This document discusses technology-enabled connected care, which uses in-home monitoring devices and care management programs to enhance chronic disease management and post-acute care. It argues this approach could save $400 billion annually by reducing complications and readmissions while improving self-care. Consumers strongly support this model with three-quarters wanting expanded use of in-home technologies and devices. The document outlines two key applications - management of chronic conditions and post-discharge monitoring. It also lists existing clinical technologies that could be used in homes to improve care coordination and outcomes.
What eHealth strategies work and do not work, and what should be implemented to effectively meet these healthcare “transformational” imperatives?. Crawford J. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)
Personalized Health and Care: IT-enabled Personalized HealthcareIBM HealthCare
This document discusses how personalized healthcare (PHC) could help address issues with the science of health promotion and care delivery. PHC aims to use broader patient data and more complete clinical knowledge to promote health, predict/prevent diseases, aid early detection/diagnosis, and manage diseases. However, PHC requires a powerful health information technology environment capable of capturing, storing, analyzing and sharing extensive patient data and clinical knowledge. The current HIT environment is insufficient for PHC and must become more open, robust and able to incorporate continually generated clinical knowledge into decision making.
1. The document discusses organizing healthcare delivery around the goal of improving patient value, defined as health outcomes per dollar spent.
2. It argues that the current healthcare system is not structured or incentivized to achieve this goal, and that fundamental restructuring is needed rather than incremental changes.
3. The strategic agenda outlined involves organizing care into integrated practice units around patient medical conditions, measuring outcomes and costs for every patient, reimbursing through bundled payments for care cycles, and other initiatives to align the healthcare system with the goal of improving patient value.
Soccnx III - Using Social for social good - the case for Social Business in H...LetsConnect
Speakers: Bill Looby
"Social Business for Healthcare Social is everywhere. Patients and providers are living in a socially networked world. Healthcare is a social business. Are you ready? Social businesses leverage collaboration capabilities to connect people and break down traditional boundaries. They activate networks of people that apply relevant content and expertise to improve and accelerate how work gets done. This is a demonstration of social business capabilities applied to healthcare for improved patient outcomes and efficiency of care delivery. See examples of connecting providers across acute and ambulatory care settings in new ways via social business technologies and open standards. Featured technologies include IBM Connections social business software for healthcare and IBM InfoSphere® HC solutions built on Initiate® technology.
The document discusses emerging trends and innovations that are driving healthcare transformation in Canada. It identifies the top 10 healthcare game changers, including: 1) Healthcare clouds that will take health records off mainframes and make them accessible online; 2) Health analytics that will use more available data to improve decision making and care; 3) New payment models that will tie funding to quality and outcomes rather than just outputs.
Accountable Care Organizations - Early Lessons Learned from Strong Revenue Cy...GE Healthcare - IT
When the Centers for Medicare and Medicaid (CMS) Innovation
announced plans to select organizations for its Shared Savings
Accountable Care Organization program in April 2011 via a proposed
rule, reactions within the healthcare community were mixed. Some
were excited by the prospect of a push for more coordinated and
integrated care networks, while others criticized the specifics of the
proposal, concerned that the level of provider risk and other provisions
would make the model unsustainable over time. Subsequently, the
Centers for Medicare and Medicaid Services (CMS) issued a Final Rule
on Shared Savings Accountable Care Organizations (ACOs) that was
much more positively received throughout the healthcare community.
CMS then followed the Final Rule with an April 2012 announcement,
adding 27 initial Share Savings ACOs to its original 32 Pioneer ACO
group. With this backdrop in place, it’s clear that accountable care
is more than the latest healthcare buzzword. Today, there is a clear
change in the focus of healthcare providers, with an emphasis on
shifting the focus of payment for hospitals, physicians, and other
healthcare entities towards integrated care and a focus on value and
quality of care rather than the volume of services provided.¹
The document summarizes information about patient-centered medical homes (PCMHs) and healthcare transformation efforts at the University of Utah and elsewhere. It discusses how PCMHs have led to reductions in emergency room visits, hospital admissions, and specialty care visits while improving outcomes for patients. The document also outlines the key principles of the PCMH model and how it can improve coordination of care, access, and overall population health while lowering costs.
What eHealth strategies work and do not work, and what should be implemented to effectively meet these healthcare “transformational” imperatives?. Crawford J. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)
Personalized Health and Care: IT-enabled Personalized HealthcareIBM HealthCare
This document discusses how personalized healthcare (PHC) could help address issues with the science of health promotion and care delivery. PHC aims to use broader patient data and more complete clinical knowledge to promote health, predict/prevent diseases, aid early detection/diagnosis, and manage diseases. However, PHC requires a powerful health information technology environment capable of capturing, storing, analyzing and sharing extensive patient data and clinical knowledge. The current HIT environment is insufficient for PHC and must become more open, robust and able to incorporate continually generated clinical knowledge into decision making.
1. The document discusses organizing healthcare delivery around the goal of improving patient value, defined as health outcomes per dollar spent.
2. It argues that the current healthcare system is not structured or incentivized to achieve this goal, and that fundamental restructuring is needed rather than incremental changes.
3. The strategic agenda outlined involves organizing care into integrated practice units around patient medical conditions, measuring outcomes and costs for every patient, reimbursing through bundled payments for care cycles, and other initiatives to align the healthcare system with the goal of improving patient value.
Soccnx III - Using Social for social good - the case for Social Business in H...LetsConnect
Speakers: Bill Looby
"Social Business for Healthcare Social is everywhere. Patients and providers are living in a socially networked world. Healthcare is a social business. Are you ready? Social businesses leverage collaboration capabilities to connect people and break down traditional boundaries. They activate networks of people that apply relevant content and expertise to improve and accelerate how work gets done. This is a demonstration of social business capabilities applied to healthcare for improved patient outcomes and efficiency of care delivery. See examples of connecting providers across acute and ambulatory care settings in new ways via social business technologies and open standards. Featured technologies include IBM Connections social business software for healthcare and IBM InfoSphere® HC solutions built on Initiate® technology.
