Webinar Replay: How To Provide High Quality, Low Cost Healthcare

Brought to you by

How to Provide High Quality, Low Cost HealthcareBest Practices And Technologies For Patients, Businesses and Doctors

Thank You to Our Sponsor

About the Moderator

Brian McGowan, Ph.D., Moderator, @BrianSMcGowan

Brian S. McGowan, PhD is your host for this series. Dr McGowan is the Co-Founder and Chief Learning Officer at ArcheMedX a healthcare informatics and e-learning technology company. He is the author of '#socialQI: Simple Solutions for Improving Your Healthcare'. He has lectured both nationally and internationally on the need to drive innovation in healthcare. He is currently consulting with start-up companies, medical societies, patient advocacy groups, and academic medical centers committed to accelerate quality improvement through innovative technology and frictionless information flow.

About The Panel

Jason Hwang, M.D., M.B.A., @drjhwangJason Hwang, M.D., M.B.A. is an internal medicine physician who, together with Professor Clayton M. Christensen of Harvard Business School and the late Jerome H. Grossman of Harvard Kennedy School of Government, co-authored The Innovator's Prescription: A Disruptive Solution for Health Care (McGraw-Hill, January 2009), the American College of Healthcare Executives 2010 Book of the Year and recipient of the 2011 Health Service Journal Circle Prize for Inspiring Innovation. Dr. Hwang previously co-founded and was the Executive Director of Healthcare at Innosight Institute, a non-profit social innovation think tank.

Jens Deerberg-Wittram, MD, President, International Consortium for Health Outcomes Measurement, @ICHOM_OrgTrained as a physician and molecular oncologist, Jens served from 2004 to 2012 as Chief Executive for a German 15 hospital, 4.800 beds provider organization. He has developed and implemented valuebased corporate strategy and established a worldwide leading medical outcomes measurement and reporting system. Prior to working in hospital management, Jens was a project leader for BCG. He is a Senior Fellow and Faculty Member of the Harvard Business School and lecturer in executive courses about value-based healthcare delivery.

Dan Munro, Contributor, Forbes, @danmunroDan Munro is a Contributor at Forbes where he writes on the intersection of Healthcare IT, Innovation and Policy. His focus is broadly around those challenges, opportunities and solutions that are fundamentally geared to scale – and have the capacity to influence our $3.5 trillion healthcare system in significant ways. (http://onforb.es/danmunro and @danmunro). Dan graduated from the International School of Brussels before completing undergraduate degrees in Computer Science and Communications (with a minor in Journalism) at the University of Redlands.

Brought to you by

How to Provide High Quality, Low Cost HealthcareBest Practices And Technologies For Patients, Businesses and Doctors

How to Participate

• Submit your questions in the GoToWebinar presentation window

• Follow along and share your thoughts on Twitter at #HWClive

• This webinar will be recorded and available for download a few days after the webinar

International Consortium for Health Outcomes Measurement

Boston, October 8, 2012

ICHOM Powerpoint Template.pptx8 Copyright © 2012 by the International Consortium for Health Outcomes Measurement. All rights reserved

Localized prostate cancer – what is the right therapy?


Little variation in disease-specific survival rates for localized prostate cancer

Death probably or definitely due to prostate cancer or prostate cancer treatment

Radical Prostatectomy: 12,4%Watchful waiting: 16,9%

Source: Wilt et al., N Engl J Med 367;3 2012


ProcessesPatient

experience/engagement

Indicators

Patientinitial

conditions

(Health) outcomes

Structuree.g., Staff certification, facilities standards

PSAGleason ScoreSurgical margin(…)

Protocols/guidelines

SurvivalContinenceErectile functionAnxiety

Outcomes are the 'real world' experience of patients Example prostate cancer

Source: Porter, M. What is value in health care? Dec, 2010. NEJM.


Huge differences in functional outcomes after radical prostatectomy between average and best hospital

Urinary incontinence Erectile dysfunction

20

15

10

5

0

6.3%

Besthospit

al

4.5%

Average

hospital

17.1%

Prevalence, %

-74%

Activesurveilla

nce

100

80

60

40

20

0

Prevalence, %

-24%

Activesurveilla

nce

44.1%

Best hospital

61.5%

Average

hospital

81.1%

Source: Wilt et al., N Engl J Med 367;3 2012, Quality report Martini Klinik


ICHOM Working Group Goal: Define a minimum standard set of outcomes we recommend all providers track

Physician leaders

Patient representatives

Tier 1

Tier 2

Tier 3

Prostate Cancer: ICHOM Minimum Standard Set

Outcomes Measures

The Innovator’s Prescription:A Disruptive Solution for Health Care

Jason Hwang, M.D., M.B.A. @drjhwang [email protected]

