the future is already here it is just not evenly distributed

© 2014 Health Catalystwww.healthcatalyst.comProprietary and ConfidentialFollow Us on Twitter #TimeforAnalytics


John L. Haughom, MD

October 2014

The Future is Already Here: It is Just Not Evenly Distributed


It’s Time to Engage

It is time to engage…

…let’s criticize less and dare greatly more.

Source: http://www.healthcatalyst.com/healthcare-transformation-time-for-clinicians-to-engage

http://www.healthcatalyst.com/healthcare-transformation-time-for-clinicians-to-engage

http://www.healthcatalyst.com/healthcare-transformation-time-for-clinicians-to-engage

© 2014 Health Catalystwww.healthcatalyst.comProprietary and ConfidentialFollow Us on Twitter #TimeforAnalytics © 2014 Health Catalyst

www.healthcatalyst.com

Transforming Healthcare Through Analytics

Provide a tangible vision of healthcare analyticsLeading keynote speakersEngage the audience with analytics in a unique wayHands-on learning experiencesInteractive audience engagement, optimized for teamsUser and special interest group follow upProvide meaningful networking opportunitiesShare Health Catalyst vision, products, roadmapsHave Fun

Access to a mobile app will be used for audience response and participation in real time. Group-wide and individual analytic insights will be shared throughout the summit, resulting in a more substantive, engaging experience while demonstrating the power of analytics.

hasummit.com

Billy BeaneGeneral ManagerOakland A’s

Glen D. Steele, MD, PhDPresident and CEOGeisinger Health System

Ray KurzweilDirector of EngineeringGoogle and Leading Futurist

James Merlino, MDChief Experience OfficerCleveland Clinic

Penny WheelerPresident and Chief Clinical OfficerAllina Health

Charles Macias, MD, MPHChief Clinical Integration Systems OfficeTexas Children’s Hospital

Governor Mike LeavittFormer Secretary of HHSFounder of Leavitt Partners

Ms. Lizette Yearwood, JPChief Executive OfficerCayman IslandsHealth Service Authority (HAS)

Keynote Speakers

© 2014 Health Catalystwww.healthcatalyst.comProprietary and ConfidentialFollow Us on Twitter #TimeforAnalytics 4

Key Summit Observations

• The meeting was filled with energy and excitement

• Innovative healthcare organizations demonstrated that the future is already here • It is just not evenly distributed

• The Summit was a great success• Save the date for next year – September 9-

10, 2015


The Future Belongs to the Leaders


A Revolution Roughly Every 50 Years

6

~1870’s

• Germ theory of disease

• Antiseptic techniques• Advances in

anesthesia

Advances in Surgery and Public Health

~1910-1928

• Hospital organization• Training & licensure• Nursing practices• Penicillin

Organizational and Drug Advances

~1960-1970

• RCTs adopted as gold standard

• Foundation for evidence-based medicine

Evidence-based Medicine (RCT)

~2015-2020

• Widespread automation (EHRs)

• Availability of advanced analytical tools and solutions

• Emphasis on value production

Data-driven Healthcare


Healthcare: The Way It Should Be

Book now available

• Free (PDF format) • Kindle format • Print on demand

FREE PDF format: http://www.healthcatalyst.com/ebooks/healthcare-transformation-healthcare-a-better-way/

Kindle: http://www.amazon.com/dp/B00MV9RYR0/

Paperback: http://www.amazon.com/dp/0692257268/

*Charge to cover Amazon production and distribution costs

Amazon*

http://www.healthcatalyst.com/ebooks/healthcare-transformation-healthcare-a-better-way/



http://www.amazon.com/dp/B00MV9RYR0/

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Change is Inevitable

We have accomplished miracles, but it is time for change


If food prices had risen at medical inflation rates since the 1930s *Source: American Institute for Preventive Medicine

20091 dozen eggs $85.08

1 pound apples $12.97

1 pound sugar $14.53

1 roll toilet paper $25.67

1 dozen oranges $114.47

1 pound butter $108.29

1 pound bananas $17.02

1 pound bacon $129.94

1 pound beef shoulder $46.22

1 pound coffee $68.08

10 Item Total $622.27

Why Change?


All About Creating Value…

10

Value = Good / Cost

“Quality improvement is the most powerful driver of cost containment.”

- Michael Porter, PhD Economics

Harvard Business School


Preventable Complications

Unnecessary Treatments

Inefficiency

Errors

ServicesThat Add

Value

40%Waste

60%Value

All ServicesAdd

Value

100%Value

Future

Now

What We Pay For…

11


A Time for Revolutionary Thinking

“A revolutionary moment in the world's history is a time for revolutions, not for patching.”

Lord William Beveridge


Adapting to Change is Optional

“It is not necessary to change. Survival is not mandatory.”

W. Edwards Deming


Without data, you are just another person with an opinion.


