Workshop Output

1. Exploring New Models of Care
14th September 2016
Sunnyville,California
HealthXL Summary Report

2. Increasing costs and limited resources in hospital systems
around the world are driving the need to revaluate the methods
for delivery of healthcare services to people.
HealthXL, together with Plug&Play and our partner Johnson &
Johnson, were delighted to be joined by 20 healthcare
professionals, industry experts and innovators for a workshop
to discuss how new models of care can be devised through
collaboration to address the increasing pressures on healthcare
access and delivery.
The workshop in Plug&Play, Sunnyvale forms part of a global
program where the HealthXL community in Singapore, California
and Melbourne are examining the challenges and opportunities
that exist to redefine patient access to both acute care but also
drive prevention promotion.
We initiated the workshop by highlighting work that providers
are undertaking to change the access patients have to crucial
healthcare services. SutterHealth, University of Mississippi
Medical Center and Schlon Klinic brought the group through
their respective organizations efforts in this area and
highlighted some pain points they are experiencing facilitating
the transition of care. After hearing from the providers, the
group brainstormed opportunities for transition of care, heard
from Roni Zeiger of Smart Patients after which they prioritised
what the patient would want in a new model of care and ideated
around the minimal viable product required to begin the
transformation in their chosen area facilitated by HealthXL.
The primary theme that emerged from our collective
discussions was - empowering the patient to have more control
over their health and access to medical care.

3. Attendees
Alexandra Castillo UMMC
Lucia Soares Johnson & Johnson
Ruchita Sinha GE Ventures
Peter Whitehead SISU Health
Xiaoxu Kang Kangaroo Health
Kathy Doran Johnson & Johnson
Gregg Ringold Careskore
Leslie Musshafen UMMC
Chris Jaeger Sutter Health
Theo Lau AARP
Jo Ann Swasey Johnson & Johnson
Roni Zeiger Smart Patients
Michael Dillhyon YouBase
Shawn Leavitt Comcast
Lowinn Kibbey Johnson & Johnson
Terrence Hibbert UMMC
Alexander Grunewald Johnson & Johnson
Alexander Hauenschild Schoen Klinik
Cheryl Lejbolle UnitedHealthcare
Jonathan Kipp Comcast
Margy Drumheller AARP

4. Key Areas where Opportunity for New Models
of Care exist
In working groups, the participants laid out what they believed were the top
opportunities to change the status quo, and move the delivery of care from an
acute-led service to a community or home-based care delivery.
• In-home care for elderly
e.g. Remote monitoring, care services from community nurses
• Chronic disease management
e.g. Patients with diabetes
Depression/mental health services – access to quality services
and treatments outside of hospitals
• Health Management Optimization
e.g. effective referrals, triaging
Barriers & Frustrations for Clinical Providers
With technology maturing that is capable of delivering the opportunities, we
discussed with out clinical providers what their top frustrations and barriers were for
delivery of new models of care.
• Difficulty in proving out cost-savings
• Existing across two billing worlds
• Fee for service
• Value-based payments
• Technology infrastructure
• Rural communities and connectivity to them
• Skewed incentives for progressive care models
• Health literacy of communities
Barriers & Frustrations for Clinical Providers

5. A patient’s perspective - What matters to me?
Roni Zeiger, CEO of Smart Patients, delivered an excellent patient viewpoint for the
attendees to consider.
Regardless of the location and person whom delivers the care, what are the most important
factors that need to be front and centre in a solution are features that meet the fundamental
needs and wants of a patient.
To often buzzword descriptions for what appears desirable rather than reality are banded
and accepted. Patient-centred care is often one of those terms, therefore the participants
were challenges to define “Patient-Centred-Care” and share what they believed to be a
examples of this care description.
Definition 1
Through conversation and partnership with healthcare professionals – the outcomes of care
and success is prioritized by the patient and guided by the professional
Definition 2
Personalised care, that is not financially motivated. An exceptional experience that meets
the needs of the patients
Definition 3
Care that empowers the patient, connecting them with both doctors and peers to design a
care program that meets their reality and avoids redundancies.
From buzzword to reality for patient-centred care

6. The Challenge for Tomorrow
The problems and solutions, raised and discussed by the workshop participants are
complex, there is no magic bullet or single point solution to deliver the utopia of low-cost,
non-acute based healthcare. However – for every journey there must be a starting point,
so each working group was challenged to design an experiment they could start the next
day (budget $300,000) to begin working on a new model of care.
Challenge 1
To help people living with diabetes define realistic health outcomes and then help them
execute them.
Challenge 2
In-home care for seniors, a house of the future, equipped to allow real-time engagement
and communications for occupants with community of care providers.
Challenge 3
Collaborate with trusted community/social groups in the community, to reduce health risks
(hypertension/stroke) in lower socio-economic sectors.
As an entire group – the priority as given to Challenge 3 – collaborations between care
providers and communities to deliver new models of care. Reaching all sectors of society
via trusted channels to reduce health risks such as strokes, hypertension and diabetes.

7. Workshop Learnings
Across a number of clinical providers present there was shared frustrations and
barriers as to why it is difficult to move from acute-led services to more community
based care. Alignment is needed from administration, payors, industry and
physicians to drive the change required.
Patient-centred care requires decision-making led by the patient and guided by the
physician and wider healthcare professional communities. The needs AND wants of
patients needs to be front and centre of decisions taken for care.
To deliver new models of care to all sectors of society, there is a need to explore
new collaborations with non-traditional groups such as religious, social and sporting
clubs. Leveraging the already trusted relationships to drive change in lifestyles and
reduce health risks.
Next Steps
Taking the proposed challenges raised by the workshop participants HealthXL will
prepare a report on digital health solutions that exist that could potentially address
some solution required.
HealthXL invite all workshop participants to join us in Basel (21st Feb 2017), where
we will bring our global community together, presenting the summary of the
workshops and how digital technology is playing a role in addressing the Challenges
raised.

8. Meet the HealthXL Community
A number of solutions are currently operating in the market which may support some of the issues
and barriers raised at the workshop. Below HealthXL have included a shortlist of companies
addressing some of the issues.
Sense.ly, a virtual nurse platform for personalized follow up care with
a strong focus on chronic conditions. Automated risk assessment
allowing clinicians to triage patients.
Baylon Health, a telemedicine solution that combines AI & remote
care. A subscription-based remote GP consultation service. “check”
function triages patients automatically before they talk to a GP
Jaga-Me is a platform for patients and their families to access
professional home nursing and caregiving services in Singapore at
home, on-demand.
The Twine Collaborative Care Platform helps patients build self-
efficacy via support from coaches/clinicians. Twine has demonstrated
that their platform contributed to improved outcomes for diabetic
patients.
Akili are building clinically-validated cognitive therapeutics,
assessments, and diagnostics that feel like video games that will be
deployed remotely directly to patients anywhere, prescribed and
tracked by physicians.

9. Bloomberg meets LinkedIn for digital health
The HealthXL Platform brings together key market stakeholders in digital health, and empowers
them to collaborate and learn from each other
• Gain global coverage of market intelligence for innovative high growth companies
• Access shared strategic learnings from market thought leaders
• Close the loop for new collaborative projects, bringing together customers, solutions,
funders and precise expertise
HealthXL Members:
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