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Inspiring Digital Health Innovation: Transformative Insights from Across the Globe

Session 113, March 7, 2018

Claus Duedal Pedersen, CIO, Center for Innovative Medical Technology, Odense University Hospital, Denmark

Lisa Caplan, MPH, Senior Vice President, Care Delivery Technology Services,, Kaiser Permanente

Ronny Sapir, EMBA, Head of the Israeli National Digital Health Initiative, Digital Health & IT Department Ministry of Health, Israel

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Learning Objectives:

• Discuss the business imperative of establishing an organization that embraces innovation

• Identify a variety of perspectives that have positively affected change through innovation

• Determine best practices for creating a culture of innovation in your organization

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Conflict of Interest

Claus Duedal Pedersen,

Lisa Caplan, MPH

Ronny Sapir, EMBA

Has no real or apparent conflicts of interest to report.

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Innovation as tool for service developmentHow strategic innovation supports the change process in a public hospital in Denmark

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Agenda• Our challenges

• Innovation and research

• Focus of the Innovation activities

• Examples

– Integrated care

– Telemedicine

– Patient empowerment

– Process and treatment optimization

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5 regions41 Public hospitals: 21000 BedsPublic Health Insurance

>10 private hospitals < 150 Beds3400 GPs (2000 clinics)

804 Private specialists + 245 Part time331 Pharmacies

2700 Dentists (1650 clinics)1793 Physiotherapist (550 clinics)

225 Chiropractors546 Psychologists

98 Municipalities- Home care nurses- Nursing homes- Rehabilitation- Prevention

Danish Health Sector

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Denmark is doing alright in Europe

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Strategic Innovation at Odense University

Hospital – preparing for the future

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OUH - a main centre in Danish healthcare OUH is one of four university hospitals in Denmark

Represents approx. 10 % of Danish hospital services

Covers 1,2 million citizens

Key figures

– Budget per year: 900 million €

– Employees: 10,000

– Clinical departments: 50

– Beds: 1,000 (New OUH: 750 - 800)

– Average Length of Stay: 3.6 days

– Discharged patients per year: 115,000

– Outpatient visits per year: 1,1 million

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Strategic Innovation at OUH

Professors and associated professors from hospital and university,

PhD students, international experts and researchers

OUH Board of Directors

Innovation Council

Innovation Unit

Unit for Health

Technology

Assessment

University of Southern

Denmark:• The Faculty of Health Sciences

• The Institute of Clinical Research

• The Institute for Sport Sciences and

Clinical Biomechanics

• Dept. of Public Health, Institute for

General Practice Research

• The Faculty of Engineering

• The Maersk Mc-Kinney Moller Institute

• Faculty of Business and Social Sciences

• Department of Business and

Economics: COHERE, Centre for

Health Economics Research

Dept. of Quality, Research,

Innovation and Education

Centre for Innovative

Medical Technology

(CIMT)

Innovation

Strategy

Innovation

Fund

Research

Strategy for

Innovation

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Focus areas for OUH Innovation

Integrated care across sectors

Process and treatment

optimization through technologyPatient empowerment

Telemedicine, home monitoring,

virtual visits

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Cross-sector collaborationCare across the continuum; improving the ”grey area" in the transition between hospital and home/municipality care

- Mostly about communication and

organization; who does what when

- Finding technology that can

support improved collaboration

- Platforms to allow real-time

sharing of information between

care partners and

patients/relatives

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Shared IT platform

Case conference with a specialist doctor

Geriatrician

Primary care physician

Acute community

nurse

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Shared IT platform

Subacute admission to out-patient clinic and

communication with the home carers

Geriatrician

Primary care physician

Acute community

nurse

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Treatment and care at home

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Apps to communicate with patients

Patient information and

communication: "My Patient

Journey".

Currently has more than

33,000 users – 300 more

each week

Finding your way at the OUH facilities

Rehabilitation

programs for

patients with facial

paralysis

- Information related to specific condition

- Video and text format

- Messaging service (integration with

patient record)

- Automated individual notifications

- Contact information for hospital

- Calendar – upcoming hospital visits

- Patient input: Weight, BP, diet, exercise,

etc.

- Video conferencing – virtual hospital

visits

- Answer questionnaire before

consultation

- PRO – Patient-Reported Outcomes

- And more functions constantly being

developed and tested!

