The Future Is Already Here It Is Just Not Evenly Distributed

The Future is Already Here:
It is Just Not Evenly Distributed
John L. Haughom, MD
October 2014
© 2014 Health Catalyst
www.healthcatalyst.com Follow Us on Twitter #TimeforAnalytics Proprietary and Confidential
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It’s Time to Engage
It is time to engage…
…let’s criticize less and dare greatly more.
Source: http://www.healthcatalyst.com/healthcare-transformation-time-for-clinicians-to-engage

Transforming Healthcare Through Analytics
Billy Beane
General Manager
Oakland A’s
Glen D. Steele, MD, PhD
President and CEO
Geisinger Health System
Ray Kurzweil
Director of Engineering
Google and Leading Futurist
James Merlino, MD
Chief Experience Officer
Cleveland Clinic
Follow Us on Twitter #TimeforAnalytics Proprietary and Confidential © © 2014 2014 Health Health Catalyst
Catalyst
www.www.healthcatalyst.healthcatalyst.co com
m Provide a tangible vision of healthcare analytics
Leading keynote speakers
Engage the audience with analytics in a unique way
Hands-on learning experiences
Interactive audience engagement, optimized for
teams
User and special interest group follow up
Provide meaningful networking opportunities
Share Health Catalyst vision, products, roadmaps
Have Fun
Access to a mobile app will be used for
audience response and participation in
real time. Group-wide and individual
analytic insights will be shared throughout
the summit, resulting in a more
substantive, engaging experience while
demonstrating the power of analytics.
hasummit.com
Penny Wheeler
President and Chief Clinical Officer
Allina Health
Charles Macias, MD, MPH
Chief Clinical Integration Systems Office
Texas Children’s Hospital
Governor Mike Leavitt
Former Secretary of HHS
Founder of Leavitt Partners
Ms. Lizette Yearwood, JP
Chief Executive Officer
Cayman Islands
Health Service Authority (HAS)
Keynote Speakers

Key Summit Observations
• The meeting was filled with energy and
excitement
• Innovative healthcare organizations
demonstrated that the future is already
here
• It is just not evenly distributed
• The Summit was a great success
• Save the date for next year – September 9-
10, 2015
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The Future Belongs to the Leaders

A Revolution Roughly Every 50
Years
Data-driven
Healthcare
6
Organizational and
Drug Advances
Evidence-based
Medicine (RCT)
~1870’s
Advances in Surgery
and Public Health
• Germ theory of
disease
• Antiseptic techniques
• Advances in
anesthesia
~1910-1928
• Hospital organization
• Training & licensure
• Nursing practices
• Penicillin
~1960-1970
• RCTs adopted as
gold standard
• Foundation for
evidence-based
medicine
~2015-2020
• Widespread
automation (EHRs)
• Availability of
advanced analytical
tools and solutions
• Emphasis on value
production

Healthcare: The Way It Should Be
Book now available
• Free (PDF format)
• Kindle format
• Print on demand
FREE PDF format: http://www.healthcatalyst.com/ebooks/healthcare-transformation-healthcare-a-better-way/
Kindle: http://www.amazon.com/dp/B00MV9RYR0/
Paperback: http://www.amazon.com/dp/0692257268/
*Charge to cover Amazon production and distribution costs
Amazon*

Change is Inevitable
We have accomplished miracles, but
it is time for change

Why Change?
If food prices
had risen at
medical inflation
rates
since the 1930s
*Source: American Institute for Preventive Medicine
2009
1 dozen eggs $85.08
1 pound apples $12.97
1 pound sugar $14.53
1 roll toilet paper $25.67
1 dozen oranges $114.47
1 pound butter $108.29
1 pound bananas $17.02
1 pound bacon $129.94
1 pound beef
shoulder $46.22
1 pound coffee $68.08
10 Item Total $622.27

All About Creating Value…
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10
Value = Good / Cost
“Quality improvement is the most powerful driver of
cost containment.”
- Michael Porter, PhD
Economics
Harvard Business School

What We Pay For…
Preventable Complications
Unnecessary Treatments
Inefficiency
Errors
Services
That
Add
Value
40%
Waste
60%
Value
All Services
Add
Value
100%
Value
Future
Now
11

A Time for Revolutionary Thinking
“A revolutionary moment in the world's
history is a time for revolutions, not for
patching.”
Lord William Beveridge

Adapting to Change is Optional
“It is not necessary to change. Survival
is not mandatory.”
W. Edwards Deming

Without data, you are just another
person with an opinion.

