Sparking Innovation Through
Health Information Technology
Becker's Hospital Review 6th Annual Meeting May 8, 2015
Lyle Berkowitz, MD, FACP, FHIMSS Founder and Director, Szollosi Healthcare Innovation Program / TheShipHome.org
Associate Chief Medical Officer of Innovation, Northwestern Memorial HealthCare
Associate Professor of Clinical Medicine, Feinberg School of Medicine, Northwestern University
Founder and Chairman, healthfinch / healthfinch.com
[email protected] / www.DrLyle.com / @DrLyleMD
What Keeps Me Up At Night(and what I dream about)
Sh&*#@
that
needs to
get done
What
Doctors
have time
to do
HIT-
Empowered
Team based
Care
Background
My World
IT
Innovation
ClinicalBusiness
ACOMeaningful use
ICD-10 value-based care
care beyond walls
Population health
disease management
Top of License
mobilepatient
engagement
care transitions
care coordination
big data
narrow networks
telehealth consumerism
physician
burnout
Aging population
young invincibles
Extreme Diabetics
How Might We… 10X Primary Care?
(and what can we start doing today?)
2500 25,000
Workflow
Efficiency
Virtual
Care
Complex
Patients
The HIT Pyramid
Innovation
Optimization
Proficiency
Maintenance
EMR
Post-EMR
Why is Innovation important?To compete, grow, and thrive, providers must out innovate
Dollars
Time
Out
innovation supports:
• Market share growth
• Investment returns
• Operational efficiency
• Value based care
What is Innovation?
Innovation is the creation of better
processes, technologies or business models
(Different than Invention or Improvement)Innovators
Innovative
IT
Innovative
Care
Models
Design Thinking and
Innovation Mantras
Little Bets ���� Big Wins
Fail Early, Fail fast,
Fail Often, Fail Cheap
Don’t Tell Me
What You Can’t Do!
The Innovation Process
Explore Experiment Expand
Observe
Investigate
Brainstorm
Prototype
Pilot
Simulate
Fund
Spread
Commercialize
Research
Key Levers for InnovationRegulations, Reimbursement & Usability
CURRENT FUTURE
Government Regulations which enforce
“Hero-based” face to face care
Regulations which support
Team based care, Telehealth
and Care Automation
Payors Reimbursement which
rewards volume based care
Reimbursement which
rewards value based care
Vendors EMR/HIT Usability that is
often horrible
EMR/HIT Usability that truly
makes it easier to practice
great medicine
RESULTS Innovate to Volume with weak
tools and restrictive policies
Innovate to Value with better
tools and supportive policies
Can we Innovate with Today’s HIT?Let Me Tell You A Story…
•Care Coordination
•Preventive Care and Dz Management
•Adverse Event Detection
EMRs
•eVisits, eConsults
•Patient Portals, Home Monitoring
•Tele-Pharmacists, Tele-Translators
TeleHealth
•Mobile EMRs, Smart Rooms
•Analytics, Dashboards, Checklists
•ePanels, CrowdSourcing and Gaming
Advanced
Technologies
Identify the “Minimum Viable Innovation” and Operationalize at YOUR organization
(it’s OK to “borrow”)
• Medstar’s Care Gap Protocols
• SETMA’s Pre-Visit Preventive Screening Tool
• Reliant Medical Group’s Pre-Visit Orders
Innovating Around the EMR
People and Process > IT
•Northwestern’s Inflection Navigator Program
•Children’s National Automatic Adverse Event Detector
•California’s Tele-Translator System
It’s OK to Start Small
• Memorial Hospital’s “Mommy Monitor”
• Exploring Devices Kinect, Google Glass,
• Competitions, Crowdsourcing & Grants
• Inpatient iPad Pilot
Apply New Innovation Tools
to Old Problems(Video Ethnography for Extreme Diabetics)
Mash Up Wild Ideas
with Technologies Commonly Used in
Other Industries
• UPMC’s SmartRoom
• Kaiser’s Online Panel
• Gaming: SnowWorld, ReMission and Dr. Hero
Understand and Embrace the Power of Doctor Happiness
Because there is no quality without use
“Although both
made life better for
patients,
only one
made life better
for doctors.”
Atul Gawunde, MD
Slow Ideas: Some innovations
spread fast. How do you speed
the ones that don’t?
Source: The New Yorker. July 29, 2013.
Using HIT & Innovation to
Make Doctors Happier and Patients HealthierMake Routine Care Easier and Complex Care Better
HIT Empowered Routine Care
• Preventive Care
• Med Refills
• Test Results
• Minor Acute Care
• Stable Chronic Care
HIT Empowered Complex Care
• Risk Stratification / Predictive Modeling / Impactiblity / Activation
•Team-based Care at Top of License
• Complex Care Clinics
Recipe for Success
• Have a champion with passion and knowledge
• Listen to and observe the Front Line
• Explore Innovative Solutions Inside and Outside Healthcare
• Start with crazy ideas, then make them realistic
• Make it easy to do the right thing (aka adoption is based on removing pain or adding joy)
• Align with Organizational Goals
• Have a Focus
• Figure out a sustainable business model
• Spread with IT
• Keep your tenacious spirit
Copyright Lyle Berkowitz 2015. All Rights Reserved.
No part of this document may be reproduced or shared
with anyone outside of your organization without prior
written consent from the author(s).
Recommended
