mhealth and Integreation of Promise

Transcription

1 mhealth and Integreation of Promise Hal Wolf October 31,

2 Where will Innovation land in an Evidence Based world?

3 mhealth By Any Other Name 'When I use a word,' Humpty Dumpty said in rather a scornful tone, 'it means just what I choose it to mean - neither more nor less. Lewis Carroll Telehealth Mobile Health Virtural Health Bio Med Devices

4 mhealth touches all aspects of care Primary Prevention Secondary Prevention Acute Care Chronic Care Creating new data with each touch point 4

5 Programs must facilitate continuous patient engagement.

6 Who had the first registry?

7 EHRs Offer Foundational Data DATA INFORMATION AMOUNT GAP GAP KNOWLEDGE GAP CLINICAL UTILITY TIME Source: Michael N. Liebman, PhD Executive Director Windber Research Institute 7

8 Data Architecture and Use How we stack the data in servers How we access the servers themselves Data Structure Data Infrastructure Business and Clinical operations use of the data Business Operations and Utilities

9 The Clinical Ecosystem Impacted People Physicians Nurses Other Care Providers Patients Process Technology Clinical Operations Administration Health Plan Legal Patients Mobile devices Patient and Clinical Clinical Systems IT Infrastructure / Systems Facilities

10 Healthcare Providers' Solution Map Source - Gartner Market Insight: Healthcare Provider Industry Primer, 2013

11 Innovations sails until

12 Innovations sails until the anchor of culture and regulation sets in.

13 Moving Beyond Visit-Centric Medicine Traditional Encounter Based Care One patient at a time Only know about patients who appear in your office No use of IT Limited use of data New Model Elements Accountability for panel/population Transparency Use of EMR, registries, mobile Team care (including patient) Moving care out of doctor s office 13

14 Beyond Population Care Management Population care management depends upon the comparison of individual data against standards from large scale populations and national medical evidence protocols How does the introduction of genomics impact the integrated model, the use of team based care and the use of data?

15 Genomic impact on the Eco-System When do Primary Care Physicians turn to specialist to focus treatment based on the individual protein levels of cells based on genetic preferences and influences? As medicine gains greater focus on individual based care via genomics, will practices become narrower sliced reflections of consumers seeking help based upon their projected disease states? Centers of specialized prevention?

16 Critical Equations to Remember NT + OO = COO

17 All parts of the Eco-system must align GP Gov. Patient Social Care Hospital

18 The advancements of innovation must coincide with regulations The role of government is to balance reimbursement policy between the expectations of innovation and rewarding of entrenched interest.

19 Rules of ecommerce apply C to C Social Media Extenders B to C B to B Clinical Utilities Lifestyle Aps Bio Med Devices Notifications Compliance HIE EMRs Cloud Analytics Facilities

20 Empowering through mhealth Aetna PHR KP Preventive Care Vitalograph Intel Health Guide United Healthcare Gamification Cardionet 20

21 Thank You