1

How Innovation Will Tackle Tomorrow's Challenges

INV1, March 5, 2018

Aneesh Chopra, President, CareJourney

@aneeshchopra

2

Aneesh Chopra

Has no real or apparent conflicts of interest to report.

Conflict of Interest

3

Learning Objectives• Create and maintain a stable, focused innovation program within your own organization

• Express why a culture of innovation is an essential foundation for an innovation program.

• Describe successful innovation initiatives and understand what may work best in which settings.

4

Stall Points ~ Lessons from the Fortune 2000Prevention requires management focus on top three factors

Source: executiveboard.com

Premium Position Captivity1

2 Innovation Management Breakdown

3 Talent Bench Shortfall

5Source: Innovative State; Lakhani KR, Panetta JA (2007), “The Principles of Distributed Innovation” MIT Press.

Joy’s Law: "no matter who you are, most of the smartest people work for someone else”

Best Practices in Open InnovationP&G, Facebook, Amazon (among others) lead the way

6Source: “Strength in Numbers: How Does Data-Driven Decision-making Affect Firm Performance?”, Prof. Erik Brynjolfsson;

McKinsey Global Institute - Open data: Unlocking innovation and performance with liquid information

MIT Study finds “data-driven decision-making” boosts

productivity 5-6%

Harnessing Open Data Key to Growth

7

David Van Sickle collaborates with Louisville to micro-target public health measures; patient inhaler GPS data informs action to lower particulate matter 10%; results in

27% drop in asthma risk area

8

Despite public attention on the future

of Obamacare, economists look to NHE growth rate as

key to solving budget deficits, freeing capital for economic growth, and enabling public

action in areas as far-ranging as climate

change to tax reform

Eye on Prize: Cost Growth @ GDP Growth Rate

9Source: whitehouse.gov/innovation

Invest in (digital) infrastructure1

2 Encourage standards

3 Open up data

4 Enable “retail” and “wholesale” digital services

5 Reward outcomes

Fostering Healthcare’s Innovation Ecosystem

Derived from President Obama’s strategy

10Source: http://www.hindu.com/2010/11/08/stories/2010110857920500.htm;

https://uidai.gov.in

#1: Fastest Digital Platform to 1BN Users

India’s “Aadhaar” identity service crossed 1 billion users in six years; open infrastructure enables mobile banking, digital health

11

In a 10/09 speech, Kapor called for a “health Internet,” a less complex, more open, “light federal approach” that would encourage an early critical mass of users to

participate

#2: Converging on One Open Path for Interop Hint: FHIR API Gateways

13

On July 4, 1776, the weather in Philly was clear and mild with a high of 76 degrees

Source: http://celebrating200years.noaa.gov/foundations/climate_data/image1.html; healthdata.gov

#3: Democratize Government DataFrom Jefferson to Medicare’s Linked A/B/D Claims Files

CMS home health outcomes data help networks match patients to

providers

14

#4: Enabling “Wholesaler” Digital ServicesMyMedicare.gov adding API-based data access service

15Source: White House Office of the CTO

#5: Outcomes Payment Opens Up CompetitionPay for “value” to drive new markets for health services

“…engage patients and

caregivers in design,

implementation, and evaluation

of care models.”

Proportion of Total Potentially Preventable

Spending, by high-Cost Subpopulation

Total potentially preventable spending by Medicare subpopulation, percent

Adapted from J. F. Figueroa, K. E. Joynt Maddox, N. Beaulieu et al., “Concentration of Potentially Preventable

Spending Among High-Cost Medicare Subpopulations,”Annals of Internal Medicine, published online Oct. 17. 2017.

Leading Care Models

Annual Wellness Visit

Chronic Care Management

Transitions of Care

Diabetes Prevention

End of Life Planning/Care

Collaborative Care

Accountable Health

Communities

Million Hearts

Shared Decision Making

Oncology Care Model

Emphasis on High Need, High Cost Patients

Source: https://www.rush.edu/health-wellness/video-library/total-health-collaborative; Shafiq Rab, RUMC CIO

16-year life expectancy

gap; “Total Health

Collaborative” goal to cut

50% in ten years

Leadership selected 3rd

party app, NowPow, for

“plug-play” seamless

experience via reusable

FHIR standards

CIO takes 6 weeks to

production by extending

Epic MU3 FHIR APIs for

“bulk access” via API mgmt

& +$16K in labor costs

1st 30 days - 70 screened,

48 needs (shelters, meals,

utilities, transportation); no

return ER visits

Putting it Altogether @ Rush UMC

Source: https://www.advisory.com/daily-briefing/2015/01/22/lessons-from-the-c-suite

A Leadership Moment

“Innovation is the first stage to

becoming a more adaptive

organization” – Gilfillan

-Holding managers accountable

via performance reviews

-Competitively investing small-

dollar grants to seed new ideas in

the field (10% of applicants

awarded)

-Building data infrastructure to

support population health

19

The Rise of Health Information “Fiduciaries”

Source: Commonwealth Fund; https://www.whitehouse.gov/sites/default/files/docs/cea_coi_report_final.pdf

“Savers receiving conflicted advice earn returns roughly 1% lower each year… we estimate the aggregate

annual cost of conflicted advice is about $17 billion each year” – Obama Council of Economic Advisors

20

Questions?Aneesh Chopra, President, CareJourney

@aneeshchopra