The document discusses the need for innovation in the US healthcare system. It notes that healthcare costs are unsustainable, outcomes are lower than other developed nations, and care quality is uneven. The system focuses more on reactive illness care rather than proactive wellness. There is a need for new approaches that are patient-centered, preventive, evidence-based, and make use of technology and data to improve outcomes while lowering costs. Innovation provides an opportunity to transform the system by seeing it with "new eyes."

1. Innovation in Health Care “ Seeing the Familiar with New Eyes” Jim Fitchett MetriX Health Solutions

2. Tremendous Need Creates Unlimited Opportunities Health care costs are unsustainable Care quality is poor and uneven The population is growing, aging, and using more health care resources.

3. Significant Need/Opportunity Starbucks pays more for health care than coffee 100,000 Americans die annually from preventable medical errors A doctor can get more data on a fantasy ball player than on the effectiveness of life-and-death medical procedures Research shows most care is not based on studies of what works best – it is based on informed opinion, personal observation or tradition, “intuitive medicine”

4. Costs are Unsustainable The U.S. spends $2.5 trillion annually on health care, nearly 2.5 times more per person than other developed nations Health care costs have risen faster than the economy for decades, now at 15% of GDP Health premiums for a family of four have doubled since 2001 Health care adds $1,500 to every U.S. car

5. Outcomes are Lower U.S. Lags In Life Expectancy, Infant Mortality* The U.S. ranks 50th of 244 nations in life expectancy (average 78.1 years), behind countries like Andorra, Guernsey, and Anguilla The U.S. ranks 30th in infant mortality rate (attributed to high % of preterm births -1 in 8 births in the U.S. vs. 1 in 18 in Ireland, Finland) U.S. health care ranks 37th overall (WHO) * National Center for Health Statistics

6. Care Quality is Uneven A RAND Institute study showed appropriate care is administered only 50% of the time New knowledge based on scientific evidence is widely adopted – in 17 years! Geographic disparities in treatment are driven by supply, not demand Socio-economic & ethnic disparities persist

7. What is Innovation? Innovation “... is the creation of a desired future.” 1 Innovation can improve what is or define what could be . 2 It is more than invention, it is transformative. 3 Innovation “… is creating and delivering new customer value.” 4 1 John Kao, Innovation Nation 2 Clay Christianson, The Innovator’s Dilemma 3. Sir Harold Evans, They Made America 4. Peter G. (Guy) Northouse, Leadership: Theory and Practice

8. Innovation Starts by Seeing with New Eyes “ The greatest discovery comes not from seeing new landscapes but in seeing the familiar with new eyes.” Marcel Proust

9. New Eyes in Health Care Patient Centered vs Disease Centered Proactive, Preventive “Wellness” Care vs. Reactive “Illness” Care Patient as Customer – Shared Decision Making Systemic Thinking – Coordinated Care Disruptive Innovation – from Intuitive to Routine

10. Innovations in Science & Devices Rational Drug Design Personalized Medicine, Genome Map Implantable Pace Makers, Defibrillators Arthroscopic Surgery MRI, CT, Nano Tech Cameras

11. Innovations with Information Technology Electronic Medical Records (25 year journey) Personal Health Records Data Mining, Predictive Modeling Telemedicine Remote Monitoring, Alerts, Reminders, Email Consultations

12. Innovations in Processes Evidence-based Medicine Case & Disease Management Comparative Effectiveness Specialized Facilities Outcomes Management (P-4-P, Meaningful Use, Report Cards)

13. The Health Care Challenges National and State Reform Initiatives Information Technology Adoption, Costs, Benefits New Business Models to Improve Quality while Lowering Costs

14. The Entrepreneurs’ Challenge The Market Need Your Approach The Benefits Per Cost of Your Approach Comparison with the Competition To Define Clearly:

15. Health Care Needs You! “ If we don’t change direction soon, we’ll end up where we’re going.” Irwin Corey “ Entrepreneurs are those who understand there is little difference between obstacle and opportunity -- and are able to turn both to their advantage.” Niccolo Machiavelli