National Healthcare Innovation Summit June 10, 2013

Transcription

1 National Healthcare Innovation Summit June 10, 2013 Lyle Berkowitz, MD, FACP, FHIMSS / Lyle@DrLyle.com / DrLyle.com Associate Chief Medical Officer of Innovation, Northwestern Memorial Hospital Medical Director of IT & Innovation, Northwestern Memorial Physicians Group (NMPG) Associate Professor of Clinical Medicine, Feinberg School of Medicine, Northwestern University Founder and Director, Szollosi Healthcare Innovation Program / TheShipHome.org Founder and Chairman, healthfinch / healthfinch.com

2 Northwestern Memorial Northwestern Memorial Hospital (NMH) is a top ranked Academic Medical Center with over 800 beds in Chicago. Northwestern Memorial Physician Group (NMPG) is a large primary care group with over 20 offices across Chicagoland.

3 Szollosi Healthcare Innovation Program (SHIP) The SHIP is a charitable endeavor with a mission to use creative thinking and diverse technologies to produce a better healthcare experience for patients, physicians and others associated with their care.

4 Innovation at Northwestern Use an entrepreneurial spirit to find, create, pilot, evolve and spread innovative technologies, processes and business models which improve the quality, cost and experience of care. Key Priorities Bring Outside Innovations In Solve Internal Problems in Innovative Ways Care Coordination/Population Health Clinical Documentation and Utilization Mgt

5 Real World Innovation Projects at Northwestern Issue Poorly Controlled DM (Outpt) New Diagnosis Fire Drill (Outpt) High Risk BCBS w/pcp (Outpt) High Risk, No PCP (Hospital/Outpt) High Cost/Utilizers (Hospital/Outpt) Clinical Documentation(Hospital) Hospitalized Patients (Hospital) Innovation Diabetes Tune Up Clinic Extreme DM Video Ethnography DM Simulation for Education Inflection Navigator Intensive Medical Home Follow Up Clinic Hot Spotting Automated CC/MCC Event Detector Tablets for Education, VideoConf.

6 What Does An Innovation Center Do? Stimulates All Phases of Innovation

7 Three Phases of Innovation

8 Stimulating Innovation

9 The Innovation Center Success Matrix Discover Find Fund Facilitate Technologies Processes Low Cost Low Resources Space Expertise Incubate Ideas Leaders Medium Cost Medium Resources Support Consulting Partnerships Accelerate Pilots Champions High Cost High Resources Executive Support Operations

10 When to Start? The oldest habit in the world for resisting change is to complain that unless the remedy to the disease should be universally applied, it should not be applied at all. But you must start somewhere! -Winston Churchill

11 Where to Start? Find Clinical Interests and Changing Reimbursement And Apply New Technologies and Thinking Coordination New Technologies + Thinking Access Communication Complex Patients Inflection Points Transitions in Care Clinical Interests + Changing Reimbursement

12 How to Start GROWTH LITTLE BETS BIG WINS (Experimental (Planning) Innovation) UNKNOWN KNOWN

13 Who or What To Start With? (What To Look For) The passion to fix a problem in a unique way An out of the box idea that needs to be tested A successful pilot that should be spread

14 How to Prioritize Projects

15 Supporting The Innovative Process Fail Fast, Fail Often, Fail Cheap. Innovation Mantra Everything improved or new needs first to be tested on a small scale that is, it needs a pilot test...and a champion... If the pilot test is successful it is usually also quite clear where to introduce the change and how to introduce it. Peter Drucker Never tell people how to do things. Tell them what to do and they will surprise you with their ingenuity. George S. Patton Start with humans, Ask the right questions, Learn by making, Move ideas along quickly, Get work out of designers hands, Involve the whole community. Tim Brown (CEO and president of IDEO)

16 Where Do I Go For Education and Inspiration? The ILN brings together the most innovative healthcare organizations in the country to share the joys and pains of innovation. Its purpose is to foster discussion on the methods of Design Thinking and application of innovation / diffusion, ignite the transfer of ideas, and provide opportunities for interorganizational collaboration.

17 Sharing Innovations Tell me a story

18 Chapter 1 The Healing Edge Innovation + Information Technology Let Me Tell You A Story StoryTelling Voice of the Innovator Personas

19 Chapter 1 The Healing Edge Innovation + Information Technology Standardized Structure What, Why, How, Results, Lessons Learned, Future, and Conclusion Three Sections EHR, TeleHealth, Edge

20 Chapter 2 Mad for Method Innovation + Information Technology Evidence-based human-centered design Observation Synthesis Ideation Prototyping PDSA Pilot Others

21 Rest of the Book

22 Unifying Themes and Lessons Learned Start with a Story and a Champion Bottom Up Idea Pilot Top Down Spread Ecosystem > Technology Happy Doctors (and Staff) = Healthy Patients

23 "The reasonable man adapts himself to the world. The unreasonable one persists in trying to adapt the world to himself. Therefore, all progress depends on the unreasonable man. George Bernard Shaw Never doubt that a small group of thoughtful, committed people can change the world. Indeed, it is the only thing that ever has. Margaret Mead

24 THANK YOU Lyle Berkowitz, MD, FACP, FHIMSS

25 Things That I m Thinking About

26 We don t have a shortage of physicians in America We have a shortage of using them efficiently!

27 Doctor Happiness! (Happy Doctors = Healthy Patients) Time Money Professionalism

28 Routine Care Routine Care Complex Care Complex Care Current State Future State

29 QUESTION/CHALLENGE: ARE WE FOCUSING TOO MUCH ON SICK PATIENTS? We don t have a shortage of PCPs, we have a shortage of using them efficiently. HIT: What can be automated? Team based care: What can be delegated? How do we keep the 80% of healthier patients out of the office, so we have more time to see the 20% of sicker patients?

30 What Forces Will Drive Care Innovation? Leadership & Culture Reimbursement Changes Information Technology

31 Getting Executive Support Both Business and Clinical Imperatives To generate competitive advantage in the modern age, a company must focus not on technology but on innovation. Gary Hamel (author of Leading the Revolution) Imagination is more important than knowledge. Knowledge is limited. Imagination encircles the world. Albert Einstein It is better to think and sometimes think wrong, than not to think at all. William J. Mayo, MD

32 What This Looks Like at Northwestern NMPG NMFF NMH SHIP NM Campus NU Research External Resources IT Team Sponsor Local & National