Clinical Innovation – Imagine the Future

If we could design care coordination any way we wanted to, what would it look like?
Altruista Chief Medical Officer Munish Khaneja, MD, will lead a panel discussion on
this and other pertinent questions. Joining him are:

• Julia Joseph-Di Caprio, MD, MPH, Senior Vice President, Chief Medical Officer, UCare
• Valmeek Kudesia, MD, Vice President, Clinical Informatics and Advanced Analytics,
Commonwealth Care Alliance
• Russ Kuzel, MD, MMM, Vice President and Chief Medical Officer, SelectHealth

Transcript

1. Moderator: Munish Khaneja, MD, Chief Medical Officer, Altruista Health Clinical Innovation: Imagine the Future
2. Presenters Julia Joseph-Di Caprio, MD, MPH Senior Vice President and Chief Medical Officer, UCare Valmeek Kudesia, MD Vice President of Clinical Informatics and Advanced Analytics, Commonwealth Care Alliance Russel J. Kuzel, MD, MMM Vice President and Chief Medical Officer, SelectHealth
3. Market Changes: General Trends As the industry continues to move toward this value- based system, there are a few trends U.S. healthcare organizations should watch in 2019: • Collaboration between health systems and health plans • The shift to wellness rather than illness • How technology can help put patients at the center • Increased adoption of virtual care options • Greater focus on population health Deloitte: https://www2.deloitte.com/us/en/pages/life-sciences-and-health-care/articles/us-and-global-health-care-industry-trends-outlook.html As the U.S. healthcare industry moves toward a financial model that is based on value rather than volume, keeping people healthy and out of the hospital will be key. Rather than seeing people as patients, health systems should treat them more like members. This shift can help strengthen customer loyalty, build brand and reputation, and even improve the health of our nation. – Steve Burrill, U.S. Healthcare Leader, Deloitte
4. Market Changes: Disrupt or Be Disrupted Health Affairs: https://www.healthaffairs.org/do/10.1377/hblog20190109.546126/full/ “Change is the only constant” in life. And nowhere is that more on display than in the healthcare market. As a truly pivotal year, 2019 will be one where competitive forces unleash real, broad-based change. AI-enabled clinical decision support can be layered on top of the EHR system to guide attending physicians toward evidence-based care decisions. Researchers predict the technology will grow at a compound annual rate of nearly 12 percent a year through 2023. AI is playing a role in predictive analytics, where a number of systems participating in APMs are deploying AI to mine claims, genomic and population health data. They can make predictions about which patients are likely to get sicker, the health conditions that will most affect them, and the costs of treating those conditions.
5. Market Changes: Digital Era Hits Prime Health Affairs: https://www.healthaffairs.org/do/10.1377/hblog20190109.546126/full/ • Technology is bringing profound change to the healthcare experience. In consumer markets, technology companies have started dipping their toes into the water – Apple, Uber, Amazon are just the tip of the iceberg. • The national push to interoperability is starting to bear fruit, with a series of anticipated regulations and new product innovations that free claims, medical and personal data, and unleash them for use by consumers and their caregivers. The opportunity today is to access the mountains of available data, but also to parse them so that they can be used in clinical decision-making.
7. Questions?