The document discusses emerging trends and innovations that are driving healthcare transformation in Canada. It identifies the top 10 healthcare game changers, including: 1) Healthcare clouds that will take health records off mainframes and make them accessible online; 2) Health analytics that will use more available data to improve decision making and care; 3) New payment models that will tie funding to quality and outcomes rather than just outputs.
Accountable Care Organizations - Early Lessons Learned from Strong Revenue Cy...GE Healthcare - IT
When the Centers for Medicare and Medicaid (CMS) Innovation
announced plans to select organizations for its Shared Savings
Accountable Care Organization program in April 2011 via a proposed
rule, reactions within the healthcare community were mixed. Some
were excited by the prospect of a push for more coordinated and
integrated care networks, while others criticized the specifics of the
proposal, concerned that the level of provider risk and other provisions
would make the model unsustainable over time. Subsequently, the
Centers for Medicare and Medicaid Services (CMS) issued a Final Rule
on Shared Savings Accountable Care Organizations (ACOs) that was
much more positively received throughout the healthcare community.
CMS then followed the Final Rule with an April 2012 announcement,
adding 27 initial Share Savings ACOs to its original 32 Pioneer ACO
group. With this backdrop in place, it’s clear that accountable care
is more than the latest healthcare buzzword. Today, there is a clear
change in the focus of healthcare providers, with an emphasis on
shifting the focus of payment for hospitals, physicians, and other
healthcare entities towards integrated care and a focus on value and
quality of care rather than the volume of services provided.¹
The document summarizes information about patient-centered medical homes (PCMHs) and healthcare transformation efforts at the University of Utah and elsewhere. It discusses how PCMHs have led to reductions in emergency room visits, hospital admissions, and specialty care visits while improving outcomes for patients. The document also outlines the key principles of the PCMH model and how it can improve coordination of care, access, and overall population health while lowering costs.
Quality and Value-based Healthcare India PresentationJoseph Britto
The document discusses improving healthcare quality and value-based care. It covers elements of quality like safety, effectiveness, efficiency and patient-centeredness. It presents cases showing issues like long wait times and discusses moving from a non-system to a system-based approach. The goal is designing a new healthcare system focused on quality, outcomes and costs through transparency, evidence-based practices, and continuous improvement.
Mass HIway Implementation Grants Presentation - March 2013Think DCS
This document provides an overview and summary of information for applicants to the Massachusetts eHealth Institute's (MeHI) HIway Implementation Grant program. It discusses MeHI and the Massachusetts Health Information Highway (Mass HIway), the goals of the grant program, requirements for applications, evaluation criteria, and the application process. The overall goal of the grants is to demonstrate measurable improvements in care quality, population health, and cost containment through use of health information exchange on the Mass HIway.
To prepare for the more dynamic world ahead, healthcare organizations are working to: (1) Improve operational effectiveness, (2) Collaborate for prevention and wellness, (3) Achieve better quality and outcomes.
Most population health webinars focus on topics like chronic disease management, closing care gaps, and the role of preventive care. While these are important concerns, we want you to rethink the meaning of population health and why it’s so important right now. After years of saying value-based care is coming, Dr. Will Caldwell, a physician with 19 years of experience and the Senior Vice President for Population Health at Health Catalyst, will make the case that emerging trends are enabling the true shift to population health.
In this webinar, Dr. Caldwell will offer the following:
• Create excitement about your role in helping others live healthier lives.
• Raise awareness of the opportunity facing us.
• Help us understand the role private equity is playing.
• Encourage us to rethink how we source and use data.
• Explain the transition from disease management to population health management.
• Discuss the largest unrealized opportunity in managing the total cost of care and driving better outcomes.
Future trends in global healthcare will see rising costs become unsustainable, leading to reforms. Reimbursements are expected to decrease by 10% over the next decade as risk shifts from payers to providers. Payment will differ based on outcomes, satisfaction, and access. To prepare, providers must drive down costs, improve outcomes, and diversify revenue through clinical integration and managing episodes of care across larger systems. The creation of true healthcare systems is needed to efficiently standardize processes and align incentives to manage costs and risk.
Business Model Innovation in Healthcare by Chris WasdenMatt Perez
Rapid technological advances, regulatory reform, and the new science of personalized medicine are the three primary factors driving unprecedented levels of innovation in the healthcare industry. These factors are forcing convergence among all members of the healthcare ecosystem in ways that enable all members to create greater value through extensive coordination, collaboration, and competition. Increasingly, providers, payers, products, and patients are leveraging mobile information technology to participate in M2M (mobile-to-mobile) digital healthcare delivery. Some of the key questions facing healthcare organizations, and particularly their CIOs, are: Where in the healthcare innovation ecosystem should we focus? What types of innovations create the most value for our organization? How do we enable greater levels of innovations from a strategic, process, and infrastructure perspectives? What are the barriers to developing and adopting innovation in the healthcare industry, and within healthcare organizations, and how do we overcome these barriers?
Six Need-to-Know Guidelines for Successful Care ManagementHealth Catalyst
In a job that changes every minute, care managers don’t have much time to think as they tackle unpredictable situations. Care managers stay on track amid the distractions by following six key elements of successful care management:
Act as an advocate for the patient.
Practice cultural competence.
Garner support from leaders.
Develop effective communication skills.
Prioritize patients based on up-to-date data.
Don’t ever forget that the patient is a human being first.
As care managers practice these six crucial components for successful care management, the patient’s health and well-being will always be the top priority for everyone involved, which translates to better outcomes and lower costs.
The Advancement Of Hta To Developing Countries Concept, Program And Pilot Pr...Alberta Health Services
The document discusses introducing health technology assessment (HTA) in developing countries. It argues that HTA can help improve decision-making, get good health technologies to the poor, and strengthen health systems. Countries should start small with a clear scope and address important questions. The WHO could facilitate international knowledge sharing, advocate for HTA, and support the evaluation of pilot HTA projects in countries. Proper governance, collaboration, funding, staffing are needed for successful HTA implementation.
This document discusses the patient-centered medical home (PCMH) model and its benefits. It provides examples of organizations that have implemented PCMH initiatives to improve care coordination, access, costs and outcomes. Key points include:
- PCMH aims to strengthen primary care through care coordination, enhanced access, quality improvement and payment reform.