Levels of Evidence

Level I:

Evidence from one or more RCTs

Level II-1: Evidence from controlled trials without

randomization

Level II-2: Evidence from cohort or case-control analytic studies

Level II-3: Evidence from multiple time series (observational studies)

Level III: Opinions of respected authorities, based on clinical experience, descriptive studies or reports of expert

committees (ideally using formal consensus methods)

Level IV: “Evidence” based on personal anecdote (“In my experience…”)

Shared common baselines


“IU Health had previously struggled to create a data warehouse that would serve as the organization’s source of truth.”

Bill McConnell, SVP and CIO, Indiana University Health

Enterprise Data Warehouse in 90 days

90 days to implement

10 years of clinical data

14 billion rows of data

http://www.healthcatalyst.com/wp-content/uploads/2013/07/KC-IUHealthSuccess_v2.pdf


Rating IT Priorities

Rated as “extremely important”

• Analytics (54%)

• Population Health (42%)

• ICD-10 (30%)

• Accountable care/Shared risk (29%)

• Mergers/acquisitions/consolidations (11%)

CHIME survey, 2014


Linking the three systemsClinical Integration hierarchy

GUIDANCE TEAM

CLINICALIMPLEMENTATIO

NTEAM

WORKGROUP


Focus Increases ROI

11

102

535


Care delivery is all about the reliable and efficient execution of process


Healthcare’s Greatest Asset: People

People don’t do anything until they are inspired. But once they are

inspired there is almost nothing they will not do.

*NOTE: A Better Way Training Programto be launched early next year…


Creating the Future We Want

“We are called to be the architects of our future, not its victims.”

Buckminster Fuller


Two Quick Comments

• All of these examples and others are reviewed in great detail on the Health Catalyst under “Success Stories”

• http://www.healthcatalyst.com/knowledge-center/success-stories/

• All of them use the analytics capabilities and the Three Systems covered in the book.

• I will focus only on outcomes rather than on the details for each success story

http://www.healthcatalyst.com/knowledge-center/success-stories/




Population Registries

85% reduction in time

6 months to 2 weeks QI project timeline

http://www.healthcatalyst.com/wp-content/uploads/2013/09/SuccessStory-TCH-EBOC.pdf


Reduced Heart Failure Readmissions

14% reduction in 90-day readmits

21% reduction in 30-day readmits

2X increase in phone calls 48 hours

63% increase in med reconciliation

http://www.healthcatalyst.com/wp-content/uploads/Academic_Medical_Center_HF_Readmissions_3pg.pdf


Improved Surgical Outcomes

36% reduction in post operative LOS

19% reduction in average variable direct costs

19% decrease from diagnosis to surgery

36% increase in order set adoption

53% increase in percentage of patients receiving recommended antibiotic

http://www.healthcatalyst.com/wp-content/uploads/2014/06/SuccessStory-Appendectomy-Care-Outcomes.pdf


Improved Sepsis Outcomes

22% reduction in septicemia mortality rates

$1.3M cost savings over 12 months

http://www.healthcatalyst.com/wp-content/uploads/2013/07/HealthCatalyst-MultiCare-CaseStudy.pdf


Reduced Surveillance Waste

90% reduction in surveillance

waste

$800K opportunity cost savings

http://www.healthcatalyst.com/wp-content/uploads/2013/07/HAI-Success-Story.pdf


Reduced Unnecessary Elective Deliveries

75% reduction in elective deliveries

Six Figure payer-partner bonus

http://www.healthcatalyst.com/wp-content/uploads/2013/05/KC-HealthCatalyst-NorthMemorialcasestudy1.pdf


Improved Women and Newborns Population Health

21% increase in breast milk feeding rates

12K fewer charting hours and an estimated $54K savings in chart abstraction

http://www.healthcatalyst.com/wp-content/uploads/2014/09/SuccessStory-Population-Health-Women-Newborn-Breastmilk.pdf


Streamlined Radiology Operations

$1M increase in billable charges by minimizing referral leakage

$400K savings from automated reporting

http://www.healthcatalyst.com/wp-content/uploads/2013/12/SuccessStory-TCH-Radiology-2013-12-02-a.pdf


Own Your Tomorrow

“The future belongs to those who prepare for it today.”

Malcolm X


Poll Questions

2. Do you believe that your organization is actively architecting its future?

a. 5 – Definitely

b. 4

c. 3

d. 2

e. 1 – Not at all


Thank YouUpcoming Educational OpportunitiesPatient RegistriesDate: November 12, 1-2pm, ESTPresenter: Dale Sanders, Senior Vice President, Strategyhttp://www.healthcatalyst.com/knowledge-center/webinars-presentations

Innovation in Healthcare: Creating TomorrowDate: December 10, 1-2 PM, ESTPresenter: John Haughom, MD, Senior Advisor

Viewing Healthcare as a Complex Adaptive SystemDate: TBDPresenter: John Haughom, MD, Senior Advisor

For Information Contact:Dr. John Haughom: [email protected]

http://www.healthcatalyst.com/knowledge-center/webinars-presentations

http://www.healthcatalyst.com/knowledge-center/webinars-presentations