Lygeia Ricciardi and Leslie Kelly Hall Health Care Unbound Preview

The Collaborative Health Consortium hosted various conference speakers on Friday Pilots & Collaborations Workgroup calls ahead of this year’s Healthcare Unbound Conference. Recently, CHC was fortunate enough to explore topics related to the conference with Lygeia Ricciardi, Director of the Office of Consumer eHealth at ONC, and Leslie Kelly Hall, Senior VP of Policy at Healthwise, an architect of the National eHealth Consortium’s Patient Engagement Framework.

We talked about patient engagement and the philosophy beyond tools and technologies that ONC is enabling, including the “3 A’s” of Access, Action and Attitudes, and the role of behavioral science.

Towards the end of the interview, Lygeia hints that she will be revealing some details about the future direction at ONC!

Get Real Health’s Christina Caraballo Session Preview

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Christina Caraballo, Health Care Strategist for Get Real Health (www.getrealhealth.com) dropped by for a preview of what’s happening at Get Real Health, one of the first companies to see the promise and get involved with patient engagement. She had some interesting insights into how to approach patient engagement, what was working, and where.

Looking forward to more patient engagement conversations from those that are really making it happen in the trenches.

Shahid Shah gives a Healthcare Unbound Preview

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Ahead of this week’s 10th Annual Healthcare Unbound Conference & Exhibition, highly respected Shahid Shah took a moment to share a preview of his two Healthcare Unbound talks with us.

Innovation

His first talk will be on healthcare innovation, where he’ll answer the questions:

  • “Why don’t we see the same kind of innovation with current technologies that we see in other industries?”
  • And, for entrepreneurs: “Where should I apply my ideas?”

To answer the first questions, Shahid says, “it’s a multi-trillion dollar industry, so don’t focus on disruption, focus on having an impact.” No one company is going to be able to disrupt an industry.

Regulation might, but remember a 1% change is still worth potentially billions of dollars. Ask yourself how your technology might help shift the flow of dollars, even on a small scale. Looking forward to more on this topic, one that’s been highlighted multiple times recently by David Shayvitz in Forbes.

What’s next for wireless health?

For Shahid’s second talk, he asks, “What’s next for wireless health.” He says it’s really more about the software than the context. It’s the analytics. What wireless devices can do depends on what they can measure and how.

We asked Shahid, “Who is making the biggest moves toward an integrated data future?” Shaid mentions multiple consumer health products like Fit bit. WellDoc and chronic care settings are really embracing it, but not so much the device incumbents.

We went on to ask, “What’s going to drive this integrated future?” Shahid says that with new payment models, more and more data will start to be collected in the consumer’s home. This data will be integrated before the central clinical devices under new payment incentives.

When payment models change and allow for care outside the hospital will be paid for, these types of integrations might well lead the established players and EHRs.

What’s in the way for medical device integration and medical devices moving into a networked health data?

Not necessarily the answers you might expect.

1. Legal
2. Regulatory
3. Technical, we need better standards
4. Business, still not clear business models for an integrated future

We have all the basic building blocks, but we need to remove some of these barriers.

Find out more at Healthcare Unbound, this Thursday and Friday, July 11th and 12th near Denver, Colorado.

Eisenhower in Denver – A Case for Care Collaboration and Strategic Openness

Vince Kuraitis previews his Healthcare Unbound keynote using Dwight D. Eisenhower’s heart attack in Denver as an example of a time when we used to be pretty good at care coordination.

Kuraitis says, in 1954, “the team was physically present, there was no need to synchronize communication and collaboration.”

When care was centered around the physical location, or what Kuratis refers to as the “the physical platform”, the communication and collaboration was also centered around location. And we used to be pretty good at care coordination.

Kuraitis says we are moving “from hoarding to sharing” and that there will be big opportunities for what he calls “strategic openness” now that the healthcare platform has moved beyond the “physical platform” to, presumably, a virtual, web-based platform.

Come to Healthcare Unbound to find out how strategic openness will apply to health care and what new opportunities will arise. See you next week!

Vince Kuraitis, 2013 Healthcare Unbound Keynote Preview – June 27 Pilots & Colaborations from Collaborative Health Consortium on Vimeo.

Fee for Service is Dead, What Now? Mark Blatt, MD, Previews Healthcare Unbound

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This past Friday on a weekly call for the Collaborative Health Consortium, Mark Blatt, MD, Director of Intel Health, gave a rousing introduction to some of the issues that will be front and center at Healthcare Unbound on July 11th and 12th in Colorado.

Blatt says Fee-for-Service (F4S) medicine is a dinosaur that will not survive. He didn’t mince words, calling on providers to get ready now, “this is like a 30-day eviction notice…and it’s happening faster than anyone thinks.”

Blatt says the problem is that Healthcare is a bubble, and it will burst. He’s not sure when, but healthcare is overpriced, and we’re just starting recognize it. The culprit, he says, is how physicians are paid, and it’s amazing we’ve put up with it for this long.

A new survey  in Health Leaders says 38% of providers now believe F4S will be gone within 3 years.

Mark goes on to make the point that collaborative care is the answer to survival to provide better care for less, and in fact there’s even new CPT codes for care coordination.

According to Blatt “We’re moving fast…they’re willing to pay for non face-to-face services. They’re not going to pay you for production, they’re going to pay you for coordination.”

