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Presented by Steve Mills, IBM Senior Vice President, Group Executive, Software & Systems Group Learn more: http://www.ibm.com/software/products/en/category/health-social-programs
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Opening General Session: Improving Outcomes, Changing Lives with
Smarter Care and Social Programs
1. Welcome
John Hearne, IBM General Manager Smarter Care & Social Programs
2. IBM commitment & investment in health & social programs
Steve Mills, IBM Senior Vice President, Group Executive, Software & Systems Group
3. Health and Social Programs as a Cornerstone of Economic Vitality
Dan Pelino, IBM General Manager, Public Sector
Outcomes: the imperative for change in H&SP service delivery
The Honorable Patrick Kennedy, Former US Representative (no presentation, video replay only)
Re-opening the session after break – and introduction of Judge Leifman by Farhana Alarakhiya, IBM Director, Smarter Care
The Realities and Impact of Mental Health Care Approaches
The Honorable Judge Steven Leifman, 11th Circuit District Court, Miami Dade County (no presentation, video replay only)
4. Innovations in access and engagement: Mobile strategies and solutions for health and social programs
Nicole Gardner, IBM Global Industry Leader, Government Healthcare and Social Services
5. 5. Person-centered Team-based Care: Adventures Through Space and Time
Ronan Rooney, IBM Research, Director of Care Programs
Q&A moderated by Farhana Alarakhiya, IBM Director, Smarter Care
© 2014 IBM Corporation
Steve Mills
Senior Vice President and Group
Executive, IBM Software and
Systems
Innovation in Healthcare and Social Programs
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IBM’s Involvement in Healthcare and Social Programs
Buyer / Customer of Healthcare in the U.S.
– 450,000 employees and family members insured
– $1.3 B in spend
Change Agent
– National and International level reform and standards
– Commitment to industry based research through IBM Research and the IBM Cúram Research Institute
– IBM Watson cognitive computing that works how people do
– 600+ patents in life sciences, healthcare and medical devices
Commercial: Innovative IT Solution Provider
– $6+ B business; over 4,000 dedicated employees
– 60+ Medical doctors, 350 health professionals, 500+ social program professionals
– $16 B in analytic acquisitions, 500+ analytic patents, 12 Analytic Solution Centers
– Enable ‘connected and personalized care’ across the ecosystem
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Unsustainable Costs
Unnecessary Procedures
Inconsistent Prices
Disease Complexity
Shortage of MDs
Aging Populations
Healthcare
Social Care
Budgetary Constraints Increasing Demands
High Turnover of Staff
Fraud and Abuse
The Transformation of Health and Social Care Has Begun ….
Individual
Healthcare Reform
Regulation
Population Management
Accountable Care
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Insights-Driven Individualized Care
Dynamic Segmentation
and Assessment
Supporting Platform (Mobile, Collaborative, Data, …)
Intervention Adaptation
Adherence
Team-based Intervention Execution
Health Social Behavioral
Prediction and Early
Identification
Tailored, Outcome Oriented
Intervention Program
Human Data Collection -
Social, Health, Behavioral, Financial
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The Pace of Big Data is Accelerating ….
IBM Global Technology Outlook - 2012
projected health-related apps
downloaded a year by 2016
1 Billion avoidable annual
costs by improving medicine adherence
$500 Billion 4X people over 60
unable to care for themselves by
2050
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Exponential Growth in New Forms of Data Will Play an Increasing
Important Role in Enabling Better Outcomes
1100 Terabytes Generated per lifetime
6 TB Per lifetime
0.4 TB Per lifetime
60% of determinants of health Volume, Variety, Velocity, Veracity
30% of determinants of health Volume
10% of determinants of health Variety
Clinical data
Genomics data
Exogenous data (Behavior, Socio-economic, Environmental, ...)
