October 14, 2019

Healthcare Data Strategy Beyond the EHR

Cindy Hamilton Smith

Western US Healthcare Practice Lead

Agenda

• Current State: A Historical Perspective

• Drivers of Tomorrow’s Transformation

• Enabling Digital Transformation Today

Current State:A Historical Perspective

•Medicare/Medicaid Introduced, triggers…

•First HIM Systems –Mainly Billing

•In use by 70 Hospitals by 1965

1960s

•Lockheed created Eclypsis CPOE

•Regenstreif Medical Records Systems is created

1970s •VHA’s intro of VIsTA began the Federal Gov’t investments in HIT

•PCs hit the market

•The MPI was introduced

1980-85

•The Institute of Medicine began study of Medical Records

•Windows PCs prevalent in physician offices

•The Web is established

1986-1990

•Fed study states “cost, security, lack of standards barriers to EHR adoption”

•World Health Org adopts ICD-10

1991-1996•Institute of Medicine:

“44,000 to 98,000 die annually -preventable medical errors

•Calls for computerized Med Recs increase

2000-2005

•Pres Obama signs HITECH into law

•70% hospitals must adopt EHR by 2014

•Focus of all tech dev shifts to Meaningful Use

2005-2010

•Nat’l Coord for HIT began working with 62 RECs to assist in EHR adoption

•By 2015, EHR adoption doubled compared to 2008

2011-2015•It is forecasted that

healthcare organizations will spend $1.5Trillion on tech in 2019

2016-2019

The EHR Evolution

30% 60%

45%

Source: 2019 McKinsey & Co

What Percentage of Hospitals Qualify EMRAM Stage 6 in 2018?

CEO Support Lacking

30% 60%

45%

SOURCE: 2018 CHIME survey

What Percentage of Hospital Executives say they can easily consume and assimilate incoming data to their EHRs?

DATA

Value Based Care and

Shared Risk

Population Health

AI and Machine Learning

Patients asConsumers

Digitalization

Inter-

operability

and FHIR

Data: Today’s Core Challenges

Drivers of Tomorrow’s Transformation

Focu

s o

n W

elln

ess

vs. T

reat

men

t • Health disparities cost

$102B annually

• 78%executives lack the data to identify patients’ social needs

• Global wellness spending up

12.5% YoY since 2016.

$420B by 2020

CFO

s D

rivi

ng

Stra

tegy

• 83% CFOs of high performing providers lead enterprise wide digital tech strategies

• 40% leverage analytics to identify future risks and opportunities –ensuring keeping patient in the system @ $1.4M lifetime value

• 37% use analytics to reduce costs or improve margin

Co

nsu

mer

s Ex

pec

t M

ore

• 47% patients would be happy to receive care from Google or Microsoft

• 49% execs say customer experience is a priority over next 60 months

• 81% Americans use smartphones

and 50% patients expect interaction with providers beyond clinical info

No

n-T

rad

itio

nal

Car

e D

eliv

ery

Mo

del

s

• Focus on asset-light delivery, reducing capital investments

• Assists with physician shortage -

104,000 by 2030

• 78% of patients would prefer choice of telemedicine, partner or onsite visits

“Ou

tsid

ers”

Bre

akin

g In

• 672 private equity deals in 2017 - 200in 2009

Source: “Accenture Digital Health Vision 2019”

94%of executives “Pace of

innovation in their

organization has

accelerated” due to

innovations like these

Enabling Digital Transformation Today

Curationand

EnrichmentHub

Data Silos Consumption

DataGovernance

Reference Data

ManagementData

Cleansing Applied

Healthcare Designed

Data Warehouse

Data Enrichment

Batch and Streaming

Consolidate Disparate Systems

Consumption and Metric

Layer

Gartner “Must Have” – Health Data Curation/Enrichment Hub

"Successful deployment of a comprehensive health data curation and enrichment hub is a foundational component of the real-time health system, conducting digital healthcare, and the ability to execute population health and community care management.“

-Laura Craft, Gartner

Gartner “Must Have” – Health Data Curation/Enrichment Hub

Curationand

EnrichmentHub

Data Silos Consumption

DataGovernance

Reference Data

ManagementData

Cleansing Applied

Healthcare Designed

Data Warehouse

Data Enrichment

Batch and Streaming

Consolidate Disparate Systems

Consumption and Metric

Layer

Hype Cycle – Health Data Curation & Enrichment Hub

Health Data Curation & Enrichment Hub

Downstream Data Publishing (HL7,

Custom, …)

Integrate, Cleanse, Correlate, Enrich

Map

pin

g and

Transfo

rmatio

n

Health

View

s

Data Management

Cohort Builder

Prebuilt InfoApps

Dashboards andPredictive Analytics

Canonical Information Master IndexGovernance

HLI Code sets

Accessibility

Financial

Clinical

Payer

Member

Facility

Organization

Provider

Patient

Other Inbound Data Streams/Files

(HL7, Custom Formats, CSV, …)

Amb EMR Hosp EMR

Amb Bill Hosp Bill

Claims HR, Time

G/L, A/R Costing

Data Sources

Omni-HealthData is the peer-enriched Enterprise Data Management platform that scales.

It supports sustainable organizational analytics with minimal FTE requirements.

Tech changes. Players change.Care delivery changes.What doesn’t change?

“We currently live in a world of shallow

medicine. Patients exist in a world of insufficient data, insufficient time,

insufficient context, and insufficient

presence.”-Eric M. Topol, M.D., “Deep

Medicine”

Cindy Hamilton SmithCindy_smith@ibi.com480.395.9836

Thank You!

Sources

• Disruption and the Future of Healthcare: Industry Leaders Parse the Challenges, and Strategic Opportunities, Heather Landi, April 4,

2018, HCI Group

• Mobile Technology and Mobile Broadband Survey, PEW Research, April 22, 2019

• Accenture 2019 Digital Tech Vision Report

• Deloitte 2019 Global health care Outlook, Shaping the future

• PwC, Provider systems of the future: What happens when the hospital is no longer the center of the health universe? October 2018

• PwC, Top health industry issues of 2019: The New Health Economy comes of age

• 12 trends that will dominate healthcare IT in 2019 | Health Data Management

• Strategic enabler: The new healthcare CFO, April 10, 2019

• Healthcare’s Digital Data Dexterity Demands a Data Curation and Enrichment Hub, Published: 09 June 2019

• Timeline: The History of the EMR/EHR, UCF Health, undated

• www.omnihealthdata.com