- Studies show PCMH can reduce costs by decreasing ER visits and hospital days while improving outcomes.
- Several large employers, the Department of Defense, and state governments have adopted PCMH models for the populations they insure.
- Successful PCMH models integrate primary care, specialists, hospitals, and community resources through use of health IT, data sharing and care
Whsrma 2013 grundy singapore april 2013Paul Grundy
The document discusses the patient centered medical home (PCMH) model which aims to transform healthcare delivery from episodic care to population health management. It provides an overview of the key components of the PCMH model including acting as a system integrator across providers, driving primary care redesign, and offering utilities for population health and financial management. Studies show PCMHs can lead to reductions in hospital and ER use as well as lower overall costs. The PCMH framework focuses on features like patient-centeredness, comprehensive and coordinated care, improved access, and a commitment to quality and safety.
Although there have been enormous strides made in the area of health information technology, most developers and users feel frustrated by the pace of change. This new institute will drive Strategy, Innovation and Design for Health ICT
Jack Kilby was an engineer at Texas Instruments in 1958 who developed the first integrated circuit. He built a circuit board where all the components were made of the same material and connected through an automated process, creating a more efficient design. Many are now calling for integrated health care systems to improve efficiency and reduce errors. Integrating components through a unified electronic medical record or billing system brings health care closer to the goal of providing seamless, efficient care from the patient's perspective.
What Lies Ahead for ONC: Meaningful Use and BeyondBrian Ahier
1) The document discusses recent trends in health IT policy and implementation including Meaningful Use and regional extension centers.
2) It outlines upcoming payment reforms like accountable care organizations and bundled payments that will further incentivize health IT innovation.
3) The document proposes next steps for advancing health IT through the proposed Stage 2 of Meaningful Use regulations to promote improved health outcomes, care coordination, and patient engagement through 2015.
CareSync 1099 Medical Sales Opportunity !
JOIN US Thursday, Nov 17, 2016 1:30 PM - 2:30 PM EST to learn about the 1099 Chronic Care Medical Sales Opportunity with CareSync, the leading provider of technology & services for care coordination & chronic disease management. Platform provides in combination with our 24/7 nursing services facilitates care coordination for patients, their providers, family,& caregivers.
Check out the CareSync Slideshare to learn more about chronic care management. J
Join the Conference Call THURSDAY , Nov 17th 1:30 pm ( ET)
Call (213) 929-4232
Access Code: 226-975-231
"eHealth Literacy, Getting Started" was presented at the Center for Health Literacy Conference 2011: Plain Talk in Complex Times by Shannah Koss, MPP, President, Koss on Care LLC (Principal, MAXIMUS eHealth Literacy Collaborative).
Description: Learn how to design and develop a consumer-oriented strategy and foundation for outreach, education, and engagement in the early stages of your state or community's health IT and reform programs. Find out about funding options. Share challenges and solutions for integrating eHealth literacy tools and resources into the emerging health IT infrastructure.
Systems Change News 2nd Quarter Issue 2012 Issue2Helen Dao
This document discusses care coordination for patients with chronic conditions. It notes that chronic diseases account for most deaths in the US and nearly half of all Americans live with at least one chronic illness. Proper care coordination is important for managing chronic conditions but can be challenging to implement. The Patient-Centered Medical Home model aims to improve chronic care coordination and management but also faces difficulties in implementation that some see as investments needed to better serve patients.
How Addressing Mental Health Can Improve Chronic Disease Outcomes and Cut CostsHealth Catalyst
Treating mental health is often a low priority for health systems because of its high costs and low reimbursement rate. But health systems should not underestimate the impact mental health has on one of their costliest areas—treating chronic diseases. As research links higher costs to patients with chronic disease and a mental health disorder compared to patients without a mental health disorder, organizations should consider mental health treatment a key part of chronic disease management. By following four steps, providers and care teams can address patients’ mental health, thereby improving chronic disease outcomes and lowering costs:
1. Identify the patient population.
2. Identify the financial impact.
3. Develop a plan with experts.
4. Measure the impact and show ROI.
The Population Health Management Market 2015Lifelog Health
Population health management is a problem term because it can mean something different to each person who hears it. However, I believe that the words capture the overall spirit and energy of healthcare reform in a unique way. Providers are thinking big when it comes to a patient’s engagement, responsibility, and preventative care, and they’re leveraging technology to do it. I discuss an overall picture of PHM, present some useful technology, and tell a few PHM stories herein.
Presented by Steve Mills, IBM Senior Vice President, Group Executive, Software & Systems Group
Learn more: http://www.ibm.com/software/products/en/category/health-social-programs
4. walsteijn.edifecs enabling value based healthcare 2015 04 09 v3Matthijs van Hagen
1) The document discusses the shift in healthcare from fee-for-service to fee-for-value and value-based care. It outlines challenges around information exchange, process automation, and community collaboration that are key to scaling partnerships under value-based models.
2) Edifecs is introduced as a partnership platform that can address these challenges through integrated data, automated workflows, and shared intelligence across organizations.
3) The platform is depicted as enabling various components of value-based care including population health monitoring, intervention programs, and payment calculations.
This document provides an overview and summary of key concepts related to applying service science principles to health systems. It begins with an introduction to service science and findings from Vargo and Lusch on service-dominant logic. It then provides overviews of the American healthcare system and literature on key concepts. The document outlines innovation processes for health systems and discusses IT enhancements like e-healthcare, big data, mobile technologies, and telemedicine. It provides examples of successful health systems like Bumrungrad Hospital and discusses the Affordable Care Act and future directions including reducing costs and improving coordination through technologies like cognitive computing.
Digital healthcare technologies are transforming healthcare delivery globally. Companies are developing technologies like mobile apps, big data analytics, and smart medical devices to improve patient monitoring and outcomes. These digital innovations extract insights from medical data to enhance healthcare provisioning, reduce costs, and support preventative care and remote patient monitoring. Emerging areas like bioinformatics and medical analytics utilize big data to provide actionable clinical insights.
