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Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain Healthcare

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Page 1: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Now part of the

Establishing Effective TeleHealth Technical Teams11/9/2015

Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain Healthcare

Page 2: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

• Lonnie Buchanan

• Has no real or apparent conflicts of interest to report.

Conflict of Interest

Page 3: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

• Evaluate historic examples of innovation, examining and relating them to modern mHealth and TeleHealth challenges.

• Enrich understanding of the role of mHealth and TeleHealth in transforming healthcare, particularly in context of population health.

• Be conscious of how the big picture of TeleHealth translates to the impact of each individual patient affected.

Learning Objectives

Page 4: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Establishing Effective TeleHealth Technical

TeamsA Lesson from History

Page 5: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Establishing an Effective Modern TeleHealth Technical Team Based on Lessons Learned from the Past…

• A look at using lessons learned from history to prepare the innovators of the future.

• This presentation will focus on key items realized by evaluating certain historical figures and experiences from the past and translating them into effective learning points to help technical leaders and teams focus on establishing successful telehealth and telemedicine programs.

• Based on this we will examine three figures and the qualities they possessed which changed the course of history.

Page 6: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Are there really new innovators?

By 2017, 50% of IoT solutions (typically a product combined with a service) will originate in startups less than 3 years old.

-Maverick Research: Makers and Startups Are the Ones Shaping the Internet of Things, Pete Basiliere, Jim Tully, 03 September 2014, G00264116.

Page 7: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

You can always teach new skills. You can't teach someone to have a personality or passion.

- Richard Branson, Founder at Virgin Group

Page 8: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Great Teams Require Great Leadership

Learning Crucial Aspects of Successful Leadership in the Changing World of TeleHealth

Page 9: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Alexander III of Macedon (AKA… Alexander the Great)

I am not afraid of an army of lions led by a sheep; I am afraid of an army of sheep led by a lion. - Alexander the Great

Page 10: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Alexander's Three Key Points of Greatness

I am dying from the treatment of too many physicians. - Alexander the Great

Page 11: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

So What Made Him So Great?

• Trained in philosophy by Aristotle• Practical experience under his

father • Part of the team and able to

recognize his people

Key Point #1 - Understood His Objective (People)

Page 12: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

• Able to address the impossible• Untied the Gordian Knot• Alexandrian Solution…

Cheating or Thinking outside of the box ?

So What Made Him So Great?

Key Point #2 - Unconventional Solutions

Page 13: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

• Perfects and expands on what they know and use• Defeated the Persians

So What Made Him So Great?

Key Point #3 – Got it Done!

Page 14: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Great Teams Require Great Leadership

Page 15: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Great Teams Require Great People

Recognizing Elements that are in Plain View

Page 16: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Understanding the Obvious - Who was Abraham Wald?

Page 17: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

A Statistician for the U.S. Government During World War II

• Analyzed returning bombers for “bullet” wounds

Page 18: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Why? - The Selection Effect• Two Options for Explanation:

• 1. Planes were never hit in the untouched areas (Unlikely) • 2. Or planes could withstand strikes in those areas

• Conclusion: Those that fell most likely suffered attacks in the areas where the others where not hit.

• He recommended that the Navy reinforce areas where the planes had NO damage

Page 19: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Great Teams Require Great People

Page 20: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Great Teams Require Great Ideas

Creating Great Things …Even When the Rest of World Thinks You’re Crazyor

Understanding the Technology, Even in Unconventional Situations

Page 21: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Changing the world, one person at a time…

Implementing technology that makes sense even when the rest of the world does not agree.

Our Story Begins at Coney Island in 1903…

Page 22: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Changes in the Way We Live

• Advances in living conditions• Advances in sanitation and the understanding it played in

disease control

Page 23: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Changes in How we Treat Diseases and Conditions

• Advances in treatment, drugs and vaccinations• Advances in sanitation and the understanding it

played in disease control• Creation of sanatoriums to house sick patients • Creation of dispensaries and clinics to treat the sick

Page 24: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Changes in How We Use Technology

• Advances in technology and science• Use of x-rays• And…

Page 25: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Baby Incubators

Page 26: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Premature Babies You May Know…

Page 27: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Albert Einstein

Page 28: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Sir Isaac Newton

Page 29: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

and Beth Allen

Page 30: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Martin Couney

Page 31: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Beth Allen

Page 32: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Great Teams Require Great Ideas

• Creating Great Things …Even When the Rest of World Thinks You’re Crazy• Understanding the Technology, Even in Unconventional Situations

But Most Important…

Page 33: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Great Teams Require Great Leadership

What is the common element?

Great Teams Require Great People

Great Teams Require Great Ideas

Page 34: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Desire

Page 35: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Next Phase of Healthcare…

Where Does this Desire Lead to?

Page 36: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Why TeleHealth?

By 2018, 40% of primary care encounters in the U.S. will be delivered virtually.

Predicts 2015: Healthcare Delivery Organizations Will Stand on IT to Climb Bigger Mountains , 02 December 2014, G00270789, Analysts: Vi Shaffer, Thomas J. Handler, M.D., Laura Craft, Melanie A. Meyer, Barry Runyon, Zafar Chaudry, M.D.

Page 37: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Craniofacial Clinics

Page 38: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Stroke

Page 39: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Remote Patient Monitoring

Page 40: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

In Room Equipment

Page 41: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Provider Experience

Page 42: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Extending Access

Strengthening Teamwork

Improving Care

Page 43: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Microsoft Award and Baby Board

Page 44: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

So Who is the Next Einstein or Newton?

Page 45: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

What do I do next week?

Page 46: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

Move and Move Some More

Even if you are on the right track, you'll get run over if you just sit there. — Will Rogers

Page 47: Now part of the Establishing Effective TeleHealth Technical Teams 11/9/2015 Lonnie Buchanan – Director Enterprise Telehealth Architecture, Intermountain

• Lonnie Buchanan

[email protected]

Questions