Healthcare is a peculiar industry We have never got it fixed Lets go and do something else We are politicians who only exist because of a crisis they perpetuate By the time you get to the answers the questions change
Healthcare coding NYT / economist / jokes on this ICD-10 codes to bill government programs and private insurers in the nation’s $2.9 trillion-a-year health-care system. The codes cover everything from parrot bites to getting sucked into a jet engine. Doctors have already begun mocking the diagnostic list, picking out the most absurd and arcane, such as Z63.1, “Problems in relationship with in-laws,” or V91.07XA, “Burn due to water skis on fire.” Yet for health-care providers who have payments at stake, the complex change is no joke. doctors and hospitals are still dealing with problems, there’s an ICD-10 code for that -- F43.22: “Adjustment disorder with anxiety.”
9 for injuries caused by turkeys . was the victim struck or pecked, one or more often, did she suffer negative side effects
Reverse should happen AIDS diagnosis
ICD-10 is already out of date. I recently had a patient who was hit by a drone. I was excited (not for the patient) that I would be able to use a new ICD-10 code. But, alas, there is no code for drone injury. I hope to be retired by the time ICD-11 is in place. Lying in the hospital ER : Sorry sir no ICD code don’t’ know how we will get reimbursed
No one looking to make a profit would enter the industry today under the current fee-for-service model. The margins just aren't there. However, there are margins to be made under a new business model, and whoever gets there first will win.
Disruption is not going to come from traditional healthcare sources, Will come from the new entrants willing to play around the conventional modalities
Where urgent needs prevail in a less regulated environment, health solutions offered by disruptive new entrants can take root more quickly As the world pivots towards the “virtualisation of care”, new entrants from sectors including telecom, technology and retail will be well positioned to offer amazing breakthroughs Filling gaps between consumer expectations and the current medical infrastructure provides opportunities for new entrants The growing wellness and fitness market, estimated to be about US$1.49 trillion, offers a more flexible entry for businesses considering ways to shake up the healthcare industry
Focus : acute episodic care
Healthcare IT deployment & ROI by Mr. Rana Mehta
Return On Investment
An Industry in
Perpetual Crisis ?
Complexity is now “Institutionalized”
ICD 10 : 70,ooo ways to get sick, hurt or mortally injured
The state of healthcare industry is akin to diabetes :
Patients confidence is at an all time low :
Source: PwC’s Customer Experience in Healthcare survey; Cisco Connected Customer Experience Report
55% of patients trust the
Internet more than the doctor
75% want to move from
informed consent to shared
And therapies are having deleterious effects
Survival rates are not improving
Aggressive treatments have unforeseen
and often devastating consequences
Cancer has a language problem
The clock is already ticking, Is time ripe for healthcare?
The world’s largest taxi company,
owns no vehicles
The world’s largest accommodation
provider, owns no real estate
The most valuable retailer,
owns no inventory
The world’s most popular media
owner, creates no content
Technology is helping disrupt conventional healthcare
Reduction in cost
Business models are already exhibiting the various
elements of successful disruptors
Our daily lives have been overhauled owing to multiple disruptive innovations
Stay Exercise Travel Connect Buy
A disruptive healthcare business model must include all the above elements
Are we ready for a hospital which has no patients ?
Disrupting what’s “static” will be the cornerstone of the
new entrants’ business models
Global ancillary &
wellness market :
USD 1.49 Trillion
Government & private providers : USD 8.1 Trillion
Disruption is not going to come from traditional healthcare sources, will come
from the new entrants willing to play around the conventional
How would Jeff Bezos run a hospital?
Build scale first , worry about profits later
Expand the customer base
Know your customers, build that data base
News like Healthcare is the most
Technology provider to the healthcare
“INNOVATION, INNOVATION, INNOVATION”
Everybody’s doing it !
What really works and is it scalable?
Private Healthcare Providers
Extension of Care
Extension of Care
ROI Across the Healthcare Continuum
Section 4 – Healthcare in a perpetual crisis
Making Change Happen for a true ROI
Changing physician lives!
Medical interns have
met with depression
criterion at some point
in their lives
Physicians are facing
symptoms of burnout
What lessons can we learn?
Push the Hard ROI
document the soft
4Report the outcomes
to the leadership
5 Showcase the results
“Operational Buy In”
3Establish a baseline
Healthcare is in a perpetual crisis
What’s transforming healthcare?
Who is a healthcare client today?