It’s A New Game Now –
Molly Joel Coye, MD, MPH
Chief Innovation Officer
UCLA Health System
iHT2
November 2013
The Institut...
The Institute For Innovation In Health

uclaInnovates.org
The Institute For Innovation In Health

uclaInnovates.org
Transformation…

The Institute For Innovation In Health

uclaInnovates.org
…Or Innovation?

The Institute For Innovation In Health

uclaInnovates.org
Why Innovate?

How did CBS fail to see opportunities CNN saw?
Why didn’t IBM create the PC operating system?
Why didn’t AT...
Innovation in large organizations = oxymoron?

The Institute For Innovation In Health

uclaInnovates.org
Just what is innovation?

The Institute For Innovation In Health

uclaInnovates.org
In healthcare, we’ve innovated new technologies and
products –

While innovation in service and business models has lagged...
Innovation can accelerate change in ways recognizable to us

The Institute For Innovation In Health

uclaInnovates.org
And innovation can adopt and scale entirely new
models of care

The Institute For Innovation In Health

uclaInnovates.org
Core Challenges
• Serve larger populations with less resources
– Risk-based population health management
– Tertiary-quater...
UCLA Strategic Response Includes Innovation

Growth Strategy Phase II- September 2012 – March 2013

Growth Strategy - Evol...
The UCLA Innovation Life Cycle
•

Use the organization’s goals and strategies as your lodestone

•

Find your target oppor...
The most important innovation has been the process!

Define

Design

Planning Phase

•
•
•
•

Charter

Design Phase

Imple...
Results + Physician Enthusiasm
UCLA Primary Care Innovation Model:
Initial results at 6 months, 1000 patients:
•Hospital a...
Patient voice : BPH experience

ws
Intervie
Patient

The Institute For Innovation In Health

uclaInnovates.org
The Institute For Innovation In Health

uclaInnovates.org
The Institute For Innovation In Health

uclaInnovates.org
Frugal Innovation for Sustainable Healthcare
•Scanning for innovations
that achieve net savings of
2% or more in total
hea...
Seventy-five percent of Americans nearing retirement age in
2010 had less than $30,000 in their retirement accounts
More t...
The Institute For Innovation In Health

uclaInnovates.org
The Institute For Innovation In Health

uclaInnovates.org
“Patient engagement is the
blockbuster drug of the
21st century.”

Dave Chase’s Forbes blog
The Institute For Innovation I...
The Institute For Innovation In Health

uclaInnovates.org
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iHT² Health IT Summit Beverly Hills – Opening Keynote, Molly Coye, MD, MPH, Chief Innovation Officer, UCLA Health System, Institute for Innovation Health

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iHT² Health IT Summit Beverly Hills – Opening Keynote, Molly Coye, MD, MPH, Chief Innovation Officer, UCLA Health System, Institute for Innovation Health

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  • 44% of cell owners have slept with their phone next to their bed because they wanted to make sure they didn’t miss any calls, text messages, or other updates during the night.
  • iHT² Health IT Summit Beverly Hills – Opening Keynote, Molly Coye, MD, MPH, Chief Innovation Officer, UCLA Health System, Institute for Innovation Health

