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Copyright KLAS 2016
HEALTHCARE TECHNOLOGY:
Expectations, Innovation, and the Choluteca Bridge
Adam Gale
President
Mark Allphin
Research Director
Warren Whitford
Research Director
Copyright KLAS 2016
WHERE’S THE INNOVATION?
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• Neil Armstrong landed on the moon 47 years ago
• We Google the majority of human knowledge over 20 billion times a day—in less than a second each time
• We regularly look at detailed images of the inside of the human body without pulling out a knife (and camera)
• My smartphone knows exactly where I am and where the closest Mexican food is
• At any given time, over one million people are flying through the air at high speeds
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HOW ARE WE FEELING ABOUT
INTEROPERABILIITY?
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USE YOUR IMAGINATION
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0 0.5 1 1.5 2 2.5 3
Y-Values
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KNOCKING DOWN WALLS?
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WHAT DO WE REALLY WANT?
Computers should be able to connect patient records . . .
– Easily finding and matching the same patient
– Compiling and standardizing results in a ‘smart’ way
– Without me having to do any work or spending money
– Only allowing the rightpeople to the right data at the right time
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IT IS NOT JUST INTEROPERABILITY . . .
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What can I expect from:
• EMR usability
• Seamless enterprise-wide
business intelligence
• Wearable devices
• Computer assisted coding
• Natural language processing
• Referral management
• Genomics mapping
• CRM. In Healthcare???
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CHOLUTECA BRIDGE IN HONDURAS
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CHOLUTECA BRIDGE IN HONDURAS
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Market TrendsValue-Based Care Services
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SPENDING PER CAPITA VS. LIFE EXPECTANCY - 2007
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SPENDING PER CAPITA VS. LIFE EXPECTANCY - 2013
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SPENDING AS PERCENTAGE OF GDP - 2007
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SPENDING AS PERCENTAGE OF GDP - 2013
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Copyright KLAS 2016KLAS Confidential © 2014 KLAS
Enterprises, LLC. All Rights Reserved16
How do WE
SOLVE this?
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POPULATION HEALTH IS HIT’S BLACK FRIDAY?
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WHAT IS POPULATION HEALTH MANAGEMENT
Data Aggregation
Risk Stratification
Care Coordination
Patient Outreach
PHM
KLAS Confidential © 2014 KLAS
Enterprises, LLC. All Rights Reserved18
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POPULATION HEALTH FRAMEWORK
Basic Extra
Multi-EMR Data
Clinical Data Handling
Claims Data Handling
Claims plus Clinical Data
Terminology Mapping
Unstructured Data Handling
Advanced
Data Repository
DATA AGGREGATION
Basic Extra
Predictive Financial Risk
Care Gap Reporting
Statistical Models
Provider Dashboards
Utilization Analytics
External Benchmarking
Advanced
Customizable Filters
RISK STRATIFICATION
Basic Extra
Care Gap Reports/Alerts
Visit Planner/ Patient Summary
Clinical Decision Support
Care Transitions
EMR Integration
Advanced
Disease Registries
CARE COORDINATION
Coordination Workflow
Basic Extra
Mobile Applications
Response Tracking
Patient Assessments
Wellness Programs
Advanced
Patient Portal
PATIENT OUTREACH
Automated Reminders
Patient Education
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WHAT IS POPULATION HEALTH MANAGEMENT?
KLAS Confidential © 2014 KLAS
Enterprises, LLC. All Rights Reserved20
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WHAT DO POPULATION HEALTH VENDORS LOOK LIKE TODAY?
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WHICH SOLUTIONS ARE BEING USED?
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MANY VENDORS PLAY A ROLE
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FIELD WIDE OPEN
“We are using several different tools. Humedica,
with their recent upgrade, is more robust. They
now have predictive analytics for COPD, diabetes,
and coronary heart failure.
We have Epic as our EMR, and we pull data out
of there for population management. We also use
Epic Clarity for registries.
We are pulling from several different areas.
We pull financial information from Crimson by The
Advisory Board so we can look at our patients who
have been discharged from the hospital and get
them in for follow-up care.
We will be using Medventive with our clinically-
integrated network for data aggregation. We have
people that are out on different EMRs. They are
not all on Epic. We are going to have to gather all
that data together, and that is what they are
helping us with.”
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OVERALL MARKET RATINGS
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HIGH VARIABILITY
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ORGANIZATION STATUS TREND
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Population Health Market
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HIGH OPTIMISM
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All Products
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WHAT DISTINGUISHES VENDORS?
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Research FindingsValue-Based Care Services
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KLAS Report: “Value-Based Reimbursement: Making the Shift, Who Can Help?” November 2015
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THREE ROADS TO WALK DOWN
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KLAS Report: “Value-Based Reimbursement: Making the Shift, Who Can Help?” November 2015
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MOST COMMON AREAS WHERE VENDORS ARE BEING UTILIZED
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QUESTIONS?
