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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!