Quality and Value-based Healthcare India PresentationJoseph Britto
The document discusses improving healthcare quality and value-based care. It covers elements of quality like safety, effectiveness, efficiency and patient-centeredness. It presents cases showing issues like long wait times and discusses moving from a non-system to a system-based approach. The goal is designing a new healthcare system focused on quality, outcomes and costs through transparency, evidence-based practices, and continuous improvement.
Mass HIway Implementation Grants Presentation - March 2013Think DCS
This document provides an overview and summary of information for applicants to the Massachusetts eHealth Institute's (MeHI) HIway Implementation Grant program. It discusses MeHI and the Massachusetts Health Information Highway (Mass HIway), the goals of the grant program, requirements for applications, evaluation criteria, and the application process. The overall goal of the grants is to demonstrate measurable improvements in care quality, population health, and cost containment through use of health information exchange on the Mass HIway.
To prepare for the more dynamic world ahead, healthcare organizations are working to: (1) Improve operational effectiveness, (2) Collaborate for prevention and wellness, (3) Achieve better quality and outcomes.
Most population health webinars focus on topics like chronic disease management, closing care gaps, and the role of preventive care. While these are important concerns, we want you to rethink the meaning of population health and why it’s so important right now. After years of saying value-based care is coming, Dr. Will Caldwell, a physician with 19 years of experience and the Senior Vice President for Population Health at Health Catalyst, will make the case that emerging trends are enabling the true shift to population health.
In this webinar, Dr. Caldwell will offer the following:
• Create excitement about your role in helping others live healthier lives.
• Raise awareness of the opportunity facing us.
• Help us understand the role private equity is playing.
• Encourage us to rethink how we source and use data.
• Explain the transition from disease management to population health management.
• Discuss the largest unrealized opportunity in managing the total cost of care and driving better outcomes.
Future trends in global healthcare will see rising costs become unsustainable, leading to reforms. Reimbursements are expected to decrease by 10% over the next decade as risk shifts from payers to providers. Payment will differ based on outcomes, satisfaction, and access. To prepare, providers must drive down costs, improve outcomes, and diversify revenue through clinical integration and managing episodes of care across larger systems. The creation of true healthcare systems is needed to efficiently standardize processes and align incentives to manage costs and risk.
Business Model Innovation in Healthcare by Chris WasdenMatt Perez
Rapid technological advances, regulatory reform, and the new science of personalized medicine are the three primary factors driving unprecedented levels of innovation in the healthcare industry. These factors are forcing convergence among all members of the healthcare ecosystem in ways that enable all members to create greater value through extensive coordination, collaboration, and competition. Increasingly, providers, payers, products, and patients are leveraging mobile information technology to participate in M2M (mobile-to-mobile) digital healthcare delivery. Some of the key questions facing healthcare organizations, and particularly their CIOs, are: Where in the healthcare innovation ecosystem should we focus? What types of innovations create the most value for our organization? How do we enable greater levels of innovations from a strategic, process, and infrastructure perspectives? What are the barriers to developing and adopting innovation in the healthcare industry, and within healthcare organizations, and how do we overcome these barriers?
Six Need-to-Know Guidelines for Successful Care ManagementHealth Catalyst
In a job that changes every minute, care managers don’t have much time to think as they tackle unpredictable situations. Care managers stay on track amid the distractions by following six key elements of successful care management:
Act as an advocate for the patient.
Practice cultural competence.
Garner support from leaders.
Develop effective communication skills.
Prioritize patients based on up-to-date data.
Don’t ever forget that the patient is a human being first.
As care managers practice these six crucial components for successful care management, the patient’s health and well-being will always be the top priority for everyone involved, which translates to better outcomes and lower costs.
The Advancement Of Hta To Developing Countries Concept, Program And Pilot Pr...Alberta Health Services
The document discusses introducing health technology assessment (HTA) in developing countries. It argues that HTA can help improve decision-making, get good health technologies to the poor, and strengthen health systems. Countries should start small with a clear scope and address important questions. The WHO could facilitate international knowledge sharing, advocate for HTA, and support the evaluation of pilot HTA projects in countries. Proper governance, collaboration, funding, staffing are needed for successful HTA implementation.
This document discusses the patient-centered medical home (PCMH) model and its benefits. It provides examples of organizations that have implemented PCMH initiatives to improve care coordination, access, costs and outcomes. Key points include:
- PCMH aims to strengthen primary care through care coordination, enhanced access, quality improvement and payment reform.
- Studies show PCMH can reduce costs by decreasing ER visits and hospital days while improving outcomes.
- Several large employers, the Department of Defense, and state governments have adopted PCMH models for the populations they insure.
- Successful PCMH models integrate primary care, specialists, hospitals, and community resources through use of health IT, data sharing and care
Whsrma 2013 grundy singapore april 2013Paul Grundy
The document discusses the patient centered medical home (PCMH) model which aims to transform healthcare delivery from episodic care to population health management. It provides an overview of the key components of the PCMH model including acting as a system integrator across providers, driving primary care redesign, and offering utilities for population health and financial management. Studies show PCMHs can lead to reductions in hospital and ER use as well as lower overall costs. The PCMH framework focuses on features like patient-centeredness, comprehensive and coordinated care, improved access, and a commitment to quality and safety.
Although there have been enormous strides made in the area of health information technology, most developers and users feel frustrated by the pace of change. This new institute will drive Strategy, Innovation and Design for Health ICT
Jack Kilby was an engineer at Texas Instruments in 1958 who developed the first integrated circuit. He built a circuit board where all the components were made of the same material and connected through an automated process, creating a more efficient design. Many are now calling for integrated health care systems to improve efficiency and reduce errors. Integrating components through a unified electronic medical record or billing system brings health care closer to the goal of providing seamless, efficient care from the patient's perspective.
What Lies Ahead for ONC: Meaningful Use and BeyondBrian Ahier
1) The document discusses recent trends in health IT policy and implementation including Meaningful Use and regional extension centers.
2) It outlines upcoming payment reforms like accountable care organizations and bundled payments that will further incentivize health IT innovation.
3) The document proposes next steps for advancing health IT through the proposed Stage 2 of Meaningful Use regulations to promote improved health outcomes, care coordination, and patient engagement through 2015.
