medical device integration for patient centered health care
Post on 01-Nov-2014
792 Views
Preview:
DESCRIPTION
TRANSCRIPT
MEDICAL DEVICE INTEGRATION (MDI) FOR PATIENT-CENTERED HEALTH CARE
John SqueoLazer Focus AdvisorsFind us on LinkedIn
MEDICAL DEVICE INTEGRATION (MDI) FOR PATIENT-CENTERED HEALTH
CARE
Hospital Setting Perspective
Ambulatory & Home Settings Perspective
TOPIC OUTLINE
MEDICAL DEVICE INTEGRATION (MDI) FOR PATIENT-CENTERED HEALTH
CARE
Pressures driving Medical data convergence - Quality, Safety and Productivity
Hospital Setting Perspective
Ambulatory & Home Settings Perspective
TOPIC OUTLINE
MEDICAL DEVICE INTEGRATION (MDI) FOR PATIENT-CENTERED HEALTH
CARE
Opportunities to achieve better outcomes leveraging Medical Device Integration (MDI)
Pressures driving Medical data convergence - Quality, Safety and Productivity
Hospital Setting Perspective
Ambulatory & Home Settings Perspective
TOPIC OUTLINE
MEDICAL DEVICE INTEGRATION (MDI) FOR PATIENT-CENTERED HEALTH
CARE
Opportunities to achieve better outcomes leveraging Medical Device Integration (MDI)
Pressures driving Medical data convergence - Quality, Safety and Productivity
Medical Device Integration (MDI) Landscape -Industry Players and Technology Challenges
Hospital Setting Perspective
Ambulatory & Home Settings Perspective
TOPIC OUTLINE
MEDICAL DEVICE INTEGRATION (MDI) FOR PATIENT-CENTERED HEALTH
CARE
Putting Hospital Device Integration Together
Opportunities to achieve better outcomes leveraging Medical Device Integration (MDI)
Pressures driving Medical data convergence - Quality, Safety and Productivity
Medical Device Integration (MDI) Landscape -Industry Players and Technology Challenges
Hospital Setting Perspective
Ambulatory & Home Settings Perspective
TOPIC OUTLINE
MEDICAL DEVICE INTEGRATION (MDI) FOR PATIENT-CENTERED HEALTH
CARE
Pressures toward extending patient monitoring beyond the hospital
Putting Hospital Device Integration Together
Opportunities to achieve better outcomes leveraging Medical Device Integration (MDI)
Pressures driving Medical data convergence - Quality, Safety and Productivity
Medical Device Integration (MDI) Landscape -Industry Players and Technology Challenges
Hospital Setting Perspective
Ambulatory & Home Settings Perspective
TOPIC OUTLINE
MEDICAL DEVICE INTEGRATION (MDI) FOR PATIENT-CENTERED HEALTH
CARE
Emerging needs for Medical Device Integration (MDI) beyond hospital
Pressures toward extending patient monitoring beyond the hospital
Putting Hospital Device Integration Together
Opportunities to achieve better outcomes leveraging Medical Device Integration (MDI)
Pressures driving Medical data convergence - Quality, Safety and Productivity
Medical Device Integration (MDI) Landscape -Industry Players and Technology Challenges
Hospital Setting Perspective
Ambulatory & Home Settings Perspective
TOPIC OUTLINE
MEDICAL DEVICE INTEGRATION (MDI) FOR PATIENT-CENTERED HEALTH
CARE
Emerging needs for Medical Device Integration (MDI) beyond hospital
Pressures toward extending patient monitoring beyond the hospital
Putting Hospital Device Integration Together
Opportunities to achieve better outcomes leveraging Medical Device Integration (MDI)
Pressures driving Medical data convergence - Quality, Safety and Productivity
Overview of Patient & Care ProviderAlerting & Outreach Systems - “Events Bus”
Medical Device Integration (MDI) Landscape -Industry Players and Technology Challenges
