IoT, Big Data Healthcare Summit Western Canada - Increased Connectivity: Improving Community...

www.appletreemedicalgroup.com | www.appletreetoronto.com

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

Increased Connectivity:

Improving Community Healthcare Provision

Dr. Thom Tyson, CEO, Canadian Health Systems Inc.

CEO, Appletree Medical Group

Research Data

Consumer Health Data

Treatment Option & Evidence

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

Three Lenses 1. Population Health

2. Patient Health

3. Healthcare Community

Population HealthDoes Flu Vaccine Work?

Vaccinated patients took significantly fewer sick days

than their unvaccinated

peers!

2011 2012 2013 20140

Calendar Year Cross Section Patient Visit Cohort Control PHO Cases

Index year

Growth in lower-risk patients’ rates of STI since Pap Policy Change

Leveraging Connectivity

Better Patient Care Affordable Health System

Improved AccessImproved Quality

Lower Costs

Improving Access to Care

Challenging Assumptions

Basic Communication Model

What is it about Health Care that makes it so Slow And Expensive?

The Media Has ImprovedThe Processor Has Not.

Barriers to Access:• Distance• Time• Matching Supply to Demand:

– Services Match– Talent Match– Cultural Preferences

• Costs• Language• Self Interest Groups

Bringing Supply and Demand into Balance:

How much Efficiency do you needto Shrink a line-up in Half?

How Much to Shrink it 90%?

Length of Line: Relationship to Capacity Utilization

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.

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

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

Patient Care Transfer Process

Doctors to FTE’s - Before

80 Doctors 12 FTE’s

Doctors to FTE’s - After

175 Doctors 2.5 FTE’s

www.appletreemedicalgroup.com | www.appletreetoronto.com www.appletreemedicalgroup.com | www.appletreetoronto.com

Improvements By Connecting Patients

Our experience:• Dramatic reduction in Line ups• Timely Care• Higher patient satisfaction• Higher physician satisfaction• Reduced Costs at all levels

Examples of Patient ConnectivityKiosk

Wait Time Tools

Telemedicine

Remote Data Capture for Pre-Triageand Preventive Care Activities

Patient Engagement viaSelf Registration Kiosks

Patients: Real-Time Wait Time Tools

Patient Engagement Through Mobile Portal Access

Mobile Apps & Remote Check-In

Remote Date Capture:On phone, tablet or desktop

eg. Injured PatientComputer Assisted History

(Any Language)

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

Targeted Cancer

Screening

Breast Cancer

Colon Cancer

Osteoporosis

STI Screening

Cervical Cancer

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!

IoT, Big Data Healthcare Summit Western Canada - Increased Connectivity: Improving Community...

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