communication collaboration education rapid cycle improvement
DESCRIPTION
Communication Collaboration Education Rapid Cycle Improvement. Willingness to adopt the paradigm shift. Healthcare Unbound. Patient Value. Physician Value. Payer Value. Ability to expand population across State Lines Capacity to create products that attract physicians and patients - PowerPoint PPT PresentationTRANSCRIPT
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CommunicationCollaboration
EducationRapid Cycle Improvement
Willingness to adopt the paradigm shift
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Healthcare UnboundPhysician Value
• Simplified workflow• Reduced Liability• Improved Pt.
Compliance• Higher Clinical
Outcomes• Proven Cost Benefit• Ability to ‘once again’
practice medicine
Payer Value• Ability to expand
population across State Lines
• Capacity to create products that attract physicians and patients
• A new paradigm where they are seen as team collaborator in population health improvement
• Accurately weighted clinical outcome, member, physician satisfaction and cost efficiency metrics
Patient Value• Better quality of life• Decrease cost out of
pocket• Actual rewards for
careful self management
• Supportive community and employer
• New community of friends with similar conditions
• Ability to understand the quality of our products
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Data
and
Info
rmat
ion
Healthcare UnboundPerhaps an opportunity to Engage and Motivate Patients
Hi Jeff, Here is some great educational material (click here): Your employer has awarded you many self care credits and has allocated six hours per month for health improvement activities and won’t fire you: AND PLEASE FORGET ALL OF THE FORMS WE HAVE BEEN SENDING.
A pa
tient
(me)
and
my
tool
s co
mm
unic
ate
thro
ugh
my
I-Pho
ne to
the
Web
usi
ng a
sing
le P
HR
inte
rfaceWhat I want!
Secure message
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Healthcare Unbound
Hi there! Will you please follow us down this rabbit hole?
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Coronary Artery Stent2007
Help me!I can’t breathe!My chest hurts!
Well, you have great insurance, lets take you to the lab and fix
that nasty blood vessel
Here, Read this and you will be all set
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Coronary Artery Stent2007
Help me!I can’t breathe!My chest hurts!
Well, you have great insurance, lets take you to the lab and fix
that nasty blood vessel
Here, Read this and you will be all set
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Coronary Artery Stent2015
Help me!I can’t breathe!My chest hurts!
Well, I don’t even need to
check to see if you have a source of
payment; lets get going!
Here, Read this and then go to lifestyle
retraining
Medical Home Coordinates The Best Care
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A personal ‘real time’ example of what is available to Jeff Harris in
March 2011
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Selecting providers
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Activating Patients
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My PHR
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How I connected my system• Located physician with knowledge of health data
interchange and motivation to heal• Located surgeons who would treat me as equal• Located tools online that worked and were
interoperable• Created my own accounts {HealthVault, Connected
to
• Connected to CVS, SPINN secure Communication and LabCorp
• Keep redundant record at Duke
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Duke Health View
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Dukes Vital Sign Communicationand Film Education
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Example of one-way communication at Duke
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Not Good
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Duke’s p-HR home page
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Decision Support
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Details of record source
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Who ordered drug
Med
icat
ion
Rec
onci
liatio
n
Where did record come from
Is this patient staying with medical home or Dr. Shopping
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Family History
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Prov
ider
s and
Con
tact
s
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Mon
itori
ng
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Now data tools for smart phones
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My Droid Diabetes Meal and Insulin Managers
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Self maintenance personal note
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What Scenarios are Patients Face
Apparently Healthy •Educate on reform•Educate on Medical Home
Episodic Care •Participate in care coordination•Educate on provider selection and best practices
Chronic Care •Participate in interdisciplinary coordination•Learning self mastery
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Diabetic Gangrene Prior To Amputation
Diabetic with healthy feetGood Self Management
• My feet forever please
What is the difference between an engaged patient and one without influence to engage