Hospital Setting Perspective
Ambulatory & Home Settings Perspective
TOPIC OUTLINE
MEDICAL DEVICE INTEGRATION (MDI) FOR PATIENT-CENTERED HEALTH
CARE
Emerging needs for Medical Device Integration (MDI) beyond hospital
Pressures toward extending patient monitoring beyond the hospital
Putting Hospital Device Integration Together
Opportunities to achieve better outcomes leveraging Medical Device Integration (MDI)
Pressures driving Medical data convergence - Quality, Safety and Productivity
Proposed Plan of Action to begin journey
Overview of Patient & Care ProviderAlerting & Outreach Systems - “Events Bus”
Medical Device Integration (MDI) Landscape -Industry Players and Technology Challenges
Hospital Setting Perspective
Ambulatory & Home Settings Perspective
TOPIC OUTLINE
INCREASING CLINICAL QUALITY, SAFETY & EFFICIENCY
During Acute Care Transformation
INCREASING CLINICAL QUALITY, SAFETY & EFFICIENCY
During Acute Care Transformation
NURSES HAVE MANY NEW THINGSTO DO & LEARN IN ADDITION TO
DELIVERING EXCEPTIONAL PATIENT CARE
INCREASING CLINICAL QUALITY, SAFETY & EFFICIENCY
During Acute Care Transformation
Clinical Documentation – Paper to EHR
NURSES HAVE MANY NEW THINGSTO DO & LEARN IN ADDITION TO
DELIVERING EXCEPTIONAL PATIENT CARE
INCREASING CLINICAL QUALITY, SAFETY & EFFICIENCY
During Acute Care Transformation
Clinical Documentation – Paper to EHR
Medication Administration – Scanned & Digitized
NURSES HAVE MANY NEW THINGSTO DO & LEARN IN ADDITION TO
DELIVERING EXCEPTIONAL PATIENT CARE
INCREASING CLINICAL QUALITY, SAFETY & EFFICIENCY
During Acute Care Transformation
Clinical Documentation – Paper to EHR
Medication Administration – Scanned & Digitized
Process improvement programs e.g. LEAN
NURSES HAVE MANY NEW THINGSTO DO & LEARN IN ADDITION TO
DELIVERING EXCEPTIONAL PATIENT CARE
INCREASING CLINICAL QUALITY, SAFETY & EFFICIENCY
During Acute Care Transformation
Clinical Documentation – Paper to EHR
Medication Administration – Scanned & Digitized
Achieving optimal Core Measures & HCAHPS scores
Process improvement programs e.g. LEAN
NURSES HAVE MANY NEW THINGSTO DO & LEARN IN ADDITION TO
DELIVERING EXCEPTIONAL PATIENT CARE
INCREASING CLINICAL QUALITY, SAFETY & EFFICIENCY
During Acute Care Transformation
Clinical Documentation – Paper to EHR
Medication Administration – Scanned & Digitized
Heightened emphasis on patient discharge process
Achieving optimal Core Measures & HCAHPS scores
Process improvement programs e.g. LEAN
NURSES HAVE MANY NEW THINGSTO DO & LEARN IN ADDITION TO
DELIVERING EXCEPTIONAL PATIENT CARE
INCREASING CLINICAL QUALITY, SAFETY & EFFICIENCY
During Acute Care Transformation
Clinical Documentation – Paper to EHR
Medication Administration – Scanned & Digitized
Trend - fewer nurses for each patient
Heightened emphasis on patient discharge process
Achieving optimal Core Measures & HCAHPS scores
Process improvement programs e.g. LEAN
NURSES HAVE MANY NEW THINGSTO DO & LEARN IN ADDITION TO
DELIVERING EXCEPTIONAL PATIENT CARE
INCREASING CLINICAL QUALITY, SAFETY & EFFICIENCY
During Acute Care Transformation
Clinical Documentation – Paper to EHR
Medication Administration – Scanned & Digitized
Trend - fewer nurses for each patient
Heightened emphasis on patient discharge process
Achieving optimal Core Measures & HCAHPS scores
Process improvement programs e.g. LEAN
Can Information Technology DECREASE the burden of additional workload on nurses?