Per

form

ance

Time

Performance that customers

can utilize or absorb

Pace of

Technological

Progress

Sustaining innovations

Disruptive innovations

Disruptive innovations democratize industries through simplicity, affordability and convenient accessibility

“NON-CONSUMERS” of health care

Specialist Physicians

General Hospitals

Generalist Physicians

Focused, Ambu Facilities

Allied Health Professionals

Convenient kiosks

High

Low

Com

plex

ity o

fdi

agno

sis

and

trea

tmen

t

Time

High

Low Patients

Home, mHealth

Disruptive innovation in health care encourages new avenues of care delivery with new caregivers

The Innovator’s Prescription:A Disruptive Solution for Health Care

Jason Hwang, M.D., M.B.A. @drjhwang [email protected]

“If you think about how healthcare is delivered, it’s on an ad hoc basis. Someone comes into a hospital, someone comes into a pharmacy, someone comes into a doctor. But beyond those touchpoints, the patients are on their own. There’s no real continuity of care.”

Christopher A. ViehbacherCEO Sanofi

Forum On Healthcare Innovation

More than 50 percent (of our MinuteClinic patients) are effectively medically homeless. Patients at MinuteClinic did as well or better than those treated in traditional primary care settings, yet cost was 40 to 80 percent lower than in other settings.

Andrew J. Sussman, MDPresident, MinuteClinic & SVP/CMO, CVS Caremark

Patient Room 2020

• Serves ~ 55,000 Native American Indians ~10,000 in 55 remote villages

~1,400 Employees

• Patient care is integrated (inpatient, outpatient & remote)

• Team based care – no hierarchy

• Teams comprised of Docs, Nurses, Behaviorists

• Patients chose team – and can make changes

• Same day access to primary care

Nuka Model of Health Care

• 40% Reduction in ER

• 50% Decrease in specialty care

• 20% Decrease in primary care visits

• 35% Decrease in hospital admissions


• 45% Funded by Indian Health Services

• 50% “Aggressive” billing of 3rd party payers

• 5% From Foundation/Grant money

The system we have is performing as designed. Designing a

new system is the science of process improvement – not the

science of economics. Don Berwick


About The Panel

Jason Hwang, M.D., M.B.A., @drjhwangJason Hwang, M.D., M.B.A. is an internal medicine physician who, together with Professor Clayton M. Christensen of Harvard Business School and the late Jerome H. Grossman of Harvard Kennedy School of Government, co-authored The Innovator's Prescription: A Disruptive Solution for Health Care (McGraw-Hill, January 2009), the American College of Healthcare Executives 2010 Book of the Year and recipient of the 2011 Health Service Journal Circle Prize for Inspiring Innovation. Dr. Hwang previously co-founded and was the Executive Director of Healthcare at Innosight Institute, a non-profit social innovation think tank.

Jens Deerberg-Wittram, MD, President, International Consortium for Health Outcomes Measurement, @ICHOM_OrgTrained as a physician and molecular oncologist, Jens served from 2004 to 2012 as Chief Executive for a German 15 hospital, 4.800 beds provider organization. He has developed and implemented valuebased corporate strategy and established a worldwide leading medical outcomes measurement and reporting system. Prior to working in hospital management, Jens was a project leader for BCG. He is a Senior Fellow and Faculty Member of the Harvard Business School and lecturer in executive courses about value-based healthcare delivery.

Dan Munro, Contributor, Forbes, @danmunroDan Munro is a Contributor at Forbes where he writes on the intersection of Healthcare IT, Innovation and Policy. His focus is broadly around those challenges, opportunities and solutions that are fundamentally geared to scale – and have the capacity to influence our $3.5 trillion healthcare system in significant ways. (http://onforb.es/danmunro and @danmunro). Dan graduated from the International School of Brussels before completing undergraduate degrees in Computer Science and Communications (with a minor in Journalism) at the University of Redlands.

How to Participate

• Submit your questions in the GoToWebinar presentation window

• Follow along and share your thoughts on Twitter at #HWClive

• This webinar will be recorded and available for download a few days after the webinar

Thank You to Our Sponsor

Thanks for Joining Us

• This webinar will be available on-demand at www.HealthWorksCollective.com.

• Stop by to learn more and share your comments.

Webinar Replay: How To Provide High Quality, Low Cost Healthcare

Health & Medicine

provide high quality

completing undergraduate degrees

ichom powerpoint template

drjhwang jhwang gmail

gotowebinar presentation window

harvard business school

harvard kennedy school

health outcomes measurement