what is digital health transformation and why does it matter?
TRANSCRIPT
HIMSS PowerPoint PresentationWhat is Digital Health Transformation
and Why Does it Matter? Session HA3, August 10, 2021
1
Chief Scientific Research Officer HIMSS
Anne W Snowdon RN, PhD
DISCLAIMER: The views and opinions expressed in this presentation are solely those of the author/presenter and do not necessarily represent any policy or position of HIMSS.
2#HIMSS21
Anne Snowdon
Has no real or apparent conflicts of interest to report.
3
#HIMSS21
Agenda
• Digital health: What is it and what can it achieve?
• Key Dimensions of Digital Health
• Why digital health matters
Learning Objectives
• Describe the emerging evidence of impact of digital maturity in advancing global health system outcomes.
• Define the empirical relationship between digital maturity and health system performance outcomes.
• Examine strategies for measuring and documenting health system performance outcomes, population health and workforce outcomes as digital transformation advances.
5
#HIMSS21
COVID-19
• Rapid shift to virtual care: limited digital infrastructure to support
• Overwhelmed supply chain capacity, critical product shortages and logistics challenges
• Devastating impact on the health workforce: loss of confidence in the safety of the workplace
6
https://www.visualcapitalist.com/history-of-pandemics-deadliest/ 7
Rapid shift to self management of health and wellness
Communication with the public via news and social media
Health systems are not part of “digital societies”
8
@SCAN_Health
#HIMSS21
9
relevance • Transparency is expected • Researches, negotiates
• Patient, used to waiting • Values stable
relationship • Loyalty to brand • Health as a service • Defers to the expertise
of the provider
Workforce Health Pre COVID-19:
Double digit increase in prevalence of 8 of the top 10 chronic health conditions since 2014
Older millennials (age 34-36) have higher prevalence rates for nearly all of the top 10 conditions than Generation X members when they were in the same age range
Millennial women have 20% higher prevalence of the top ten conditions compared to men
( https://www.bcbs.com/the-health-of-america/reports/the-health-of-millennials)
10
@SCAN_Health
11 SCAN Health © 2021
• High levels of fear and anxiety - fear for their own health, and fear for the health of their family
• Erosion of Clinician Autonomy: “taking the professionalism away from the professional” • Protective equipment in critical shortage, precautionary principles
abandoned • Erosion of trust in health system capacity to protect the workforce
• Workforce Sustainability at Risk: • high resignation rates (20-30%)
Evidence of Impact of COVID-19 on the Workforce
12
Rapid Emergence of Virtual Care
• Dramatic shift in care delivery to virtual • No measures of value, impact or outcomes • No access to care for COVID-19 patients • Shift to digital care delivery for workforce
@SCAN_Health
#HIMSS21
Chronic disease is responsible for 75% of total healthcare costs in the U.S. Existing care delivery models not well constructed to manage chronic illness effectively. (Milani, et al, 2016)
13
a chronic disease
two or more
CDC’s National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP)
Health System Challenges Pre-Pandemic Now Accelerated
System Pressure for Precision Therapies The 10 highest grossing drugs in the USA, number of people that improve (red) vs. number of people that fail to improve (blue)
Consider the Value: - Cost of drugs - Emerging genomic therapies - Harm or adverse outcomes for
patients
Personalized medicine: Time for one-person trials Nicholas J. Schork Nature 2015. Volume 520, Issue 7549
#HIMSS21
The Need for Digital Health Ecosystems • Digital health is widely viewed as an opportunity to optimize health system
performance and achieve financial sustainability. Today, it may offer the capacity of health systems to effectively manage pandemics.
• However: • There is no standard definition or measure of digital health, • No clearly defined roadmap for health systems to guide progress • Clear need to focus on transforming care delivery to augment system capacity to
proactively manage demands for care
• HIMSS is the only global network with the multi-sector reach across global health systems, and a suite of maturity tools to enable implementation of digital health
• Digital transformation requires a team approach!
15
Our Approach Methodology
1. Critical analysis of current state of the evidence related to digital health: • Analysis of digital health definitions
• Review of current measures, frameworks and
models
3. Pilot testing: USA, Canada, Denmark
17
Digital health connects and empowers people and populations to manage health and wellness, augmented by highly accessible and supportive provider teams working within flexible, integrated, interoperable and digitally-enabled care environments that strategically leverage digital tools, technologies and services to transform care delivery.