NURSES HAVE MANY NEW THINGSTO DO & LEARN IN ADDITION TO
DELIVERING EXCEPTIONAL PATIENT CARE
TREND – NURSE STAFFING RATIOS
Source: Hospital nurse staffing ratio trends 1993-2004.1 No significant trend in median hospital nurse to patient ratio 1993-99; chi square test for trend for median hospital nurse staffing ratio 1999-2004 (p _.001). Journal of Hospital MedicineVolume 3, Issue 3, Article first published online: 20 JUN 2008Nurse Staffing Ratios: Trends and Policy Implications for Hospitalists and the Safety Net, Patrick H. Conway, MD, MSc, et. al.
TREND – NURSE STAFFING RATIOS
Source: Hospital nurse staffing ratio trends 1993-2004.1 No significant trend in median hospital nurse to patient ratio 1993-99; chi square test for trend for median hospital nurse staffing ratio 1999-2004 (p _.001). Journal of Hospital MedicineVolume 3, Issue 3, Article first published online: 20 JUN 2008Nurse Staffing Ratios: Trends and Policy Implications for Hospitalists and the Safety Net, Patrick H. Conway, MD, MSc, et. al.
Source: Implications of the California nurse staffing mandate for other states. Health Serv Res. 2010 Aug;45(4):904-21. doi: 10.1111/j.1475-6773.2010.01114.x. Epub 2010 Apr 9., Aiken LH, et al.
MEDICAL DEVICE INTEGRATION GOALS
Human Error Avoidance with increased Efficiency
MEDICAL DEVICE INTEGRATION GOALS
Ancillary Clinical Repository to housenon-truncated “atomic” data for analytical research
Human Error Avoidance with increased Efficiency
MEDICAL DEVICE INTEGRATION GOALS
AUTOMATED EHR DATA ACQUISITION PROCESS
SpO2 Data
AUTOMATED EHR DATA ACQUISITION PROCESS
AUTOMATED EHR DATA ACQUISITION PROCESS
AUTOMATED EHR DATA ACQUISITION PROCESS
?ALGORITHM TO
SCRUB DATA POINTS FROM GOING INTO
RECORD
AUTOMATED EHR DATA ACQUISITION PROCESS
TREND – DISCRETE DATA DIRECTLY FROM PATIENT
SENSORS
PatientMonitor
Clinical Network Gatewa
yPhillips, GE, others
Clinical Info
System(s)
McKesson, EPIC, Cerner, MEDITECH others
HIS/ADT Info
System
McKesson, EPIC, Cerner, MEDITECH others
HL7 Interface Engine
Cloverleaf, Jcaps, others
Central
Station
Phillips, GE, others
Medical Device Integrat
or(MDI)
Cerner, Capsule, Nuvon, iSirona, [DAS] Data Acquisition Systems, others
Ancillary Medical Devices
Serial to Ethernet or Wi-Fi Convertor
MEDICAL DEVICE INTEGRATION (MDI) LANDSCAPE
MEDICAL DEVICE INTEGRATION (MDI) LANDSCAPE
RESULTS - 2012 Capsite Survey 300 US hospitals 44% had purchased MDI in recent years majority in 2011 &
2012 Breakdown of Current MDI adopters 400 + Beds = 63% in category implemented MDI 399 - 200 Beds = 75% in category implemented MDI 200 Beds or less = 33% in category implemented MDI
MEDICAL DEVICE INTEGRATION (MDI) LANDSCAPE
Source: Medical Device Integration Software Surges in Hospitals, InformationWeek Healthcare, Ken Terry, August 15, 2012
Reasons Stated for MDI purchaseImprove Clinical Outcomes = 40%Improve Efficiency = 37%Meaningful Use for government EHR financial incentives =
17%Other reasons = 6%
RESULTS - 2012 Capsite Survey 300 US hospitals 44% had purchased MDI in recent years majority in 2011 &
2012 Breakdown of Current MDI adopters 400 + Beds = 63% in category implemented MDI 399 - 200 Beds = 75% in category implemented MDI 200 Beds or less = 33% in category implemented MDI
MEDICAL DEVICE INTEGRATION (MDI) LANDSCAPE
31%
19%
50%
MDI Industry Market Share
