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Healthcare Stakeholders’ approach to Digital Health
Digital Health.il 20167 December 2016
Eli Tarlow
AVP, NYC Health + Hospitals
NYC Health + Hospitals OverviewHHC Hospitals
Bellevue
(Manhattan)Coney Island
(Brooklyn)
Elmhurst
(Queens)
Harlem
(Manhattan)
Jacobi
(Bronx)Kings County
(Brooklyn)
Lincoln
(Bronx)
Metropolitan
(Manhattan)
North-Central Bronx
(Bronx)Queens
(Queens)Woodhull
(Brooklyn)
Organization Profile• New York City Health + Hospitals is the largest public healthcare system in
the country.
• A $7 billion public benefit corporation.
• Over 40,000 employees; 5,000 physicians.
• Providing medical, mental health, and substance abuse services through it’s 11 acute hospitals, 4 skilled nursing facilities, 6 large diagnostic and treatment centers, and more than 70 community based clinics.
• H+H also provides specialized services such as 6 trauma centers, high risk neonatal and obstetric care, and burn care.
• H+H acute care hospitals serve as major teaching hospitals (Graduate Medical Education for approximately 2,000 incoming residents annually.)
• H+H is the single largest provider of health care to uninsured New Yorkers (475,000+ annually) and a “safety net” system for immigrants.
• One in every six New Yorkers receives health services at an HHC facility.
What keeps Healthcare CIOs awake at night?
What keeps Healthcare CIOs awake at night?
Inside Influencers• Talent Acquisition (Staff with
business acumen)• Managing upwards (CEO) /
Governance• DR/BC • BioMed, Radiology, Lab IT in-
sourcing• Speed of business transformation• Best of Breed vs. Best of Suite• Business Intelligence/Big data
Outside Influencers• Affordable care act• Value-based purchasing• Healthcare outside the brick &
mortar, pop health, telehealth, mobile
• Mergers, Acquisitions, etc.• Data driven business inteligence• Cyber security threats• Patient ID accuracy gap
How start-ups succeed in penetration
How start-ups succeed in penetration
How start-ups succeed in penetration
• Know the extreme challenges (treat it like an interview)
• Know the organizations’ influencers
• Understand the organizational culture
• Understand the business strategy & business challenges
• Shift the risk (which ROI counts?)
• Beta vs. long term product & support
• Know the risk-adverse players
• Play with the big dogs
• Embrace regulation!