innovations in advancing healthcare - arizona state university · •nanobots •robotic surgery...
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Proprietary and Confidential. Do not distribute. 2
Dan Berger
Director of Business Architecture
Optum Consumer Solutions Group - Behavioral Solutions
• Over 30 years of experience in Healthcare Informatics
• Arizona Coalition for Cost Effective Quality Healthcare
• Developed solutions in every healthcare domain (Inpatient, Outpatient,
Physician, Home Health, Behavioral, and Managed Care) including:
– the 1st integrated behavioral health information system in Maricopa
County (Impact/ABSolute)
– One of the first Jail Data Links in the Nation
– the 1st integrated behavioral health information systems for the New
Jersey System of Care for Kids
– the 1st Residential Bed Tracking system in New Jersey
– the 1st fully integrated Braided Funding reimbursement system in
New Mexico
– the 1st social media recovery based personal journaling system
(myJournE)
Proprietary and Confidential. Do not distribute. 33
UnitedHealth Group at-a-glance
Serving members in all 50 states in the U.S. and over 125 other countries
A broad spectrum of products and services through two distinct platforms
Behavioral
Solutions
$130.5B2014 Revenues
individuals served
worldwide
100Mmore
than
approximately
185,000employees worldwide ra
nked
No. 14Fortune 500
Proprietary and Confidential. Do not distribute. 4
Serving 59% of Fortune 100,
and 40% of Fortune 5002
Serving 5,000+ organizations
in 125 countries 1
Members worldwide
50million
4
About Optum Behavioral Solutions
Most comprehensive
performance-tiered behavioral
network of more than 130,000
providers nationally3
130k+Unmatched clinical bench
Staff of 950+ licensed Care
Advocates and 70 board-
certified psychiatrists4
1,000
Comprehensive
Behavioral Health
Medical/Behavioral
Integration Capabilities
Global EAP and
Work-Life Services
Largest network in the U.S.
Behavioral Solutions
Proprietary and Confidential. Do not distribute. 7
• Digestible & Embedded Sensors
• Optogenetics
• Bio-3D Printing
• Enterprise Cloud based Health
Informatics
• Nanobots
• Robotic Surgery Simulator
• Holographic Input Devices
• Semantic Electronic Health Records
• Mitochondrial DNA Transfer (Three
Parent Baby)
• Micro-blood sampling
• Stem Cell Reconstructive Surgery
• Hybrid/Enhanced Operating Theater
• Telemedicine
• Wearable Devices
• Artificial Organs
• Home Diagnostics
• Adherence Mobile Apps
• Microchips Modeling Clinical Trials
• Web & Mobile based Health &
Wellness Education
• Gamification based Wellness
• Personalized Genomics
• Meaningful Use of Social Media
• A.I. Medical Decision Support
• Mind Controlled Prosthetic Limbs &
Exoskeletons
24 Innovations that will advance the delivery of Healthcare
Proprietary and Confidential. Do not distribute. 8
• Digestible & Embedded Sensors
• Optogenetics
• Bio-3D Printing
• Enterprise Cloud based Health
Informatics
• Nanobots
• Robotic Surgery Simulator
• Holographic Input Devices
• Semantic Electronic Health
Records
• Mitochondrial DNA Transfer (Three
Parent Baby)
• Micro-blood sampling
• Stem Cell Reconstructive Surgery
• Hybrid/Enhanced Operating Theater
• Telemedicine
• Wearable Devices
• Artificial Organs
• Home Diagnostics
• Adherence Mobile Apps
• Microchips modeling Clinical Trials
• Web & Mobile based Health &
Wellness Education
• Gamification based Wellness
• Personalized Genomics
• Meaningful Use of Social Media
• A.I. Medical Decision Support
• Mind Controlled Prosthetic Limbs &
Exoskeletons
24 Innovations that will advance the delivery of Healthcare
Proprietary and Confidential. Do not distribute. 9
Digestible and Embedded Sensors
• First digestible sensor approved in 2011
• Provides real-time data on how treatment is effecting organ systems
• Supports highly customizable care solutions
• Can provide timely alerts to healthcare professionals
Proprietary and Confidential. Do not distribute. 10
Bio-3D Printing
• Applications for 3D printing of biological materials:
– Skin
– Blood Vessels
– Heart Tissue
– Cartilage & Bone
– Embryonic Stem Cells
Proprietary and Confidential. Do not distribute. 11
Wearable and Home Diagnostic Devices
• Activity monitors (Fitbit, Apple Watch/iPhone6)
• Heartrate, Pulse Oximetry, Blood Pressure, Blood Sugar
• Wirelessly communicates with health systems using mobile devices
• Home based sleep apnea testing
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Enterprise Cloud based Health Informatics
• Software as a Service (SaaS)
• Available from anywhere (Web & Mobile)
• Shared best of class capabilities
• Ability to mix-and-match capabilities to meet business needs
• Imbedded HIPAA compliant role based security
• Highly business configurable
• 99.9 percent available
• Reduces the need for computer hardware and software experts
• Salesforce
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Semantic Electronic Health Records
• Patient and Provider based Electronic Health Records
• Meaningful Use Stage 3 will include:
– Protected electronic health information
– e-Prescribing
– Clinical decision support
– Computerized provider order entry
– Patient electronic access to their data
– Coordination of care through patient engagement
– Health Information Exchange (HIE)
– Public health reporting
• Future innovation will include the ability to integrate health information from multiple
sources into one cohesive semantic health story, that will be consumable by configurable
rules engines as well as support healthcare decision making
• Ability to convey health information in the appropriate context and language which is
understandable by the end user
• CentriHealth is an example of a technology that currently supports Semantic Integration
of EHR data
Proprietary and Confidential. Do not distribute. 14
Telemedicine
• Remote access to healthcare professionals
• Supported by software that can optimize the user experience over
varying bandwidth
• Available on mobile devices via Apps
– Supports immediate access to a doctor
– Costs are generally equal to or less than a normal copay
– Prescriptions can be provided and immediately sent to the patient’s
pharmacy
– Examples include:
• Doctor on Demand
• Amwell: Live Doctor Visit
• Mobile Doctor Visit
• Spruce – your online Dermatologist
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“Convergence of Innovations”
Reimagining the Doctor Visit
• Healthcare access 24/7 from everywhere
– Telehealth from mobile devices
– Asynchronous communication with health professionals
• Multi-disciplinary team of health professionals
– Staffed to meet unique health needs
– Reduced reliance on General Practitioner for coordination of care
• Patient owned and controlled Integrated Health Record
– Shared health record
– Automated alerts to appropriate health team members
• Instant access to biometric data from wearable, implanted, and
injectable devices
• Transformation from scheduled visit based to “on demand” based
services
• Will promote further specialization
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Mitochondrial DNA Transfer (Three Parent Baby)
• Two parents contribute to an in vitro fertilization and a third-party
contributes mitochondrial DNA
• Will have the potential of eliminating a number of gene related
diseases, improve health, and possibly increase lifespan
• Innovations in Mitochondrial DNA Transfer are expected to increase
exponentially in the coming years
• Moral and ethical implications will impact acceptance
• One possible future would include required DNA screenings and a form
of this innovation to prevent disease.