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

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

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Empowering consumer choice and self-care

The Challenge

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Information

Data StewardsAnalytics

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Clinical data from EHRsInformation

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Financial data from payersInformation

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Scientific information from the medical literatureInformation

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Consumer-supplied data from self monitoringInformation

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Contextual dataInformation

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Quality dataInformation

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Analytics

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Analytics

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Trusted Data Stewards

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What Stands in the Way?

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Health Information Exchange is a Team Sport

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Market Competition is Not a Team Sport

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Competition Between Health Systems

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The Blue Button

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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

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What These Patients WantEMOTIONAL

NEEDS

PERSONALNEEDS

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

FUNCTIONAL NEEDS

MEDICALNEEDS

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Advice Tracking

Communication

Functions Potentially Supported by Digital Health

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

Coordination

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The Path Forward

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Consumer Directed Exchange

Consumer

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The Blue Button

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What’s Next?

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Question and Answer

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