The time to make the transition in now, or it’ll soon turn ugly.

According to Blatt, you’ll need to do four things to be successful in the transition. The order is not as important as getting started:

1. Patient empowerment
2. Mobilize data
3. Share data
4. Gather and store data

Blatt goes on to say that, in a value-based health care system, care has to be coordinated beyond the clinical firewall to everywhere that patients are.

This is a great intro to a talk that’s sure to raise eyebrows. We look forward to the discussion that will follow on July 11th and 12th with Blatt and many more leading health care thinkers that can help us make the transition to this new world of health care.

Register now!

A must-attend event for navigating a new healthcare

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Never has it been more critical to understand how Healthcare Unbound “technology in, around the body, that frees people from traditional institutions” can be used to navigate a new healthcare.

Health care is undergoing disruption in several fundamental ways:

  1. Medicare and other payer reimbursement models are changing the business model is changing away from fee for service and towards value based care. 30- day re-admissions penalties will require tracking patients when they are away or “unbound” but still engaged with the care team. Patient engagement and behavior change are rapidly becoming required skills for providers to help patients care for themselves. Who is succeeding and what strategies and tools are they using?
  2. Technology is becoming ubiquitous and smart phones are rapidly becoming an all-in-one mobile medical hub that can measure ECG and many measures that used to be performed only in clinics.
  3. Government is changing regulations, access and incentives around access to data. CMS recently released payment data. Blue Button is quickly becoming a standard not just to download, but to share and harness patient data. New meaningful use requirements mean it’s not adequate to just adopt technology, but to reinvent care to share information in new ways.
  4. Massive amounts of data combined with ubiquitous connectivity means that we can know more about what’s happening with behavior on a systemic level. As one example, we can now track who’s refilled their prescription? Who hasn’t? What are the reasons why or why not? What will this level of insight mean for healthcare businesses?
  5. A new science of care delivery is rapidly evolving. Leading medical institutions are investigating care delivery as a science and finding that new processes can impact care as much as new treatments.

In addition, all this upheaval is leading to intense entrepreneurial activity to take advantage of new opportunity created by disruption.

At Healthcare Unbound, now in it’s 10th year, we’ll investigate how each of these areas is leading to a fundamentally new health care system, and what we’ll need to know to adapt from some of the people leading these changes and several new companies defining the new landscape.

Speakers include:

  • Lygeia Ricciardi, ONC/HHS Director of Consumer eHealth
  • Mark Blatt, MD, Worldwide Medical Director, Intel
  • Douglas Goldstein, eFuturist & Senior Vice President, Customer Innovation, Healthgrades
  • Daniel L. Newton, PhD, Staff VP Product/Solutions Development and Behavioral Economics, Anthem Care Management, WellPoint
  • Neal Sofian, MSPH, Director, Member Engagement, Premera Blue Cross
  • Chuck Parker, Executive Director, Continua Health Alliance

… and many more

We look forward to seeing you in Colorado July 11th and 12th. Earlybird registration ends tomorrow, June 11th! Register today

Healthcare Unbound Conference: High Impact Engagement to Shift the Context of Care

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Forrester Research coined the term “Healthcare Unbound” to encompass the trends toward technology aided self care, mobile care and home care. More specifically, Forrester describes “Healthcare Unbound” as “technology in, on and around the body that frees care from formal institutions.” The Healthcare Unbound Conference will explore these key technologies that will enable payment reform, meaningful use and help to reduce runaway healthcare costs.

Traditionally, healthcare has been bounded by the places in which it has been traditionally practiced, hospitals and clinics, what Clayton Christensen calls “high-cost venues” of care. According to Christensen “Disruption in health care entails moving the simplest procedures now performed in expensive hospitals to outpatient clinics, retail clinics, and patients’ homes. Costs will drop as more of the tasks performed only by doctors shift to nurses and physicians’ assistants.”

The shift has irrevocably started, moving from a system of institutions as the hubs, and patients as the spokes, to patient-centered care. According to one Pioneer ACO, “We have come to realize we have to incorporate the most important member of the care team — the patient. With our finite resources, we must figure out ways to offload what we have thought as tasks that needed to be done by our staff. In most cases, it’s the patient who can do it more effectively.”

There are now three big changes driving this shift:

  1. Ubiquitous connectivity is opening vast new opportunities for technologists and healthcare practitioners to expand the boundaries of where and how care is practiced with remote sensors, smart phones, apps and more.
  2. Payment reform and the associated quality measures and shared risk are shifting the economics of care.
  3. Meaningful use incentives are squarely focused on consumer engagement, driving EHRs to become systems that can share information and engage patients outside of institutions.

To meet these challenges and adapt to the changing currents, it’s more critical now than ever to understand the tools and strategies we can use to shift the center of healthcare and change the context of care.

Patients will need to be given the tools to improve decision-making to where 99% of decisions that affect their health are made: at home. Engagement ultimately means influencing decisions patients make on a daily basis in the contexts they inhabit every day.

The Healthcare Unbound Conference has been bringing leading-edge thinking on these issues for over a decade; this year, in the context of ubiquitous connectivity, payment reform and meaningful use. The skills learned and connections made promise to be even higher impact than ever. There will be a focus on consumer engagement, entrepreneurship, government-private initiatives and accountable care. We hope you can join us on July 11th and 12th in Denver, Colorado to learn from leaders how care will be delivered in the years to come. Register today.