Upload
health-it-conference-iht2
View
324
Download
4
Tags:
Embed Size (px)
Citation preview
“Health Care 2020 Planning for changes in how and
where care is delivered”
Wesley Valdes DO [email protected]
LinkedIn Profile
Wesley Valdes DO
• No financial conflicts of interest to report
• I will be referencing various for profit companies and their products
– I do not work for nor do I have financial relationships with any of them.
– I attempt to use generalized identifies instead of specific companies or products where possible
– Suggestions and feedback are encouraged
•“To transform healthcare delivery, we
must first transform ourselves.”
Key Takeaways
• Awareness of the growth of the online care delivery market
• The value of clinical call center as a resource for large healthcare systems
• Concepts for the patient room “of the future” to enhance hospital safety and reduce costs
Healthcare delivery is undergoing a paradigm shift …
This is what we think
of when we say “see
a Doctor”.
This is what patients
are quickly beginning
to think of when they
say, “see a Doctor”
“By 2017, eight of
ten office visits will
be done virtually”
– Don Berwick
Consumerism?
• From the historical viewpoint – Principles of Economics (Consumer Sovereignty)
• Carl Menger (1871)
– Theory of the Leisure Class • Thorstein Veblen (1899) – Conspicuous Consumption
– Hidden Persuaders and Waste Makers • Vance Packard (1957, 1960) – Creative Waste
– Mr. Consumer, the real boss and beneficiary • Ludwig Von Mises (1944) – Ruthless consumer
• John Bugas (Ford Motor Company - 1955)
Consumerism?
• From the health sector viewpoint
– High deductible health plans (CDHP)
– Clarity in explanation of benefits
– Educate on preventive care
– Drive engagement and use of patient portals
– Greater access about network information
– This is not a bill … • http://www.whatmattersbywellmark.com/eob.php
Consumerism?
• From the Consumer point of view – Choice where to get healthcare services
• Retail (Walmart, Walgreen’s, CVS, etc)
• Online (TelaDoc, MDLive, American Well, etc)
• Traditional healthcare system
– Access to information (instantly) • Quality
• Economic
• Convenience
• Geographic considerations
Why it matters…
– The business model that matters most is the business model of the consumer
• They have information
• They have choice
• They have technology
• Collectively they change the landscape
12
One Critical Access Hospital – Grande Ronde, Oregon
•Reverse Hub and Spoke
– Hospitalist coverage from Israel and France
– eICU coverage from St. Louis
– Local coverage for some specialties
– Contract with anyone who is qualified to provide the service at the cost the hospital can manage.
Cardiac Surgery
Average US
• $44,000 - $200,000
• Mortality 2.4% (STS Nat’l)
• Infection rate 3.4%
• Post Sx bedsore (8-40%)
Narayana Health
• $1,500 (50% less than 13 years ago)
• Mortality 1.27%
• Infection rate 1%
• Post Sx bedsore < 1%
• Performs 12% of all cardiac surgeries in India
The new way …
Evolution: species come and go through time,
while they exist they change.
Common descent: organisms are descended
from one, or several common ancestors and
have diversified from this original stock
Species multiply: the diversification of life
involves populations of one species diverging
until they become two separate species; this
has probably occurred billions of times on
earth!
Gradualism: evolutionary change occurs
through incremental small changes within
populations; new species are not created
suddenly.
Natural selection: evolutionary change occurs
through variation between individuals; some
variants give the individual an extra survival
probability.
Evolution: systems come and go through time,
while they exist they change.
Common descent: organisms are descended
from one, or several common ancestors and
have diversified from this original stock
Species multiply: the diversification of life
involves populations of one species diverging
until they become two separate species; this
has probably occurred billions of times on
earth!
Gradualism: evolutionary change occurs
through incremental small changes within
populations; new species are not created
suddenly.
Natural selection: evolutionary change occurs
through variation between individuals; some
variants give the individual an extra survival
probability.
Call Centers
1.Bring a level of efficiency and customer service not attainable otherwise
2.With the appropriate supportive infrastructure, can be utilized for more than taking patient calls
3.Can provide virtual clinical services
Call Center Examples
Mercy Virtual Hospital
• 120,000 sq ft facility
• 300 clinicians
• To open March 2015
Sutter Health
• 160,000 sq ft
• Two buildings
• 900 employees
• Growing for several years
Extending TeleHealth Programs for Internal Efficiency and Cost Savings
• Facilitates delivery of a number of internal virtual services
• Live chat with families from hospital room
• Video call routing, security, and management
• Infrastructure leveraged for patient services
www.romanoriginals.co.uk