Transforming Health through Innovation and Digital Dr. Robert Williams, MD Life Sciences & Healthcare, Deloitte Consulting

Transcription

1 Transforming Health through Innovation and Digital Dr. Robert Williams, MD Life Sciences & Healthcare, Deloitte Consulting Croke Park, 14th February 2017

2 What are the outcomes that we want to improve?

3 What some folks have said about making better decisions... I never guess. It is a capital mistake to theorize before one has data. Insensibly one begins to twist facts to suit theories, instead of theories to suit facts. -Sir Arthur Conan Doyle Facts do not cease to exist because they are ignored. -Aldous Huxley If you don t know how to ask the right question, you will discover nothing. -W. Edward Deming

4 Delivering safe and effective care First, Do no harm. Do things well. Do the right things well. Provide optimal care and service to patients, families, and care givers.. Evidence-based practice Culturally appropriate Protocols Length of stay Demand matching Standard order sets 2 VTE prophylaxis Medication reconciliation Hospital-acquired infection prevention Pressure sore avoidance Effectiveness 1 Safety Citizen 3 Satisfaction Patient experience Avoid overuse Medication error reduction Financial Stability Mortality reduction Elimination of wrong surgery Fall prevention Avoid misuse Avoid underuse Timeliness Measurement & feedback Pharmacy & therapeutics

5 Selected examples of what can be achieved Acute Care Primary Care Population Health Safety, effectiveness and efficiency Medication management: prescribing, dispensing, administering Patient-centred, effectiveness, timeliness Prevention Chronic disease management: medical and behavioural Big bucket opportunities: analytics: financial and clinical Individuals at higher risk: stratification and targeted interventions Effective, efficient, equitable, patientcentred, timely Chronic disease management: care coordination Social determinants of health

6 What other folks have said about making better decisions... Data! Data! Data! I can t make bricks without clay! -Sir Arthur Conan Doyle Errors using inadequate data are much less than those using no data at all. -Charles Babbage A point of view can be a dangerous luxury when substituted for insight and understanding. -Marshall McLuhan

7 Remote monitoring options for extending Care Management Personal Emergency Response [PERS] In-home emergency response system for people who live alone or with limited caregiver support Motion or Activities of Daily Living In-home sensors monitor activity levels for people with functional impairment in order to identify potential problems and adverse events earlier Interactive Voice Response [IVR] Telephonic and/or web-based health survey questions to elicit selfreported symptoms & biometric readings Biometric Monitoring of vital signs to assess status of a particular illness in members with high disease burden Video Visit Two way audiovideo communication in order to interact with sickest members as an adjunct to home visits Passive monitoring Active monitoring

8 Monitoring activities of daily living: Health sense s eneighbor System Call pendant I m okay sensor Toilet sensor Contact sensor Bed sensor Motion sensor 11 sensors and a home/away pendant installed in member home eneighbor analyzes sensor data using algorithms to detect abnormalities in member home Alerts generate recommended interventions

9 What other folks have said about making better decisions... The value of an idea lies in the using of it. -Thomas A. Edison If you can t explain it simply, you don t understand it well enough. -Albert Einstein An idea not coupled with action will never get any bigger than the brain cell it occupied. -Arnold Glasow

10 Other future technologies, but core first Research Omics Personalised / Precision Medicine Advance care management Apps

11 The broader opportunity for integrated care... Population Health Big bucket opportunities: analytics: financial and clinical Individuals at higher risk: stratification and targeted interventions Effective, efficient, equitable, patientcentred, timely Chronic disease management: care coordination INTEGRATED CARE Social determinants of health

12 In Sum, digital alone is insufficient... it s not about the shiny objects There are hosts of failures to learn from, as well as successes. It should be clinically and operationally led, enabled by technology. Change and engagement: doctors, social care, other clinicians and citizens are paramount Focus on core components of electronic medical and social records in all settings and integrate them. Then based on data, use core analytics and in the future more advanced analytics. Acute Care Primary Care Population Health

13 Once we know something, we find it hard to imagine what it was like not to know it. - Chip & Dan Heath, Authors of Switch

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