The Commonwealth Fund - Putting the Patient at the Center of the Digital Universe - Digital...

Putting the Patient at the Center of the Digital Universe

David Blumenthal, MD, MPPPresident, The Commonwealth Fund

2016 Digital Healthcare Innovation Summit Boston, MANovember 2, 2016

2

Agenda• Next great challenge in digital health.• What stands in the way?• A path forward.• What next?

3

Empowering consumer choice and self-care

The Challenge

4

Information

Data StewardsAnalytics

5

Clinical data from EHRsInformation

6

Financial data from payersInformation

7

Scientific information from the medical literatureInformation

8

Consumer-supplied data from self monitoringInformation

9

Contextual dataInformation

10

Quality dataInformation

11

12

Analytics

13

Analytics

14

Trusted Data Stewards

15

What Stands in the Way?

16

Health Information Exchange is a Team Sport

17

Market Competition is Not a Team Sport

18

Competition Between Health Systems

19

20

21

The Blue Button

22

Analytics: Seriously Neglected Up Until Now

23Not Where The Money Is

24Real Target

25Health Care Costs are Concentrated in Sick Few

Source: Agency for Healthcare Research and Quality analysis of 2013 Medical Expenditure Panel Survey; MEPS Statistical Brief 480.

1%5%

10%

49%

65%

22%

50%

97%

Population Share of Health Spending

26

Health 2.0, September 2016 | 26

What These Patients WantEMOTIONAL

NEEDS

PERSONALNEEDS

Source: http://www.sagehealthadvisor.com/

FUNCTIONAL NEEDS

MEDICALNEEDS

27

Health 2.0, September 2016 | 27

Advice Tracking

Communication

Functions Potentially Supported by Digital Health

Source: http://www.sagehealthadvisor.com/

Coordination

28

Health 2.0, September 2016 | 28

29

The Path Forward

30

Consumer Directed Exchange

Consumer

31

32

The Blue Button

33

34

35

What’s Next?

36

Health 2.0, September 2016 | 36

37

Question and Answer

38