Digital Health
#HIMSS21 18
Data stewardship, privacy, security, workforce integrity are foundational
Mobilize and enable data exchange across the journey of care
Transforms data into knowledge, insights and outcomes
Enables people to manage health and wellness, with
support of health teams
The Person-Enabled Health System
Personalized: people are digitally connected, in meaningful ways, directly to provider teams, report progress and outcomes engage and support decisions
Proactive: personalized analytics tools identify and support individual to manage risk, and support them to manage their health and wellness
Population Health: care programs are designed for unique population segments, focused on keeping people well
20
@SCAN_Health
Digital Tools Personalized to Every Individual’s Unique Needs and Life Circumstances
Analytics tools track progress toward an individual’s personal health goals, to inform decisions, to more meaningfully engage with provider teams. Digital tools cue the individual on potential risk to inform decisions on how to prevent risks from unfolding. Outcomes driven, not pathway driven. Health teams better understand what is working and for who. Prioritizes prevention to optimize outcomes to overcome challenges in equity.
21
Future Health Systems: Transition from Patient Engagement to Person Empowerment
Access to health records, health data, using patient portals or access to EMR.
Adoption of digital tools (apps, wearables, sensors) that are connected to EMR/PHR for monitoring progress.
Dynamic patient engagement in managing health, tracking progress towards health goals, engaging providers as partners.
Patient engagement
#HIMSS21
22
• Global data network offers real-time tracking of outcomes
• Creates a global data platform to support country to country level collaboration and learning
• Connects directly to people and populations – can collect outcomes data and push key messages to population segments at greatest risk
Global Network
System Capacity and Complexity of Care
Proactive Population Health Management based on Risk and Complexity
23
#HIMSS21
Bubble Size:
• Ability to identify root-cause • Ability to remove/isolate confounding information
Diagnostic: Why did it happen?
• Historical patterns being used to predict specific outcomes using algorithms
Predictive: What is likely to happen?
• Apply advanced analytic techniques to make specific recommendations
• Decisions automated or provides decision support
Prescriptive: What should I do?
Standard Reports
• What matters to the person and the population
• Outcomes and goals are personalized to unique life circumstances
• Creates transparency, track progress towards goals
• Value = care delivery achieves best outcomes for every population segment, not just for some
25
@SCAN_Health
#HIMSS21 26
The Digital Health Indicator measures progress toward a digital health ecosystem. An ecosystem that connects clinicians and provider teams with people, enabling them to manage their health and wellness using digital tools in a secure and private environment whenever and wherever care is needed. Operational and care delivery
processes are outcomes-driven, informed by
data and real-world evidence to achieve
exceptional quality, safety and performance that is sustainable.
#HIMSS21 27
• Adoption of digital tools to manage health and wellness, care, access and use of personal data and analytics tools to inform decisions.
• Clinician use of secure digital tools to consult, collaborate, and partner with patients to achieve health goals.
• Rates of security alerts, automated tracking of breaches and cybersecurity outcomes (cost, compliance, accuracy).
• Adoption and use of personalized digital tools to manage their health and wellness.
• Effectiveness of proactive preventive risk mitigation strategies that improve health outcomes.
• Population health: use of data to segment population health outcomes to support health and wellness outcomes.
• Use of Point of care analytic tools and dashboards to track individual and population health outcomes.
• Use of predictive Analytics to identify and track risks and outcomes for population segments.
• Operational performance tracking of cost, quality, and safety outcomes in real time, for individuals and populations.
• Organizational policy informed by value and outcomes at individual and population level.
• Transparency: Communication of quality, safety and performance outcomes to the public.
• Use of Incentives and funding models to advance digital health system outcomes.
• Accountability for workforce capacity, competency and sustainability in digital care delivery.
27
Value of Standards reduce variation
Protecting the Workforce: health, safety, quality of work life
Virtual Care: self management health and wellness
Preparedness: resilience,
“Fate will not create the new normal, choices will”
Why Digital Health Matters:
Creates Learning Health Systems
• Outcomes inform the design, and scalability of new solutions
• Data flow across the system enables real- time tracking
• Outcomes inform system accountability
outcomes across the system
inform new care models
examine value and impact
populations
#HIMSS21 31
Thank You! Anne W. Snowdon, RN, PhD Chief Scientific Officer, HIMSS ([email protected])
Professor, Strategy and Entrepreneurship, Odette School of Business Windsor, Ontario Canada
Health Workforce: Sustainability
Slide Number 11
Chronic Diseases in America; A Population at Risk
Slide Number 14
Our Approach
The Person-Enabled Health System
Digital Tools Personalized to Every Individual’s Unique Needs and Life Circumstances
Future Health Systems: Transition from Patient Engagement to Person Empowerment
Interoperability for Global Health Systems
Slide Number 23
Slide Number 24
Slide Number 26
Slide Number 27
Digital Health Indicator
Thank You!
