2016 iht2 miami health it summit

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iHT2 Health IT Summit Miami Consumerism in Healthcare

February 3, 2016

Shafiq Rab, M.D., MPH

Vice President, Chief Information Officer

Hackensack University Medical Center

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About Hackensack University Health Network

New Jersey-based parent company of HackensackUMC, HackensackUMC Palisades, the

HackensackUMC Foundation, Hackensack University Medical Groups, HackensackUMC

at Pascack Valley and HackensackUMC Mountainside.

Part of the nation’s largest healthcare consortium, AllSpire Health Partners; with a total

of 28 hospitals and service area of more than six million people.

More than 11,300 employees, 3,100 credentialed medical staff members and 1,697

hospital and nursing home beds at hospitals within the Network#1 hospital in New

Jersey and one of the top four New York metro area by the U.S. News & World

Healthgrades® America’s Best 100 Hospitals in 10 different areas – more than any other

hospital in the nation

Healthgrades America's 50 Best Hospitals™ for nine years in a row

Healthgrades Distinguished Hospital Award for Clinical Excellence™ 13 years in a row

23 Gold Seals of Approval™ by the Joint Commission – more than any other hospital in

the country

HackensackUMC is the Hometown Hospital of the New York Giants and the New York

Red Bulls

www.HackensackUMC.org

HackensackUMC’s Main Ingredients

Recipe for Risk Based Care & Consumerism

HackensackUMC has been ahead

of the curve by strategically

planning and preparing for the

new and emerging care models

for many years


1) Patients are Number One and Are the Center of All Efforts!

2) We have a passion for what we do

3) Doctors truly believe that we can impact healthcare outcomes

4) We Believe in Patient Participation and Patient Engagement Including Patient Family

5) The Care Model / Payment model is important but the Patient and the outcomes come First



1) Less Days in Acute Care Setting

2) Less Days in Skilled Nursing Facility

3) Patient Adherence to Medication Regiment and PCP visit schedule

4) Engaging Patients to Understand Their Own Symptomology and their Care options

5) Active Care Coordination Tools and Active Care Coordination TEAM



Using the ingredients above:

1) We Enable Providers and Patients to Work together as a TEAM

2) We Tighten Integration Across The Entire Continuum of Care

3) We Create a Unified View of the Patient and Their Care

4) We Manage the Actions That Improve Outcomes and Reduce

Costs

5) Interconnect all aspects of the patient’s care via integrated

interoperability

a.Using the technologies and tools below to achieve

standardization

i. PCMH Certified Practices

ii.Practices with ONC Certified EHRs

iii.Standard Order sets

iv. Standard Care plans

v.Standard Protocols (HL7 & FHIR)


Why the Focus

Improving Costs, Quality and Satisfaction

Source: Identifying and Quantifying the Cost of Uncoordinated Care: Opportunities for Savings and Improved

Outcomes, Mary Kay Owens, R.Ph.,C.Ph, Institute of Medicine, 2009.

HackensackUMC’s Growth

Towards Over 100,000 Beneficiaries

2012 - Medicare ACO

2014 – Horizon Blue Cross ACO

2015 – Aetna – Medicare Advantage

Background on Medicare ACO

Hackensack Alliance ACO

– 2013: Medicare Savings of $10.75M

– 2014: Medicare Savings of $6.5M

– The Hackensack ACO is one of only 37 Medicare Shared Savings

ACOs in the country to achieve a savings bonus in each of its first 2

years, and their total earned bonus ranks them 22nd in the country.

– Inpatient Utilization of ACO Patients Lower than Index Group

– Emergency Department Utilization of ACO Patients Lower than Index

Group

– 1st Year Reduction on 30-day Readmissions for ACO Patients

Background on Blue Cross ACO


– Update:

– Achieved Bonus in 2015

Background on Aetna Medicare Advantage


AllSpire Health Partners

• 7 Health Systems with 25 hospitals

• Health Systems remain separate entities

• Combined revenue of $10.5 billion

• Largest health care consortium in the

country

• Focus on population health and group

purchasing

• Service area of more than 9 million

people

• $7 million invested to form alliance

Merger with Meridian Health

Hackensack Meridian Health

• “Committed to implementing innovative models of

care”

• “Garrett said the success of the two ACO’s

provides evidence of their commitment to

transforming health care”

• “We are in the minority in the country of ACOs

that have actually worked.”

• “We are both trying to develop significant

infrastructures for population health”

Focus of Risk Based Care

Manage Care & Costs Across Continuum of Care

How HackensackUMC Manages

Risk Based Care for their Multiple Populations

Active Care Coordination Platform

Systematic Action Through Coordination

Active Care Coordination Platform

Systematic Action Through Coordination

PCP Post

AcuteHome

Blue Button Interoperability

Hospitals & Clinics

Analytics

Proteomics

Genomics

IoT & Wearables

Location Spending Habits

Nutrition Social Determinants & Mental Health

Rx Network

EHR My Life

Bank Personal

Profile

Cardiologist A

pp

oin

tmen

ts

ER V

isit

s Patient &

Family Care

Coordinator

Oracle

Power BI

Caradigm Azure Machine Learning Azure

Stream

Population Health Systems

Disease Registries

My Connected Life What Makes Us - Us

The Value of Technology The Shift Toward Prevention

1) Advanced warning toward total prevention

2) Point of care actionable alerts for behavior modification

3) Facilitation of social and behavioral change

Prevention

Primary Care

Ambulatory Setting

Home

Components of the Shift

The Pressure is On A Quest for Customer Loyalty

Convenience is Required

Whenever Access is Guaranteed

High Quality is a Given

Patient Reported Outcome Reimbursement

2016 Healthcare IT Innovations Artificial Retinas

2016 Healthcare IT Innovations Robotic Nurse Assistant

2016 Healthcare IT Innovations DARPA Advances in Prosthetics

2016 Healthcare IT Innovations Anti-aging Drugs

2016 Healthcare IT Innovations Tooth Regeneration

2016 Healthcare IT Innovations Lightbulbs that Disinfect and Kill Bacteria

The Consumer Will See You Now… Devices, Wearables, Implantables

Healthcare Could be Free Self Service & Funded

Technology allowing more and more tests to be done at home

Day will come that ALL tests can be done at home

Payers will be able to pay for it

Healthcare might become free

What Are We Doing Now The Basics

We digitalized the records

Analytics

Predictive Analytics

Value Creation

Decision Making

(Strategic & Tactical)

Now we want to get the data out as meaningful

information via analytics to create value

Apple Healthkit Keeping connected to patients

ADOPT MEOWS Redefining Quantified Blood Loss as a Vital Sign

Feed as Vital

Sign to EHR

St. Jude’s Medical CardioMEMS Implanted Pulmonary Artery Sensor

Transmit

from

Home to

EHR

Implanted

in Artery

Participation

Facilitating Change Putting the Power in the Hand of the Patient

Creating Value from Data Smart Patient

Wearables

Detect Future

Heart Attack

Schedule Doctor

Visit and forward

EKG

www.HackensackUMC.org

Thank You

[email protected] 551-996-3669

Contact or Follow Dr. Shafiq Rab

@CIOSHAFIQ