Transforming Care: Leveraging Healthcare Technology To Improve Health For The Pediatric And Adolescent Population. Albert Oriol, CIO Rady Children s

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1 Transforming Care: Leveraging Healthcare Technology To Improve Health For The Pediatric And Adolescent Population Albert Oriol, CIO Rady Children s

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3 Agenda Context: Rady Children s Hospital San Diego The Strategic Process: Engagement From The Top Transforming Healthcare mhealth Telemedicine Sequencing Changing The World 3

4 Acute Care Hospital Branded Centers with Multiple Outpatient Services: Escondido & Oceanside Rady Children s Health Network Medical Outreach Locations Home Health Agency Primary Care Locations: CPCMG Urgent Care Centers: Satellite NICUs: Carlsbad, Escondido, Scripps La Jolla, La Mesa, Mid-City Encinitas, Mercy, Chula San Diego Vista, Palomar Medical Center, Rancho Springs Satellite Pediatric Units: Sharp Grossmont Hospital, Palomar Medical Center Institute for Genomic Medicine Community Health Improvement Services 4

5 About Rady Children s Fast Facts FY2016: Beds: 550 Revenue: $1B Capitated Lives: 250,000 Employees: 5,200 Physicians: 700 affiliated 400 subspecialists Nurses: 1,000+ Admissions: 19,000+ Surgeries: 20,000+ ED and UC Visits: 147,000+ Outpatient Specialty Visits: 230,000+ Outpatient PCP Visits: 450,000+ Affiliated with UCSD School of Medicine Region s provider of choice and safety net

6 Context: Rady Children s Hospital San Diego The Strategic Process: Engagement From The Top Transforming Healthcare mhealth Telemedicine Sequencing Changing The World 6

7 RCHHC Board CPCMG Genomics Institute Facilities Task Force IT Task Force MPF Audit & Corporate Responsibility Finance Quality RCHSD RCSSD CPMG Organization Strategy/Plan Executive Team Leadership and Advice Network Governance Committee SDHC Projects Steering Committee IT Advisory Council Clinical Information Advisory Council Direction/ Initiatives Business Systems Advisory Council Information Project Teams (Ad Hoc) 7

8 Six Strategies Drive Information Management Efforts At Rady Children s Mission To restore, sustain and enhance the health and developmental potential of children through excellence in care, education, research and advocacy. Vision We will be a leader, recognized nationally and internationally, for excellence in patient care, education, research and advocacy. Core Focus Advance precision medicine to impact patient care ( PM ) Develop competencies for a value-based care environment ( VBC ) Enable and deliver consistently excellent care ( CEC ) Expand system of care to better serve the market ( SM ) Build capabilities to optimize organizational efficiency ( OE ) Employer of choice: Recruit and retain ( EOC ) 8

9 Submissions Submission Impact

10 Full Participation Full Focus Guiding Principles Business/Clinical Ownership & Accountability Relentless Communication Empower Decision Makers Excellence, not perfection Leverage Success of Others Standardization Value and respect the business needs of each entity On Time/On Budget It s for the Kids! 10

11 Context: Rady Children s Hospital San Diego The Strategic Process: Engagement From The Top Transforming Healthcare mhealth Telemedicine Sequencing Changing The World 11

12 12

13 MD2Me Participant with Healthcare Need Accesses SMS Algorithm SMS Algorithm Queries re: Symptoms (by Disease) Non-Urgent SMS Algorithm Determines Level of Disease Severity Urgent SMS Algorithm Provides Relevant Feedback and Notifies Relevant Healthcare Contact SMS Algorithm Provides Relevant Feedback and Notifies Physician Healthcare Team Notified Non-Urgently (By ) Physician Notified Urgently (By Page) to Contact Patient

14 MD2Me Results ü Retention Rate 75/81 = 93% 38/40 = 95% Intervention Group ü 79% Compliance with Curriculum ü Significant improvements Intervention v. Control ü Chronic disease management ü Health-related self-efficacy ü Patient-initiated communications with health care team

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16 The Results Productivity Quality of Visit Satisfaction Less Duplicate Tests Patient Support staff Provider 16

17 Context: Rady Children s Hospital San Diego The Strategic Process: Engagement From The Top Transforming Healthcare mhealth Telemedicine Sequencing Changing The World 17

18 Tablets in Speech- Language Therapy Therapy augmentation Parent Education/Mentoring AAC device communication systems Video modeling 18

19 Through telemedicine we are creating a superior, rather than a comparable patient and provider experience Anthony Magit, M.D. 19

20 Context: Rady Children s Hospital San Diego The Strategic Process: Engagement From The Top Transforming Healthcare mhealth Telemedicine Sequencing Changing The World 20

21 21

22 Actual Cost Incurred Case Comparison $ $ $ $ $ $ $ $ $ $0 Diagnosis: <96 Hrs Hospital Stay: 18 Days $14,333 Rapid-WGS $165,029 Standard Genetics Diagnosis: 6 Weeks Hospital Stay: 60 Days 22

23 T=0 hrs T=2 hrs Biological Patient enrollment Sample collection DNA extraction Library prep Genome sequencing Bioinformatic analysis Digital T=22 hrs ~4 million raw data files T=23 hrs 1 report with a list of candidate mutations T=26 hrs Clinical Annotation, Prioritization and Interpretation Tele-mentoring Genomics Workflow

24 Phase 2 EMR Rich phenotype data e Genomics Workflow EMR

25 Context: Rady Children s Hospital San Diego The Strategic Process: Engagement From The Top Transforming Healthcare mhealth Telemedicine Sequencing Transforming Healthcare (a.k.a. Changing The World) 25

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31 Albert Oriol (D) (M) 31

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