Cerner
Capsule
EpicGE MEDITECHSiemensiSironaNuvon
Source: Medical Device Integration Software Surges in Hospitals, InformationWeek Healthcare, Ken Terry, August 15, 2012
Source: Santa Rosa Consulting & BMoorman Consulting, LLC
THE DOWNSIDE TO MDI
ACUTE SETTING INTEGRATION COMPLEXITY = HIGHREQUIRES CROSS-FUNCTIONAL TEAMS TO
MAINTAIN
Source: Santa Rosa Consulting & BMoorman Consulting, LLC
THE DOWNSIDE TO MDI
ACUTE SETTING INTEGRATION COMPLEXITY = HIGHREQUIRES CROSS-FUNCTIONAL TEAMS TO
MAINTAIN
Source: Santa Rosa Consulting & BMoorman Consulting, LLC
IT & TELECOM
THE DOWNSIDE TO MDI
ACUTE SETTING INTEGRATION COMPLEXITY = HIGHREQUIRES CROSS-FUNCTIONAL TEAMS TO
MAINTAIN
Source: Santa Rosa Consulting & BMoorman Consulting, LLC
IT & TELECOM
BIOMED
THE DOWNSIDE TO MDI
ACUTE SETTING INTEGRATION COMPLEXITY = HIGHREQUIRES CROSS-FUNCTIONAL TEAMS TO
MAINTAIN
Source: Santa Rosa Consulting & BMoorman Consulting, LLC
IT & TELECOM
BIOMED FACILITIES
THE DOWNSIDE TO MDI
ACUTE SETTING INTEGRATION COMPLEXITY = HIGHREQUIRES CROSS-FUNCTIONAL TEAMS TO
MAINTAIN
Source: Santa Rosa Consulting & BMoorman Consulting, LLC
IT & TELECOM
BIOMED FACILITIES VENDORS
THE DOWNSIDE TO MDI
ACUTE SETTING MDI TO CLINICIAN ALERTING
SYSTEM
PatientMonitoring system
Medical Device Alerts Sent directly to the phones or badges of the Nurses to elevate “situation awareness”
ACUTE SETTING MDI TO CLINICIAN ALERTING
SYSTEM
PatientMonitoring system
Medical Device Alerts Sent directly to the phones or badges of the Nurses to elevate “situation awareness”
BUTAlerts are “throttled” by
Middlewareto avoid “Alert Fatigue”
EMERGING CONSIDERATIONS FOR MDIOUTSIDE OF HOSPITAL
OPPORTUNITIES – WELLNESS AND FINANCIAL
REQUIREMENTS – TECHNICAL
EMERGING CONSIDERATIONS FOR MDIOUTSIDE OF HOSPITAL
Ability to monitor most “at risk” patients such as elderly and chronically ill to preemptively intervene before an ED visit is necessary
OPPORTUNITIES – WELLNESS AND FINANCIAL
REQUIREMENTS – TECHNICAL
EMERGING CONSIDERATIONS FOR MDIOUTSIDE OF HOSPITAL
Ability to monitor most “at risk” patients such as elderly and chronically ill to preemptively intervene before an ED visit is necessary
Emerging opportunity to get a broader glimpse of a patient’s health profile and living habits
OPPORTUNITIES – WELLNESS AND FINANCIAL
REQUIREMENTS – TECHNICAL
EMERGING CONSIDERATIONS FOR MDIOUTSIDE OF HOSPITAL
Ability to monitor most “at risk” patients such as elderly and chronically ill to preemptively intervene before an ED visit is necessary
Emerging opportunity to get a broader glimpse of a patient’s health profile and living habits
OPPORTUNITIES – WELLNESS AND FINANCIAL
REQUIREMENTS – TECHNICAL Requires – Scalable data network
100s OR 1000s of connections into monitoring center
EMERGING CONSIDERATIONS FOR MDIOUTSIDE OF HOSPITAL
Ability to monitor most “at risk” patients such as elderly and chronically ill to preemptively intervene before an ED visit is necessary
Emerging opportunity to get a broader glimpse of a patient’s health profile and living habits
Requires – Nimble data warehouse or core clinical repository. Able to parse structured and non-structured data with
lower confidence of data match via master “person” index
OPPORTUNITIES – WELLNESS AND FINANCIAL
REQUIREMENTS – TECHNICAL Requires – Scalable data network
