"Connected Health is often mentioned as a solution for the many challenges that healthcare is facing -- among which are rising costs, aging populations, higher chronic disease rates, and growing expectations for more affordable and higher-quality care. Added to this is the complexity that is caused when healthcare works in silos and the promise of interoperability still seems like a distant vision. Our session on May 24th will discuss current strategies being implemented in connected health, as well as gaps, and possible solutions.”

1. CONNECTEDHEALTH
CONNECTEDHEALTHCONSHOHOCKEN HEALTH INNOVATION MEETUP
MAY 24, 2016
PHILLIP THOMAS | DENOVOMD

2. CONNECTEDHEALTH
AGENDA
• Introduc)on
• Defining Connected Health
• The Promise of Connected Health
• Sectors & Current State of Connected Health
• Gaps & Opportuni)es
• The Future
• Ques)ons/Discussion

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“EVERYONE HAS A PLAN
UNTIL YOU GET PUNCHED
IN THE FACE.” Mike Tyson

4. CONNECTEDHEALTH
“The healthcare ecosystem is increasingly converging on
pa)ent centric technology solu)ons. The role of the
provider is to expand far beyond the walls of the exam
room, especially as our healthcare system transi)ons
towards value based purchasing. The Connected Health
findings illustrate the importance of interac)ve
rela)onships between physicians and individuals and
technology as a means to advance comprehensive
health and healthcare.”
....
Tom MarIn, Ph.D.,
Director of Healthcare InformaIon Systems for HIMSS

5. CONNECTEDHEALTH
The Problem with Defini)on
• Connected Health is oPen defined from the
perspecIve of the silo or focus area that an enIty/
person operates in.
• This creates a logical fallacy

6. CONNECTEDHEALTH

7. CONNECTEDHEALTH
For Today: Connected Health
• People-Centered Connected Health:
when care and informaIon is truly
coordinated around the paIent to
achieve opImal results at the lowest
cost
• Connected Health should
• Expand Access
• Empower People
• Increase Efficiency

8. CONNECTEDHEALTH
Why Connected Health
COST QUALITY ENGAGEMENT
Total Cost =
Unit Price x Volume
Some unit prices are high due
to irra)onality of pricing (price
variability). Some volume is
driven by unnecessary services
(medical waste). Medical waste
is es)mate at 30% of all health
care expenditures ($765B in
2009)
Source: Ins,tute of Medicine
We need to ensure that
necessary care is not adversely
affected by cost and u)liza)on
control and that we achieve
high preven)ve service usage
and strong medica)on
adherence. The US health care
system ranks 38th compared to
other countries
Source: World Health Organiza,on
Individuals are not engaged in
the health care system. 99% of
Americans can read but on 12%
are health literate. Poor health
literacy is linked to 100,000
deaths every year.
EXPERIENCE An individual’s healthcare experience can vary widely. In fact, only 54% of
Americans rate the quality of healthcare in this country as good.
Source: Gallup 2013, Triple Aim: Ins,tute for Health Care Improvement

9. CONNECTEDHEALTH
Three Models
CUSTOMER
EXPERIENCE
MODEL
EFFICIENCY
MODEL
Knowledge &
Insights Model
• Increase PaIent
Engagement and
MedicaIon Adherence
• Increased PaIent
Volume
• Improve Products &
Services
• Increase ProducIvity
• Decrease Risk &
Liability
• Meet AccounIng
requirements for new
payment models
• Increase Healthcare
Quality & Improve
PaIent Safety
• Facilitate Quality
ReporIng and
Improved Care
CoordinaIon

10. CONNECTEDHEALTH
HIMSS: Focus Areas
Mobile and Connected Health
Cyber-Security
PopulaIon Health
Connected
health is
transforming
care delivery
and creaIng
opportuniIes
for paIent
self-
management

11. CONNECTEDHEALTH
IS THE PROMISE OF
“CONNECTED HEALTH”
BEING FULFILLED?

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“PROBLEMS CANNOT BE
SOLVED BY THE SAME
LEVEL OF THINKING THAT
CREATED THEM.” ALBERT EINSTEIN

13. CONNECTEDHEALTH
The promise of connected health
will be realized when it becomes
the “internet” equivalent of the
healthcare world.
All people, insItuIons, data and
devices operaIng in agnosIc,
seamless and secure
connecIvity.

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The Connected Health Ecosystem
Source:

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15
But something is missing…..
• Greater
investment around
the patient’s care
system, central to
which is the
provider

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The Provider-Pa)ent Ecosystem
Source:

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Connected Health & Popula)on
Management
THERIGHTPATIENT...
TargeIng
members
through rules
and models
that provide
high sensiIvity
and specificity
...SEENTHERIGHTWAY...
Providing
paIents with
holisIc,
seamless and
coordinated
care, on the
paIent’s terms
......ATTHERIGHTTIME.
Delivering care
when it is most
effecIve in
producing the
best outcomes,
with a focus on
modifying risk
Source: adapted from

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What does Success look like?
• Single Sign-On
• Clinical efficacy
• Shared knowledge
• IncenIvizes that work
• Care TransformaIon
• Business EffecIveness
• OpImized Pricing
• Invested PaIent, &
• ……...........................

19. CONNECTEDHEALTH
• Agree on a definiIon
• Outline what success would look like
• Interoperability must be a reality
• Standardized data framework
• Security must constantly evaluated and
standardized
• Encourage the greater use of plaforms
• Technology Pla.orms: ease of connecIon
• Business Pla.orms: where the marginal
costs decreases
• ….......................................................
A Path Forward

20. CONNECTEDHEALTH
The Future: Defined by Vision or Crisis?
• A Security mechanism similar to a NaIonal
Defense System?
• A Marketplace similar to a stock exchange?
• An Insurance Pricing model like the GSA?
• A Data model cooperaIve similar to a standards
insItuIon?
• An interoperability monitor similar to the
Federal Trade Commission?
• Other Ideas…............................?

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CLOSING THOUGHTS
Success is like winning in soccer.
How you manage the space decides
the effec)veness of the outcome.
And space control is a team effort!
(with credit to David Brooks)

22. CONNECTEDHEALTH
“IN ORDER TO CHANGE
AN EXISTING PARADIGM
YOU DO NOT STRUGGLE
TO TRY AND CHANGE
THE PROBLEMATIC MODEL.
YOU CREATE A NEW MODEL
MAKE THE OLD ONE OBSOLETE.”
BUCKMINSTER FULLER

23. CONNECTEDHEALTH
THANK YOU
QUESTIONS?
PHILLIP THOMAS | PhILLIP@DENOVONOW.COM | +1.484.897.0868