4. ENGAGE YOUR
PATIENTS
to improve
experiences &
outcomes
EMPOWER YOUR
CARE TEAMS
to be more
productive &
efficient
OPTIMIZE YOUR
CLINICAL &
OPERATIONAL
EFFECTIVENESS
by using data
analytics
TRANSFORM
THE CARE
CONTINUUM
by tapping intelligent
devices
Digital Transformation in the Health Industry
6. In the two years that HLHS patients at Children’s Mercy
Kansas City have experienced their treatment supported
by CHAMP, not a single child has been lost. They now
not only survive, but thrive.
parents select areas
for CONCERN
parents enter data
into hospital-issued
TABLET
monitoring team
contacts parents
about REMINDERS
or ALERTS
device SENDS DATA
to 24x7 home
monitoring team
ENGAGE YOUR
PATIENTS
to improve experiences
and outcomes
8. "It's staggering the difference in cost between this
off-the-shelf product and a more commercial
standardized telehealth offering.“
Ian Arbuthnot, Director of Health Informatics
BSUH NHS Trust
improves time to
treatment, resulting
in better clinical
OUTCOMES
patients assessed
AT THE SCENE for
stroke via mobile
devices & video-
conferencing
the total solution
is much more cost
EFFECTIVE than
similar alternatives
the technology is
simple & FAMILIAR
for clinicians
EMPOWER YOUR
CARE TEAMS
to be more productive
& efficient
9. EMPOWER YOUR
CARE TEAMS
to be more productive
& efficient
OPTIMIZE YOUR
CLINICAL &
OPERATIONAL
EFFECTIVENESS
by using data analytics
11. What is the most
Promising
Type of
Laser Surgery
for this Patient?
Should the patient
go through
Lasik Surgery
or Not?
What are the
Optimal
Surgery parameters
for this patient?
“The ICU coordinators can effectively be proactive
by inspecting their own data and comparing it to
the reference benchmark, introducing new training
programs depending on their immediate needs.”
Dr. Joao Pantoja, Corporate Medical Director, Rede
D’Or Private Hospital network
OPTIMIZE YOUR
CLINICAL &
OPERATIONAL
EFFECTIVENESS
by using data analytics
“LV Prasad Eye Institute was founded with the
philosophy of reconciling excellence with equity. This
job has become easier because of the many
platforms Microsoft offers”
Dr. GN Rao, Founder Chairman, LV Prasad Eye Institute
14. “We’re building a sustainable health system, not a health
care system. ImagineCare is about helping people to
stay healthy and helping patients to ‘get well’ faster.”
Dr. Jim Weinstein, Dartmouth-Hitchcock
CEO & President
COMPARE real-time
data to historical data
COLLECT patient
data via devices
RECOMMEND
action to prevent
health incident
SEND automated
message if a
threshold is passed
TRANSFORM
THE CARE
CONTINUUM
by tapping intelligent
devices
Notas do Editor
This presentation was last updated September 2016
Talk Track: We all understand that the health industry is complex. In addition to the demographic changes that are outside of our control, like the growing population, people living longer, chronic disease and the obligatory budget pressures, technology and the pace of advancement are placing additional pressures on us.
India too reflects a global trend. By some estimates, India faces a Clinical support gap of 1M Doctors, 2M Doctors and 3M Nurses. India has done well to improve the Life Expectancy at Birth – But that also means we are soon going to have a large ageing population requiring care. Additionally, Non-Communicable Diseases (NCDs) impact India too – with 30-40% of all In-Patients being from NCDs. Unlike a one-time curative treatment, many of these diseases require ongoing disease management. All of this need make a compelling reason to embrace Digital.
But, with electronic information, we have new things to consider, like dealing with cyber threats, maintaining our compliance, keeping pace with medical advancements, and trying to do all of this when our technical solutions are fragmented.
Talk Track:
The answer is a great system of record—an electronic medical record. That will fix everything, won’t it?
[click]
The emphatic answer is NO. The reality is that our current systems will have to evolve.
We need to focus on extracting value from information contained within the core investments you’ve made. These are systems of insight that liberate the data in those systems, and systems of engagement that help care providers come together and team effectively.
Systems of insight and engagement are increasingly relevant when we examine how people are being treated today. More health is being delivered outside the walls of health facilities. Health Systems need to evolve to facilitate innovate models of care delivery.
Systems of insight and engagement will lead the digital transformation journey in Healthcare.
Now that we have established that Digital Transformation holds great promise for addressing some of the core priorities in Health, let us look at how one can make this real.
Digital Transformation in Healthcare can be viewed in terms of a high-level framework involving 4 broad areas: (1) Looking after our Patients, (2) Empowering Care Teams, (3) using Health Analytics to improve Clinical and Operational Effectiveness and (4) Transforming the Continuum of Care.
The first two involve the key stakeholders and the next two involves the key priorities.
I am going to explain this in the form of 4 Customer Stories that will illustrate what each of these pillars represent.
[click]
let’s spend a few moments talking about what engaging patients looks like.
The healthcare industry is beginning to see the transformation of a patient into a customer… This is interesting because in any industry where demand far outstrips supply, usually the customer isn’t king… But now, we are moving from the patient as a passive recipient of healthcare in a hospital bed, or out in the community, to becoming an involved actor in the journey.
