From the Frontier: Case Studies of Current and Future Disruptive Innovations · 2016. 2. 29. · From the Frontier: Case Studies of Current and Future Disruptive Innovations February
Post on 17-Aug-2020
0 Views
Preview:
Transcript
From the Frontier: Case Studies of Current and Future Disruptive
Innovations February 29, 2016
Madan Dharmar, MBBS, PhD Assistant Research Professor, Center for Health and Technology
University of California Davis
Conflict of Interest
Madan Dharmar, MBBS, PhD
Has no real or apparent conflicts of interest to report.
Agenda
• Learning Objectives
• Technology Enabled Healthcare – Overview
• Innovative Model of Care – Telehealth
• Innovative Model of Care – Patient Generated
Health Data
• Future of Healthcare
• Questions/Wrap up
Learning Objectives
• Take a closer look at disruptive clinical
innovation and explore how the delivery system
is likely to change.
• Understand how to capture value from
emerging IT innovations.
• Discuss key IT-related implications and
approaches to deal with more patient data.
• Dive into factors that make for a successful, or
at least documented promising, patient
experience.
Challenges in Current Healthcare
• Increasing demand for healthcare
• Shortages in traditional healthcare
• Increasing healthcare cost
• Increasing awareness among consumers
• Reactive model of care
Science and Invention magazine cover (1925) – Technology enabled healthcare
Pathway of Disruptive Innovation…..
Treat Individuals Treat in Institutions
Use Technology to Support Current
Process
Focus on “Professional Caregivers” P
ast
to P
resen
t
Treat Groups and Population
Treat in the Home and Community
Technology creating new authorities on Health
Involve People, Family, Friends and Others in Care
Tran
sit
ion
to
Fu
ture
Disruptive Innovation in Healthcare – First Use Case
• Advancing Technology
– Video conferencing
– Decreasing cost of technology
• Regionalization of Care
– Timely care
– Shortage of providers
– Higher quality of care
– Lower healthcare cost
• Patient Centered Care
– Reduce distance barriers/increasing access
– Higher patient satisfaction/experience
Activity Snapshot
• Approx. 40,000 consultations across 44 counties to over 100 sites (does not include
Radiology or Pathology)
• Over 1,800 participants trained through Telehealth Education Program from 800+ organizations
• Over 4,800 distance education events
• Over 1,600 grand round sessions
• Nearly 130 publications (journal articles, book chapters, letters to the editor, abstracts, limited submission pieces)
Funded by: Telehealth Network Grant Program - Office for the Advancement of
Telehealth (OAT) in the Federal Office of Rural Health Policy (FORHP)
Disruptive Innovation in Healthcare– Second Use Case • Advancing Technology (Pew)
– 64% of U.S. adults have smartphones
– Sensor based Internet of Things
• Empowered People (Pew)
– Seven in ten U.S. adults track a health indicator
– 64% of U.S. adults with two or more chronic conditions track a health indicator
– Almost half say they have changed their overall approach to health
• Empowered Providers
– Team based care
– Data and advanced analytics
Improving Health in Diabetes Program: Changing the Conversation
Funded by: Improving Healthcare Systems – Patient Centered Outcomes Research
Institute (PCORI)
Drivers and Barriers for Patient Generated Health Data
DATA MEANING
ST
EP
S
You have trouble meeting your activity
goals on Mondays and Tuesdays. What
happens on those days? What changes
might you make?
Activity levels seem to be linked to your
sleep quality at night.
Certain night time meals and alcohol
intake appear to impact sleep quality and
mood
Your blood pressure has improved due to
changes you have made to your diet and
activity in the past 3 months!
Patient Generated Health Data Flow
Improving Health in Diabetes Program: • Data Quality • Managed Authentication • Data Stored within Epic • Data Analytics within Epic • Meaningful integration within providers workflow • Patient visualization of data
Collaborative PGHD Goals
• Physical Activity
Steps
Active calories burned
Active minutes (workout)
• Sleep
Sleep length
• Nutrition
Calories
Intake: fat, carbohydrates, cholesterol, sugar, sodium, fiber, protein
Electronic Health Record View: PGHD
Are we on the right track?
“I feel like if someone took the time then [say] ‘Oh, this is what you’re doing during the day. Here’s where you need to improve.’ That would be wonderful.”
“Well, I think it would be a great idea for my doctor and anybody tied to my care to be able to have that information just for the simple fact of okay, this is what you’re doing, you know, maybe we need to adjust your medications.”
“If I could see a pattern, maybe it’s not exercising or maybe it is stress or maybe I was, you know, on medication, that would -- the logical side of me would respond to that. Those are facts.”
Benefits Realized from Technology enabled Health IT
Future is brighter….
http://www.himss.org/ValueSuite
• New authorities of Health
• Workforce change – Colloborative
• Health data analytics
• Patient Centered Care
Questions
Madan Dharmar, MBBS, PhD
Assistant Research Professor, Center for Health and Technology
University of California Davis
mdharmar@ucdavis.edu
top related