1
Chief Scientific Research Officer HIMSS
Anne W Snowdon RN, PhD
DISCLAIMER: The views and opinions expressed in this presentation are solely those of the author/presenter and do not necessarily represent any policy or position of HIMSS.
2#HIMSS21
Anne Snowdon
Has no real or apparent conflicts of interest to report.
3
#HIMSS21
Agenda
• Digital health: What is it and what can it achieve?
• Key Dimensions of Digital Health
• Why digital health matters
Learning Objectives
• Describe the emerging evidence of impact of digital maturity in advancing global health system outcomes.
• Define the empirical relationship between digital maturity and health system performance outcomes.
• Examine strategies for measuring and documenting health system performance outcomes, population health and workforce outcomes as digital transformation advances.
5
#HIMSS21
COVID-19
• Rapid shift to virtual care: limited digital infrastructure to support
• Overwhelmed supply chain capacity, critical product shortages and logistics challenges
• Devastating impact on the health workforce: loss of confidence in the safety of the workplace
6
https://www.visualcapitalist.com/history-of-pandemics-deadliest/ 7
Rapid shift to self management of health and wellness
Communication with the public via news and social media
Health systems are not part of “digital societies”
8
@SCAN_Health
#HIMSS21
9
relevance • Transparency is expected • Researches, negotiates
• Patient, used to waiting • Values stable
relationship • Loyalty to brand • Health as a service • Defers to the expertise
of the provider
Workforce Health Pre COVID-19:
Double digit increase in prevalence of 8 of the top 10 chronic health conditions since 2014
Older millennials (age 34-36) have higher prevalence rates for nearly all of the top 10 conditions than Generation X members when they were in the same age range
Millennial women have 20% higher prevalence of the top ten conditions compared to men
( https://www.bcbs.com/the-health-of-america/reports/the-health-of-millennials)
10
@SCAN_Health
11 SCAN Health © 2021
• High levels of fear and anxiety - fear for their own health, and fear for the health of their family
• Erosion of Clinician Autonomy: “taking the professionalism away from the professional” • Protective equipment in critical shortage, precautionary principles
abandoned • Erosion of trust in health system capacity to protect the workforce
• Workforce Sustainability at Risk: • high resignation rates (20-30%)
Evidence of Impact of COVID-19 on the Workforce
12
Rapid Emergence of Virtual Care
• Dramatic shift in care delivery to virtual • No measures of value, impact or outcomes • No access to care for COVID-19 patients • Shift to digital care delivery for workforce
@SCAN_Health
#HIMSS21
Chronic disease is responsible for 75% of total healthcare costs in the U.S. Existing care delivery models not well constructed to manage chronic illness effectively. (Milani, et al, 2016)
13
a chronic disease
two or more
CDC’s National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP)
Health System Challenges Pre-Pandemic Now Accelerated
System Pressure for Precision Therapies The 10 highest grossing drugs in the USA, number of people that improve (red) vs. number of people that fail to improve (blue)
Consider the Value: - Cost of drugs - Emerging genomic therapies - Harm or adverse outcomes for
patients
Personalized medicine: Time for one-person trials Nicholas J. Schork Nature 2015. Volume 520, Issue 7549
#HIMSS21
The Need for Digital Health Ecosystems • Digital health is widely viewed as an opportunity to optimize health system
performance and achieve financial sustainability. Today, it may offer the capacity of health systems to effectively manage pandemics.
• However: • There is no standard definition or measure of digital health, • No clearly defined roadmap for health systems to guide progress • Clear need to focus on transforming care delivery to augment system capacity to
proactively manage demands for care
• HIMSS is the only global network with the multi-sector reach across global health systems, and a suite of maturity tools to enable implementation of digital health
• Digital transformation requires a team approach!
15
Our Approach Methodology
1. Critical analysis of current state of the evidence related to digital health: • Analysis of digital health definitions
• Review of current measures, frameworks and
models
3. Pilot testing: USA, Canada, Denmark
17
Digital health connects and empowers people and populations to manage health and wellness, augmented by highly accessible and supportive provider teams working within flexible, integrated, interoperable and digitally-enabled care environments that strategically leverage digital tools, technologies and services to transform care delivery.
