Would You Like a Visit With That Healthcare?

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  1. 1. 3/21/141WouldYouLikeAVisitWithThatHealthCare?:ChangingOurThinkingAboutHealthCareDeliveryDanielZ.Sands,MD,MPH@DrDannySandsSocietyforPar=cipatoryMedicineBethIsraelDeaconessMedicalCenterHarvardMedicalSchoolBoston,MACopyright2014D.Z.Sands,AllRightsReserved-@DrDannySandsCommercialDisclosures BestDoctors,Inc.consultant KinergyHealth,Inc.consultant SeniorLink,Inc.consultant PostWire,Inc.consultant(2013)Iwillnotbediscussingproductsorservicesofanyofthesecompaniesinmypresenta8on.Copyright2014D.Z.Sands,AllRightsReserved-@DrDannySands
  2. 2. 3/21/142Copyright2014D.Z.Sands,AllRightsReserved-@DrDannySandsTheConsumerizationofHealthandtheVirtualizationofCareDiagnoseand TreatPreventAnywhereVirtualResourcesHomeCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySandsandMaintainPhysicalResourcesDrivers: Burdenofchronicillness Ageingpopula=on Resourcemaldistribu=on Cost-containment ConsumerdemandTreatment HealthHospitalBuiltonideasfromMichaelGill$$$$$$
  3. 3. 3/21/143CareDeliveryCostlyinTraditionalSettingsCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySandsYetThereisRelentlessDemandforServicesCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySands
  4. 4. 3/21/144Copyright2014D.Z.Sands,AllRightsReserved-@DrDannySandsAPerfectStormAndOurSystemsAreOptimizedforCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySandsManagingAcuteCare
  5. 5. 3/21/145SoWeMustFocusMoreonChronicDiseasePreventionandTreatmentCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySandsAlsoHaveMaldistributionofResources~40%FewerCliniciansOutsideMajorCi=esCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySands
  6. 6. 3/21/146Therefore,WeMustAdoptNewCareModelsMorecareop=onsforpa=ents Bringcaretopa=entratherthanpa=enttocare Careandserviceswhenandwhereisneeded Pervasivecareavailability:formaltoinformalse^ngsbe_erservice,sa=sfac=on,outcomes,valueCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySandsEventuallyProvidingCareAnywhereCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySands
  7. 7. 3/21/147OnlinePopulationRisingCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySandsAndHealthInfoSeekingPopularCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySands
  8. 8. 3/21/148OnlineHealthHabitsofUSAdultsSources:www.pewinternet.org;PwCHRISocialMediaConsumerSurvey,2012 80%ofonlineadultshavelookedforhealthinfo Risingover=me Eachday,morepeoplesearchforhealthinforma=onthanseeaphysician! Morethanhalfactontheinforma=on 1/3havereadaboutothershealthexperiences 1/4havetrackedtheirhealthinforma=ononline 1/3usesocialmediaforhealthCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySandsPatient-GeneratedHealthInformationCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySands
  9. 9. 3/21/149ManyPatientsWantToBeEngagedCommunica=onInvolvementinCareInforma=onConvenienceCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySandsBringingItAllTogether:PatientPortalshBps://www.paEentsite.orgCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySands
  10. 10. 3/21/1410Services: Prescrip=onrefills Appointmentrequests Referrals ViewbillEducaEon: Search Infoprescrip=ons Pa=entselectedlinks Predefinedcollec=onsCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySandsMail: Secure Automatedrou=ng TaskassignmentRecords: Secure Allsystemrecords Upcomingappointments Meds,Problems,ResultsandNotes PersonalrecordsFeedbackfromDave,a56yoMconsultantThis is too cool. It's almost SILLYthat things can be this easy. I amhaving a very good patient/customerexperience so far. (Seriously.)Copyright2014D.Z.Sands,AllRightsReserved-@DrDannySands
  11. 11. 3/21/1411Ideally,WhatIsPatientCare?Copyright2014D.Z.Sands,AllRightsReserved-@DrDannySandsHealthCareIsaCollaborationCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySands
  12. 12. 3/21/1412ButCollaborationInPersonCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySandsButCollaborationInPersonCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySandsSource:natr/CommunityTelco
  13. 13. 3/21/1413Copyright2014D.Z.Sands,AllRightsReserved-@DrDannySandsManyToolsCanBeUsedforCollaboration,FromSimpleCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySands
  14. 14. 3/21/1414Copyright2014D.Z.Sands,AllRightsReserved-@DrDannySandsToSophisticatedSource:Philips,AmericanWell,Cisco,InTouchE-messagingIsJusttheStartCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySands
  15. 15. 3/21/1415AttributesofCollaborationChannelsTechnologySynchronous?InformaEonDensityTelephoneE-messagingoTextmessaging/IMo/RemotemonitoringTelemedicine(usually)AdvancedTelemedicineOfficevisitCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySandsAttributesofPersonnelPaEentSelf-careCounselor/EducatorClinicalNurseNP/PAPhysician Differentpersonnelcanprovidecare Eachhasa_ributes Eachshouldprac=ceattopofhis/herlicense Canaddotherstothislist,evenperhaps,WatsonCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySands
  16. 16. 3/21/1416OptimizingChannelandPersonnelPaEentSelf-careCounselor/EducatorClinicalNurseNP/PAPhysicianTelephoneE-messagingTextmessaging/IMRemotemonitoringTelemedicineAdvancedTelemedicineFace-to-facevisitCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySandsBecauseoftheWeb,PatientsCanConnecttoInformationandEachOther(andtoCare)Copyright2014D.Z.Sands,AllRightsReserved-@DrDannySands
  17. 17. 3/21/1417WeHaveTheToolsWeNeedSelf-Care,Transparency,andPa=ent-ProviderCollabora=onCanSaveHealthcareCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySandsConclusions Goodpa=entcareisacollabora=on Technologycanfacilitateremotecollabora=on Thedrivetooffertelehealthservicescomesfrom: Needtomanagechronicdiseaseeffec=vely Theover-extendedhealthcaresystem Pa=entdemandforconvenience Wemustop=mizetechnologiesandpersonnelforeachencountertobothmeetourcustomersneedsandtoscaleourhealthcaresystemsCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySands
  18. 18. 3/21/1418Copyright2014D.Z.Sands,AllRightsReserved-@DrDannySandsQuestionsande-mailaddressQuestions?Danny@DrDannySands.comhBp://www.DrDannySands.comCopyright2014D.Z.Sands,AllRightsReserved-@DrDannySands@DrDannySands