Jay Moskowitz - Good Health Made Possible


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Jay Moskowitz - Good Health Made Possible

  1. 1. Good Health Made Possible Harnessing the Power of Research Jay MoskowitzSmartState James B. Duke Endowed Chair for HealthCare Quality President & CEO Health Sciences South Carolina Science Café January 8, 2013
  2. 2. The Vision of Health Sciences South Carolina is to conduct collaborative health sciences research to improve the health status, education, workforcedevelopment and economic well- being of all South Carolinians. 2
  3. 3. • Overview Health Sciences South Carolina• Short & long term objectives of a Unique Information Technology• SmartState Centers of Economic Excellence• Implementing Electronic Health Records• Innovation for Patient Safety• Conclusion 3
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  5. 5. • The major program of the SmartState Center for HealthCare Quality is Health Sciences South Carolina (HSSC)• Established over 8 years ago, the goal of HSSC is, through research, to improve and safeguard the health of all South Carolinians• Reflecting on a central tenet of our American Society, HSSC fosters the belief in the value and sanctity of the individual (patient-centered outcomes)• HSSC is translating The Duke Endowment grants, Federal grants, partner investments into biomedical discoveries and a wealth of scientific knowledge that will: • Improve the process of diagnosis, treatment and prevention • Establish a unique and innovative infrastructure for twenty-first century medicine • Catalyze the creation of skilled jobs and economic productivity • Accelerate the process of discovery, development, delivery, and dissemination 5 • Benefit all of humanity
  6. 6. Improve patient-centered health andhealthcare• Foster and facilitate a multidisciplinary/multi- institutional approach to clinical research to ensure that recent advances in neurosciences, molecular biology, genetics, biotechnology are translated to patients• Develop new bio-statistical and epidemiological (population-based) tools with improved outcome measures and clinical outcomes targets to enhance research, clinical observations and patient outcomes• Establish state-wide/national resources to offer 6 professional and patient guidance in study and
  7. 7. Supporting AffiliatesOrganizations 7
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  9. 9. Unique and Innovative Infrastructure• Developed a sound technology architecture and data management process that delivers real time protected clinical data and de-identified research data from participating hospitals and clinics• Integrates scalable clinical data from multiple sources for research analytics by community, region or as a state-wide registry• Provide data services that include population health, clinical decision support, comparative analytics and benchmarking 9
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  13. 13. DATA FLOW AND DATA USAGE Enterprise CLINICAL Master Patient GUIDELINES QUALITY METRICS Index eRX Death PUBLIC HEALTH IMPROVED UTILIZATION Registry Reconciliation STANDARDS Chronic Disease Registries Care ACO Coordination Management Registry Research CDW/i2b2IMPROVED COLLECT AGGREGATEOUTCOMES PRACTICE CLINICAL PROVIDER POPULATION TRIALSPOSITIVE PATIENT HEALTH SYSTEM HEALTHIMPACT CLINICAL RESEARCH Standardized GENOMICS Reporting for External All Claims Medicare/Medi- Duplicate Measures caid Data mart Service Database and Bl Reduction Comparative Clinical Data Mart and Analytics/ Business Intelligence Benchmarking Clinical Decision Tools Support ANALYTICS CLINICAL DECISION SUPPORT BEST PRACTICES BUSINESS INTELLIGENCE 13 13
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  15. 15. Catalyze economic productivity• Supported the development of 12 SmartState Centers of Economic Excellence contributing to the total of over 8,000 high-paid, knowledge economy jobs created by the program (48 Centers)• Received over $50 million in grant funding over the past 6 years (dollars from out-of-state)• Directly employs over 30 people – (full and part time) 15
  16. 16. Centers • Molecular Proteomics• Health Care Quality for Cardiovascular• Clinical Effectiveness Disease Prevention and Patient Safety and Treatment• Brain Imaging • Regenerative• Cancer Stem Cell Medicine Biology and Therapy • SeniorSMART™• Childhood • Stroke Neurotherapeutics • Technology Center to• Health Facilities Design Enhance Healthful and Testing Lifestyles• Medication Safety and Efficacy Investment • $18 Million 16
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  19. 19. Benefit All Humanity• The HSSC budget and allocation of resources is driven by focusing on science opportunities and health needs of South Carolina and results are made “portable” to benefit all humankind• Exemplifying and promoting the highest level of scientific integrity, public accountability and social responsibility in what we do and teach this process to future generations 19