CareSync 1099 Medical Sales Opportunity !
JOIN US Thursday, Nov 17, 2016 1:30 PM - 2:30 PM EST to learn about the 1099 Chronic Care Medical Sales Opportunity with CareSync, the leading provider of technology & services for care coordination & chronic disease management. Platform provides in combination with our 24/7 nursing services facilitates care coordination for patients, their providers, family,& caregivers.
Check out the CareSync Slideshare to learn more about chronic care management. J
Join the Conference Call THURSDAY , Nov 17th 1:30 pm ( ET)
Call (213) 929-4232
Access Code: 226-975-231
"eHealth Literacy, Getting Started" was presented at the Center for Health Literacy Conference 2011: Plain Talk in Complex Times by Shannah Koss, MPP, President, Koss on Care LLC (Principal, MAXIMUS eHealth Literacy Collaborative).
Description: Learn how to design and develop a consumer-oriented strategy and foundation for outreach, education, and engagement in the early stages of your state or community's health IT and reform programs. Find out about funding options. Share challenges and solutions for integrating eHealth literacy tools and resources into the emerging health IT infrastructure.
Systems Change News 2nd Quarter Issue 2012 Issue2Helen Dao
This document discusses care coordination for patients with chronic conditions. It notes that chronic diseases account for most deaths in the US and nearly half of all Americans live with at least one chronic illness. Proper care coordination is important for managing chronic conditions but can be challenging to implement. The Patient-Centered Medical Home model aims to improve chronic care coordination and management but also faces difficulties in implementation that some see as investments needed to better serve patients.
How Addressing Mental Health Can Improve Chronic Disease Outcomes and Cut CostsHealth Catalyst
Treating mental health is often a low priority for health systems because of its high costs and low reimbursement rate. But health systems should not underestimate the impact mental health has on one of their costliest areas—treating chronic diseases. As research links higher costs to patients with chronic disease and a mental health disorder compared to patients without a mental health disorder, organizations should consider mental health treatment a key part of chronic disease management. By following four steps, providers and care teams can address patients’ mental health, thereby improving chronic disease outcomes and lowering costs:
1. Identify the patient population.
2. Identify the financial impact.
3. Develop a plan with experts.
4. Measure the impact and show ROI.
The Population Health Management Market 2015Lifelog Health
Population health management is a problem term because it can mean something different to each person who hears it. However, I believe that the words capture the overall spirit and energy of healthcare reform in a unique way. Providers are thinking big when it comes to a patient’s engagement, responsibility, and preventative care, and they’re leveraging technology to do it. I discuss an overall picture of PHM, present some useful technology, and tell a few PHM stories herein.
Presented by Steve Mills, IBM Senior Vice President, Group Executive, Software & Systems Group
Learn more: http://www.ibm.com/software/products/en/category/health-social-programs
4. walsteijn.edifecs enabling value based healthcare 2015 04 09 v3Matthijs van Hagen
1) The document discusses the shift in healthcare from fee-for-service to fee-for-value and value-based care. It outlines challenges around information exchange, process automation, and community collaboration that are key to scaling partnerships under value-based models.
2) Edifecs is introduced as a partnership platform that can address these challenges through integrated data, automated workflows, and shared intelligence across organizations.
3) The platform is depicted as enabling various components of value-based care including population health monitoring, intervention programs, and payment calculations.
This document provides an overview and summary of key concepts related to applying service science principles to health systems. It begins with an introduction to service science and findings from Vargo and Lusch on service-dominant logic. It then provides overviews of the American healthcare system and literature on key concepts. The document outlines innovation processes for health systems and discusses IT enhancements like e-healthcare, big data, mobile technologies, and telemedicine. It provides examples of successful health systems like Bumrungrad Hospital and discusses the Affordable Care Act and future directions including reducing costs and improving coordination through technologies like cognitive computing.
Digital healthcare technologies are transforming healthcare delivery globally. Companies are developing technologies like mobile apps, big data analytics, and smart medical devices to improve patient monitoring and outcomes. These digital innovations extract insights from medical data to enhance healthcare provisioning, reduce costs, and support preventative care and remote patient monitoring. Emerging areas like bioinformatics and medical analytics utilize big data to provide actionable clinical insights.
Virtual health is supporting continuing efforts to further humanize health care by extending and expanding the concept of a patient-centric care delivery model into one that is truly life-centric.
Virtual health uses telecommunication and networked technologies to connect clinicians with patients (and with other clinicians) to remotely deliver health care services and support well-being. For providers, committing to virtual health at a personal and organizational level affords ever-increasing opportunities to deliver the right care at the right time in the right place, in a connected and coordinated manner.
By strengthening and facilitating a therapeutic alliance between clinicians and patients, virtual health is an important step on our continuous journey to humanize health care. It works within and around a patient’s life, as opposed to their sickness, to deliver care when, where, and how they need and want it. Also, virtual health works its way into consumers’ daily routines by being embedded in electronic devices associated with living life (e.g., smartphones and personal computers) more so than caring for sickness.
The healthcare industry is primed for expanded adoption of virtual health; a 2016 report estimated that the US virtual health market will reach $3.5 billion in revenues by 2022. Several factors are elevating stakeholder interest, including expected physician shortages, continued growth in digital technologies, changing reimbursement models, increasing consumer demand, and the evolving regulatory landscape. One game-changer: Today, nine in 10 American adults use the internet, giving clinicians the capability and flexibility to communicate with and serve health care consumers via the web.
An overview of the Initial Design and Prize Guidelines for a proposed $10M+ Healthcare X PRIZE, released for public comment on April 14, 2009. Please help us design the best competition possible in creating an Optimal Health paradigm that engages and empowers individuals and communities in a way that will dramatically improve health value.
