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Opening General Session: Improving Outcomes, Changing Lives with

Smarter Care and Social Programs

1. Welcome

John Hearne, IBM General Manager Smarter Care & Social Programs

2. IBM commitment & investment in health & social programs

Steve Mills, IBM Senior Vice President, Group Executive, Software & Systems Group

3. Health and Social Programs as a Cornerstone of Economic Vitality

Dan Pelino, IBM General Manager, Public Sector

Outcomes: the imperative for change in H&SP service delivery

The Honorable Patrick Kennedy, Former US Representative (no presentation, video replay only)

Re-opening the session after break – and introduction of Judge Leifman by Farhana Alarakhiya, IBM Director, Smarter Care

The Realities and Impact of Mental Health Care Approaches

The Honorable Judge Steven Leifman, 11th Circuit District Court, Miami Dade County (no presentation, video replay only)

4. Innovations in access and engagement: Mobile strategies and solutions for health and social programs

Nicole Gardner, IBM Global Industry Leader, Government Healthcare and Social Services

5. 5. Person-centered Team-based Care: Adventures Through Space and Time

Ronan Rooney, IBM Research, Director of Care Programs

Q&A moderated by Farhana Alarakhiya, IBM Director, Smarter Care

© 2014 IBM Corporation

Steve Mills

Senior Vice President and Group

Executive, IBM Software and

Systems

Innovation in Healthcare and Social Programs

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IBM’s Involvement in Healthcare and Social Programs

Buyer / Customer of Healthcare in the U.S.

– 450,000 employees and family members insured

– $1.3 B in spend

Change Agent

– National and International level reform and standards

– Commitment to industry based research through IBM Research and the IBM Cúram Research Institute

– IBM Watson cognitive computing that works how people do

– 600+ patents in life sciences, healthcare and medical devices

Commercial: Innovative IT Solution Provider

– $6+ B business; over 4,000 dedicated employees

– 60+ Medical doctors, 350 health professionals, 500+ social program professionals

– $16 B in analytic acquisitions, 500+ analytic patents, 12 Analytic Solution Centers

– Enable ‘connected and personalized care’ across the ecosystem

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Unsustainable Costs

Unnecessary Procedures

Inconsistent Prices

Disease Complexity

Shortage of MDs

Aging Populations

Healthcare

Social Care

Budgetary Constraints Increasing Demands

High Turnover of Staff

Fraud and Abuse

The Transformation of Health and Social Care Has Begun ….

Individual

Healthcare Reform

Regulation

Population Management

Accountable Care

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Insights-Driven Individualized Care

Dynamic Segmentation

and Assessment

Supporting Platform (Mobile, Collaborative, Data, …)

Intervention Adaptation

Adherence

Team-based Intervention Execution

Health Social Behavioral

Prediction and Early

Identification

Tailored, Outcome Oriented

Intervention Program

Human Data Collection -

Social, Health, Behavioral, Financial

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The Pace of Big Data is Accelerating ….

IBM Global Technology Outlook - 2012

projected health-related apps

downloaded a year by 2016

1 Billion avoidable annual

costs by improving medicine adherence

$500 Billion 4X people over 60

unable to care for themselves by

2050

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Exponential Growth in New Forms of Data Will Play an Increasing

Important Role in Enabling Better Outcomes

1100 Terabytes Generated per lifetime

6 TB Per lifetime

0.4 TB Per lifetime

60% of determinants of health Volume, Variety, Velocity, Veracity

30% of determinants of health Volume

10% of determinants of health Variety

Clinical data

Genomics data

Exogenous data (Behavior, Socio-economic, Environmental, ...)

Source: "The Relative Contribution of Multiple Determinants to Health

Outcomes", Lauren McGover et al., Health Affairs, 33, no.2 (2014)

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Healthcare

Social Care

The Future Will Look Very Different ……

Individual

Cognitive

Medical

Decision

Support

Tools Individual Centered

Care Teams

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IBM Watson Can Address the Challenges of Health and Social Programs

Understands natural language, including medical guidelines, publications and clinical notes

Adapts and learns from interactions and outcomes

Generates and evaluates evidence-based hypotheses to improve patient care

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3

Feeds into and drives

Smarter Care delivery

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The Volume is Overwhelming and the Language is Complex

Symptoms Diseases

Medications Modifiers

Symptoms

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Watson Solutions Map to Clinical and Operational Processes and Drive

Tangible Benefits

Extract information from EHR

Integrate information from structured & unstructured sources

Tap into various multi-modal data

Access evidence from medical literature

Enable interpretation and application of evidence from market leaders

Care Planning Tools

Leverage observational data for deriving insights

Integrated outcomes data to enable continuous, closed loop training

Data Exploration and visualization

Watson Healthcare Solutions: Optimize clinician efficiency and insight Improve ability to make evidence-based decisions Leverage advanced data exploration to optimize care delivery and quality control

