Health Data Management - - GROUP PRACTICES -

Since 2005, Philips Well­cen­tive has driven qual­ity im­prove­ment, rev­enue growth and busi­ness trans­for­ma­tion for health­care or­ga­ni­za­tions tran­si­tion­ing to value-based care. Our PHM so­lu­tion pro­vides long-term part­ner­ship ser­vices to im­pact clin­i­cal, fi­nan­cial and hu­man out­comes. Rec­og­nized as a leader in pop­u­la­tion health man­age­ment in re­ports by KLAS, IDC and Chilmark, Philips Well­cen­tive helps cus­tomers pro­vide care man­age­ment for more than 49 mil­lion pa­tients and achieve more than $700 mil­lion in value-based re­im­burse­ments in 2016. Niki Buchanan, Busi­ness Leader, Philips Well­cen­tive

What emerg­ing tech­nolo­gies hold the most po­ten­tial for the health­care in­dus­try?

Ar­ti­fi­cial In­tel­li­gence: Bring­ing its prom­ise back to earth. HBR and oth­ers have re­ported on the im­por­tance of for­go­ing the moon­shot of AI by iden­ti­fy­ing prag­matic ap­pli­ca­tions of it. While health sys­tems re­main skep­ti­cal about the hype, de­ploy­ing AI for busi­ness process im­prove­ments, su­per­charg­ing an­a­lyt­ics, and en­gag­ing pa­tients has real prom­ise. We’re de­ploy­ing AI to pre­dict risk in both home and care set­tings to drive bet­ter out­comes and lower costs. Ac­tu­al­iz­ing In­ter­op­er­abil­ity with brains, brawn and lessons learned. To­day’s health sys­tems find them­selves wrapped in a “quilt” of so­lu­tions as they add a del­uge of new tech­nolo­gies to their ex­ist­ing plat­forms. There is no sin­gle-vendor so­lu­tion, and there is no sub­sti­tute for in­sights, ex­pe­ri­ence and do­ing the hard work to cre­ate ac­cu­rate, ac­tion­able and truly in­ter­op­er­a­ble data. While there are no short­cuts, the po­ten­tial re­wards are great, as the right pop­u­la­tion health man­age­ment (PHM) so­lu­tions can pro­vide com­pre­hen­sive in­sights from out­side the health sys­tem and across pop­u­la­tions to drive true value-based care. Tele­health: More than a tech­nol­ogy. Many see tele­health as a tech­nol­ogy, but its gen­uine po­ten­tial is found in its power to cre­ate a new ac­cess point and drive pa­tient choice. Providers must be in­ten­tional about how and why they en­gage in vir­tual care. Tele­health is more than a sub­sti­tute for how we’ve de­liv­ered care for hun­dreds of years. It is paving a path for a new care de­liv­ery model.

What are the chal­lenges as­so­ci­ated with strate­gi­cally im­ple­ment­ing in­no­va­tive tech­nolo­gies?

Il­lu­mi­nat­ing blind spots: See­ing be­yond the EHR. Our anal­y­sis shows that even in mar­kets with a “dom­i­nant” EHR, more than 40% of these de­liv­ery ar­eas are strewn with many other ven­dors. When so much crit­i­cal data ex­ists out­side the EHR, providers need vis­i­bil­ity to a pa­tients’ lon­gi­tu­di­nal care jour­ney. EHRs will re­main an im­por­tant con­trib­u­tor, yet we need truly in­te­grated data across the care con­tin­uum to keep pop­u­la­tions healthy. Clin­i­cian time is un­der siege – op­ti­mized work­flows are more im­por­tant than ever. A pri­mary care visit lasts just 18 min­utes, but doc­tors must cover seven is­sues dur­ing that time. Given that some 50% of clin­i­cians’ time is spent en­gag­ing with the EHR, less time is avail­able to view the pa­tient holis­ti­cally. Get­ting lon­gi­tu­di­nal data in the work­flow, at the point of care, is crit­i­cal. We‘re part­ner­ing with other com­pa­nies to pro­vide that re­lief. Part­ner­ships are per­ish­able. As new tech­nolo­gies en­ter the mar­ket, so do a bar­rage of new ven­dors of­fer­ing them—open­ing a flood­gate of in­no­va­tion. How­ever, providers and ven­dors alike must care­fully weigh new en­trants and their abil­ity to sur­vive long-term to sep­a­rate those with trans­for­ma­tive merit from those that can­not stand the test of time. The cost of dis­rup­tion caused by in­no­va­tion that lacks en­dur­ing value is too high.

How can in­no­va­tive tech­nolo­gies help health­care or­ga­ni­za­tions achieve the cov­eted triple aim?

Ac­cel­er­at­ing time to treat­ment. Tele­health plus pre­dic­tive an­a­lyt­ics im­proves ac­cess, builds work­flows around pa­tient needs and speeds their care. Part­ners Health­care used the pre­dic­tive ca­pa­bil­i­ties of Philips CareSage and re­mote pa­tient mon­i­tor­ing to re­duce the risk of emer­gency trans­port in a frail el­derly pop­u­la­tion, avoid­ing an es­ti­mated 224 hos­pi­tal ad­mis­sions and sav­ing $2.2M. Hard­wiring pop­u­la­tion health, now. Im­prov­ing the health of pop­u­la­tions can hap­pen quickly. As­cen­sion Med­i­cal Group at Borgess used our plat­form to iden­tify, tar­get and out­reach to their di­a­betic pop­u­la­tion that had un­con­trolled blood glu­cose lev­els. They set a lofty goal of re­duc­ing their he­mo­glo­bin A1c lev­els by 20% in one quar­ter. Our plat­form re­vealed that over 67% weren’t be­ing seen in the of­fice. Im­pres­sively, they ex­ceeded their ini­tial goal and have sus­tained im­prove­ments since the pro­gram be­gan in 2015. They are a great ex­am­ple of hav­ing “hard­wired” pop­u­la­tion health in their new care mod­els.

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