1 The Future of the Healthcare Economy Laura Kolkman, RN, MS, FHIMSS President Mosaica Partners...

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The Future of the Healthcare Economy

Laura Kolkman, RN, MS, FHIMSSPresident

Mosaica Partners

DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.

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Objectives

• Discuss the current and future state of the healthcare industry

• Define the intent of the Triple Aim framework as it relates to informatics

• Identify successful team-based, care delivery models and the value they provide

• Recognize advances in emerging and innovating healthcare technologies

• Describe the role the clinician plays in ensuring the success of their healthcare organization and the communities they serve

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Agenda

Trends in Healthcare What’s Behind the Trends – Why Now? What Is the Goal – The Triple Aim Focus on 3 Key Areas

Emerging Care and Delivery Models Health Information Technology Aggregation and Use of Healthcare Data

Challenges We’re facing Working Together to Move Forward Conclusions & Summary Questions

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Introduction

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Trends in Healthcare

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Trends in Healthcare

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What’s behind the trends – why now?

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Health Care Spending

Total Health Expenditure National Health Expenditures (NHE) As a Share of Gross Domestic Product (GDP), 1989–2013.

$10,000/person

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How the US Health System Compares

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How the US Compares on Health Care Quality

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What Is the goal? Triple Aim

Triple AIM is the simultaneous pursuit of:

• Improving the patient experience of care including quality and satisfaction

• Improving the health of populations

• Reducing per capita cost of health care.

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Focus on Three Key Areas

Emerging Care Delivery and Payment Models Health Information Technology Aggregation and Use of Healthcare Data

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Emerging Care Delivery and Payment Models

• PCMH

• ACO - MSSP

• Telehealth/Telemedicine

• Value-incented fee-for-service

• What do these have in COMMON

– Accountability

– Information needs

– Continuous improvement

– CHANGE

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Payer or

Employer

ProviderHospital

Public Health

Ph

arm

acy

Medicare

Consumer

Lab

State

Community-Wide Health Care Data

New Models Require

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Health Information Technology

Where are we now and where are we going?

• BYOD

• Mobile is a channel

• Patient generated data

• Remote devices

• Remote monitoring

• Remote care (telemedicine)

• Government push with HITECH, Interoperability Framework,.

The Challenge: Unleash the power of technology to fundamentally change how health care is delivered.

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Hype Cycle for Emerging Technologies

Source: Gartner August 2014

Big Data

Mobile Health Monitoring

Prescriptive Analytics

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Aggregation and Use of Healthcare Data

What we can expect to see

• Big Data

• Small Data

In 2011data from US healthcare system reached 150 exabytes

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Challenges We’re Facing

We’re making progress but not there yet

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Working Together to Move Forward

Understandable

Make information understandable – give it meaning

Actionable

Push for action based on the information

Shareable

Push to get complete patient information

Analyzable

Data that’s consistent and analyzable

Usable

Standards, and clinically relevant

Analytics is the LEVER to help us achieve the Triple aim

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Too important to Not Get Right!

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Thank You

Laura Kolkman, RN, MS, FHIMSSPresident, Mosaica Partners

LKolkman@MosaicaPartners.comwww.MosaicaPartners.com