creating a revolution to drive healthcare transformation russ branzell, fchime, chcio ceo/president...

Creating a Revolution to Drive Healthcare Transformation

Russ Branzell, FCHIME, CHCIOCEO/President

November 2014

Financial Level: Defcon 1

Care Improvement ProcessStatus Quo – Fee for Service

Wellness Care

Quality Care

Managed Care

Value Care

HITECH Legislation

Four Main goals of HITECH1. Promote the use of IT in the US healthcare system2. Establish national health IT standards3. Incentivize the use of such standards in the delivery

of healthcare4. Improve the privacy and security of patient health

data while modernizing the US healthcare system

The Meaningful Use PlanMU was originally meant to be a six-year program, occurring over 3 “Stages” or phases

Data capture and sharing

Advanced clinical processes

Improved outcomes

Stage 1

Stage 2

Stage 3

Construction AnalogyStage 1

What has MU Accomplished?

What has MU Accomplished?

2011 2012 2013 20140

500

1000

1500

2000

2500

3000

3500

4000

Successful MU Hospitals 2011 - 2014

3rd Time Attesters

2nd Time Attesters

1st Time At-testers

Data from CMS September 2014, October 2014

3.166

8.72

14.8 15.01

Hospital Payments (Billions)

Construction AnalogyStage 2

Next Steps1. Continued Progress of Meaningful Use

2014 program year has been very difficult• Nationwide software update required by regulations• More difficult Stage 2 objectives• This has led to dangerously low participation in 2014, and 2015 is not shaping up

much better

2. Interoperability Intent of incentives were to stimulate adoption, but real challenge is

interoperability and “meaningful exchange” of data

3. Standardization Multiple versions of standards exist and implementations are different

across care settings

4. Workforce and workflows Dissatisfaction with EHR usability is growing

5. Care Coordination “Culture of coordination” has not yet emerged, even where technology

tools have matured

Building Blocks of HIT 2.0

• Healthcare Information Exchange

• Certified Electronic Health Record

• Patient Portals• Data Warehouse• Business Intelligence• Complete Data

Integration

• Data Analytics• World-class IT Team• Unified Communications• ACO System• Population Health

System• Document Management

Digital Divide is Widening

Construction AnalogyStage 3

1) Integration2) Value (Cost & Quality)3) Transparency

U.S. Healthcare - Three Process Trends

versus

Evolution:gradual development of something, especially from a single to a more complex form.

Revolution: fundamental change in a way of thinking about or visualizing something.

EVOLUTIONREVOLUTIONvs

.

COST

VALUE

QUALITY

Enabling Behavior Change: Providers Patients

Care Improvement Process

Status Quo – Fee for Service

Wellness Care

Quality Care

Managed Care

Value Care

1. Don’t accept the status quo

2. Semper Gumby: “Always Flexible”

3. Plagiarism is skill, not a crime

4. Don’t evolve, REVOLVE!!!!

Rules of the Revolution

Thank You!