    1. 1. It’s A New Game Now – Molly Joel Coye, MD, MPH Chief Innovation Officer UCLA Health System iHT2 November 2013 The Institute For Innovation In Health uclaInnovates.org
    2. 2. The Institute For Innovation In Health uclaInnovates.org
    3. 3. The Institute For Innovation In Health uclaInnovates.org
    4. 4. Transformation… The Institute For Innovation In Health uclaInnovates.org
    5. 5. …Or Innovation? The Institute For Innovation In Health uclaInnovates.org
    6. 6. Why Innovate? How did CBS fail to see opportunities CNN saw? Why didn’t IBM create the PC operating system? Why didn’t AT&T invent AOL? How did GM miss the minivan? How did Sotheby’s get upstaged by eBay? Why didn’t Borders Books produce amazon.com? It takes effort to stand in the future and see new possibilities Courtesy: The Doblin Group The Institute For Innovation In Health uclaInnovates.org
    7. 7. Innovation in large organizations = oxymoron? The Institute For Innovation In Health uclaInnovates.org
    8. 8. Just what is innovation? The Institute For Innovation In Health uclaInnovates.org
    9. 9. In healthcare, we’ve innovated new technologies and products – While innovation in service and business models has lagged. The Institute For Innovation In Health uclaInnovates.org
    10. 10. Innovation can accelerate change in ways recognizable to us The Institute For Innovation In Health uclaInnovates.org
    11. 11. And innovation can adopt and scale entirely new models of care The Institute For Innovation In Health uclaInnovates.org
    12. 12. Core Challenges • Serve larger populations with less resources – Risk-based population health management – Tertiary-quaternary excellence • Get over the need to invent everything. We assume that the vast majority of innovations we deploy will have been invented elsewhere. • Measure our success by the rate at which we identify, pilot and deploy innovations that “move the needle” 12 The Institute For Innovation In Health uclaInnovates.org
    13. 13. UCLA Strategic Response Includes Innovation Growth Strategy Phase II- September 2012 – March 2013 Growth Strategy - Evolution of the UCLA Health System Primary Care Innovation Model Secondary Strategy and Affiliations • Practice Re-Design • Define aligned inpatient/ancillary • Increase Covered capacity Lives • Physician services at off• Expansion site practices • Collaborations • Seamless links/ expedited • Replication access • Bilateral quality, service, IT, price commitments Tertiary and Quaternary Strategy & Relationships • Value proposition to health systems, medical groups • Referral and transfer support • Single call access • Telemedicine linkages • Bundling + pricing alignment • Bilateral quality, service, IT, price commitments Affiliations and Partnerships* • Physicians, medical groups • Hospitals, health systems • Insurance • ACO/MSSP relationships • “Virtual Medical Foundation” The Institute For Innovation In Health Insurance Partners • • • • • • • • • UC-CARE Cigna HealthNet Aetna Anthem United SCAN Evolent Others uclaInnovates.org
    14. 14. The UCLA Innovation Life Cycle • Use the organization’s goals and strategies as your lodestone • Find your target opportunity = define the impact you want • Identify and design innovations to achieve this – Strategy-driven innovations – (Beg, borrow and steal shamelessly) – Partner: other health systems, health plans, investors and developers • CHARTER the innovations Innovation Life Cycle Define Design Charter Pilot Scale Evaluate The Institute For Innovation In Health Exchange uclaInnovates.org
    15. 15. The most important innovation has been the process! Define Design Planning Phase • • • • Charter Design Phase Implementation Phase Operations Phase Advanced Primary Care Medical Home + population health management Five clinics in six months: 33,000 patients Rapid replication through 24 more clinics to reach 200,000 patients Platform for continuous introduction, design, testing and deployment The Institute For Innovation In Health uclaInnovates.org
    16. 16. Results + Physician Enthusiasm UCLA Primary Care Innovation Model: Initial results at 6 months, 1000 patients: •Hospital admissions •Emergency Department admissions 19% 29% •Care coordinators in each clinic: non-clinically licensed •Behavioral health associates •Clinical pharmacists •92% physician satisfaction and enthusiasm for PCIM new model of care •Next phase: In-Home Palliative Care The Institute For Innovation In Health uclaInnovates.org
    17. 17. Patient voice : BPH experience ws Intervie Patient The Institute For Innovation In Health uclaInnovates.org
    18. 18. The Institute For Innovation In Health uclaInnovates.org
    19. 19. The Institute For Innovation In Health uclaInnovates.org
    20. 20. Frugal Innovation for Sustainable Healthcare •Scanning for innovations that achieve net savings of 2% or more in total healthcare expenditures •Convening innovators to share learnings, producing “deep-dives” to accelerate adoption •Welcoming nominations of high value innovations in December 2013 at www.uclainnovates.org The Institute For Innovation In Health uclaInnovates.org
    21. 21. Seventy-five percent of Americans nearing retirement age in 2010 had less than $30,000 in their retirement accounts More than a third of households have no retirement coverage during their work lives Almost half of middle-class workers – 49% - will be poor or near poor in retirement, living on a food budget of about $5 a day Center for Retirement Research Boston College, 2013 The Institute For Innovation In Health uclaInnovates.org
    22. 22. The Institute For Innovation In Health uclaInnovates.org
    23. 23. The Institute For Innovation In Health uclaInnovates.org
    24. 24. “Patient engagement is the blockbuster drug of the 21st century.” Dave Chase’s Forbes blog The Institute For Innovation In Health uclaInnovates.org
    25. 25. The Institute For Innovation In Health uclaInnovates.org

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