creating a revolution to drive healthcare transformation russ branzell, fchime, chcio ceo/president...
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![Page 1: Creating a Revolution to Drive Healthcare Transformation Russ Branzell, FCHIME, CHCIO CEO/President November 2014](https://reader030.vdocuments.us/reader030/viewer/2022032703/56649d0c5503460f949e07bb/html5/thumbnails/1.jpg)
Creating a Revolution to Drive Healthcare Transformation
Russ Branzell, FCHIME, CHCIOCEO/President
November 2014
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Financial Level: Defcon 1
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Care Improvement ProcessStatus Quo – Fee for Service
Wellness Care
Quality Care
Managed Care
Value Care
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HITECH Legislation
Four Main goals of HITECH1. Promote the use of IT in the US healthcare system2. Establish national health IT standards3. Incentivize the use of such standards in the delivery
of healthcare4. Improve the privacy and security of patient health
data while modernizing the US healthcare system
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The Meaningful Use PlanMU was originally meant to be a six-year program, occurring over 3 “Stages” or phases
Data capture and sharing
Advanced clinical processes
Improved outcomes
Stage 1
Stage 2
Stage 3
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Construction AnalogyStage 1
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What has MU Accomplished?
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What has MU Accomplished?
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2011 2012 2013 20140
500
1000
1500
2000
2500
3000
3500
4000
Successful MU Hospitals 2011 - 2014
3rd Time Attesters
2nd Time Attesters
1st Time At-testers
Data from CMS September 2014, October 2014
3.166
8.72
14.8 15.01
Hospital Payments (Billions)
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Construction AnalogyStage 2
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Next Steps1. Continued Progress of Meaningful Use
2014 program year has been very difficult• Nationwide software update required by regulations• More difficult Stage 2 objectives• This has led to dangerously low participation in 2014, and 2015 is not shaping up
much better
2. Interoperability Intent of incentives were to stimulate adoption, but real challenge is
interoperability and “meaningful exchange” of data
3. Standardization Multiple versions of standards exist and implementations are different
across care settings
4. Workforce and workflows Dissatisfaction with EHR usability is growing
5. Care Coordination “Culture of coordination” has not yet emerged, even where technology
tools have matured
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Building Blocks of HIT 2.0
• Healthcare Information Exchange
• Certified Electronic Health Record
• Patient Portals• Data Warehouse• Business Intelligence• Complete Data
Integration
• Data Analytics• World-class IT Team• Unified Communications• ACO System• Population Health
System• Document Management
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Digital Divide is Widening
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Construction AnalogyStage 3
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1) Integration2) Value (Cost & Quality)3) Transparency
U.S. Healthcare - Three Process Trends
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versus
Evolution:gradual development of something, especially from a single to a more complex form.
Revolution: fundamental change in a way of thinking about or visualizing something.
EVOLUTIONREVOLUTIONvs
.
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COST
VALUE
QUALITY
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Enabling Behavior Change: Providers Patients
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Care Improvement Process
Status Quo – Fee for Service
Wellness Care
Quality Care
Managed Care
Value Care
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1. Don’t accept the status quo
2. Semper Gumby: “Always Flexible”
3. Plagiarism is skill, not a crime
4. Don’t evolve, REVOLVE!!!!
Rules of the Revolution
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Thank You!