Transforming care pathways at scale

Transforming Care Pathways
@ Scale with Intelligent
Patient Platforms
NHS Innovation Expo – Pop Up University
September 7, 2016

David Champeaux
David.champeaux@accenture.com
@ChampeauxDavid
Copyright © 2016 Accenture All rights reserved. 2
Follow us @AccentureHealth
Digital Health Tech Vision 2016
Fjord Trends 2016
Fjord Fido Diabetes video
2016 Consumer Survey on Patient
Engagement
Virtual health: The untapped opportunity to
get the most out of healthcare
Losing patience: Why healthcare providers
must up their mobile game
Speakers & Sources
Link to Sources:
Kaveh Safavi, M.D., J.D.
kaveh.t.safavi@accenture.com

Copyright © 2016 Accenture All rights reserved.
WHY are intelligent patient platforms
needed to enable new care models at scale?
WHAT do they look like and
WHERE are they being adopted?
HOW can we accelerate the realisation of
their value for the NHS?
3 Perspectives for discussion

Keeping up with changing technology is vital, but it’s just as
important to evolve the consumer experience, care delivery
methods and career development opportunities for the
healthcare workforce.
The Accenture Digital Health Technology Vision 2016 reveals
five trends that prove winning in the digital age hinges on
people – the patients and the healthcare workforce.
One of these trends shows how Intelligent Patient Platforms,
designed as services into people’s lives, can help health
systems Transform care pathways at scale

1. Intelligent
Automation
People do
things
differently and
adopt new
services
2. The Liquid
Workforce
People
learn highly
agile
healthcare
skillsets
3. Platform
Economy
People Connect
at scale across
transformed
ecosystems
5. Predictable
Disruption
People assume
new roles and
incentives in
new care models
Accenture Health Tech Vision 5 Trends: People + Digital
4. Digital
Trust
People
confront risks
and place
premium
value on trust.

Research: Patients value access to digital enabled services
2
Patients are
generally not
aware of services
that are
available to help
them.
5
Patients want
healthcare
professionals to be
the primary source of
information on
services they need to
manage their health.
3
When patients
are aware of
services, they
use them. 4
Patients value
services across
all disease
states.
1
Patients want more
help before they
are being treated.

Patients want more help before they are treated.
Key Finding 1
1
Note: Percentages are the aggregated average across all services areas.
65%
of all patients
surveyed said
pre-treatment is
the most
frustrating
period.
Patients’ greatest
frustration is lack
of notification for
being at risk for a
condition.
34%
44%
for patients with
immune diseases.
Frustration rises
to

Patients are generally not aware of the services that
are available to help them.
2
Key Finding 2
<1/5Less than one out
of five patients
(19%) are aware
of the services
available to
them.
Immune
Diseases
& Cancer
Brain
Hormones/
MetabolismLungs,
Bones
& Heart
Awareness is low across all
therapeutic areas.
21%
20%
19%
18%

When patients are aware of services, they use
them.
3
Key Finding 3
58%
of patients use
services when
they are aware
of them.
Getting
information
about which
support groups
are available.
47%
69%
Obtaining
information
on your
specific
condition.
Highest use
Lowest use
Usage varies but is still generally high across all
services.

79%
of patients
value patient
services.
Patients value services across all disease
states.
4
Key Finding 4
Getting
information
on which
support
groups are
available.
69%
83%
Getting
insurance
coverage.
Highest
value
Lowest value
Nearly eight in ten (79%) rate the services used as
‘extremely’ or ‘very’ valuable.

5
Key Finding 5
67%
Doctors are
one of the
primary
sources of
information
for the
majority of
patients…
but digital
channels are a
close second at
57%
63%
want this to be
their
doctor/specialist.
(62% for 18-30 year olds).
1st
choice
2nd
choice
87%
of patients
want one
point of
contact to
help them
manage their
health...
Patients want their healthcare professionals to be the
primary source of information on what services they need
to manage their health, but digital channels play a key
role as well.