Outcomes Driven Learning System

Evidence-based Insights

Patient Intake

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Watson Solutions for Healthcare and Life Sciences

Discovery Advisor to enable researchers to

uncover new insights into

relationships between

genes, proteins, pathways,

phenotypes and diseases

Clinical Trial Matching to optimize patient selection

and recruitment for clinical

trials

Engagement Advisor to transform interactions

and experiences with

patients and physicians

Oncology to assist in the creation of

individualized treatment plans

and enhance patient /

physician experience

Utilization Management to streamline and automate

authorizations and ensure

adherence to guidelines

EMR Advisor to identify critical attributes

of a patient case and provide

easy-to-consume summaries

Paths Clinical reasoning for Medical

Education and top of license

care delivery

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Watson Helping Oncologists Treat Cancer Patients

Attacking the cause of one in four deaths

Built with Memorial Sloan Kettering

Need better individualized cancer treatment plans Suggestions to help inform oncologists’ decisions based on

600 K+ pieces of evidence and 2 M pages of text from 42 publications

Analyzes patient data against thousands of historical cases and trained through 5,000+ Memorial Sloan-Kettering MD and analyst hours

Evolves with the fast-changing field

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Watson Facilitating Medical School Problem-based Learning Methods

Cognitive systems in a classroom-based setting

Need easier insight into data for diagnoses and decisions Intuitive, new user interface to Watson’s power revealing chains of

evidence to support clinical reasoning

Analysis of whole EMRs to extract and visually present summarized knowledge with semantic understanding of context

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Watson Transforms Hospital Procurement Process

Procurement process is inefficient. In procuring implantable devices alone, $15 B is wasted annually due to these inefficiencies

Powering rapid decision support by leveraging MD Buyline’s data, research, and domain expertise in junction with Watson’s cognitive abilities

Driving optimal purchasing decisions for providers enabling informative comparison of medical device options

SSM Health Care realizes over $2 million in improved operating margins with MD Buyline’s Purchased Services Program

DCH Health System Identifies $3 Million in Actionable Savings with MD Buyline

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Watson Empowers Consumer Engagement

By 2020, the customer will manage 85% of the relationship with an enterprise without interacting with a human

Transforms client engagement by knowing,

engaging and empowering clients where they are

Develops client relationships by reaching out to clients who do not leverage traditional channels

Empowers consumers and contact center agents to take informed action with confidence

Answers questions and guides users through

processes with plain-English dialogue

Leverages natural language to interact with users and build knowledge and expertise

Utilizes evidence evaluation and learning to provide informed and effective responses to users

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Watson Synthesizes Information in Seconds

80% of the world’s knowledge is in unstructured form

Answer the tough research questions that have never been answered before

Leverage Watson natural language and inference technology to discover new insight

Link internal and external research to expand knowledge corpus

Initial focus in Pharma, Education and Publishing

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Communities of Care: Collaboration and Process to Support

Transformation

Public Health Organizations

Pharmaceuticals

Private Social Programs Organizations

Health Clubs and Patient Education Healthcare Providers

Health Plan Providers / Payers / Insurers

Home Healthcare Providers

Government Agencies

Retirement Communities

Solution Providers

Pharmacies and Retailers

Government Social Services

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The Need for Coordination and Collaboration

Ineffective coordination of benefits (COB) burdens the U.S. healthcare system with more than $ 800 million in unnecessary administrative expenses per year

Implementation of care coordination initiatives for senior citizens resulted in 5.7% hospital readmission decline. For a community of 50,000 Medicare beneficiaries, Medicare could save $ 4 million annually on readmissions for every $ 1 million spent on these community interventions

In the United Kingdom, preventable errors cost hospitals $USD 4 billion per year in additional hospital stays alone, while litigation represents further substantial cost

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Announcing IBM Care Management

Packaged software application that helps synchronize care needs across healthcare and social care

Brings in structured data from sources that extend beyond clinical health records, and unstructured data from physician, case worker and care worker notes

Available: December 2014

Generate

Individual

ized care

plans

Other Data

Sources

Enterprise

Services

Unstructured

data

Claims

EMR /

EHR

Analysts

Multi-disciplinary

Care Team

Ingest and

Unify Data

Provide Insight at

point of care

Doctor’s notes

Case worker’s

notes

Social

Workers

Medical

Professionals

Mental Health

Professionals

Care Workers

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Announcing the IBM Cúram Practice Accelerator Program

IBM standard training, skills development and accreditation

program for business partners, now includes IBM Cúram solutions

Partner Success Roadmap IBM Software Practice Accelerator

Sales

Training

Product

Training

Implement-

ation

Training

Deployment

Experience Accreditation

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© 2014 IBM Corporation

Dan Pelino

General Manager, IBM Public

Sector

#ibmhsps14

Economic Vitality