100s OR 1000s of connections into monitoring center
CHALLENGES WE FACE
1% of U.S. population consumes20% of ALL HEALTH CARE DOLLARS
Source: National Institute of Health Care Management 2012
CHALLENGES WE FACE
1% of U.S. population consumes20% of ALL HEALTH CARE DOLLARS
Source: National Institute of Health Care Management 2012
Total expenditure on healthcare:per capita per year: $7,960
Source: Organization for Economic Co-operation and Development on global health issues: Michael B. Sauter, Charles B. Stockdale, 24/7 Wall St. , 2012 - Countries that spend the most on health care, NBCNEWS.com, http://www.nbcnews.com/business/countries-spend-most-health-care-618241
Expenditure as percent of GDP: 17.4 percent
CHALLENGES WE FACE
$90,000
$41,000
$236
COST BREAK DOWNAverage Annual Healthcare
Spend in USAPer Person
1% OF INSURED
50% O
F
INSURED
5% OF INSURED
Heart Disease
Diabetes
Arthritis
Asthma
Source: National Institute of Health Care Management 2012
WHAT CAN THE DATA TELL US?
COST
DRIVERS
HEALTHCARE REFORM
#1 Biggest Issue – Financial Challenges
#2 Biggest Issue – Healthcare Reform Implementation
#3 Biggest Issue – Patient Safety & Quality
2011 Results - Biggest Issue Facing Hospital CEOs
Source: American College of Healthcare Executives, Annual Poll – Top Issues Confronting Hospitals: 2012
Annual Survey American College of Healthcare Executives
HEALTHCARE REFORM
#1 Biggest Issue – Financial Challenges
#3 Biggest Issue – Healthcare Reform Implementation
#2 Biggest Issue – Patient Safety & Quality
2012 Results - Biggest Issue Facing Hospital CEOs
Source: American College of Healthcare Executives, Annual Poll – Top Issues Confronting Hospitals: 2012
Annual Survey American College of Healthcare Executives
TRENDS TOWARD VALUE-DRIVEN HEALTHCARE
• Hospital Readmissions– Hospital DRGs 1% in 2013 3% by 2015• Medicaid DSH cuts - $18.1Billion 2014 – 2020 (Pres. Obama
proposed delay to 2015)• Value-Based Purchasing• 70% - Core Measures: Heart Failure, Acute Myocardial Infarction
(AMI), Pneumonia & Surgical Care• 30% - HCAHPS score: Patient Satisfaction
• Physician (SGR) Sustainable Growth Rate – 27%
Reduced Reimbursements CMS & Commercial Carriers
• Accountable Care – Provider Risk Acceptance & Shared Savings• Bundled payment for episodic care
Global Payments Innovations – CMS & Carriers
• Payers setting up Accountable Care Organizations• Hospital Systems offering health insurance on public Health Insurance
Exchanges (HIX)
Payer/Provider Convergence
SHIFTING FOCUSPRE & POST ACUTE AND HOME SETTINGS
REDESIGNING PRIMARY CARE
Source: Southcentral Foundation, “The Trust for Health Excellence’s Better Health Initiative”
PATIENT-CENTERED MEDICAL HOMES
Looking “in” on the patient Looking “out” to the Health Care Environment
PATIENT-CENTERED MEDICAL HOMES
Looking “in” on the patient Looking “out” to the Health Care Environment
Patient-centered medical homes (PCMH) – Not necessarily a “place” rather a central point from which assistance is provided to navigate the fragmented healthcare system Source: Oliver Wyman, Tom Main & Adrian Slywotzky
DECENTRALIZED BUT CONNECTEDREMOTE SURVIELLENCE CAN BE A
“LIFE SAVER”
Aging in PlaceSILVER TSUNAMI - Growth of Senior Citizen Population 78 Million Baby Boomers turned 65 in 2011 9 out of 10 seniors want to stay in the home they retired in.
