. 64. And finally: recognition from the establishment
  65. 65. Patient-Clinician Partnerships Engaged, empowered patients— A learning health care system is anchored on patient needs and perspectives and promotes the inclusion of patients, families, and other caregivers as vital members of the continuously learning care team. Institute of Medicine – Sept 2012 Major New Report:“Best Care at Lower Cost”
  66. 66. October 2007 2.8 e-PatientYears in Pictures December 2006 May 2009
  67. 67. Thank you, medicine.
  68. 68. JAMIA, 1997 “e-Patient Dave” deBronkart Twitter: @ePatientDave facebook.com / ePatientDave LinkedIn.com / in / ePatientDave dave@epatientdave.com Skype: ePatientDave How Educated Consumers Can Change Healthcare

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