Leadership and the Healthcare Information Technology Imperative. NCHL Leadership Conference

Transcription

1 Leadership and the Healthcare Information Technology Imperative NCHL Leadership Conference Glen Tullman Chief Executive Officer Allscripts 4 November 2009 Copyright 2009 AllscriptsMisys Healthcare, Inc.

2 Agenda Introduction Healthcare: WWA, WWWTB, HWGT Change: Is It Time? Technology: No Panacea Connectivity: The Panacea It s All About Leadership & You! 2

3 Bio... Oxford Educated Social Anthropologist CEO of Allscripts Clinical Software, Connectivity & Information Solutions Electronic Health Records Focus on Physicians (160,000 or 1/3 in US) $700 million, NASDAQ MDRX 2,500 employees & Growing! 3

4 Not What You Expected... What s a Social Anthropologist Doing Running a Technology Company? Software or Technology Will Not Solve The Problem This Is Not About Making Physicians More Efficient Electronic Health Records Will Not Solve The Problem 4

5 Our Healthcare Scorecard $2.2 Trillion Spent in Healthcare $700 Billion in Waste 45 Million Americans Uninsured 98,000 Deaths from Medical Errors 7,000 Deaths from Medication Errors 5

6 WWA: The Case for Change Institute of Medicine reports: 1,500,000 preventable ADEs 98,000 avoidable deaths 7,000 deaths due to ADEs 6

7 WWA: The Case for Change Old Thinking: If We Continue To Do The Same Things We Always Did... We ll Continue To Get What We Got In The Past New Realities: The Industry * Is Not In Control Anymore New Government Rules New Players Traditional Players Innovating & Learning New Tricks! Patients Are Not Patient Anymore They Are Empowered With Technology & Information 7

8 WWA: The Paradox of Healthcare Best Software Best Information Best Pharmaceuticals Best Healthcare Best Physicians Not Used Not Available Can t Afford Not Available to 40MM Buried With Paperwork High Cost, Waste & A Lack Of Quality The Problem & The Opportunity 8

9 We are at the beginning of the single largest transformation of any industry in US history 9

10 WWWTB: Future State What if physicians could Be notified in drug interactions in real-time See a chart of trends on a patient s condition and take action Be notified of a patient s health maintenance plan Be provided with Physician Reviewed Best Practices Access information from other providers to eliminate duplication Instantly pull reports on patient populations & Effectiveness Get paid for Quality, not just Quantity What if patients could Renew prescriptions and check lab results on-line Schedule appointments and pay bills on-line Be notified in real-time of appropriate clinical trials 10

11 Our Approach: A Simple Premise We Can Do Better The Time is NOW 11

12 We Can Do Better... But How? 1. How To Improve the Quality of Care? 2. How To Take Costs Out? 3. How To Improve Patient Safety? 4. How To Increase Customer/Patient Satisfaction? Technology 12

13 Change: Is It Time? Business Competitiveness Leadership Conditions in Place for Change 13

14 Congressional Budget Office estimates that 90% of doctors and 70% of hospitals will be using comprehensive EHR by

15 Conditions for Change Lower IT Investment in Healthcare Than Any Other Sector of Economy <20 % $38B 70 % Approx. 20% EHR Penetration --- Early Adopters $38 Billion in Federal Funding $19B Savings 70% of funding will be spent in first 3 years 15

16 4 Conditions For Rapid Change Vision Standards Incentives Time Limited 16

17 Technology is always overestimated in the short-term and underestimated in the long-term. 17

18 Yesterday & Today: Paper Silos 18

19 Today & Tomorrow: Technology Silos 19

20 We have technology, finally, that for the first time in human history allows people to really maintain rich connections with much larger numbers of people. -Pierre Omidyar, EBay Founder 20

21 Technology Isn t Enough It s Necessary But Not Sufficient Key First Step But Must Be Connected It s An Enabler The End Game is Information 21

22 Consider the Computer 22

23 The Age of Connected Computing 23

24 A Tale of Two Companies Week of Oct 5, 2009 Google $ Dell $15.82 Google 250% Dell <50% 24

25 Connected, Information-Enabled Computing The Bloomberg of Healthcare 25

26 WWWTB: Future State What if physicians could Be notified in drug interactions in real-time See a chart of trends on a patient s condition and take action Be notified of a patient s health maintenance plan See if a medication is on the patient s insurance plan Access information from other providers to eliminate duplication Instantly pull reports on patient populations Get paid for quality, not just quantity What if patients could Renew prescriptions and check lab results on-line Schedule appointments and pay bills on-line Be notified in real-time of appropriate clinical trials 26

27 WWWTB: Future State What if physicians could Be notified in drug interactions in real-time See a chart of trends on a patient s condition and take action Be notified of a patient s health maintenance plan See if a medication is on the patient s insurance plan Access information from other providers to eliminate duplication Instantly pull reports on patient populations Get paid for quality, not just quantity What if patients could Renew prescriptions and check lab results on-line Schedule appointments and pay bills on-line Be notified in real-time of appropriate clinical trials 27

28 Imagine a Connected System 28

29 The future is here It s just not evenly distributed. - William Gibson 29

30 At the end of the day It s not about Technology It s about Leadership 30

31 Leaders Showing the Way Vermont Transforming Healthcare in Connecticut Communities (THICC) ProHealth Physicians, Hartford Healthcare, St. Francis Care, Connecticut Multispecialty Group, Connecticut Surgical Group, HealthWise Physicians 31

32 And Press-Worthy 32

33 And Press-Worthy 33

34 3 Leadership Questions To Ask What role will YOU play? 2. How will YOU take it to the next level? 3. How will YOU drive transformation? 34

35 In a world where so many are deprived, inefficiency is a sin. - Michael Hammer Somebody has to do something. It s just incredibly pathetic that it has to be us. - Jerry Garcia 35

36 Leadership and the Healthcare Information Technology Imperative NCHL Leadership Conference Glen Tullman Chief Executive Officer Allscripts 4 November 2009 Copyright 2009 AllscriptsMisys Healthcare, Inc.