NHS Patients, clinicians and systems need new models at scale
Clinicians want to transform care
models to improve quality, access
and affordability
+
Health system leaders need this to
happen at scale and sustainably

13Copyright © 2016 Accenture All rights reserved.
However there are strong barriers to investing in and
scaling digital capabilities in the NHS
Most Payors and Providers are sub-scale to
invest in enabling digital assets, knowledge
and capabilities
Lack of collaboration models to share
common assets leads to fragmentation and
slow spread of innovation
Commercial constraints with
low budget capacity to ‘invest to save’

WHY are intelligent patient platforms
needed to enable new care models at scale?
WHAT do platforms look like and
WHERE are they being adopted?
HOW can we accelerate the realisation of
their value for the NHS?
3 Perspectives for discussion

Intelligent Patient Platforms must feature four integrated
components to enable patient-centered solutions:
Secure Patient Data Management and Service Exchange
Aggregates patient data from multiple sources and connects both client and external vendor
technology solutions to create a single view of all patient interactions.
Patient Engagement
Coordinates and delivers a
seamless customer experience with
physicians and patients by directing
and facilitating interactions across
all channels.
Insights and Analytics
This component enables internal
and external data analysis to bring
unique insights into patient
treatment and engagement.
Connected Devices
and Applications
Design and operation of regulated
applications and devices which
improve patient outcomes and
assist healthcare providers in
managing patient care.

• Kaiser Permanente invested $4
billion ($444 per member) in
HealthConnect platform.
• Clinicians and 9 million members
enjoy real-time access, stretching
the service beyond traditional
boundaries by engaging with
clinicians and members through
mobile apps, self-management
services, in-home monitoring and
virtual consultations.
Leading systems have invested @scale in intelligent patient
platforms to deliver connected care and patient engagement

Platform Economy
Ecosystems are the new
bedrock of digital healthcare,
and enable shared access to
capabilities at scale and faster
dissemination of innovation

(CLOUD + APIs + IOT) X OPEN SOURCE X BUSINESS MODELS

of healthcare executives
believe adopting a platform-
based business model and
engaging in ecosystems of
digital partners are critical to
the success of their
business.
39%
growth is expected
for health application
programming interfaces
(APIs) in five years.
7%
of U.S. patients have switched
healthcare providers due to
poor customer experience.
This switching translates to a
loss of more than $100 million
in annual revenue per hospital.
10X

Philips Health is placing a big strategic technology bet on a platform
business model by launching the Philips Healthsuite platform with
three different cloud partners: Salesforce.com, Amazon AWS IoT, and
Alibaba Cloud. Philips has a bold vision: to reinvent healthcare. With
its three cloud partners, it will be able to rapidly scale up to hundreds
of millions of patients, devices, and sensors – using endless flows of
data to tackle the biggest challenges facing the industry, from the
hospital to the home.
Platform examples

21
Intelligent Patient Services Platform for Heart Failure patients
Accenture in partnership with Boston Scientific is tailoring the IPS for the heart failure pathway
Lower
Avoidable
Readmissions
and costs
Data Integration & Advanced Analytics
Digital Care Coordinator & Patient Engagement
Care
Coordination
Services
People Centric
Care
Remote Care
Coordination
Optimized
discharge
Coordinated remote
care
Inpatient Remote
Consistent
inpatient
coordination:

The NHS has the potential to innovate on the
NHSMail Digital Collaboration Service platform
Direct Patient E-Mail
Communications
Collaboration
between Vanguards
Referrals
Booking Appointments
Cross-NHS/Social Care
Knowledge Exchange and
Communities of Practice
Location-Based
Services
INNOVATION THEMES
Remote
Consultations
Exploiting NHSmail
existing capabilities
Communication
and collaboration
between clinicians
Demand
Management
Document Sharing
and Upload
Repeat
Prescriptions

Questions for discussion
How can commissioners support
shared platforms?
What does it take for providers,
clinicians and industry to collaborate
on platforms?
How can regulators accelerate
platform-based innovation?

David Champeaux
David.champeaux@accenture.com
@ChampeauxDavid
Follow us @AccentureHealth
Digital Health Tech Vision 2016
Fjord Trends 2016
Fjord Fido Diabetes video
2016 Consumer Survey on Patient
Engagement
Virtual health: The untapped opportunity to
get the most out of healthcare
Losing patience: Why healthcare providers
must up their mobile game
For further discussions
Link to Sources:
Kaveh Safavi, M.D., J.D.
kaveh.t.safavi@accenture.com

Transforming care pathways at scale

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