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Camera pills

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08-03-2018

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Thank you

Chief Innovation Officer

Claus Duedal Pedersen

cdp@rsyd.dk

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Lisa CaplanSenior Vice President, Care Delivery Technology Services

Kaiser Permanente

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Started career as Medical

Record Administrator,

assigned to be operations

liaison to IT

Gained management

consulting experience

working with large

health plans and

integrated delivery

systems

Gained large program

and global delivery

experience working with

payors and providers

• SVP, Care Delivery

Technology Services

• Leading team of ~2700

employees

• Annual operating and

investment budget >$1B

• Delivering enterprise and

regional services and solutions,

including KP’s industry-leading

electronic health record, lab,

pharmacy, clinical call centers,

imaging and other applications

that support our patients,

members, clinicians and staff

Gained systems

implementation,

marketing, and

M&A experience

working with wide

variety of customers

My Background and Path

Career Track

Education

BS Degree in Health

Information AdministrationMPH focused on Health

Services and Health

Information Systems

Completed Executive Programs

Today

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Kaiser Permanente Today

MISSION: To provide high-quality, affordable health care services and to improve

the health of our members and the communities we serve.

208,000 employees

and 75,400 physicians

& nurses serving 11.8

million members in

8 regions

677 Medical Office Buildings

Primary & Specialty Care, Hospital, Lab, Pharmacy, Imaging, Optical, Dental, Insurance, Research

45 million

office visits

98,000

births

2 million

colonoscopies

36,265

cardiac surgeries and procedures

5 million

appointmentsbooked online

78 million

prescription orders per year

248 million

visits to KP.org

23 million

secure messagessent to providers

150 million

lab orders per year

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photo courtesy of KP Heritage Resources

Technology Innovation Origins

1960s Dr. Sidney Garfield & Dr. Morris Collen

We should begin to take advantage

of electronic digital computers.

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Key Drivers | TECHNOLOGY DISRUPTORS

Cloud Transformation

Automation & Robotics

Connected Devices & IoT

Remote Monitoring & Telehealth

Artificial Intelligence & Deep Learning

Blockchain, 3D Printing, Nanotech, etc.

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EHR

• Inpatient

• Oncology

• Outpatient

• Registration

• Scheduling

Online

• My Health

Manager

• E-visits

• Online tools

(labs, Rx)

New

Platforms

• Claims

• Continuous

availability

• Lab

• OneLink

• Pharmacy

• Revenue

cycle

Infrastructure

Program

• Wireless

• Voice

• Data centers

• Disaster

recovery

Unlocking the power

of technology

• Information security

• Digital strategy

• Cloud

• Telehealth

• Data and analytics

• Artificial Intelligence

2017+

2004 – 2015

Regulatory

• HIPAA

• ICD-10

• Meaningful

use

Kaiser Permanente’s Technology Journey

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A Mission-Driven Culture of Innovation

Innovating for large and small-scale programs

Putting members, clinicians and strategy

in the center

Connecting innovation across the organization

Engaging sponsors and experts to

accelerate spread

Strategic Innovation

• Define desired experiences, problem to be solved and/or opportunity

• Determine what success looks like and how it can be measured

• Use design-thinking principles and conduct field testing to co-design products, workflows and change management

• Develop the right strategic partnerships and create lab environments

• Deliver fast; be able to stop and/or change course

• Support innovation funding, though ROI may not be clear at outset

• Consider spread strategy

• Evangelize, celebrate and showcase innovation at highest organizational levels to build culture

• Chase your mission, not technology

To provide high-quality,

affordable health care

services and to improve

the health of our members

and the communities

we serve.

Our Mission

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Next-Generation

Medical Office

Bringing Innovation to Life: Transforming the Care Experience

Digital

Membership

Card

Digital

Forms

Express

Check-In

Rx

Notifications

Video

Visits

Staff

Mobility

Outpatient

Dashboard

Member

Tablet

Member

Queuing

Patient

Education

KioskPublic

Square

Waiting Room

Notification

For internal use only. | © 2018 Kaiser Foundation Health Plan, Inc.

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For internal use only. | © 2018 Kaiser Foundation Health Plan, Inc.

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Ronny SapirHead of the Israeli National Digital Health Initiative

For internal use only. | © 2018 Kaiser Foundation Health Plan, Inc.

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For internal use only. | © 2018 Kaiser Foundation Health Plan, Inc.

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For internal use only. | © 2018 Kaiser Foundation Health Plan, Inc.

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Online Healthcare

Sustainable Healthcare

Preventive Predictive ProactiveMedicine

Personalized Medicine

Big Data AnalyticsHealth Information Exchange

Patient centered Care

Electronic Medical Records Everywhere

eHealth Strategy

For internal use only. | © 2018 Kaiser Foundation Health Plan, Inc.

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Israelhas a Great

Starting Point forDigital Revolution

For internal use only. | © 2018 Kaiser Foundation Health Plan, Inc.

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Enabling Regulation

For internal use only. | © 2018 Kaiser Foundation Health Plan, Inc.

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HMOs

Academia (council for

Higher Education)

Innovation Authority

Prime Minister’s

Office

Ministry of Health

Ministry of Treasury

Pharma The Startup Industry

Digital Israel

Ministry of Science

Ministry of Economy

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Questions?