iot, big data healthcare summit western canada - increased connectivity: improving community...
TRANSCRIPT
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Dr. Thom V Tyson BA (Econ), MDCEO, Canadian Health Systems Inc.,CEO, Appletree Medical Group
Canadian Health Systems Inc.provides Electronic MedicalRecords to doctors caring for 5.3 Million CanadiansFind us at: www.chsinc.ca
Relevant Experience-24 Years of Group Practice Management Experience-President, Canada’s Largest Medical Group-18 Years of Designing, Developing, Integrating & Implementing Health Informatics Systems-CHS provides the EMR Advantage ® platform to over 2,500 different MD practices, clinics and chains.-Winner of the 2016 National Microsoft Impact Award for Innovative Application of Technology
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Increased Connectivity:
Improving Community Healthcare Provision
Dr. Thom Tyson, CEO, Canadian Health Systems Inc.
CEO, Appletree Medical Group
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Research Data
Consumer Health Data
Treatment Option & Evidence
Data
Electronic Medical &
Health Records
Pharmacy Data
Mortality, Birth & Other
Registries
Hospital Visits & Services
Test Results,
Lab Vitals, DI
Genomic Data
Claims Databases
Social Media,
Apps, RDC
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Three Lenses 1. Population Health
2. Patient Health
3. Healthcare Community
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Population HealthDoes Flu Vaccine Work?
Vaccinated patients took significantly fewer sick days
than their unvaccinated
peers!
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2011 2012 2013 20140
5
10
15
20
25
30
35
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
Calendar Year Cross Section Patient Visit Cohort Control PHO Cases
Index year
Growth in lower-risk patients’ rates of STI since Pap Policy Change
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Leveraging Connectivity
Better Patient Care Affordable Health System
Improved AccessImproved Quality
Lower Costs
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Improving Access to Care
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Challenging Assumptions
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Basic Communication Model
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What is it about Health Care that makes it so Slow And Expensive?
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The Media Has ImprovedThe Processor Has Not.
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Barriers to Access:• Distance• Time• Matching Supply to Demand:
– Services Match– Talent Match– Cultural Preferences
• Costs• Language• Self Interest Groups
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Bringing Supply and Demand into Balance:
How much Efficiency do you needto Shrink a line-up in Half?
How Much to Shrink it 90%?
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Length of Line: Relationship to Capacity Utilization
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Length of Line: Relationship to Capacity Utilization
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Basic Economic Research Reveals:
• Doctors Lose 60% of their time to non-clinical activities:
ie. Administration
• Wait Times only spiral when demand is over 85% of system capacity.
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Adminisitrative solutions• Division of Labour
– Delegation of simple tasks• 45 triage scenarios cover 80% of presentations, saving an average
of 6 minutes per visit– Centralization of Admin tasks
• Call Handling, Scanning, Claims management– Automation of Logical Repetitive Workflows
• Cut staff expenses from 18% to 10% of productivity– Load Shifting through Patient Engagement
• Wait Time tools, Patient Portals, Remote Check in• Remote Data Capture
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Connecting Services and Automating Workflows• The benefits:
– Lower costs– Fewer errors– Faster turnaround– Less rework
• The challenges:– Reduced staffing, changed roles– Increased onus on efficient design– Your processes become visible, including your errors
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Patient Care Transfer Process
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Patient Care Transfer Process
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Patient Care Transfer Process
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Patient Care Transfer Process
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Patient Care Transfer Process
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Patient Care Transfer Process
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Patient Care Transfer Process
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Patient Care Transfer Process
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Doctors to FTE’s - Before
80 Doctors 12 FTE’s
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Doctors to FTE’s - After
175 Doctors 2.5 FTE’s
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Improvements By Connecting Patients
Our experience:• Dramatic reduction in Line ups• Timely Care• Higher patient satisfaction• Higher physician satisfaction• Reduced Costs at all levels
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Examples of Patient ConnectivityKiosk
Wait Time Tools
Telemedicine
Remote Data Capture for Pre-Triageand Preventive Care Activities
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Patient Engagement viaSelf Registration Kiosks
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Patients: Real-Time Wait Time Tools
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Patient Engagement Through Mobile Portal Access
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Mobile Apps & Remote Check-In
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Remote Date Capture:On phone, tablet or desktop
eg. Injured PatientComputer Assisted History
(Any Language)
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The Pinnacle of LeveragingReal-Time Patient-Doctor Connectivity?
• Bidirectional Patient Communications Automated by Predictive Analytics– Eg. Strep Throat, scripted automated follow-up bi-directionally, with audit trail and MD notification– ANY DATA TRIGGER CAN BE USED:
• Lab Results, • Rx Patterns, • Home Diagnostics, • Preventive Care Demographics• Patient Request
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Targeted Cancer
Screening
Breast Cancer
Colon Cancer
Osteoporosis
STI Screening
Cervical Cancer
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Real World Outcomes: Ottawa• Population 950,000• 10% of Doctors are in our group, but delivering 15-20% of
all community care.• See a Doctor within 1 hour 7 days a week• See a Specialist within 2 weeks• City of Ottawa Sun-setted its physician recruitment
committee in 2013—Projecting MD ‘surplus’ 2017• No net increase in MD/Population ratio over the past 20
years.Better-Quicker-Less Expensive!
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