Chapter 4 Information Systems to Support Population Health Managem.docxketurahhazelhurst
Chapter 4 Information Systems to Support Population Health Management Learning Objectives To be able to understand the data and information needs of health systems in managing population health effectively under value-based payment models. To be able to discuss key health IT tools and strategies for population health management including EHRs, registries, risk stratification, patient engagement, and outreach, care coordination and management, analytics, health information exchange, and telemedicine and telehealth. To be able to discuss the application and use of data analytics to monitor, predict, and improve performance. The enactment of the Affordable Care Act (ACA) brought about sweeping legislation intended to reduce the numbers of uninsured and make health care accessible to all Americans. It also ushered in an era in which changing reimbursement and care delivery models are driving providers from the current fragmented system focused on volume-based services to an outcomes orientation. As a result, the health care system now taking shape is one in which value-based payment models financially reward patient-centered, coordinated, accountable care. Against this backdrop, providers' increasing use of evidence-based medicine and growing capabilities in managing volumes of clinical evidence through sophisticated health IT systems will mean that treatments can be tailored for the individual and interventions can be made earlier to keep patients well. Furthermore, patient engagement is fast becoming a critical component in the care process, particularly in the area of population health management (PHM). Health care providers' interest in improving population health appears to be increasing because of the sudden ubiquity of the phrase, because many are participating in accountable care organizations (ACOs), and because even hospitals not participating in an ACO increasingly have incentives to reduce their number of potentially unavoidable admissions, readmissions, and emergency department visits (Casalino, Erb, Joshi, & Shortell, 2015). In this chapter we'll not only seek a common understanding of PHM but also explore how the advent of shared accountability financial arrangements between providers and purchasers of care has created significant focus on PHM. We'll also review the core processes associated with accountable care and examine the strategic IT investments and data management capabilities required to support population health management and enable a successful transition from volume-based to value-based care. PHM: Key to Success Although the ACO model is still new and evolving, approximately 750 ACOs are in operation today, covering some 23.5 million lives under Medicare, Medicaid, and private insurers. Although not all ACOs have demonstrated success in delivering better health outcomes at a lower cost, many have achieved promising results (Houston & McGinnis, 2016). As such, significant ACO growth is expected. In fact, it is predicte ...
A healthy terrain, within the environment of nursing, is an ecosystem that nurtures and sustains well- being by addressing the connected confines of health.
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Emerging mHealth holds great potential to improve healthcare access, costs and quality through ubiquitous mobile devices. However, widespread adoption faces challenges from healthcare's resistance to change and the need to navigate complex, fragmented systems. Expectations for mHealth are high among patients, doctors and payers, but most experts expect slower adoption as improving patient care often disrupts traditional models. Emerging markets are pioneering mHealth by leaping ahead through greater needs and fewer barriers, showing the path could be smoother where systems are less rigidly established.
The document discusses challenges facing global healthcare systems including rising costs, lack of access, and variable quality of care. It argues that healthcare is increasingly turning to digital technologies like electronic medical records, telehealth, and analytics to simultaneously expand access, improve quality, and reduce costs. Specific examples are provided of initiatives leveraging these technologies to increase coordination between providers, empower patients in self-management, and generate insights from integrated data to personalize care and identify inefficiencies. The potential of these innovations to help build more sustainable healthcare systems is explored, along with barriers currently limiting their wider adoption.
This document summarizes the key findings of an EMC-commissioned study by IDC on integrated care delivery models in Western Europe, the Middle East, and Africa. The study found that traditional hospital-centric healthcare systems are inefficient for treating chronic conditions like non-communicable diseases. An integrated care model coordinates care across hospitals, primary care, clinics, and other providers. Information sharing through integrated patient records is critical to enable coordination among different care providers. However, integrated care faces challenges related to governance, data quality, legacy systems, and cultural change. The document discusses how solutions for electronic medical records, big data analytics, cloud computing, and document lifecycle management can help overcome barriers by facilitating information sharing across the healthcare system.
This document summarizes the key findings of an EMC-commissioned study by IDC on integrated care delivery models in Western Europe, the Middle East, and Africa. The study found that traditional hospital-centric healthcare systems are inefficient for treating chronic conditions like non-communicable diseases. An integrated care model coordinates care across hospitals, primary care, clinics, and other providers. Information sharing through integrated patient records is critical to enable coordination among different care providers. However, integrated care faces challenges related to governance, data quality, legacy systems, and cultural change. The document discusses how solutions for electronic medical records, big data analytics, cloud computing, and document lifecycle management can help overcome barriers by improving information capture, access, and insights
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IT trends in the US healthcare sector are driven by incentives to cut costs while improving care integration. Spending on healthcare IT is projected to grow from $54 billion in 2010 to $80 billion in 2017. Emerging technologies like mobile health, bring your own device (BYOD), big data analytics, and interoperable electronic health records aim to enhance care delivery and lower costs. Adoption of standards like ICD-10, HL7, and meaningful use incentives also promote IT-enabled transformation across providers, payers, and life sciences organizations.
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Painsolver is a clinical decision support tool designed to improve healthcare outcomes for low back pain. It addresses limitations in how patient care is currently managed by providing evidence-based guidance, integrating recommendations into workflows, and promoting shared decision making between providers and patients. The tool aims to help organizations and providers succeed under emerging pay-for-performance models by enhancing outcomes and reducing costs over a patient's lifetime. Vertelogics believes Painsolver can help providers and organizations not just survive but thrive as the healthcare system shifts its focus to outcomes-based reimbursement.
1) The home health care market in the US has potential to grow but faces many financial and operational barriers holding it back.
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Unit 4: MRA 103T Regulatory affairs
This guideline is directed principally toward new Molecular Entities that are
likely to have significant use in the elderly, either because the disease intended
to be treated is characteristically a disease of aging ( e.g., Alzheimer's disease) or
because the population to be treated is known to include substantial numbers of
geriatric patients (e.g., hypertension).
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A statistics is a measure which is used to estimate the population parameter
Parameters-It is used to describe the properties of an entire population.
Examples-Measures of central tendency Dispersion, Variance, Standard Deviation (SD), Absolute Error, Mean Absolute Error (MAE), Eigen Value
The biomechanics of running involves the study of the mechanical principles underlying running movements. It includes the analysis of the running gait cycle, which consists of the stance phase (foot contact to push-off) and the swing phase (foot lift-off to next contact). Key aspects include kinematics (joint angles and movements, stride length and frequency) and kinetics (forces involved in running, including ground reaction and muscle forces). Understanding these factors helps in improving running performance, optimizing technique, and preventing injuries.
