doris: surgery in the 21st century
TRANSCRIPT
Surgery in the 21st Century
Evolution or Revolution?
Peter DorisSQAN 2013
System Redesign?
Operating Room of the Future
What’s a Surgeon?
What’s an Operation?
Who will monitor?
Overview
Market Innovations in an Era of Unprecedented Reform
Course Three – April 8, 2011Presented by Patrick Gauthier,
Director
What is Innovation?Two Types:
– Sustaining Innovations allow you to make incremental changes in order to do what you’ve been doing more efficiently or to produce a better outcome doing it. Adding correction ribbon to the typewriter is an example. Also allows you to maintain market share.
– Disruptive Innovations are fostered by outsiders who want to upend markets and the way things are done thereby totally transforming the business model. Napster (pre-iTunes), NetFlix, and Craigslist are good examples.
Elements of Disruptive Innovation
• Technology simplifies what has previously been complex
• Lower-cost financial model
• Value Network is economically coherent (mutually reinforcing)
Source: C. Christensen
The Act Does Several Things:•Expands Insurance Coverage•Institutes Insurance Reforms•Builds Infrastructure to Provide Improved Health Outcomes•Puts In Motion Structural Changes to how Healthcare Delivery is Structured & FinancedGoals of the Act:•Increase Access•Provide Comprehensive Care Better Health Outcomes•Control Costs
Patient Protection and Patient Protection and Affordable Care Act (ACA)Affordable Care Act (ACA)
One of the Most Important Innovations you can Implement this
Year (if you haven’t already)
The market not only
supports this change,
in many cases it will be required
Background: The Triple Aim
1. Improving health (outcomes)
2. Improving patient experience
3.Reducing per capita costs
Value
Goals & Objectives
Improve InpatientCare Efficiency
Use Lower CostTreatments
Reduce Adverse Events
Reduce PreventableReadmissions
Improve Prevention& Early
Diagnosis
Improve PracticeEfficiencies
Reduce Unnecessary
Testing & Referrals
Reduce PreventableER Visits &Admissions
Hospitals & Specialists
Primary Care
Improve Management of Complex Cases
Use Lowest-CostSettings and
Providers
Lower TotalHealthcare
Costs
Improve HealthOutcomes
Operating Room – Present?
SMH – recent OR Renovation
Operating Room of the Future
ORF – not just technology
ORF
• Cognitive Simulation• Informatics• Smart Image• Ergonomics/Human Factors
Pillars of a Smart, Safe Operating RoomF. Jacob Seagull, MD; Gerald R. Moses, PhD; Adrian E. Park, MDUniv of Maryland
| Workflow Times
Ten Cate et al J Vasc Surg 2004
What’s a Surgeon?
Data………BIG DATA
Wal-Mart knows more about it’s customers than we know about our patients
Driving by Looking in the Rear View Mirror
© 2009 IBM Corporation22
A Yottabyte?
What is a Yottabyte?
1000 GB = 1 Terabyte (TB)1000 TB = 1 Petabyte (PB)1000 PB = 1 Exabyte (EB)1000 EB = 1 Zettabyte (ZB)1000 ZB = 1 Yottabyte (YB)In other words, a Yottabyte = 1,000,000,000,000,000 GB.
© 2009 IBM Corporation23
Next wave content-centric web Apps---Massive Mashups
Semantic Web
Text Analytics, Sentiment Analysis,
Stream Processing Engines
Space Time Travel Data – The SuperFood of Analytics
Context Engines
Sensemaking Infrastructure
Data finding Data …..Relevance finding the User
Agenda
© 2009 IBM Corporation24
Advanced Analytics Focuses on the Prescriptive & Predictive
Degree of Complexity
Com
petit
ive
Adv
anta
ge
Standard Reporting
Ad hoc reporting
Query/drill down
Alerts
Simulation
Forecasting
Predictive modeling
Optimization
What exactly is the problem?
What will happen next if ?
What if these trends continue?
What could happen…. ?
What actions are needed?
How many, how often, where?
What happened?
Stochastic Optimization
Based on: Competing on Analytics, Davenport and Harris, 2007
Descriptive
Prescriptive
Predictive
How can we achieve the best outcome?
How can we achieve the best outcome including the effects of variability?
Why do companies need BI?
ANALYTICS(Tactical & Strategic)
What’s the best that can happen?
What will happen next?
What if these trends continue?
Why is this happening?
What actions are needed?
Where exactly is the problem?
How many, how often, where?
What happened?
Sophistication of Intelligence
DATA ACCESS & REPORTING(Operational)
Optimization
Predictive Modeling
Forecasting/extrapolation
Statistical analysis
Alerts
Query/drill down
Ad hoc reports
Standard reports
Co
mp
etit
ive
Ad
van
tag
e
© 2008 Accenture. All Rights Reserved.
Examples- Walmart
• Average daily sales of American Flags = 6,000 • September 11th 2001 • All competitors ran out of flags • Nearest rival sold 20,000 • Walmart sold 116,000 flags on that day alone
“Put the Power of Predictive Analytics in the Hands of Clinical Researchers”
Filippos KatsampourisMarketing Manager
Healthcare & Pharmaceutical Accounts
Leading clinicians have 4 tasks
1.Goal is shared & the action needed is collective
2.Ensure clinical microsystems can achieve the goals
3.Monitor system performance
4.Improve performance