Sparking Innovation Through Health Information Technology
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1 Sparking Innovation Through Health Information Technology Becker's Hospital Review 6th Annual Meeting May 8, 2015 Lyle Berkowitz, MD, FACP, FHIMSS Founder and Director, Szollosi Healthcare Innovation Program / TheShipHome.org Associate Chief Medical Officer of Innovation, Northwestern Memorial HealthCare Associate Professor of Clinical Medicine, Feinberg School of Medicine, Northwestern University Founder and Chairman, healthfinch / healthfinch.com Lyle@DrLyle.com /
2 What Keeps Me Up At Night (and what I dream about) Sh&*#@ that needs to get done HIT- Empowered Team based Care What Doctors have time to do
3 Background
4 My World Clinical IT Business Innovation
5 telehealth Meaningful use ICD-10 narrow networks ACO consumerism care coordination value-based care young invincibles Top of License Population health care transitions physician burnout care beyond walls Extreme Diabetics patient engagement Aging population mobile big data disease management
6 How Might We 10X Primary Care? (and what can we start doing today?) ,000 Workflow Efficiency Complex Patients Virtual Care
7 The HIT Pyramid Innovation Post-EMR Optimization Proficiency EMR Maintenance
8 Why is Innovation important? To compete, grow, and thrive, providers must out innovate Dollars Out innovation supports: Market share growth Investment returns Operational efficiency Value based care Time
9 What is Innovation? Innovators Innovationis the creation of better processes, technologies or business models (Different than Invention or Improvement) Innovative Care Models Innovative IT
10 Design Thinking and Innovation Mantras Little Bets Big Wins Fail Early, Fail fast, Fail Often, Fail Cheap Don t Tell Me What You Can t Do!
11 The Innovation Process Explore Experiment Expand Observe Investigate Brainstorm Prototype Pilot Simulate Research Fund Spread Commercialize
12 Key Levers for Innovation Regulations, Reimbursement & Usability CURRENT Government Regulationswhich enforce Hero-based face to face care FUTURE Regulationswhich support Team based care, Telehealth and Care Automation Payors Vendors RESULTS Reimbursementwhich rewards volume based care EMR/HIT Usability that is often horrible Innovate to Volume with weak tools and restrictive policies Reimbursementwhich rewards value based care EMR/HIT Usability thattruly makes it easier to practice great medicine Innovate to Value with better tools and supportive policies
13 Can we Innovate with Today s HIT? Let Me Tell You A Story EMRs Care Coordination Preventive Care and Dz Management Adverse Event Detection TeleHealth evisits, econsults Patient Portals, Home Monitoring Tele-Pharmacists, Tele-Translators Advanced Technologies Mobile EMRs, Smart Rooms Analytics, Dashboards, Checklists epanels, CrowdSourcing and Gaming
14 Identify the Minimum Viable Innovation and Operationalize at YOUR organization (it s OK to borrow ) Medstar s Care Gap Protocols SETMA s Pre-Visit Preventive Screening Tool Reliant Medical Group s Pre-Visit Orders
15 Innovating Around the EMR People and Process > IT Northwestern s Inflection Navigator Program Children s National Automatic Adverse Event Detector California s Tele-Translator System
16 It s OK to Start Small Memorial Hospital s Mommy Monitor Exploring Devices Kinect, Google Glass, Competitions, Crowdsourcing & Grants Inpatient ipad Pilot
17 Apply New Innovation Tools to Old Problems (Video Ethnography for Extreme Diabetics)
18 Mash Up Wild Ideas with Technologies Commonly Used in Other Industries UPMC s SmartRoom Kaiser s Online Panel Gaming: SnowWorld, ReMission and Dr. Hero
19 Understand and Embrace the Power of Doctor Happiness Because there is no quality without use Although both made life better for patients, only one made life better for doctors. Atul Gawunde, MD Slow Ideas: Some innovations spread fast. How do you speed the ones that don t? Source: The New Yorker. July 29, 2013.
20 Using HIT & Innovation to Make Doctors Happier and Patients Healthier Make Routine Care Easier and Complex Care Better HIT Empowered Routine Care Preventive Care Med Refills Test Results Minor Acute Care Stable Chronic Care HIT Empowered Complex Care Risk Stratification / Predictive Modeling / Impactiblity / Activation Team-based Care at Top of License Complex Care Clinics
21 Recipe for Success Have a champion with passion and knowledge Listen to and observe the Front Line Explore Innovative Solutions Inside and Outside Healthcare Start with crazy ideas, then make them realistic Make it easyto do the right thing (aka adoption is based on removing pain or adding joy) Align with Organizational Goals Have a Focus Figure out a sustainable business model Spread with IT Keep your tenacious spirit
22 THANK YOU Lyle Berkowitz, MD, FACP, FHIMSS
23 Copyright Lyle Berkowitz All Rights Reserved. No part of this document may be reproduced or shared with anyone outside of your organization without prior written consent from the author(s).
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