Digital Health
#HIMSS21 18
Data stewardship, privacy, security, workforce integrity are foundational
Mobilize and enable data exchange across the journey of care
Transforms data into knowledge, insights and outcomes
Enables people to manage health and wellness, with
support of health teams
The Person-Enabled Health System
Personalized: people are digitally connected, in meaningful ways, directly to provider teams, report progress and outcomes engage and support decisions
Proactive: personalized analytics tools identify and support individual to manage risk, and support them to manage their health and wellness
Population Health: care programs are designed for unique population segments, focused on keeping people well
20
@SCAN_Health
Digital Tools Personalized to Every Individual’s Unique Needs and Life Circumstances
Analytics tools track progress toward an individual’s personal health goals, to inform decisions, to more meaningfully engage with provider teams. Digital tools cue the individual on potential risk to inform decisions on how to prevent risks from unfolding. Outcomes driven, not pathway driven. Health teams better understand what is working and for who. Prioritizes prevention to optimize outcomes to overcome challenges in equity.
21
Future Health Systems: Transition from Patient Engagement to Person Empowerment
Access to health records, health data, using patient portals or access to EMR.
Adoption of digital tools (apps, wearables, sensors) that are connected to EMR/PHR for monitoring progress.
Dynamic patient engagement in managing health, tracking progress towards health goals, engaging providers as partners.
Patient engagement
#HIMSS21
22
• Global data network offers real-time tracking of outcomes
• Creates a global data platform to support country to country level collaboration and learning
• Connects directly to people and populations – can collect outcomes data and push key messages to population segments at greatest risk
Global Network
System Capacity and Complexity of Care
Proactive Population Health Management based on Risk and Complexity
23
#HIMSS21
Bubble Size:
• Ability to identify root-cause • Ability to remove/isolate confounding information
Diagnostic: Why did it happen?
• Historical patterns being used to predict specific outcomes using algorithms
Predictive: What is likely to happen?
• Apply advanced analytic techniques to make specific recommendations
• Decisions automated or provides decision support
Prescriptive: What should I do?
Standard Reports
• What matters to the person and the population
• Outcomes and goals are personalized to unique life circumstances
• Creates transparency, track progress towards goals
• Value = care delivery achieves best outcomes for every population segment, not just for some
25
@SCAN_Health
#HIMSS21 26
The Digital Health Indicator measures progress toward a digital health ecosystem. An ecosystem that connects clinicians and provider teams with people, enabling them to manage their health and wellness using digital tools in a secure and private environment whenever and wherever care is needed. Operational and care delivery
processes are outcomes-driven, informed by
data and real-world evidence to achieve
exceptional quality, safety and performance that is sustainable.
#HIMSS21 27
• Adoption of digital tools to manage health and wellness, care, access and use of personal data and analytics tools to inform decisions.
• Clinician use of secure digital tools to consult, collaborate, and partner with patients to achieve health goals.
• Rates of security alerts, automated tracking of breaches and cybersecurity outcomes (cost, compliance, accuracy).
• Adoption and use of personalized digital tools to manage their health and wellness.
• Effectiveness of proactive preventive risk mitigation strategies that improve health outcomes.
• Population health: use of data to segment population health outcomes to support health and wellness outcomes.
• Use of Point of care analytic tools and dashboards to track individual and population health outcomes.
• Use of predictive Analytics to identify and track risks and outcomes for population segments.
• Operational performance tracking of cost, quality, and safety outcomes in real time, for individuals and populations.
• Organizational policy informed by value and outcomes at individual and population level.
• Transparency: Communication of quality, safety and performance outcomes to the public.
• Use of Incentives and funding models to advance digital health system outcomes.
• Accountability for workforce capacity, competency and sustainability in digital care delivery.
27
Value of Standards reduce variation
Protecting the Workforce: health, safety, quality of work life
Virtual Care: self management health and wellness
Preparedness: resilience,
“Fate will not create the new normal, choices will”
Why Digital Health Matters:
Creates Learning Health Systems
• Outcomes inform the design, and scalability of new solutions
• Data flow across the system enables real- time tracking
• Outcomes inform system accountability
outcomes across the system
inform new care models
examine value and impact
populations
#HIMSS21 31
Thank You! Anne W. Snowdon, RN, PhD Chief Scientific Officer, HIMSS ([email protected])
Professor, Strategy and Entrepreneurship, Odette School of Business Windsor, Ontario Canada
Health Workforce: Sustainability
Slide Number 11
Chronic Diseases in America; A Population at Risk
Slide Number 14
Our Approach
The Person-Enabled Health System
Digital Tools Personalized to Every Individual’s Unique Needs and Life Circumstances
Future Health Systems: Transition from Patient Engagement to Person Empowerment
Interoperability for Global Health Systems
Slide Number 23
Slide Number 24
Slide Number 26
Slide Number 27
Digital Health Indicator
Thank You!