Source: AARP
Alzheimer’s Patients
Care At Home
DECENTRALIZED BUT CONNECTED
Care At Home
HEALING AND AGING IN THE HOME – REMOTE MONITORING PILOT PROGRAM Leverage Home Care nursing augmented by remote sensor monitoring Good Samaritan – LivingWell@Home [Pilot of 40 connected assisted living
facilities] study 1/2011 through 6/2013 WellAware – motion sensors detect movement in bed, showering,
toileting etc. Phillips Lifeline – auto-alert function detects falls Honeywell Hommed Telehealth monitoring: Heart rate, Blood
pressure, Weight, Oxygen saturation, Temperature, ECG rhythm, Spirometry, Prothrombin time/INR
Source: ‘The Matrix’ Meets Medicine: Surveillance Swoops Into Health Care, Michael Millenson, January 9, 2013
DECENTRALIZED BUT CONNECTED
Care At Home
HEALING AND AGING IN THE HOME – REMOTE MONITORING PILOT PROGRAM Leverage Home Care nursing augmented by remote sensor monitoring Good Samaritan – LivingWell@Home [Pilot of 40 connected assisted living
facilities] study 1/2011 through 6/2013 WellAware – motion sensors detect movement in bed, showering,
toileting etc. Phillips Lifeline – auto-alert function detects falls Honeywell Hommed Telehealth monitoring: Heart rate, Blood
pressure, Weight, Oxygen saturation, Temperature, ECG rhythm, Spirometry, Prothrombin time/INR
Source: ‘The Matrix’ Meets Medicine: Surveillance Swoops Into Health Care, Michael Millenson, January 9, 2013
Source: Iboun Taimiya Sylla, Texas Instruments NantLife by NantCare
DECENTRALIZED BUT CONNECTED
COMPLEXITY – CONNECTIVITY CONFUSIONIs home monitoring technically scalable
& clinically reliable?
Source: Current and Future Trends in Medical Electronics, Steven Dean, Texas Instruments, September 23, 2009
HOME SETTING Connectivity
HOSPITAL SETTING Connectivity
TELEMEDICINE FOR “Wired Homes”
Qualcomm Life 2net
Sensors
TELEMEDICINE FOR “Wired Homes”
Qualcomm Life 2net
Sensors
Implantable
In Vivo Glucose Monitor
TELEMEDICINE FOR “Wired Homes”
Qualcomm Life 2net
Sensors
Implantable
In Vivo Glucose Monitor
Wearable
fitbit
TELEMEDICINE FOR “Wired Homes”
Qualcomm Life 2net
Sensors
Implantable
In Vivo Glucose Monitor
Wearable
fitbit
Behavior Tracking
Glowcaps
QUESTION FOR YOUR MDI VENDOR….
IS YOUR MDI SOLUTION “READY NOW” OR “FUTURE-PROOFED” TO ACCEPT HOME BASED AND
REMOTE DATA?
WHAT IS YOUR ROADMAP FOR MOBILE HEALTH (mHealth) DATA?
WHAT TO DO WITH ALL THE SENSOR DATA ONCE YOU CAPTURE
& CONVERT IT TO CLINICAL KNOWLEDGE?
WHAT TO DO WITH ALL THE SENSOR DATA ONCE YOU CAPTURE
& CONVERT IT TO CLINICAL KNOWLEDGE?