Source: "The Relative Contribution of Multiple Determinants to Health
Outcomes", Lauren McGover et al., Health Affairs, 33, no.2 (2014)
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Healthcare
Social Care
The Future Will Look Very Different ……
Individual
Cognitive
Medical
Decision
Support
Tools Individual Centered
Care Teams
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IBM Watson Can Address the Challenges of Health and Social Programs
Understands natural language, including medical guidelines, publications and clinical notes
Adapts and learns from interactions and outcomes
Generates and evaluates evidence-based hypotheses to improve patient care
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Feeds into and drives
Smarter Care delivery
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The Volume is Overwhelming and the Language is Complex
Symptoms Diseases
Medications Modifiers
Symptoms
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Watson Solutions Map to Clinical and Operational Processes and Drive
Tangible Benefits
Extract information from EHR
Integrate information from structured & unstructured sources
Tap into various multi-modal data
Access evidence from medical literature
Enable interpretation and application of evidence from market leaders
Care Planning Tools
Leverage observational data for deriving insights
Integrated outcomes data to enable continuous, closed loop training
Data Exploration and visualization
Watson Healthcare Solutions: Optimize clinician efficiency and insight Improve ability to make evidence-based decisions Leverage advanced data exploration to optimize care delivery and quality control
Outcomes Driven Learning System
Evidence-based Insights
Patient Intake
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Watson Solutions for Healthcare and Life Sciences
Discovery Advisor to enable researchers to
uncover new insights into
relationships between
genes, proteins, pathways,
phenotypes and diseases
Clinical Trial Matching to optimize patient selection
and recruitment for clinical
trials
Engagement Advisor to transform interactions
and experiences with
patients and physicians
Oncology to assist in the creation of
individualized treatment plans
and enhance patient /
physician experience
Utilization Management to streamline and automate
authorizations and ensure
adherence to guidelines
EMR Advisor to identify critical attributes
of a patient case and provide
easy-to-consume summaries
Paths Clinical reasoning for Medical
Education and top of license
care delivery
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Watson Helping Oncologists Treat Cancer Patients
Attacking the cause of one in four deaths
Built with Memorial Sloan Kettering
Need better individualized cancer treatment plans Suggestions to help inform oncologists’ decisions based on
600 K+ pieces of evidence and 2 M pages of text from 42 publications
Analyzes patient data against thousands of historical cases and trained through 5,000+ Memorial Sloan-Kettering MD and analyst hours
Evolves with the fast-changing field
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Watson Facilitating Medical School Problem-based Learning Methods
Cognitive systems in a classroom-based setting
Need easier insight into data for diagnoses and decisions Intuitive, new user interface to Watson’s power revealing chains of
evidence to support clinical reasoning
Analysis of whole EMRs to extract and visually present summarized knowledge with semantic understanding of context
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Watson Transforms Hospital Procurement Process
Procurement process is inefficient. In procuring implantable devices alone, $15 B is wasted annually due to these inefficiencies
Powering rapid decision support by leveraging MD Buyline’s data, research, and domain expertise in junction with Watson’s cognitive abilities
Driving optimal purchasing decisions for providers enabling informative comparison of medical device options
SSM Health Care realizes over $2 million in improved operating margins with MD Buyline’s Purchased Services Program
DCH Health System Identifies $3 Million in Actionable Savings with MD Buyline
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Watson Empowers Consumer Engagement
By 2020, the customer will manage 85% of the relationship with an enterprise without interacting with a human
Transforms client engagement by knowing,
engaging and empowering clients where they are
Develops client relationships by reaching out to clients who do not leverage traditional channels
Empowers consumers and contact center agents to take informed action with confidence
Answers questions and guides users through
processes with plain-English dialogue
Leverages natural language to interact with users and build knowledge and expertise
Utilizes evidence evaluation and learning to provide informed and effective responses to users
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Watson Synthesizes Information in Seconds
80% of the world’s knowledge is in unstructured form
Answer the tough research questions that have never been answered before
Leverage Watson natural language and inference technology to discover new insight
Link internal and external research to expand knowledge corpus
Initial focus in Pharma, Education and Publishing
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Communities of Care: Collaboration and Process to Support
Transformation
Public Health Organizations
Pharmaceuticals
Private Social Programs Organizations
Health Clubs and Patient Education Healthcare Providers
Health Plan Providers / Payers / Insurers
Home Healthcare Providers
Government Agencies
Retirement Communities
Solution Providers
Pharmacies and Retailers
Government Social Services
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The Need for Coordination and Collaboration
Ineffective coordination of benefits (COB) burdens the U.S. healthcare system with more than $ 800 million in unnecessary administrative expenses per year
Implementation of care coordination initiatives for senior citizens resulted in 5.7% hospital readmission decline. For a community of 50,000 Medicare beneficiaries, Medicare could save $ 4 million annually on readmissions for every $ 1 million spent on these community interventions
In the United Kingdom, preventable errors cost hospitals $USD 4 billion per year in additional hospital stays alone, while litigation represents further substantial cost
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Announcing IBM Care Management
Packaged software application that helps synchronize care needs across healthcare and social care
Brings in structured data from sources that extend beyond clinical health records, and unstructured data from physician, case worker and care worker notes
Available: December 2014
Generate
Individual
ized care
plans
Other Data
Sources
Enterprise
Services
Unstructured
data
Claims
EMR /
EHR
Analysts
Multi-disciplinary
Care Team
Ingest and
Unify Data
Provide Insight at
point of care
Doctor’s notes
Case worker’s
notes
Social
Workers
Medical
Professionals
Mental Health
Professionals
Care Workers
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Announcing the IBM Cúram Practice Accelerator Program
IBM standard training, skills development and accreditation
program for business partners, now includes IBM Cúram solutions
Partner Success Roadmap IBM Software Practice Accelerator
Sales
Training
Product
Training
Implement-
ation
Training
Deployment
Experience Accreditation
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© 2014 IBM Corporation
Dan Pelino
General Manager, IBM Public
Sector
#ibmhsps14
Economic Vitality