Tesla  or  Google?      Moving  Beyond  The  EHR  

 IHT2  

March  4,  2015      

Molly  Joel  Coye,  MD,  MPH  Chief  Innova@on  Officer,  UCLA  Health  

mcoye@mednet.ucla.edu    

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Ford innovated: •  Process of production •  Distribution – dealerships •  Wages – $5/day

Tesla innovates: •  Quality: Consumer Reports – 99/100 •  Distribution – direct to consumer

o  Lawsuit in Texas – have to go thru Texas dealers Assn

•  Financing o  Guarantee to buy in 3 years at purchase price

Ford  vs.  Tesla  –  Apply  Doblin’s  10  Types  

What  Would  Google  Disrupt?  

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Will  We  Innovate  Radically  Enough?  

InnovaCon  –  Examples  at  UCLA  Health  

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“The Patient Voice project changed how I view the care I deliver on a routine basis. Our Department discovered a spectrum of actions we could take to enhance the value of care we deliver to our patients. It all started with asking them about their care.”   Christopher Saigal MD, MPH

Patient Voice An ethnographic and design-based approach to redefining healthcare, placing the patient perspective at the center of the design process.

How does it work? •  Process mapping to define phases of care. •  In-depth interviews with patients and stakeholders to understand needs, pain

points and patterns across the entire care pathway. •  Synthesis process in which we move from raw data and initial findings into

uncovering themes and opportunities to define the patient’s journey. •  Learnings used to develop impactful redesign plans.

Our focus: How can we improve this journey to make it a best-in-class experience?

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Can  Large  Organiza@ons  Innovate  Successfully?  

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UCLA Innovation Life Cycle: Innovating for Impact

Will  Innova@ons  Disseminate  Rapidly  Enough?  

UCLA Scan: Los Angeles Innovators Forum

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#   InnovaCon   OrganizaCon   Contact  

1   IT  for  Cost-­‐Effec@ve  Decision  Making   Cedars-­‐Sinai  Health  System   Jennifer  Kozakowski  

2   Clinical  Pharmacy  Services  Integrated  into  a  Safety  Net  Clinic   AltaMed   Michael  Hochman  

3   Conversion  of  Homeless  to  Healthy  Way  LA   Northeast  Valley  Health  Corpora@on   Debra  Rosen  

4   Depression  Automated  Remote  Monitoring  System   Los  Angeles  County  Department  of  Health  Services  Laura  Sklaroff  Jeffrey  Guterman  

5   eConsult  Los  Angeles  County  Department  of  Health  Services  and  LA  Care  Health  Plan   Paul  Giboney    

6   Healthy  Homes,  Healthy  Kids   St.  John’s  Well  Child  &  Family  Center   Nomsa  Khalfani  

7   Enterprise-­‐Wide  Call  Center   AltaMed   Michael  Hochman  

8   Non-­‐Hospital  Emergency  Department  Services   Exer   Eve  Kur@n  

9   Fall  Preven@on:  Healthy  Moves  for  Aging  Well   Partners  in  Care  Founda@on   Sandy  Atkins  

10   Heart  Failure  Automated  Remote  Monitoring  System   Los  Angeles  County  Department  of  Health  Services  Laura  Sklaroff  Jeffrey  Guterman  

11   Home-­‐Based  Pallia@ve  Care  Partners  in  Care  Founda@on  and  Kaiser  Permanente  Medical  Group     Sandy  Atkins  

12   Medica@on  Use  Program  -­‐  HomeMeds  SM     Partners  in  Care  Founda@on   Sandy  Atkins  

13  Interdisciplinary  Teams  for  Complex  Chronic  Disease  Management  in  Clinics   AltaMed   Michael  Hochman  

14   Inpa@ent  Frailty  Project   Cedars-­‐Sinai  Health  System  Jeff  Borenstein  Harriet  Aronow  Glenn  Braunstein  

15  MYMEDS  (Managing  Your  Medica@ons  for  Educa@on  and  Daily  Support)   UCLA  Health  

Richard  Maranon  Carol  Mangione  

16   Right  to  Health   St.  John’s  Well  Child  &  Family  Center   Nomsa  Khalfani  

17   “Talking  Surveys”  on  Tablet  Health  CoachTM     L.A.  Net   Lyndee  Knox  

18   Team  Up  for  Health   Northeast  Valley  Health  Corpora@on   Debra  Rosen  

19   Alzheimer’s  and  Demen@a  Care  Program   UCLA  Health   David  Reuben  

Non-Hospital Emergency Department Services – Exer

Home-Based Palliative Care – Partners in Care Foundation

eConsult / eReferral Program

60%

38%

46%

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Scanning  domesCc  and  internaConal  markets  for  high-­‐value  innova@ons  that  radically  reduce  cost  and  improve  access  to  care.      Helping  health  systems  and  health  plans  to  assemble  porfolios  of  innova@ons  –  and  increase  the  rate  of  adop@on.      Working  to  de-­‐risk  the  selec@on  of  high-­‐value  innova@ons  in  order  to  accelerate  their  spread.    www.globallabforhealth.org  

Global  Lab  for  Health  |  the  innovaCon  exchange

Utilization-based savings = 20% or more for target population

Grand-Aides Broad populations – reduces admissions, readmissions, ED visits

Care Kits Hospitalized VA patients - reduces readmissions

eScheduling from ED to Primary Care Clinics (for non-acute Medicaid ED users)

Utilization-based savings > 2% for target population

eConsult Reduces specialty visits, extends specialist capacity

Hospital at Home Home-based care for acutely ill elderly, replacing hospital care

Community Paramedics Emergency medical services provide care in home, reduce ED transfers

Examples  From  The  First  Scan  

LEVEL 1 SAVINGS LEVEL 2 SAVINGS

Open  Sourcing  •  All  companies,  health  innovators  are  welcome  to  

post  •  Marke@ng  materials  and  product  details  requested  •  “Answer  all  the  ques;ons  new  customers  will  have”  

 Peer-­‐To-­‐Peer  ValidaCon  of  InnovaCons  

•  Who  is  using  the  product  or  service  now?  •  What  has  their  experience  been  –  and  their  results?  

 CHA  InnovaCon  Challenge  –  Opens  March  2  

Global  Lab  for  Health  |  the  innovaCon  exchange

“Staging”  InnovaCons  

Concept Developed

In Pilot or Trial

Initial Spread

User Validation

Savings 2% – 20%

Savings 20%+

Green Button

Only idea stage

Small pilot, one site, no spread

Has customers or has been replicated elsewhere

Customer or replicating site has adopted innovation with results, and posted on Global Lab site

Customer or replicating site achieved savings of 2% to 20% posted on Global Lab site

Customer or replicating site achieved savings of 20%+ posted on Global Lab site

2nd customer or replicating site posting on Global Lab site achieved savings of 20%+

Each stage builds on the previous one, with the greatest achievement being the “Green Button”

http://www.globallabforhealth.org/