SET THE DATA COLLECTION SYSTEM “IN REVERSE” TO CONDUCT PATIENT OUTREACH, INFLUENCE HABITS AND PREEMPTIVELY MONITOR ADVERSE TRENDS
WHAT TO DO WITH ALL THE SENSOR DATA ONCE YOU CAPTURE
& CONVERT IT TO CLINICAL KNOWLEDGE?
SET THE DATA COLLECTION SYSTEM “IN REVERSE” TO CONDUCT PATIENT OUTREACH, INFLUENCE HABITS AND PREEMPTIVELY MONITOR ADVERSE TRENDS
THIS REQUIRES AN “EVENTS BUS”
PATIENT ACTIVATION TRIGGERS
Driving change…from a distance
Source: Southcentral Foundation, “The Trust for Health Excellence’s Better Health Initiative”
PATIENT ACTIVATION TRIGGERS
Driving change…from a distance
Source: Southcentral Foundation, “The Trust for Health Excellence’s Better Health Initiative”
Influence the RIGHT PEOPLEat theRIGHT TIMEat theRIGHT PLACEby theRIGHT METHOD
USE PATIENT OUTREACH TO
R4
Web Email Text/
MobileMail
Social Communities IVRTelephonic Face-to-
FaceHome Care
REACH THE TARGET -
THE PREFERRED WAY
COACH THE PATIENT
Web Email Text/
MobileMail
Social Communities IVRTelephonic Face-to-
FaceHome Care
REACH THE TARGET -
THE PREFERRED WAY
COACH THE PATIENT
Web Email Text/
MobileMail
Social Communities IVRTelephonic Face-to-
FaceHome Care
REACH THE TARGET -
THE PREFERRED WAY
COACH THE PATIENT
Web Email Text/
MobileMail
Social Communities IVRTelephonic Face-to-
FaceHome Care
REACH THE TARGET -
THE PREFERRED WAY
COACH THE PATIENT
Fall Risk
CREATE PROVIDE TEACHA SINGLE POINT OF HEALTH NAVIGATION
Source: Oliver Wyman, The Volume-To-Value Revolution, Rebuilding the DNA of Health from the Patient in, Tom Main & Adrian Slywotzky, 2012
EVENTS BUS ARCHITECTURE
EVENTS BUS ARCHITECTURE
AGGREGATE - MAP & ANALYZE DATA
AGGREGATE - MAP & ANALYZE DATA
AGGREGATE - MAP & ANALYZE DATA
OLAP/SQL
AGGREGATE - MAP & ANALYZE DATA
OLAP/SQL
AGGREGATE - MAP & ANALYZE DATA
RISK SCORESEpisode Risk Groups (ERGs)Episode Treatment Groups (ETGs)Hierarchical Condition Categories (HCC)
OLAP/SQL
EVENTS BUS ARCHITECTURECONTINUED
EVENTS BUS ARCHITECTURECONTINUED
EVENTS BUS DELIVERY TOPOLOGY
EVENTS BUS DELIVERY TOPOLOGY
MIDDLEWAREConnexall, EXTENSION,
ASCOM,Phillips Emergin, Amcom
EVENTS BUS DELIVERY TOPOLOGY
MIDDLEWAREConnexall, EXTENSION,
ASCOM,Phillips Emergin, Amcom
EVENTS BUS DELIVERY TOPOLOGY
MIDDLEWAREConnexall, EXTENSION,
ASCOM,Phillips Emergin, Amcom
EVENTS BUS DELIVERY TOPOLOGY
MIDDLEWAREConnexall, EXTENSION,
ASCOM,Phillips Emergin, Amcom
EVENTS BUS DELIVERY TOPOLOGY
MIDDLEWAREConnexall, EXTENSION,
ASCOM,Phillips Emergin, Amcom
EVENTS BUS DELIVERY TOPOLOGY
Perfec
tS
erve
IDEALLY……. LAYER INSELF-SERVICE MESSAGE ROUTING & AVAILABILITY
STATUS
MEDICAL DEVICE INTEGRATIONFOR PATIENT-CENTERED HEALTH CARE
PLAN OF ACTION
MEDICAL DEVICE INTEGRATIONFOR PATIENT-CENTERED HEALTH CARE
HOW TO BEGIN THE JOURNEY IN A HOSPITAL
PLAN OF ACTION
MEDICAL DEVICE INTEGRATIONFOR PATIENT-CENTERED HEALTH CARE
HOW TO BEGIN THE JOURNEY IN A HOSPITAL
PLAN OF ACTION
Which perspective is your organization?
