Innovating Delivery of Care with Technology

Presented by Ross Hoffman, MD at the Executive Leadership Summit on March 24 - 26, 2015.

Remote patient monitoring (RPM) is on the rise. From wearable devices to medication management tools, wireless connectivity is changing the way patients and health care providers track and treat chronic conditions. Learn more about emerging technology’s impact on health care delivery and how health plans can leverage RPM to improve care coordination and reduce readmissions. Key take-a-ways include how technology enabled care can enhance patient and provider engagement, facilitate greater patient compliance and ease the burden of chronic disease management.

Transcript

1. Innovating Delivery of Care with Technology Ross Hoffman, M.D. Chief Medical Officer, Acaria Health/US Script
2. Date of download: 10/16/2014 Copyright © 2014 American Medical Association. All rights reserved. From: Critiquing US Health Care JAMA. Published online October 16, 2014. doi:10.1001/jama.2014.14114 Average Life Expectancy vs Health Care Expenditures. The data points are health care expenditures as a percentage of gross domestic product (GDP) in 2009 for Organization for Economic Co-operation and Development (OECD) countries and higher- and lower-income US states. The GDP for each US state was calculated by dividing the US state’s health care expenditures as a percentage of the US state’s personal income by 1.16, which is the US ratio of GDP to personal income. Using personal income as the base preserves more accurately the variation across US states in economic well-being. Adjusting the level by the ratio of GDP to personal income makes the US state data more comparable with the OECD data. The OECD countries with at least $2400 per capita in health care expenditures are Australia, Austria, Belgium, Canada, Denmark, Finland, France, Germany, Greece, Iceland, Ireland, Italy, Japan, Korea, Luxembourg, the Netherlands, New Zealand, Norway, Portugal, Slovenia, Spain, Sweden, Switzerland, and the United Kingdom. The diagonal line indicates the linear relationship between life expectancy and health care expenditures as a percentage of GDP as calculated by a linear regression fitted to the 25 observations for the low-income US states.
3. Health Care Spend is Again Accelerating 3
4. Technology: The Cure for Rising Healthcare Costs? 4
6. Implantable Glucose Sensor 6
7. Remote Otitis Care - Cellscope 7
8. Is Specialty Pharma Pricing at a Tipping Point? 8
9. Rising Drug Prices 9
10. The Costly Paradox of Health-Care Technology In every industry but one, technology makes things better and cheaper. Why is it that innovation increases the cost of health care? » Vast array of treatments of variable value » Generous payer system irrational markets – Jonathan S. Skinner, James Freedman Presidential Professor in the dept. of economics at Dartmouth College, Dartmouth Institute for Health Policy & Clinical Practice at the Geisel School of Medicine 10
11. “Increasing the effectiveness of adherence interventions may have a far greater impact on the health of the population than any other improvement in specific medical treatments” Haynes RB. Interventions for helping patients to follow prescriptions for medications. Cochrane Database of Systematic Reviews, 2001, Issue 1. 11
12. Physicians are Squeezed 12
13. Patient Centeredness 13
16. Distributed Teams, Care Coordination, Relationships 16
17. One in Three Americans Would Choose Early Death Over Daily Meds • In order to avoid taking daily medication, 38% or respondents said they would be willing to risk immediate death in some form • When asked about certain death, 30% said they would trade a week of their lives to avoid the pills, and 8% said they would be willing to give up as many as two full years of life to avoid the pills. • More than 20% said they would pay $1,000 or more; • About 10% said they would pay between $5,000 and $25,000; and • 3% would pay up to $25,000 Circulation: Cardiovascular Quality and Outcomes , March 2015 17
18. Beliefs Drive Behavior 18
20. Engaging Patients 20
21. EMMA Electronic Medication Management Assistant 21
22. EMMA Results • Medication adherence improves to over 95% • Total hospital days are reduced by >50% • ER visits/readmissions reduced by 25%. • Medication complexity scores decrease >16% 22
23. 23 "In theory there is no difference between theory and practice. In practice there is." ~Yogi Berra The point is that the most difficult translation of medical research is taking treatments that are efficacious in clinical trials, applying them in the real world of clinical practice, and getting the same results.
24. ©2015 Health Integrated. All rights reserved.