ATransformationRoadmaptoDigitalHealthcare:KeepingIndividualsHealthy

Transformation to New Models of Care

P R E S E N T E D B Y : J O H N P . M C D A N I E L

NY HIMSS HIT: Changing the Game

Yankee StadiumJune 16, 2016

H E A L T H C A R E 2 0 2 5 - T R A N S F O R M A T I O N T O A N EW M O D E L O F C A R E

DEFINITIONS

Precisionmedicine(PM)isamedicalmodelthatproposesthecustomizationofhealthcare,withmedicaldecisions,practices,and/or

technologysolutionstailoredtotheindividual patient.

FACTORSSHAPINGTHEFUTUREOFHEALTHCARE

FACTORSSHAPINGTHEFUTUREOFHEALTHCARE

Quality vs Quantity

Risk Based Care

Patient Demands/Expectations

Technology

H E A L T H C A R E 2 0 2 5 - T R A N S F O R M A T I O N T O A N EW M O D E L O F C A R E

H E A L T H C A R E 2 0 2 5 - T R A N S F O R M A T I O N T O A N EW M O D E L O F C A R E

TRANSFORMATIONCHANGESREQUIREDIN:

ORGANIZATIONS

ExecutiveManagementApproach

DeliveryModels

INDIVIDUAL/PATIENTCAREMODELS

TECHNOLOGY

H E A L T H C A R E 2 0 2 5 - T R A N S F O R M A T I O N T O A N EW M O D E L O F C A R E

TODAY’SHEALTHCAREDELIVERYNETWORK

MEDICAL CENTERS

Ambulatory Care Centers

Other Care Sites

Physician Offices

Urgent Care Centers

H E A L T H C A R E 2 0 2 5 - T R A N S F O R M A T I O N T O A N EW M O D E L O F C A R E

FUTUREHEALTHCAREDELIVERYNETWORK

MEDICAL CENTERS

Ambulatory Care Centers

Other Care Sites

Specialty Physicians

Urgent Care Centers

Health Advisor/ Coach

Individual’sHome

H E A L T H C A R E 2 0 2 5 - T R A N S F O R M A T I O N T O A N EW M O D E L O F C A R E

FUTUREHEALTHCAREDELIVERYNETWORK:INDIVIDUAL

I N D I V I D U A L

Home Office

Gym Other

H E A L T H C A R E 2 0 2 5 - T R A N S F O R M A T I O N T O A N EW M O D E L O F C A R E

FUTUREHEALTHCAREDELIVERYNETWORK:INDIVIDUAL

CHALLENGES: TECHNOLOGIES:

• IndividualEngagementStrategy

• UniquePatient Identification

• DataAggregationo EHRo Personalo Socialo Environmentalo Genomics

• PersonalHealth Devices

• Biomedical Devices

• VirtualHealthTechnology

• Interoperability

• Healthcare Analytics

H E A L T H C A R E 2 0 2 5 - T R A N S F O R M A T I O N T O A N EW M O D E L O F C A R E

FUTUREHEALTHCAREDELIVERYNETWORK:HEALTHADVISOR/COACH

Health Advisor/ Coach

Individuals

H E A L T H C A R E 2 0 2 5 - T R A N S F O R M A T I O N T O A N EW M O D E L O F C A R E

CHALLENGES: TECHNOLOGIES:

• CareModelDevelopment

• TriageManagement Protocols/Algorithms

• Pop.Analytics

• CognitiveComputing

FUTUREHEALTHCAREDELIVERYNETWORKREQUIREMENTS/CHANGES:HEATHADVISOR/COACH

H E A L T H C A R E 2 0 2 5 - T R A N S F O R M A T I O N T O A N EW M O D E L O F C A R E

FUTUREHEALTHCAREDELIVERYNETWORK:NONMEDICALCENTERCARESITES

Other Care Sites

Shelter’sBehavioral Health Gym’s

H E A L T H C A R E 2 0 2 5 - T R A N S F O R M A T I O N T O A N EW M O D E L O F C A R E

CHALLENGES: TECHNOLOGIES/APPLICATION:

• CoordinatedCareModels• Interoperability

• Pop.Analytics

• CognitiveComputing

FUTUREHEALTHCAREDELIVERYNETWORKREQUIREMENTS:NONMEDICALCENTERCARESITES

H E A L T H C A R E 2 0 2 5 - T R A N S F O R M A T I O N T O A N EW M O D E L O F C A R E

FUTUREINDIVIDUAL/PATIENTCAREPROCESSMODELREQUIRES

B A S E D O N : P A T I E N T I N F O R M A T I O N

Healthcare Coaching/Monitoring

Individual Participation/Engagement

Individual/Population Care Models

Predictive Modeling

Preventive Models

Wellness Management

Disease Management

H E A L T H C A R E 2 0 2 5 - T R A N S F O R M A T I O N T O A N EW M O D E L O F C A R E

REQUIREMENTS:

• Application IntegrationTools • FHIR• APIs• HL7

• RevenueCycle

FUTUREAPPLICATION/TECHNOLOGYREQUIREMENTS

• HybridInfrastructureo Cloud/On-Premiseo Shared

• Infrastructureso Scalableo Reliableo Fast

H E A L T H C A R E 2 0 2 5 - T R A N S F O R M A T I O N T O A N EW M O D E L O F C A R E

REQUIREMENTS:

• DataStorage

• DR/BusinessContinuity

• DataWarehouses

FUTUREAPPLICATION/TECHNOLOGYStrategicInfrastructureChallenges

• Security

• Wearables

• InternetofThings(IoT)

• HomeBasedMedical Devices

H E A L T H C A R E 2 0 2 5 - T R A N S F O R M A T I O N T O A N EW M O D E L O F C A R E

HOWTOPREPARE

Create An Innovation Council

Establish A Roadmap

Organizational Plan Care Delivery Model Plan

Application & Technology

RoadmapEngage with your

Partner

ENGAGETHEINDIVIDUAL/PATIENTINPLANNINGPROCESS

TheFrameworkforInteroperability– BringingPatientInformationTogetherToManageHealthand

DeliverHealthCare

HEALTHCARE2025- TRANSFORMATIONTOANEWMODELOFCARE

FACTORSSHAPINGTHEFUTUREOFHEALTHCARE

When Data is accurately Aggregated in a Real-Time, relevant manner it becomes Information which when used with appropriate Analytical tools facilitate the Knowledge to provide the Best Care for the

Least Cost at the most Appropriate site.

John McDanielAnalytics: The Nervous System of IT-Enabled Healthcare

H E A L T H C A R E 2 0 2 5 - T R A N S F O R M A T I O N T O A N EW M O D E L O F C A R E

QUEST IONSAND ANSWERS

John P. McDanielJohn.McDaniel@thehcigroup.com