Hospital only? Hospital, SNF, Ambulatory,
Home Health, Other? Converging service lines?
MEDICAL DEVICE INTEGRATIONFOR PATIENT-CENTERED HEALTH CARE
HOW TO BEGIN THE JOURNEY IN A HOSPITAL
Include all stakeholders early on
Administrative Leadership Physicians Nurse Leaders Informaticists Clinical Engineering/BioMed Information Systems Telecommunications Facilities/Maintenance Others
PLAN OF ACTION
Which perspective is your organization?
Hospital only? Hospital, SNF, Ambulatory,
Home Health, Other? Converging service lines?
MEDICAL DEVICE INTEGRATIONFOR PATIENT-CENTERED HEALTH CARE
HOW TO BEGIN THE JOURNEY IN A HOSPITAL HOW TO BEGIN OUTSIDE OF A HOSPITAL
Include all stakeholders early on
Administrative Leadership Physicians Nurse Leaders Informaticists Clinical Engineering/BioMed Information Systems Telecommunications Facilities/Maintenance Others
PLAN OF ACTION
Which perspective is your organization?
Hospital only? Hospital, SNF, Ambulatory,
Home Health, Other? Converging service lines?
MEDICAL DEVICE INTEGRATIONFOR PATIENT-CENTERED HEALTH CARE
Which perspective is your organization? Not closely affiliated with hospital(s)? Closely Integrated with hospital(s)? Integrated Delivery Network? Accountable Care Organization?
HOW TO BEGIN THE JOURNEY IN A HOSPITAL HOW TO BEGIN OUTSIDE OF A HOSPITAL
Include all stakeholders early on
Administrative Leadership Physicians Nurse Leaders Informaticists Clinical Engineering/BioMed Information Systems Telecommunications Facilities/Maintenance Others
PLAN OF ACTION
Which perspective is your organization?
Hospital only? Hospital, SNF, Ambulatory,
Home Health, Other? Converging service lines?
MEDICAL DEVICE INTEGRATIONFOR PATIENT-CENTERED HEALTH CARE
Which perspective is your organization? Not closely affiliated with hospital(s)? Closely Integrated with hospital(s)? Integrated Delivery Network? Accountable Care Organization?
HOW TO BEGIN THE JOURNEY IN A HOSPITAL HOW TO BEGIN OUTSIDE OF A HOSPITAL
Include all DATA source/destination stakeholders early on
IPA or PHO (Case Managers) Home Health Agency(s) Durable Medical Equipment (DME) providers Local retail and outpatient pharmacies Hospital based & stand alone outpatient clinics ASCs - Labs - Radiology clinics/Imaging
centers WorkCenter health partners (ASOs/Self-insured
Co’s.) Information systems staff or partner(s) EHR & PMS vendor(s) Registry vendor Care Coordination Software vendor Others
Include all stakeholders early on
Administrative Leadership Physicians Nurse Leaders Informaticists Clinical Engineering/BioMed Information Systems Telecommunications Facilities/Maintenance Others
PLAN OF ACTION
Which perspective is your organization?
Hospital only? Hospital, SNF, Ambulatory,
Home Health, Other? Converging service lines?
Questions?
MEDICAL DEVICE INTEGRATIONFOR PATIENT-CENTERED HEALTH CARE
REACH ME AT LinkedIn: John Squeo
top related