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

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Opening General Session: Improving Outcomes, Changing Lives with
Smarter Care and Social Programs
1. Welcome
John Hearne, IBM General Manager Smarter Care & Social Programs
2. IBM commitment & investment in health & social programs
Steve Mills, IBM Senior Vice President, Group Executive, Software & Systems Group
3. Health and Social Programs as a Cornerstone of Economic Vitality
Dan Pelino, IBM General Manager, Public Sector
Outcomes: the imperative for change in H&SP service delivery
The Honorable Patrick Kennedy, Former US Representative (no presentation, video replay only)
Re-opening the session after break – and introduction of Judge Leifman by Farhana Alarakhiya, IBM Director, Smarter Care
The Realities and Impact of Mental Health Care Approaches
The Honorable Judge Steven Leifman, 11th Circuit District Court, Miami Dade County (no presentation, video replay only)
4. Innovations in access and engagement: Mobile strategies and solutions for health and social programs
Nicole Gardner, IBM Global Industry Leader, Government Healthcare and Social Services
5. 5. Person-centered Team-based Care: Adventures Through Space and Time
Ronan Rooney, IBM Research, Director of Care Programs
Q&A moderated by Farhana Alarakhiya, IBM Director, Smarter Care

4. © 2014 IBM Corporation
Steve Mills
Senior Vice President and Group Executive, IBM Software and Systems
Innovation in Healthcare and Social Programs

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IBM’s Involvement in Healthcare and Social Programs
Buyer / Customer of Healthcare in the U.S.
– 450,000 employees and family members insured
– $1.3 B in spend
Change Agent
– National and International level reform and standards
– Commitment to industry based research through
IBM Research and the IBM Cúram Research Institute
– IBM Watson cognitive computing that works how people do
– 600+ patents in life sciences, healthcare and medical devices
Commercial: Innovative IT Solution Provider
– $6+ B business; over 4,000 dedicated employees
– 60+ Medical doctors, 350 health professionals, 500+ social program professionals
– $16 B in analytic acquisitions, 500+ analytic patents, 12 Analytic Solution Centers
– Enable ‘connected and personalized care’ across the ecosystem

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Unsustainable Costs
Unnecessary
Procedures
Inconsistent Prices
Disease Complexity
Shortage of MDs
Aging
Populations
Healthcare
Social Care
Increasing Demands Budgetary Constraints
High Turnover
of Staff
Fraud and
Abuse
The Transformation of Health and Social Care Has Begun ….
Individual
Healthcare Reform
Regulation
Population Management
Accountable Care

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Insights-Driven Individualized Care
Dynamic
Segmentation
and
Assessment
Supporting Platform (Mobile, Collaborative, Data, …)
Intervention
Adaptation
Adherence
Team-based
Intervention
Execution
Health Social Behavioral
Prediction
and Early
Identification
Tailored,
Outcome Oriented
Intervention
Program
Human Data
Collection -
Social, Health,
Behavioral,
Financial

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The Pace of Big Data is Accelerating ….
IBM Global Technology Outlook - 2012
projected health-related
apps
downloaded a year
by 2016
1 Billion
avoidable annual
costs by improving
medicine adherence
$500 Billion 4X
people over 60
unable to care for
themselves by
2050

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Exponential Growth in New Forms of Data Will Play an Increasing
Important Role in Enabling Better Outcomes
1100 Terabytes
Generated per lifetime
6 TB
Per lifetime
0.4 TB
Per lifetime
60% of determinants of health
Volume, Variety, Velocity, Veracity
30% of determinants of health
Volume
10% of determinants of health
Variety
Clinical data
Genomics data
Exogenous data
(Behavior, Socio-economic, Environmental, ...)
Source: "The Relative Contribution of Multiple Determinants to Health
Outcomes", Lauren McGover et al., Health Affairs, 33, no.2 (2014)

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Healthcare
Social Care
The Future Will Look Very Different ……
Individual
Cognitive
Medical
Decision
Support
Tools
Individual
Centered
Care Teams

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IBM Watson Can Address the Challenges of Health and Social Programs
Understands natural language,
including medical guidelines,
publications and clinical notes
Adapts and learns from
interactions and outcomes
Generates and evaluates
evidence-based hypotheses
to improve patient care
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3
Feeds into and drives
Smarter Care delivery

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The Volume is Overwhelming and the Language is Complex
Diseases Symptoms
Medications Modifiers
Symptoms

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Watson Solutions Map to Clinical and Operational Processes and Drive
Tangible Benefits
 Extract information
from EHR
 Integrate information
from structured &
unstructured sources
 Tap into various
multi-modal data
 Access evidence
from medical
literature
 Enable interpretation
and application of
evidence from
market leaders
 Care Planning Tools
 Leverage observational
data for deriving insights
 Integrated outcomes
data to enable
continuous, closed loop
training
 Data Exploration and
visualization
Watson Healthcare Solutions:
 Optimize clinician efficiency and insight
 Improve ability to make evidence-based decisions
 Leverage advanced data exploration to optimize care delivery and quality control
Outcomes Driven
Learning System
Evidence-based
Insights
Patient Intake

