douglas goldstein efuturist lead…innovate…transform 703.626.0798 quality and safety through...

Douglas GoldsteineFuturistLead…Innovate…Transformwww.DouglasGoldstein.com

703.626.0798

Quality and Safety through Knowledge at the Point of Care

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Driving Forces Accelerate…

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Let’s Explore…

Distinctive Innovation

Stories

Continuum of Care – Knowledge at the Point of Care …and Beyond

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A Combination of Deadly Medical Errors - Josie King

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Initial Solutions…

John Hopkins response included

• dedicated patient transport teams

• pharmacists in ICUs,

• medication reconciliation at the moment of nursing discharge

• daily short-term goal sheets for patient rounds,

• relabeling of Buretrol and epidural catheters.

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Distinctive…

• Something or process is ‘Distinct’ if it’s not equal to the previous state

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Innovation

• New ‘Idea’ ‘Product’ or ‘Process’ that is useful and practical – ‘different’– ‘improved’

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Types of InnovationBreakthrough

Distinctive

Is Your Innovation a Product or Process?

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• …happens in complex systems by teams working smarter with appropriate tools and technology

2 Six Sigma = 308,357 DPMO6 Six Sigma = 3.4 DPMO

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Take a Moment to…

• Describe a recent ‘Distinctive Innovation’ that you contributed to or developed

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ER Diversion – Losing Admissions

• Problem: Loss of admissions through ER diversion

• Solution:– Two consulting engagement with outside firms @ cost

of $250,000 that never got implemented

or– Internal Six Sigma analysis with

internal team where the same people who identified the problem could also fix it

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…it smarter, better with the right tools and technology…

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…Online!

Beyond Email…

…Smart Collaboration

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Ascension Health ExchangeElevating Quality and Service through

Knowledge Transfer and Innovation

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https://kx.afms.mil/demo

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Distinctive Innovation Bon Secours Health System

QUALITY FIRST Energized by Six Sigma & Knowledge Transfer

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Knowledge Transfer - Quality

Technologies:

• Paper• U.S. Mail• Email• Copy machines• Phones

BEFORE Distinctive Innovation...BEFORE Distinctive Innovation...BEFORE Distinctive Innovation...BEFORE Distinctive Innovation...

Processes:

• Print Based Toolkit of Resources – Photocopied and Mailed

• Photocopying and distribution within local systems

• Email and Phone – for progress reporting

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Beyond Email to Web Services

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Performance Metrics Online – One Click Access

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‘Share Resource’ – Structure Makes it Easy to Share Innovations, Tools and Resources

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Smart Collaboratives & Online Community of Excellence

• Provides Learning/Working Environment • Delivers Knowledge @ Point of Need • Supports Behavior Change from Email to Web Sharing

Share Search

CollaborateKnowledge

Innovate

Support

Smart Collaborative

Communityof Excellence

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Right Knowledge Right Person Right Time Right Form

Right TechnologyReal Fast

Current State

© All Rights ReservedDouglas GoldsteinSource - http://www.aurorahealthcare.org/aboutus/continuum/index.asp

Provider Centric

Continuum of Care

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Right When I Want…Anywhere!

Future State

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Consumer Centric

Continuum of Care

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Mercy Health System Uses HealthBuddy to Increase Medication Compliance from 34% to 94%; Reduces Hospitalization Rates 41% Per Patient Per Year

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PLUS:

Charges for CHF encounters decreased from

$25,013 to $11,854

Mercy’s Return on Care

• Medication compliance increased from 34% to 94%

• Hospitalizations per patient per year decreased to 1.18 from 1.99

• 93% said they had a better understanding of their condition

• 93% believed Health Buddy helped them better manage their disease

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Anywhere Disease Management, But Not By Your Doctor

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500,000 Medical Information Access Cards and Counting

ww

w.m

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oria

lcare

.com

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A Driving Force for EHRs

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EHRs & PHRs = Disruptive Innovation

For Everyone!

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My Health eVet Interactive Medical Record

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TeleHealth by Veterans Health

Flexible Sensor Connectivity

Blood sugarBlood sugar

Blood pressureBlood pressure

ThermometerThermometer

StethoscopeStethoscope

ECGECG

Pulse O2Pulse O2

CameraCamera

Digital ScaleDigital Scale

309

VitalSign Monitoring Unit by Panasonic

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Mike Manages His Heart Disease Using Digital Technology

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Data-mining yields unique health status reports •Patient•Family•Doctor

•customizable to needs •individual•cultural.

MARC Smart In-Home Monitoring System has the following unique characteristics:

• low-cost sensor technology,

• retrofits easily in existing homes

Smart In-Home Monitoring

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@ HomeAirWatch from iMetrikus allows

a patient to shares their respiratory data immediately

with their doctors

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Tele Presence & More

Assisting the elderly by:

• reminding

• connecting– tele-presence technology

• collecting data & monitoring

• manipulating objects

• Helping them feel less isolated.

Pearl, created by the University of Michigan,

Pittsburgh, Carnegie Mellon, and Stanford

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I Wear My Health (Sensor)

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Drug Delivery - BioMEMs

Implantable devices that deliver drugs via nano-sized valves and pumps that are controlled by

sensors that regulate delivery rates

www.chiprx.com

Schematic of Self Regulating Responsive Therapeutic System

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Nanomedicine Rx

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For Everyone!

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Liberate Your Potential…

…is the Way!

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Douglas E. Goldstein• eFuturist…Beyond Theory to Action

• Speaker - Lead..Innovate…Transform

• Consultant and Author

Other Recent Publications:

•Quality, Safety and Cost Effectiveness through Leadership and Health Information Technology •eHealthcare: Harness the Power of Internet e-Commerce & e-Care•Best of the Net Guides to Health and Wellness and Healthcare and Medicine

New Book:

Medical Informatics 20/20: Quality and EHRs through Collaboration, Innovation and Open Solutions

www.DouglasGoldstein.com 703-626-0798