Building Health 2.0
into the Delivery System



            Scott Shreeve, MD
             Chief Executive Officer
        ...
Agenda
                           / Intro
                           / Panelist
                           / Discussion
  ...
The Cathedral and the Bazaar



             vs
Cathedral Care
Vertical       Characteristics:
               • Kaiser, Group Health, Geisinger, etc
 Ancillary
          ...
Bazaar Care
Non - Integrated            Characteristcs:
                            • Fee for Service
             Ancilla...
Transformation



Current           Future
System            System
           H2.0
The Bazedral
                    Virtual     Health 2.0 Opportunity:
                                • Software/services i...
Perspectives

  James Hereford               Dan Caruso, MD
  • VP Quality, Group Health   • Med Director, Dartmouth
  • I...
Cathedral or Bazaar?



         vs
Ferrari Medicine
Ferrari Medicine
Independent or Systemic?



           vs
Vertical or Virtual?
Vertical                              Virtual

                                        Ancillary
 Anc...
On or Off the Grid?


         vs
Presenters
                 Roni Zieger, MD
                 • Project Manager, Google Health

                Sean Khoizo...
Free Flow or Gated Stream?



            vs
Sustaining or Disruptive?
     1. Enabling technology




                              Performance
     2. New Business M...
Tethered or Untethered?
                  PHR
                               Phrm     Provider




      EHR              ...
Takeaway Memes

1.Health 2.0 from just Promise to the Practical

2.Innovation from Inside as well as Outside

3.Relationsh...
Join In!
Building Health 2.0 Into the Delivery System
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Building Health 2.0 Into the Delivery System

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Today we will explore the current state of the movement, to assess how Health 2.0 is beginning to change the actual delivery of health care. We will discuss the state of the art with current thought leaders - from small independent clinics to large integrated delivery systems - who are adopting and adapting to enabling technologies that are part of a larger transformation to a next generation health system. We will also see presentations from three different platforms, who based on their collective recent media blitz, are clearly at the bleeding edge of a brave new world full of possibilities.

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Building Health 2.0 Into the Delivery System

  1. 1. Building Health 2.0 into the Delivery System Scott Shreeve, MD Chief Executive Officer April 14, 2009
  2. 2. Agenda / Intro / Panelist / Discussion / Presenters / Discussion Integrated/GH Academic/BIDMC Group/DHCM Independent/RenH Integrated/Kaiser Interdependent/Myca Independent/Google
  3. 3. The Cathedral and the Bazaar vs
  4. 4. Cathedral Care Vertical Characteristics: • Kaiser, Group Health, Geisinger, etc Ancillary • Optimization at the system level Services • Full coordination of care • Information technology supports Hospital Services • Incentives aligned for outcomes • Reward for results • Patient consumer for life Physician Services • Consumer is guided through process Patient Services
  5. 5. Bazaar Care Non - Integrated Characteristcs: • Fee for Service Ancillary • Optimization at the component level Services • Disease Care • Lack of coordination Hospital • No Accountability Services • Consumer left to navigate • Incented for volume not value Physician Services Consumer Services (None)
  6. 6. Transformation Current Future System System H2.0
  7. 7. The Bazedral Virtual Health 2.0 Opportunity: • Software/services integration layer Ancillary • Coordinates patients, providers, and payment Services • Dramatic increase in health care value Organizing Entity Hospital Key points of “Virtualization” Services • Financing (payment / business models) • Delivery (new types of arrangements) Physician Services • Incentives (increased $ for increased value) Consumer Services (None)
  8. 8. Perspectives James Hereford Dan Caruso, MD • VP Quality, Group Health • Med Director, Dartmouth • Integrated Delivery System • Community Group Practice John Halamka, MD Rushika Fernadouplle, MD • CIO, BIDMC • Founder, Renaissance Health • Academic Medical Center • Individual Medical Clinics Integrated Academic Group Independent
  9. 9. Cathedral or Bazaar? vs
  10. 10. Ferrari Medicine
  11. 11. Ferrari Medicine
  12. 12. Independent or Systemic? vs
  13. 13. Vertical or Virtual? Vertical Virtual Ancillary Ancillary Services Services Organizing Entity Hospital Hospital Services Services vs Physician Physician Services Services Consumer Patient Services Services (None)
  14. 14. On or Off the Grid? vs
  15. 15. Presenters Roni Zieger, MD • Project Manager, Google Health Sean Khoizon, MD • Medical Director, Hello Health Ted Eytan, MD • Clinical Innovation, Kaiser Permanente Independent/Google Interdependent/Myca Integrated/Kaiser
  16. 16. Free Flow or Gated Stream? vs
  17. 17. Sustaining or Disruptive? 1. Enabling technology Performance 2. New Business Model 3. Value Based Network Incumbents win New Measure of Time Performance “Almost always, disruptive innovations such as these have been ignored or opposed by the leading institutions in their New Entrants win industries for perfectly rational reasons” Time - Clayton Christensen
  18. 18. Tethered or Untethered? PHR Phrm Provider EHR vs PHR PHR Payor Patient PHR
  19. 19. Takeaway Memes 1.Health 2.0 from just Promise to the Practical 2.Innovation from Inside as well as Outside 3.Relationships from Paternalistic to Participatory The enabling tools and technology of H2.0 are creating the next Generation Health System NOW
  20. 20. Join In!

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