4. Connected Care
Introduction
The U.S. health care system is prohibitively expensive – its cost has outstripped the growth of the
economy since 19801 and threatens to continue doing so for the foreseeable future. Contributing to this
cost spiral are discouraging, widely acknowledged demographic and lifestyle issues: an aging population
and the tendency of individuals to live unhealthy lifestyles. As a result:
• Over 100 million people in the U.S. are living with chronic diseases, and spending on hospitalizations
and chronic care management now exceeds up to $500 billion per year. This represents over 75
percent of all health care costs. More than 50 percent of Medicaid and Medicare beneficiaries are now
living with a chronic disease or disabling condition.2
• 133 million American adults, or 66 percent of the adult population, are either overweight or obese.
The prevalence of obesity has doubled since the 1960s, to an all-time high of 30 percent, and the rate
of increase continues to trend up.3
• With average life expectancy at an all-time high of 78 years, the nation’s elderly population is drastically
increasing. Globally, the number of persons 60 and older was 600 million in 2000. It is expected to
double to 1.2 billion by 2025. Medicare spending is 12 percent of the entire U.S. Federal Government
budget and is expected to increase by nearly eight percent every year between 2007 and 2016.4
The U.S. health care system is facing a perfect storm: Increased demand for health care services to
support an aging, unhealthy population will require additional investments in acute hospitals and
specialty care, spur the need for post-acute patient monitoring to avoid complications and readmissions,
and exacerbate primary care (nurse and physician) labor shortages. Left unchecked, the health care
system’s current consumption rate of 16 percent of the Gross Domestic Product (GDP) is expected to
increase to 20 percent by 2013 – threatening the viability of the nation’s entire economy.
Hospitals already feel the pressure. The nation’s supply of hospital beds is shrinking as demand grows.
Left unattended, the nation’s hospital beds will be full with patients too old and fragile to care for
themselves and conditions that otherwise could have been managed.
1
Kaiser/HRET Survey of Employer Sponsored Health Benefits
2
Health Affairs, 10.1377/hlthaff.w4.43 7
3
National Health and Nutrition Examination Survey (NHANES),
Center for Disease Control: http://www.cdc.gov/nccdphp/dnpa/obesity/faq.htm
4
Kaiser Family Foundation, Medicare Spending and Financing, June 2007
4
10. Connected Care
1. Privacy Concerns are Strong among Consumers Payors are generally receptive to the concept of technology-enabled
A major barrier to widespread adoption of technology-enabled connected care. These devices fall under health plans’ existing durable
connected care is consumer concern about the privacy and security medical equipment provisions and are covered services if proven to be
of their health information. safe and effective.
The financial services sector earned consumer trust to grow its online There is also considerable policy and regulatory ambiguity about
banking services successfully; similarly, technology-enabled connected technology-enabled connected care. Currently, of Medicare’s $400
care must adapt lessons learned from other industries where web- billion budget, less than one percent is spent on pilot programs for
based and self-management technologies have been successfully testing in-home technologies. Policymakers are apparently slow to
deployed, such as: embrace the concept and its potential.
• Clear Statements – Most online shopping web sites include
easy-to-find, simple and concise explanations of why the 3. Technologies Used for Connected Care in the Home are in the
financial transaction can be trusted. “Trough of Disillusionment”.
• Visible Indicators – By placing large icons on a web site that indicate All emerging technologies go through an adoption life cycle:
secure transactions, consumers are aware that their transactions are technology-enabled connected care devices are no exception.
protected from interlopers. Unfortunately, the benefits of these new technologies can sometimes
• Trusted Authorities – Many organizations are members of industry get mired in introductory hype and overinflated expectations, leading
associations that strive to protect consumers, and state so on to consumer disillusionment.
their web sites. By being part of the Better Business Bureau
(BBB), consumer privacy protection groups, or other associations, A mechanism sometimes used to assess technology adoption cycles
consumers generally assume that the trust they extend to these is Gartner’s Hype Cycle, a model that describes technology maturity,
organizations will also apply to their member sites. adoption and application. Gartner’s Hype Cycle model is comprised
• Anonymity – Many web sites allow users to share information of five stages:
anonymously with virtual communities. Users create pseudonyms • “Technology Trigger” – The first phase of a hype cycle is the
and post personal information, such as their financial condition, “technology trigger” or breakthrough, product launch or other
difficulties at work, x-rays or other medical records, in public event that generates significant media coverage and interest.
forums for others to review and provide feedback. Being able to • “Peak of Inflated Expectations” – In the next phase, a frenzy
do so anonymously allows these users to request advice they might of publicity typically generates over-enthusiasm and unrealistic
otherwise hesitate to seek. expectations. There may be some successful applications of a
technology, but there are typically more failures.
By adopting some or all of the above techniques, technology-enabled • “Trough of Disillusionment” – Technologies enter the “trough of
connected care stakeholders may be able to build and solidify disillusionment” because they fail to meet expectations and quickly
consumers’ trust. become unfashionable. Consequently, the media usually abandons
the topic and the technology.
2. Payment and Reimbursement Issues Remain a Concern for • “Slope of Enlightenment” – Although the media may have stopped
Providers and Plans covering the technology, some businesses continue through the
Health care providers operate in an environment of diminishing profit “slope of enlightenment” and experiment to understand the
margins and increasing dissatisfaction among health professionals. They benefits and practical application of the technology.
complain that lower payments and intrusive tactics by payors infringe •”Plateau of Productivity” – A technology reaches the “plateau of
on their relationships with patients. Technology-enabled connected care productivity” as its benefits become widely demonstrated and
has the potential to shift costs from unnecessary acute interventions to accepted. The technology becomes increasingly stable and evolves
self-care prevention, but it will be a long, protracted process.9 in second and third generations. The final height of the plateau
varies according to whether the technology is broadly applicable or
benefits only a niche market.
9
The Medical Home, Deloitte Center for Health Solutions, 2007
10
11. Connected Care
As depicted in Figure 9, technology-enabled connected care technologies are entering the trough of disillusionment phase.
