douglas goldstein efuturist lead…innovate…transform 703.626.0798 quality and safety through...
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Douglas GoldsteineFuturistLead…Innovate…Transformwww.DouglasGoldstein.com
703.626.0798
Quality and Safety through Knowledge at the Point of Care
© All Rights ReservedDouglas Goldstein
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
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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