The Biggest Opportunities in Digital Health, DHS Turkey 2014, Shahid S

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This was presented at the Digital Health Summit Turkey 2014 in Istanbul. It is an American healthcare expert's viewpoint on what should matter to Turkey based on lessons from the USA. Designed for a mixed audience of providers, pharma, and bio entrepreneurs and executives.

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The Biggest Opportunities in Digital Health from an American’s Viewpoint:

The Biggest Opportunities in Digital Health from an American’s Viewpoint By Shahid N. Shah www.HealthcareGuy.com @ ShahidNShah

PowerPoint Presentation:

This and many of my other presentations are available at http://www.SpeakerDeck.com/shah @ ShahidNShah shahid@shah.org

Who is Shahid?:

Who is Shahid? 25+ years of software engineering and multi-site healthcare system deployment experience 20+ years of technology management experience (government, non-profit, commercial ) 15+ years of digital health, healthcare IT and medical devices experience (blog at http://healthcareguy.com ) Author of Chapter 13, “You’re the CIO of your Own Office”

Infectious diseases used to kill us…:

Infectious diseases used to kill us… …but what’s left seem only to be “manageable” not easily “curable” Per 100k population, Historical Statistics of the United States, Millennial Edition

From cures to management…:

Death by age group, 1900 Death by age group, Today From cures to management… …young people don’t dye of diseases often now http://siteresources.worldbank.org/INTHSD/Resources/topics/Health-Financing/HFRChap1.pdf

We’ve seemingly accepted lack of cures…:

We’ve seemingly accepted lack of cures… The Shift The clinical model is shifting away from treatment of chronic conditions and focusing more on prevention, wellness, obesity intervention, behavior and lifestyle modification . Objectives Keep people out of the hospital ($$$) Keep people from their docs ($$) Keep people off drugs ($) Keep people at home Implications Clinical operations are shifting to hospital and physician ‘centered’ services that will rely heavily on health information technologies to monitor, coordinate, and manage care . Successful Transition in Care resulting in Reduced Hospital Readmission Rates Proactive population management Patient engagement and collaboration Disease prevention through wellness and obesity management Chronic disease management Care coordination and collaboration Metrics and analytics

Patient populations need different Digital Health:

Patient populations need different Digital Health Obesity Management Wellness Management Assessment – HRA Stratification Dietary Physical Activity Physician Coordination Social Network Behavior Modification Education Health Promotions Healthy Lifestyle Choices Health Risk Assessment Diabetes COPD CHF Stratification & Enrollment Disease Management Care Coordination MD Pay-for-Performance Patient Coaching Physicians Office Hospital Other sites Pharmacology Catastrophic Case Management Utilization Management Care Coordination Co-morbidities Well Patient At Risk Chronic Care Acute Treatment Prevention Management 26 % of Population 4 % of Medical Costs 35 % of Population 22 % of Medical Costs 35 % of Population 37 % of Medical Costs 4% of Population 36 % of Medical Costs Source: Amir Jafri, PrescribeWell

The digital enterprise is revolving rapidly based on key trends, health systems’ evolution, and IT’s evolution:

The digital enterprise is revolving rapidly based on key trends, health systems’ evolution, and IT’s evolution Key Industry Trends . Health System Evolution IT Systems Evolution IT Role Evolution Fee For Service, Shared Risk, Bundled Payments, etc. Value, Care Management, Population Management PRESENT Full Risk, Integrated Health Plan & Care Delivery System Personalized Medicine, Wellness Management FUTURE Fee For Service Volume/Episodic Care PAST Integrated EHR Health Information Exchange (HIE) Enterprise Data Warehouse (EDW) Patient Engagement Mobile Health Connected Care Wellness Management Advanced Informatics Personalized Medicine Ancillary Systems (Lab/Rad/Pharmacy, etc.) Enterprise Resource Planning (HR, GL, SCM) Revenue Cycle Ambulatory EHR Hospital EHR Patient Access Enabler Innovator Installer Integrator Integrated Healthcare Network Integrated Healthcare Ecosystem Multi-Specialty Care Clinic & Hospital Integrated Healthcare System Source: Bruce Metz, CIO, Lahey Health

Opportunities in Data Comprehension:

Opportunities in Data Comprehension Biosensors Social Interactions

PowerPoint Presentation:

Data Medical Hardware Consumer Hardware Health Records Patient IT Social Media Health Literacy Retail purchases Behaviors IoT Sensors Hardware Software Pharma / Clinical Trials Labs / Imaging Payments Bioinformatics Health Info Exchg Provider Engagement Care Coordination Compliance Marketing IT Retrospective Prospective Med Devices Primary Data Collection Integration Comprehension Tools, Storage, Services Science, Discovery Value Creation Research Consent Digital Chemistry Secondary Aggregation Provider Stature Ratings/reviews

Data changes the questions we ask:

Data changes the questions we ask Simple visual facts Complex visual facts Complex computable facts

Data can change medical science:

Data can change medical science The old way The new way Old New

Opportunities in Accountable Tech:

Opportunities in Accountable Tech What customers want and what we create are not aligned

Opportunities in health information networks:

Opportunities in health information networks

Opportunities in care facility decentralization:

Opportunities in care facility decentralization Source: Jason Hwang, Innosight , via Jeff Selberg of IHI

Opportunities in consumer payment changes:

Opportunities in consumer payment changes

Opportunities in new approaches to care:

Opportunities in new approaches to care

Opportunities in externalization of Digital Health:

Opportunities in externalization of Digital Health Unsophisticated and less agile focus Sophisticated and more agile focus Inside-out focus Outside-in focus HCPs = healthcare providers

Needed: Consumerization of physiologics….:

Needed: Consumerization of physiologics ….

Needed: Consumerization of labs / genes:

Needed: Consumerization of labs / genes Labs on chips Personal Genomics

Needed: Consumerization of monitoring:

Needed: Consumerization of monitoring

Needed: diagnostic quality mHealth:

Needed: diagnostic quality mHealth

Needed: predictive analytics:

Needed: predictive analytics

Needed: care team integration:

Needed: care team integration HEALTHCARE PROVIDER PATIENT/ CONSUMER HOSPITAL FAMILY CAREGIVER ALTERNATE SITE OF CARE Care Team CALL CENTERS AND REMOTE SUPPORT

Needed: automated diagnostics:

Needed: automated diagnostics

Thank You:

Thank You Visit http://www.netspective.com http :// www.healthcareguy.com E-mail shahid.shah@netspective.com Follow @ ShahidNShah Call 202-713-5409

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