Indian consumer is embracing digital whole-heartedly – Number of smartphone users in India is projected to be 800M by 2020. India is among top user base for services like Skype, Facebook, and WhatsApp. The consumer is now expecting the Healthcare Provider to provide innovative and consistent Digital Experiences.
What does that require?
I want to share with you an example of how we engage with patients from Children’s Mercy, a hospital in Kansas City, Missouri, one of the top-ranked pediatric hospitals in the United States. Their challenge was to increase the survival rates of babies born with single ventricle heart disease in the critical stage between their first and second surgeries – typically 25% of the babies were lost in this period.
The standard of care used to be to send the families home with a weighing scale, pulse-oximeter and a file requiring the parents to record the measurements everyday. The hospital wanted to transform this – they wanted to send something home with the parent that can be used to better monitor daily stats and be alerted if there were conditions that were worth being concerned about.
What’s great about this organization is that they undertook this initiative independently, and deployed a solution called CHAMP using commodity hardware and software they already had to create a solution that has a dramatic impact on the mortality of children with this condition.
They chose to use a Microsoft Surface tablet with a modern app leveraging the cloud technology to capture daily vitals and videos of the baby. The daily reports were available for the care-givers to review and if there was anything that was an outlier, there were immediate alerts and notifications.
This initiative is scaling beyond the walls of Children’s Mercy to other pediatric facilities that are also seeing dramatic reductions in mortality compared with facilities that have not adopted the initiative.
What other areas might this be applicable to in your care setting?
We’ve seen how technology can help us engage our patients. Let’s switch to how we empower our care teams.
Like I said, our Doctors and Nurses are an overworked lot, given the Clinical support gap that we are faced with. The Question is how can technology allow our providers to team more effectively and be more productive in their care delivery.
I want to share with you an example of how Sussex County Hospital is maximizing the productivity of it Stroke Consultants and reducing the time taken to diagnose stroke patients.
A lot of times, particularly during out-of-hours, the Stroke Consultants are not usually available onsite. And precious time was getting lost in bringing the consultant into the hospital. If you treat people quicker, then lesser brain cells were affected and the patient is left with fewer disabilities.
Rather than complex solutions, the Hospital an chose off-the-shelf commodity technology like Skype. The solution allowed Stroke Consultants to be contacted even at home, thereby ensuring swifter assessments and treatments for patients.
What other areas might this be applicable to in your care setting?
Healthcare Providers are producing more data than ever before – in structured and un-structured formats. The real value of embracing digital will be derived only if data analytics is used to help get insights into the information that we have and get predictive about the steps we might want to take.
This time I have an example from closer home.
In today's world there are 285M people who are severely visually impaired. Ninety percent of them live in resource-poor countries. 3 of the largest Institutes in India, LV Prasad Eye Institute, Sankara Netralaya and Aravind Eye Hospitals see over a 100M patients a year and they're using really innovative approaches using data to manage that population and make advances significant advances.
I will allow you to see this video on LV Prasad Eye Institute before I tell you more.
Lasik is quite a popular eye corrective surgery to shape the cornea and improve the vision using laser technology. It is applied for the 4 common problem in eyecare namely Near-sightedness, Far-sightedness, Astigmatism and Prebyopia. With a Lasik corrective surgery, the objective is to achieve perfect vision. But Lasik is not for everyone – Its is high-cost, potentially no improvement and there is the possibility of complications.
LV Prasad Eye Institute sought to know if you can learn from the past surgical data of large populations that have undergone lasik surgery and improve the outcomes.
Based on some ingenious statistical modeling they arrived at a very practical prediction system. They built a machine learning model to predict the new Eye number, that is the Uncorrected Visual Acuity, the error after surgery. The goal was to predict the uncorrected visual acuity on day one week one on a month after surgery.
So, why do that? Well when you can actually predict the outcome of lasik surgery you can plan for it better and correct for it better ahead of time.
We’ve shown examples of using and optimizing simple technologies that you have right now to make a dramatic difference. Now let’s think about how we might fundamentally transform the care process. When we bring health analytics together with the Internet of Things, technology like wearable devices and new models of healthcare, we can achieve what Dartmouth-Hitchcock has been able to achieve.
Watch how they’re using analytics so that machine intelligence can identify the patients at risk and flag them to clinicians who can then call them.
Dartmouth-Hitchcock has embraced the concept of moving from fee for service to fee for outcomes, and they’re trying to promote population wellness. They have four cohorts of patients with heart disease, chronic respiratory conditions, diabetes and asthma. They give each of those patient cohorts the appropriate connected medical device, whether that’s a Bluetooth blood pressure cuff, some smart scales, a smart spirometer or a glucometer with connectivity.
There are two key components to the ImagineCare solution. The first is the data collected from intelligent devices that gets transmitted via smartphone to the cloud. New IoT health devices can be added to the system as they become available.
The second key component is the cloud back-end that analyzes the data coming from the devices. ImagineCare can amalgamate data from thousands of patients with similar issues and pick out patterns and trends, including which treatments work best for certain conditions. This goes beyond comparing blood-pressure, pulse-oximeter and weight measurements. ImagineCare can also track mental and emotional health by monitoring social media and mood check-ins from the patient. It can even analyze speech and tone. Analyses of individual trends and population trends strengthen each other, making ImagineCare a true system of intelligence.