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Watson Solutions for Healthcare and Life Sciences
Discovery Advisor
to enable researchers to
uncover new insights into
relationships between
genes, proteins, pathways,
phenotypes and diseases
Clinical Trial Matching
to optimize patient selection
and recruitment for clinical
trials
Engagement Advisor
to transform interactions
and experiences with
patients and physicians
Oncology
to assist in the creation of
individualized treatment plans
and enhance patient /
physician experience
Utilization Management
to streamline and automate
authorizations and ensure
adherence to guidelines
EMR Advisor
to identify critical attributes
of a patient case and provide
easy-to-consume summaries
Paths
Clinical reasoning for Medical
Education and top of license
care delivery

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Watson Helping Oncologists Treat Cancer Patients
Attacking the cause of
one in four deaths
Built with Memorial Sloan Kettering
Need better individualized
cancer treatment plans
 Suggestions to help inform oncologists’ decisions based on
600 K+ pieces of evidence and 2 M pages of text from 42 publications
 Analyzes patient data against thousands of historical cases and trained
through 5,000+ Memorial Sloan-Kettering MD and analyst hours
 Evolves with the fast-changing field

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Watson Facilitating Medical School Problem-based Learning Methods
Cognitive systems in a
classroom-based setting
Need easier insight into data
for diagnoses and decisions
 Intuitive, new user interface to Watson’s power revealing chains of
evidence to support clinical reasoning
 Analysis of whole EMRs to extract and visually present summarized
knowledge with semantic understanding of context

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Watson Transforms Hospital Procurement Process
Procurement process is inefficient.
In procuring implantable devices
alone, $15 B is wasted annually due
to these inefficiencies
 Powering rapid decision support by leveraging
MD Buyline’s data, research, and domain
expertise in junction with Watson’s cognitive
abilities
 Driving optimal purchasing decisions for providers
enabling informative comparison of medical
device options
 SSM Health Care realizes over $2 million in
improved operating margins with MD Buyline’s
Purchased Services Program
 DCH Health System Identifies $3 Million
in Actionable Savings with MD Buyline

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Watson Empowers Consumer Engagement
By 2020, the customer will
manage 85% of the relationship
with an enterprise without
interacting with a human
 Transforms client engagement by knowing,
engaging and empowering clients where they are
 Develops client relationships by reaching out to
clients who do not leverage traditional channels
 Empowers consumers and contact center agents
to take informed action with confidence
 Answers questions and guides users through
processes with plain-English dialogue
 Leverages natural language to interact with
users and build knowledge and expertise
 Utilizes evidence evaluation and learning
to provide informed and effective
responses to users

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Watson Synthesizes Information in Seconds
80% of the world’s knowledge
is in unstructured form
Answer the tough research questions
that have never been answered before
 Leverage Watson natural language and inference
technology to discover new insight
 Link internal and external research to expand
knowledge corpus
 Initial focus in Pharma, Education and Publishing

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Communities of Care: Collaboration and Process to Support
Transformation
Public Health
Organizations
Pharmaceuticals
Private Social Programs
Organizations
Health Clubs and Patient
Healthcare Providers Education
Health Plan Providers / Payers /
Insurers
Home Healthcare Providers
Government
Agencies
Retirement
Communities
Solution Providers
Pharmacies and Retailers
Government
Social Services

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The Need for Coordination and Collaboration
Ineffective coordination of benefits (COB) burdens the U.S. healthcare
system with more than $ 800 million in unnecessary administrative
expenses per year
Implementation of care coordination initiatives for senior citizens resulted
in 5.7% hospital readmission decline. For a community of 50,000 Medicare
beneficiaries, Medicare could save $ 4 million annually on readmissions for
every $ 1 million spent on these community interventions
In the United Kingdom, preventable errors cost hospitals $USD 4
billion per year in additional hospital stays alone, while litigation
represents further substantial cost

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Announcing IBM Care Management
 Packaged software
application that helps
synchronize care needs
across healthcare and
social care
 Brings in structured data
from sources that extend
beyond clinical health
records, and unstructured
data from physician, case
worker and care worker
notes
 Available:
December 2014
Generate
Individual
ized care
plans
Other Data
Sources
Enterprise
Services
Unstructured
data
Claims
EMR /
EHR
Analysts
Multi-disciplinary
Care Team
Ingest and
Unify Data
Provide Insight at
point of care
Doctor’s notes
Case worker’s
notes
Social
Workers
Medical
Professionals
Mental Health
Professionals
Care Workers

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Announcing the IBM Cúram Practice Accelerator Program
IBM standard training, skills development and accreditation
program for business partners, now includes IBM Cúram solutions
Partner Success Roadmap
IBM Software Practice Accelerator
Sales
Training
Product
Training
Implement-ation
Training
Deployment
Experience
Accreditation

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25. © 2014 IBM Corporation
Dan Pelino
General Manager, IBM Public Sector
#ibmhsps14
Economic Vitality