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  • Sparking Innovation Through

    Health Information Technology

    Becker's Hospital Review 6th Annual Meeting May 8, 2015

    Lyle Berkowitz, MD, FACP, FHIMSS Founder and Director, Szollosi Healthcare Innovation Program / TheShipHome.org

    Associate Chief Medical Officer of Innovation, Northwestern Memorial HealthCare

    Associate Professor of Clinical Medicine, Feinberg School of Medicine, Northwestern University

    Founder and Chairman, healthfinch / healthfinch.com

    Lyle@DrLyle.com / www.DrLyle.com / @DrLyleMD

  • What Keeps Me Up At Night (and what I dream about)

    Sh&*#@

    that

    needs to

    get done

    What

    Doctors

    have time

    to do

    HIT-

    Empowered

    Team based

    Care

  • Background

  • My World

    IT

    Innovation

    Clinical Business

  • ACO Meaningful use

    ICD-10 value-based care

    care beyond walls

    Population health

    disease management

    Top of License

    mobilepatient

    engagement

    care transitions

    care coordination

    big data

    narrow networks

    telehealth consumerism

    physician

    burnout

    Aging population

    young invincibles

    Extreme Diabetics

  • How Might We… 10X Primary Care?

    (and what can we start doing today?)

    2500 25,000

    Workflow

    Efficiency

    Virtual

    Care

    Complex

    Patients

  • The HIT Pyramid

    Innovation

    Optimization

    Proficiency

    Maintenance

    EMR

    Post-EMR

  • Why is Innovation important? To compete, grow, and thrive, providers must out innovate

    D o ll a rs

    Time

    Out

    innovation supports:

    • Market share growth

    • Investment returns

    • Operational efficiency

    • Value based care

  • What is Innovation?

    Innovation is the creation of better

    processes, technologies or business models

    (Different than Invention or Improvement)Innovators

    Innovative

    IT

    Innovative

    Care

    Models

  • Design Thinking and

    Innovation Mantras

    Little Bets ���� Big Wins

    Fail Early, Fail fast,

    Fail Often, Fail Cheap

    Don’t Tell Me

    What You Can’t Do!

  • The Innovation Process

    Explore Experiment Expand

    Observe

    Investigate

    Brainstorm

    Prototype

    Pilot

    Simulate

    Fund

    Spread

    Commercialize

    Research

  • Key Levers for Innovation Regulations, Reimbursement & Usability

    CURRENT FUTURE

    Government Regulations which enforce “Hero-based” face to face care

    Regulations which support

    Team based care, Telehealth

    and Care Automation

    Payors Reimbursement which rewards volume based care

    Reimbursement which

    rewards value based care

    Vendors EMR/HIT Usability that is often horrible

    EMR/HIT Usability that truly

    makes it easier to practice

    great medicine

    RESULTS Innovate to Volume with weak tools and restrictive policies

    Innovate to Value with better

    tools and supportive policies

  • Can we Innovate with Today’s HIT? Let Me Tell You A Story…

    •Care Coordination

    •Preventive Care and Dz Management

    •Adverse Event Detection

    EMRs

    •eVisits, eConsults

    •Patient Portals, Home Monitoring

    •Tele-Pharmacists, Tele-Translators

    TeleHealth

    •Mobile EMRs, Smart Rooms

    •Analytics, Dashboards, Checklists

    •ePanels, CrowdSourcing and Gaming

    Advanced

    Technologies

  • Identify the “Minimum Viable Innovation” and Operationalize at YOUR organization

    (it’s OK to “borrow”)

    • Medstar’s Care Gap Protocols

    • SETMA’s Pre-Visit Preventive Screening Tool

    • Reliant Medical Group’s Pre-Visit Orders

  • Innovating Around the EMR

    People and Process > IT

    •Northwestern’s Inflection Navigator Program

    •Children’s National Automatic Adverse Event Detector

    •California’s Tele-Translator System

  • It’s OK to Start Small

    • Memorial Hospital’s “Mommy Monitor”

    • Exploring Devices Kinect, Google Glass,

    • Competitions, Crowdsourcing & Grants

    • Inpatient iPad Pilot

  • Apply New Innovation Tools

    to Old Problems (Video Ethnography for Extreme Diabetics)

  • Mash Up Wild Ideas

    with Technologies Commonly Used in

    Other Industries

    • UPMC’s SmartRoom

    • Kaiser’s Online Panel

    • Gaming: SnowWorld, ReMission and Dr. Hero

  • Understand and Embrace the Power of Doctor Happiness

    Because there is no quality without use

    “Although both

    made life better for

    patients,

    only one

    made life better

    for doctors.”

    Atul Gawunde, MD

    Slow Ideas: Some innovations

    spread fast. How do you speed

    the ones that don’t?

    Source: The New Yorker. July 29, 2013.

  • Using HIT & Innovation to

    Make Doctors Happier and Patients Healthier Make Routine Care Easier and Complex Care Better

    HIT Empowered Routine Care

    • Preventive Care

    • Med Refills

    • Test Results

    • Minor Acute Care

    • Stable Chronic Care

    HIT Empowered Complex Care

    • Risk Stratification / Predictive Modeling / Impactiblity / Activation

    •Team-based Care at Top of License

    • Complex Care Clinics

  • Recipe for Success

    • Have a champion with passion and knowledge

    • Listen to and observe the Front Line

    • Explore Innovative Solutions Inside and Outside Healthcare

    • Start with crazy ideas, then make them realistic

    • Make it easy to do the right thing (aka adoption is based on removing pain or adding joy)

    • Align with Organizational Goals

    • Have a Focus

    • Figure out a sustainable business model

    • Spread with IT

    • Keep your tenacious spirit

  • THANK YOU

    Lyle Berkowitz, MD, FACP, FHIMSS Lyle@DrLyle.com www.Dryle.com

  • Copyright Lyle Berkowitz 2015. All Rights Reserved.

    No part of this document may be reproduced or shared

    with anyone outside of your organization without prior

    written consent from the author(s).

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