AHIP Innovation Lab Industry Discussion

1. Blaine Warkentine MD MPH

2. PATIENT REPORTED DATA
PAYER CLAIMS DATA
• Access
• Cost
• Quality
HISTORICALLY
EACH PARTY HAD ITS OWN
DATA AND EACH HAD
THEIR OWN INTERESTS IN
MIND.
PROVIDER CLINICAL DATA
X
X
X
NO TRUST

3. Employer
Insurance
Government
Physician
Hospital
Pharmacy
Risk
Transparency
Technology
Patient
cost
choice
patient centric:
puts all the burden on the patient

4. Cost
0
1
2
3
4
Quality
double cost of
other countries
ranked 47th in
quality
equal to cost of
other countries
with highest quality
a one legged race
to healthcare value

5. $150B
OPTIMAL DIABETES
MANAGEMENT
Gastic bypass with first
indication of pre-
diabetes. Optimally track
glucose, carbs, exercise,
sleep/wake and more…
$200B
OPTIMAL OBESITY
MANAGEMENT
Lapband or similar surgery.
optimally track calories,
weight loss, exercise and
give incentives
$350B
END OF LIFE DECISIONS
Spend a few minutes addressing a
few questions on end of life decisions
and share with family and doctor
$400B
ERROR AND
UTILIZATION
Limit over utilization,
and error rates
$100B
TECH FOR
AGING IN
PLACE
Put loads of tech in
the home to keep
patients connected,
comfortable, social,
and secure
low hanging fruit

6. FUNCTION:
Work, Learn, Financial,
Independence, and
Physical Activity
MEDICAL:
Cellular, Genetic,
Physiologic, Disease
and Treatment
MENTAL:
Family, Love, Social,
Feelings, Spiritual, Pain
and Behavior
WHAT IS VALUE?

7. History
Basic Medical History?
Blue Button Download
Function
Activity, Function, Therapy
and Motivation
Social
Work, Social and Family
Performance and Support
Satisfaction
Patient Satisfaction, Convenience,
Timeliness, and Education Material
OUTCOME CENTRIC

8. Core Metrics for Health and
Health Care Progress
VITAL SIGNS
INDIVIDUAL
ENGAGEMENT
COMMUNITY
ENGAGEMENT
SOCIAL
SUPPORT
HEALTH
LITERACY
POPULATION
SPENDING BURDEN
INDIVIDUAL
SPENDING BURDEN
CARE MATCH WITH
PATIENT GOALS
EVIDENCE-
BASED CARE
PATIENT SAFETY
CARE ACCESS
PREVENTIVE
SERVICES
HEALTHY
COMMUNITIES
UNINTENDED
PREGNANCY
ADDICTIVE
BEHAVIOR
OVERWEIGHT
& OBESITY
WELL-BEING
LIFE
EXPECTANCY
Outcome Centric:
HEALTH SYSTEM
NOT A SICK SYSTEM

9. PATIENT REPORTED DATA
PAYER CLAIMS DATA
• Access
• Cost
• Quality
TODAY
TRANSITIONING TO A
SYSTEM OF HEALTH
PROVIDER CLINICAL DATA
DATA
TRUST

10. Doctor
NP/PA/Nurse
Care Coordinator
Home Care
Technology
More
Expensive
More
Scalable
is there a layer that is missing for certain issues?