World Health Care Congress - 21st Century Health System0090412

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World Health Care Congress - 21st Century Health System0090412

  1. 1. World Health Care Congress Building the 21st Century Health System April 14, 2009
  2. 2. Moderator Lane Bailey President, Global Public Affairs GolinHarris email: lbailey@golinharris.com 2
  3. 3. World Health Care Congress Building the 21st Century Health System April 14, 2009 Jack Cochran, MD, FACS Executive Director The Permanente Federation
  4. 4. Kaiser Permanente HealthConnect™ KP HealthConnect™ is the largest civilian deployment of an electronic health record 8.6 million members covered Complete 36 million records 90 thousand daily users (physicians, nurses, staff, etc.) Accessible 2.7 million active online users 1.3 million lab results online monthly Connected 500 thousand emails monthly 4
  5. 5. Technology in the Hands of Physicians – Transforming Care  Registries  Prompts and Alerts  Guideline Reminders  Decision Support  Predictive Modeling 5
  6. 6. The Kaiser Permanente Collaborative Cardiac Care Service (CCCS) Coordination among:  Nursing team  Cardiac rehabilitation program  Pharmacy team Patients enrolled in CCCS experienced a reduced incidence of all-cause mortality by 89%. 6
  7. 7. Jack Cochran, MD, FACS Executive Director The Permanente Federation (510) 271-5886 fax: (510) 267-2194 email: jack.h.cochran@kp.org 7
  8. 8. World Health Care Congress Building the 21st Century Health System April 14, 2009 Phil Fasano Chief Information Officer Kaiser Permanente
  9. 9. Our Health IT Vision (tools that spread health) Research capabilities for internal Smart experts and external agencies Infrastructure that is pervasive and Networked resilient and supports interoperability Video and voice on- Collaborative demand to enable real-time collaboration New technologies integrated Affordable with workflows that create efficiencies Proactive identification of and Preventive outreach to at-risk populations 9
  10. 10. Our Health IT Journey (all the data, about all the patients, all the time) Real-Time, Personalized Health Care QUALITY SERVICE AFFORDABILITY This is our journey and our obligation 10
  11. 11. Phil Fasano Chief Information Officer Kaiser Permanente email: phil.fasano@kp.org 11
  12. 12. World Health Care Congress Building the 21st Century Health System April 14, 2009 Scott Shreeve, MD CEO & Founder Crossover Healthcare
  13. 13. Care Financing Continuum Fully Capitated Fee for Service • Provider Risk • Payor Risk • Preventive Care • Disease Care • Coordination of care • Lack of coordination • Some navigation help • Consumer left to navigate • Results • Results – Better Quality – Highly variable quality – Lower Cost – High costs – Better Outcomes – Worse outcomes 13
  14. 14. The Cathedral vs. The Bazaar VS 14
  15. 15. Cathedral Care Vertical Characteristics: • Kaiser, Mayo, Intermountain, VA, etc Ancillary • Optimization at the system level Services • Full coordination of care • Information technology supports Hospital • Incentives aligned for outcomes Services • Reward for results • Patient consumer for life Physician Services • Consumer is guided through process Patient Services 15
  16. 16. Bazaar Care Non - Integrated Characteristcs: • Fee for Service Ancillary • Optimization at the component level Services • Disease Care • Lack of coordination Hospital • No Accountability Services • Consumer left to navigate • Incented for volume not value Physician Services • Churn and burn; “treat ‘em & street ‘em” Consumer Services (None) 16
  17. 17. Bazthedral - or - Cathzaar Virtually Comments: • Can you create a software and services Ancillary integration layer that coordinates Services patients, provides, and payment that can dramatically improve health value? Organizing Entity Hospital • Virtualization accomplished through Services financing (payment / business models), delivery, (new types of arrangements), and incentives (increased payment for Physician high value) innovation Services • Medical Home -> Accountable Care -> Health Vitality organizations Consumer Services (None) 17
  18. 18. Bazthedral or Cathzaar 18
  19. 19. Scott Shreeve, MD CEO and Founder Crossover Healthcare email: scott.shreeve@crossoverhealth.com 19
  20. 20. World Health Care Congress Building the 21st Century Health System April 14, 2009 Matthew Holt Author The Health Care Blog
  21. 21. Health 2.0: User-Generated Healthcare Social Content Networks Search Tools Transaction Data
  22. 22. A continuum of Health 2.0? User-generated Users connect to Partnerships to Data drives health care providers reform delivery discovery Use of Web 2.0 Tools and Reforms in payment All the data collected technologies for communities created structures, in a combination of a, patients and as part of Web 2.0 in transparency, and b & c produces leaps physicians to health care, which technology produce ahead in the process communicate and then becoming changes in delivery of care and eventually investigate without connected to the structure and process in drug and procedure connecting to the system (i.e. creating around chronic care discovery. health care system appointments, treatment, excellence conducting centers for particular transactions, procedures, etc. managing clinical events) 22
  23. 23. Matthew Holt Author The Health Care Blog email: matthew@health2con.com 23
  24. 24. World Health Care Congress Building the 21st Century Health System April 14, 2009

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