Additionally, several disruptive technologies (e.g., IPv6, RFID) could take many years to attain mainstream adoption.
Figure 9. Hype Cycle for Emerging Technologies, 2006
Connected Home Technologies
Mashup
IPv6 Web 2.0
Speech Recognition Folksonomies
for Mobile Devices Digital Paper/E-Paper
Corporate Semantic Web Social Network Analysis
RSS Enterprise
Model-Driven Architecture
RFID (Item)
Collective Intelligence
Event-Driven Architecture
Telepresence Grid Computing VOIP
Speech-to-Speech Translation Internal Web Services
Office Ajax Ajax
Augmented Reality RFID (Case/Pallet)
Predictions Markets
Biometric Payments
Wikis Smartphone
Corporate Blogging Tablet
PC Location-Aware Applications
Mesh Networks: Enterprise Instant Messaging
Quantum
Sensor Location-Aware Technology
Computing
Tera-architecture Mobile Phone Payments
DNA Logic
Peak of
Technology Trough of Slope of Plateau
Inflated
Trigger Disillusionment Enlightenment of Productivity
Expectations
Time
less than 2 years
2 to 5 years
5 to 10 years
more than 10 years
obsolete before plateau
Source: Gartner, July 2006
11
12. Connected Care
4. Physicians are Resistant 5. Seniors Remain Fearful of Technology
Physician adoption of practice-based clinical information technology The Internet is an integral part of many Americans’ lives and has
has increased significantly over the last decade (Figure 10). According proven to be an effective tool to gather and share information.
to a study comparing adoption rates from 2001 to 2005, significant Currently, however, less than a third of all seniors over 65 are online.
gains have been seen in physicians using IT to obtain guidelines, This is a generational challenge for proponents of technology-enabled
exchange clinical data, access patient notes, generate reminders and connected care: Over 70 percent of Americans aged 50-64 have gone
write prescriptions.10 However, while physicians have been increasing online and 64 percent have Internet access at home, so Baby Boomers
their use of IT and integrating it into their workflows, they have been appear more inclined toward using technology at home than seniors.12
slow to embrace electronic communication with patients. Deloitte’s 2008 Survey of Health Care Consumers reported that:
• Respondents aged 50 and older are very interested in home
Figure 10. Physician Adoption of information Technology self-monitoring devices. Younger respondents are either somewhat
interested or have no interest at all in this technology. Women are
80 more likely to be very interested in self-monitoring devices, while
70 men are more likely to be somewhat or not interested.
65%
• Whites and Asians are more likely to be very interested in home
60
53% self-monitoring than Blacks/African Americans; however, both
50% 50%
50 Blacks/African Americans and Whites are more likely to not use
41% personal health records. Asians and Other are more likely.
40 37%
• Respondents in the $50,000 to $100,000 income stratum are more
29%
30 24% likely to be very interested in home self-monitoring, while respondents
22%
20 earning less than $30,000 are more likely to be not interested.
11% • Users of personal health records tend to be aged 50 and older at
10
~50 percent. ~41 percent of non-users are aged 30-49 years.
0 • Education level also appears to be a significant variable. Those with
Obtain Exchange Access Patient Generate Write a bachelor’s degree or higher post-secondary education are more
Guidelines Clinical Data Notes Reminders Prescriptions
likely to be users of personal health records.
2001 2005
• Health status is not statistically significant at the five percent level,
but it is statistically significant at the 10 percent level as far as health
Source: Community Tracking Study Physician Survey, 2006 status having an effect on the use of personal health records.
6. Regulatory and Oversight Issues Remain Unsolved
Similar to other innovations in health care, technology-enabled
Reasons for slow clinician adoption of electronic patient communication connected care raises issues around liability, cross-border (state and
include the potential for patient confidentiality breaches, physicians’ national) clinician licensing, cultural sensitivities and medical education.
fear of being overwhelmed by patient e-mails (as well as the associated
liability of these e-mails), and a strong financial disincentive to When consumers self-manage their care, who gets blamed for errors
electronically communicate with patients. The Kaiser Permanente and gaps in care attributable to technology misuse? Tort law hasn’t
Center for Health Research concluded that patients who use e-mail to determined who this would be. Patients could claim it was the
communicate with their medical providers are apt to phone and/or visit provider’s fault because they misunderstood the provider’s direction.
the doctor’s office less. Kaiser found a decline of between seven percent This, in turn, could further increase providers’ resistance to the concept
and ten percent in primary care office visits for patients who e-mail of technology-enabled connected care because they would not want
their physicians and a fourteen percent decrease in patient phone calls to be held accountable for situations outside of their direct control.
to doctors’ offices,11 a disincentive in a reimbursement system that is
dependent on procedures and provider visits for physician payment.
10
Growing Availability of Clinical Information Technology in Physician Practices Data Bulletin
No. 31, June 2006, Marie C. Reed, Joy M. Grossman
11
“Patient-Doctor E-mail Could Cut Income for Physician Practices,” iHealthBeat, July 2007
12
“e-Health and the Elderly: How Seniors Use the Internet for Health Information,” Kaiser
Family Foundation, January 2005
12
15. Contributors Acknowledgements
We’d like to recognize the individuals who contributed their insights Thanks to the following colleagues for their contributions and
and support to this project. The core team comprised: participation: John Bigalke and Darren Hudgins, (Deloitte LLP);
Mariah Scott, Louis Burns and Eric Dishman (Intel).
Paul H. Keckley, Ph.D.
Executive Director
Deloitte Center for Health Solutions
Contact Information
pkeckley@deloitte.com
To learn more about the Deloitte Center
for Health Solutions, its projects and events,
Howard R. Underwood, MD, FSA
please visit www.deloitte.com/centerforhealthsolutions.
Senior Manager
Deloitte Consulting
Deloitte Center for Health Solutions
Senior Fellow & MDP
555 12th Street N.W.
Deloitte Center for Health Solutions
Washington, DC 20004
hunderwood@deloitte.com
Phone 202-220-2177
Fax 202-220-2178
Toll free 888-233-6169
Email healthsolutions@deloitte.com
Web http://www.deloitte.com/centerforhealthsolutions