  20. 20. “To invest in theinfrastructurenecessary toallow for andpromote theelectronicexchange anduse of healthinformation foreach individualin the UnitedStates.” 20
  21. 21. • Offer information about the effective strategies and practices to select, implement, and meaningfully use certified EHR technology to improve quality and value of healthcare.CITIA WILL: • Help in assessing the health IT needs of this practice and help selecting an EHR vendor product. • Offer information on a selection of preferred EHR vendor products vetted by an expert committee and negotiation of group pricing and purchase contracts with preferred vendors. • Help in the EHR implementation process in your practice, including individualized and on-site coaching and consultation. 21
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  25. 25. HAI: The NeedHealthcare-Associated Infections are a serious problem: • Affect ~1 in 20 patients1 • Result in $28B-$45B per year in additional healthcare expenditures2,4 • In 2002 the estimated number of HAIs in U.S. hospitals was estimated to be 1.7M with nearly 100,000 of these HAIs resulting in death.3 • Average cost per HAI ~$20,000 -$26,000.4 • HAI has become such a significant expense that section 5001(c) of the Deficit Reduction Act states that hospitals will no longer receive reimbursement from CMS for selected conditions related to HAI, adding significant economic burden to numerous U.S. hospitals. • HAIs caused by infectious agents: bacteria, fungi, viruses or other pathogens • HAIs are associated with a variety of risk factors, including: • Indwelling medical devices such as bloodstream, endotracheal, and urinary catheters • Surgical procedures • Injections • Contamination of the healthcare environment • Transmission of communicable diseases between patients and healthcare 1. http://www.hhs.gov/ash/initiatives/hai/index.html 2. workers Hospital acquired infections only: http://www.hhs.gov/ash/initiatives/hai/exec_summary.html 3. • Overuse or improper use of antibiotics Klevins, et al. “Estimating Health Care-Associated Infections and Deaths in U.S. Hospitals, 2002 4. 25 Scott, “The Direct Medical Costs of Healthcare-Associated Infections in U.S. Hospitals and the Benefits of Prevention,” March 2009
  26. 26. HAI: SolutionsContamination of the healthcare environment and Transmission ofcommunicable diseases between patients and healthcare workers are twoof the major sources of HAI.1 • Usually addressed by masks, stringent hand washing, and facilities cleaning protocols • Highly dependent upon the diligence of those washing their hands and those cleaning healthcare environment • Universally applied protocols do not exist for healthcare environment cleaning • Hospital privacy curtains have been identified as a significant source2 and transference mechanism3 for infectious agents • No recognized protocols for change out or cleaning of privacy curtains • There has been a call for new technologies to help prevent infections, like microbial resistant curtains.41. • http://www.hhs.gov/ash/initiatives/hai/index.html cost effective, better solution than microbial Clean Shield : a more2. M. Ohl, et al., , “Hospital Privacy Curtains are Frequently and Rapidly Contaminated with Potentially Pathogenic Bacteria,” 51st resistant curtains. ICAAC, Presentation Number K-1463, Chicago IL, Sept. 19, 20113. http://www.cbsnews.com/8301-504763_162-20110737-10391704.html4. Dr. Peter Pronovost, Professor of Critical Care Medicine at Johns Hopkins University, http://www.cbsnews.com/8301- 504763_162-20110737-10391704.html 26
  27. 27. Clean Shield…the better solution• Low cost and cost effective way to reduce HAI and Contamination Transference• Pays for itself: Save $$$ through reduction of HAIs• Easy & quick & inexpensive installation and maintenance• Intuitive, easy to use• Fresh, contamination free surface with each use• Alerts when maintenance is needed• A better way to reduce HAI• Strong and positive Economic Impact for South Carolina (Almost $10M over 6 years projected for USC, CU, MSUC, PH, CMs, GOV’T. 27
  28. 28. Clean Shield…the better solution Patent-Pending, touch point dispenser ensures a clean, contamination free contact surface with each use of the privacy curtain. An example:Clean shield arrives as a box Clean shield dispenser is opened Clean shield dispenser is easily installed on a curtain Goals • Low cost and cost effective means of contamination transference reduction/elimination • Potential to save $ through reduction of HAIs • Easy & quick installation/maintenance • Easy and intuitive to use • Fresh, contamination free surface with each use Clean shield in Clean shield alerts • Alerts when maintenance is needed hospital application when attention is needed • Other examples covered in patent 28
  29. 29. “…to intervene, even briefly, between our fellowcreatures and their suffering or death, is our mostauthentic answer to the question of our humanity.” Howard Sackler, American Playwright 29