Care Providers’ View of the Future- Charles Kennedy


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Panel Session: Care Providers’ View of the Future
Moderator: Dr. Lester Russell, Global Chief Medical Officer, Fujitsu Group
Panelists: - Michael Matly MD, MBA, Leader of Business Development and New Ventures, Mayo Clinic Center for Innovation
- Charles D. Kennedy, MD, VP of Health Information Technology, WellPoint
- Yan Chow, MD, MBA, Director, Innovation and Advanced Technology, Kaiser Permanente Information Technology

Fujitsu Labs of America Technology Symposium 2011
Healthcare Technology Convergence: Smart Consumers Meet Care Delivery of the Future
June 01, 2011
Computer History Museum
Mountain View, CA

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Care Providers’ View of the Future- Charles Kennedy

  1. 1. Your Federal Dollars at Work - The HITECH Act’s Approach to Health IT and Healthcare Transformation<br />
  2. 2. Health Care Reform: Its Importance Put in Perspective<br />Unfunded Medicare Obligations are the single, largest contributor to US Debt and Unfunded Obligations. Reforming the system toward financial sustainability is a national imperative. <br />
  3. 3. Can We Have Our Cake and Eat it Too?<br />Multiple studies have demonstrated that higher cost regions did not have higher use of evidence based interventions—Can we reduce cost and improve quality simultaneously?<br />Health Affairs study4 of CMS costs<br />Increased spending did not result in increased use of proven, evidence based, effective care based on accepted measures<br />Primary drivers of this challenge felt to be increased use of specialists in high cost areas <br />Increased use of specialists resulted in larger care teams and highlighted care coordination needs and failure of communication across large numbers of physicians caring for patients<br />Health IT solutions which focus on care coordination amongst care providers; especially at transitions of care are likely to generate expected value opportunities<br />
  4. 4. Primary care<br />Home nursing<br />Hospice<br />Hospital unit<br />Diagnostic unit<br />Radio/chemotherapy center<br />Surgical center<br />Time<br />Multidisciplinary team<br />The Current Care Process – A Typical Cancer “Journey”<br />Follow-up<br />Follow-up<br />Consultation & referral<br />Symptomatic care<br />Specialist palliative care<br />Follow-up<br />Specialist consultation<br />Investigations<br />Second treatment<br />Pre-operative treatment<br />… and self care?<br />Surgery<br />Second case conference<br />First case conference<br />
  5. 5. Health IT Approach to Value: Enable Health Information Exchange<br />Care Setting 1<br />Care Setting 2<br />Information Systems Specific to Care Setting<br />Care Setting 3<br />Care Setting 4<br />Care Setting 5<br />Time<br />The Health Information Exchange Approach<br />Information of most importance to Individual’s ongoing health and care shared while data unique to care setting stays local<br />Specific to Individual<br />
  6. 6. Current HIE Output: An Unassembled Jig Saw <br />HIEs attempt to create value by presenting more data to the treating physician at the point of care<br />HIEs are almost always similar to existing vehicles to present electronic lab data such as portals from lab vendors<br />HIEs add value primarily when a physician who did not order the test needs to see the result and will take the time to rummage .<br />
  7. 7. Current PHR Output– <br />A Jig Saw Puzzle for Patients<br />Without sophisticated data management, what is delivered is a “data dumpster”. <br />There is recognition that some conditions have been reported more than once, however there is no logic to combine any of the condition entries that might actually be a single clinical issue<br />See entries regarding Gallstone and Gallbladder Inflammation with Gallstone and abdominal pain. These are all one clinical event with variation due to coding. <br />No notation of current (active) versus resolved. Information is not processed; it is simply captured and displayed<br />