Molly Coye, MD, MPH Chief Innovation Officer UCLA Health Keynote Presentation "Tesla or Google? Moving Beyond the EHR" We’re all focusing on creating a great patient experience – and Tesla is just that, a terrific consumer experience. But the long game may shift us to the “self drive healthcare” that Google’s early entry represents. New learnings about consumer activation and optimizing health suggest that these emerging platforms will carry the day. Molly Coye, MD, MPH Chief Innovation Officer UCLA Health

1.
Tesla
or
Google?
Moving
Beyond
The
EHR
IHT2
March
4,
2015
Molly
Joel
Coye,
MD,
MPH
Chief
Innova@on
Officer,
UCLA
Health
mcoye@mednet.ucla.edu

2. 2

3. Ford innovated:
• Process of production
• Distribution – dealerships
• Wages – $5/day
Tesla innovates:
• Quality: Consumer Reports – 99/100
• Distribution – direct to consumer
o Lawsuit in Texas – have to go thru Texas dealers Assn
• Financing
o Guarantee to buy in 3 years at purchase price
Ford
vs.
Tesla
–
Apply
Doblin’s
10
Types

4. What
Would
Google
Disrupt?

5. 5

8. Will
We
Innovate
Radically
Enough?

10. InnovaCon
–
Examples
at
UCLA
Health

13. SCHEDULING
ANESTHESIA
Surgical Home
Begins Here
INITIALVISITWITHSURGEON
DIAGNOSIS&PLAN
SYMPTOMS
INFORMATIONSEEKING
WAITING&PREPARATION
ANCILLARYSERVICES
PHONECALLS
SURGERY
WILLIHAVEAROOM?
WHATISNORMAL?
HOMEPAINMANAGEMENT
DISCHARGE
ONGOINGCONNECTION
HOMECAREINSTRUCTIONS
RETURNNTOQUALITYOFLIFE
“The Patient Voice project changed how I view the
care I deliver on a routine basis. Our Department
discovered a spectrum of actions we could take to
enhance the value of care we deliver to our patients.
It all started with asking them about their care.”
Christopher Saigal MD, MPH
Patient Voice
An ethnographic and design-based approach to
redefining healthcare, placing the patient
perspective at the center of the design process.
How does it work?
• Process mapping to define phases of care.
• In-depth interviews with patients and stakeholders to understand needs, pain
points and patterns across the entire care pathway.
• Synthesis process in which we move from raw data and initial findings into
uncovering themes and opportunities to define the patient’s journey.
• Learnings used to develop impactful redesign plans.

14. Our focus: How can we improve this journey to
make it a best-in-class experience?
SYMPTOMS
INFORMATIONSEEKING
DOCTORVISIT
DIAGNOSIS/TREATMENT
MONITORING/EVALUATING
DOCTORVISIT
REFERRAL
SCHEDULEAPPOINTMENT
WAITING/PREPARATION
UROLOGYVISIT
DIAGNOSTICS
Q&A
DIAGNOSIS/TREATMENT
MONITORING/EVALUATING
DECISIONMAKING
SCHEDULESURGERY
PRE-OPPHYSICAL
SURGERYEDUCATION
PLANDAYOFSURGERY
SURGERYPREP
SURGERY
HOMECAREINSTRUCTIONS
DISCHARGE
INFORMATIONSEEKING
MONITORINGRECOVERY
INITIALFOLLOW-UP
FOLLOW-UP(S)
COMPLETION/MONITORING

15. Can
Large
Organiza@ons
Innovate
Successfully?
Defin
e
Desig
n
Chart
er
Pilot Scale Evalua
te
Exchan
ge
UCLA Innovation Life Cycle: Innovating for Impact

