Track 4: Sostenibilidad de los sistemas sanitarios 4.1. La ruta europea para la sostenibilidad en sanidad

1. Barcelona, Spain
May 24, 2012
Just in Time: Technology Redefines the
Locus of Care
Joseph L. Ternullo, JD, MPH
Associate Director, Center for Connected Health, Partners HealthCare
Adjunct Faculty, Northeastern University
jternullo@post.harvard.edu
617-726-4207

2. Brief Bio
Joseph Ternullo, JD, MPH, is associate director of Partners HealthCare’s Center for Connected
Health and on the Northeastern University Health Informatics faculty. He’s founder and
organizing chair of the annual Connected Health Symposium, a preeminent international event for
innovators operating at the crossroads of the Internet, mobile communications and health. Joe
advises the US Commerce Dept. on international trade and the X PRIZE Foundation on its $10M
Tricorder Competition for transforming healthcare. He sits on the review panel for the Office of
the National Coordinator for Health IT’s One in a Million Hearts Challenge and serves on the
Mass Technology Leadership Council, Mass. Health Quality Partners and Harvard Club of the
North Shore boards. A co-founder of Continua Health Alliance, Joe holds degrees from BC,
Bentley, BU and Harvard.

3. Technology: has transformed the customer experience

4. Generation Y’ers “r” leading: ‘OK to Step Off the Cliff”
Generation Y
Baby Boomer

5. Technology has transformed industries.
Banking, travel and education to name a few.

6. Technology increases convenience

7. What of healthcare?

8. For generations, the provider has been the locus of care
The doctor-patient relationship is the one immutable
cornerstone of our healthcare system

9. Today

10. Patient-centric care
Before our eyes, healthcare is being deconstructed. As the reconstruction occurs,
just as with other industries, it will move to a distributed model with the person,
not the provider as the locus of care.

11. The NEW locus of care
Patient Education
Pharmacy Incentive
Physicians &
Self-Manage
Specialists
Employer
Payer Hospital
Purchaser

12. Activities traversing the roadway will evolve naturally over time
• remote registration and admitting
• appointment scheduling for in-person and virtual visits
• ad-hoc provider/patient remote check-ins
• patient reading of medical records
• automatic transmission of remote vital signs
• automatic reporting of test results
• automatic and customized alerts and reminders
•participation in live and virtual patient support groups
•involvement in clinical social media contests and challenges
• opt-in reward and incentive offers
• proactive monitoring of health and wellness data
•downloadable “apps, medical device plug-ins

13. Where do these fresh ideas get analyzed?