18. Will
Innova@ons
Disseminate
Rapidly
Enough?

19. UCLA Scan: Los Angeles Innovators Forum
19
#
InnovaCon
OrganizaCon
Contact
1
IT
for
Cost-­‐Effec@ve
Decision
Making
Cedars-­‐Sinai
Health
System
Jennifer
Kozakowski
2
Clinical
Pharmacy
Services
Integrated
into
a
Safety
Net
Clinic
AltaMed
Michael
Hochman
3
Conversion
of
Homeless
to
Healthy
Way
LA
Northeast
Valley
Health
Corpora@on
Debra
Rosen
4
Depression
Automated
Remote
Monitoring
System
Los
Angeles
County
Department
of
Health
Services
Laura
Sklaroff
Jeffrey
Guterman
5
eConsult
Los
Angeles
County
Department
of
Health
Services
and
LA
Care
Health
Plan
Paul
Giboney
6
Healthy
Homes,
Healthy
Kids
St.
John’s
Well
Child
&
Family
Center
Nomsa
Khalfani
7
Enterprise-­‐Wide
Call
Center
AltaMed
Michael
Hochman
8
Non-­‐Hospital
Emergency
Department
Services
Exer
Eve
Kur@n
9
Fall
Preven@on:
Healthy
Moves
for
Aging
Well
Partners
in
Care
Founda@on
Sandy
Atkins
10
Heart
Failure
Automated
Remote
Monitoring
System
Los
Angeles
County
Department
of
Health
Services
Laura
Sklaroff
Jeffrey
Guterman
11
Home-­‐Based
Pallia@ve
Care
Partners
in
Care
Founda@on
and
Kaiser
Permanente
Medical
Group
Sandy
Atkins
12
Medica@on
Use
Program
-­‐
HomeMeds
SM
Partners
in
Care
Founda@on
Sandy
Atkins
13
Interdisciplinary
Teams
for
Complex
Chronic
Disease
Management
in
Clinics
AltaMed
Michael
Hochman
14
Inpa@ent
Frailty
Project
Cedars-­‐Sinai
Health
System
Jeff
Borenstein
Harriet
Aronow
Glenn
Braunstein
15
MYMEDS
(Managing
Your
Medica@ons
for
Educa@on
and
Daily
Support)
UCLA
Health
Richard
Maranon
Carol
Mangione
16
Right
to
Health
St.
John’s
Well
Child
&
Family
Center
Nomsa
Khalfani
17
“Talking
Surveys”
on
Tablet
Health
CoachTM
L.A.
Net
Lyndee
Knox
18
Team
Up
for
Health
Northeast
Valley
Health
Corpora@on
Debra
Rosen
19
Alzheimer’s
and
Demen@a
Care
Program
UCLA
Health
David
Reuben
Non-Hospital Emergency Department Services
– Exer
Home-Based Palliative Care – Partners in Care
Foundation
eConsult / eReferral Program
60%
38%
46%

20. 20
Scanning
domesCc
and
internaConal
markets
for
high-­‐value
innova@ons
that
radically
reduce
cost
and
improve
access
to
care.
Helping
health
systems
and
health
plans
to
assemble
porfolios
of
innova@ons
–
and
increase
the
rate
of
adop@on.
Working
to
de-­‐risk
the
selec@on
of
high-­‐
value
innova@ons
in
order
to
accelerate
their
spread.
www.globallabforhealth.org
Global
Lab
for
Health
|
the
innovaCon
exchange

21. Utilization-based savings =
20% or more for target
population
Grand-Aides
Broad populations – reduces admissions,
readmissions, ED visits
Care Kits
Hospitalized VA patients - reduces
readmissions
eScheduling from ED to Primary Care
Clinics (for non-acute Medicaid ED users)
Utilization-based savings >
2% for target population
eConsult
Reduces specialty visits, extends specialist
capacity
Hospital at Home
Home-based care for acutely ill elderly,
replacing hospital care
Community Paramedics
Emergency medical services provide care in
home, reduce ED transfers
Examples
From
The
First
Scan
LEVEL 1 SAVINGS LEVEL 2 SAVINGS

24. Open
Sourcing
• All
companies,
health
innovators
are
welcome
to
post
• Marke@ng
materials
and
product
details
requested
• “Answer
all
the
ques;ons
new
customers
will
have”
Peer-­‐To-­‐Peer
ValidaCon
of
InnovaCons
• Who
is
using
the
product
or
service
now?
• What
has
their
experience
been
–
and
their
results?
CHA
InnovaCon
Challenge
–
Opens
March
2
Global
Lab
for
Health
|
the
innovaCon
exchange

25. “Staging”
InnovaCons
Concept
Developed
In Pilot
or Trial
Initial
Spread
User
Validation
Savings
2% – 20%
Savings
20%+
Green
Button
Only idea
stage
Small pilot,
one site,
no spread
Has
customers
or has
been
replicated
elsewhere
Customer
or
replicating
site has
adopted
innovation
with
results,
and
posted on
Global Lab
site
Customer
or
replicating
site
achieved
savings of
2% to 20%
posted on
Global Lab
site
Customer
or
replicating
site
achieved
savings of
20%+
posted on
Global Lab
site
2nd
customer
or
replicating
site
posting on
Global Lab
site
achieved
savings of
20%+
Each stage builds on the previous one, with the greatest
achievement being the “Green Button”

26. http://www.globallabforhealth.org/