Levels of Evidence
Level I:
Evidence
from one or more RCTs
Level II-1: Evidence from
controlled trials without
randomization
Level II-2: Evidence from cohort or
case-control analytic studies
Level II-3: Evidence from multiple time series
(observational studies)
Shared common
Level III: Opinions of respected authorities, based on clinical
experience, descriptive studies or reports of expert
committees (ideally using formal consensus methods)
baselines
Level IV: “Evidence” based on personal anecdote (“In my experience…”)

Enterprise Data Warehouse in
90 days
90 days to implement
10 years of clinical data
14 billion rows of data
“IU Health had previously struggled to create a data warehouse that
would serve as the organization’s source of truth.”
Bill McConnell, SVP and CIO, Indiana University Health

Rating IT Priorities
Rated as “extremely important”
• Analytics (54%)
• Population Health (42%)
• ICD-10 (30%)
• Accountable care/Shared risk (29%)
• Mergers/acquisitions/consolidations (11%)
CHIME survey, 2014

Linking the three systems
Clinical Integration hierarchy
GUIDANCE
TEAM
CLINICAL
IMPLEMENTATION
TEAM
WORK
GROUP

Focus Increases ROI
11
102
535

Care delivery is all about the reliable
and efficient execution of process

Healthcare’s Greatest Asset: People
People don’t do anything until they
are inspired. But once they are
inspired there is almost nothing they
will not do.
*NOTE: A Better Way Training Program
to be launched early next year…

Creating the Future We Want
“We are called to be the architects of
our future, not its victims.”
Buckminster Fuller

Two Quick Comments
• All of these examples and others are reviewed in
great detail on the Health Catalyst under
“Success Stories”
• http://www.healthcatalyst.com/knowledge-center/
success-stories/
• All of them use the analytics capabilities and the
Three Systems covered in the book.
• I will focus only on outcomes rather than on the details
for each success story

Population Registries
85% reduction in time
6 months to 2 weeks
QI project timeline

Reduced Heart Failure
Readmissions
14% reduction in 90-day readmits
21% reduction in 30-day readmits
2X increase in phone calls 48 hours
63% increase in med reconciliation

Improved Surgical Outcomes
36% reduction in post operative LOS
19% reduction in average variable
direct costs
19% decrease from diagnosis to
surgery
36% increase in order set adoption
53% increase in percentage of
patients receiving recommended
antibiotic

Improved Sepsis Outcomes
22% reduction in septicemia
mortality rates
$1.3M cost savings over 12
months

Reduced Surveillance Waste
90% reduction in surveillance
waste
$800K opportunity cost savings

Reduced Unnecessary Elective
Deliveries
75% reduction in elective
deliveries
Six Figure payer-partner
bonus

Improved Women and
Newborns Population Health
21% increase in breast
milk feeding rates
12K fewer charting hours and an
estimated $54K savings in chart
abstraction

Streamlined Radiology
Operations
$1M increase in billable charges
by minimizing referral
leakage
$400K savings from automated
reporting

Own Your Tomorrow
“The future belongs to those who
prepare for it today.”
Malcolm X

Poll Questions
2. Do you believe that your organization is actively
architecting its future?
a. 5 – Definitely
b. 4
c. 3
d. 2
e. 1 – Not at all
33

Thank You
Upcoming Educational Opportunities
Patient Registries
Date: November 12, 1-2pm, EST
Presenter: Dale Sanders, Senior Vice President, Strategy
http://www.healthcatalyst.com/knowledge-center/webinars-presentations
Innovation in Healthcare: Creating Tomorrow
Date: December 10, 1-2 PM, EST
Presenter: John Haughom, MD, Senior Advisor
Viewing Healthcare as a Complex Adaptive System
Date: TBD
Presenter: John Haughom, MD, Senior Advisor
For Information Contact:
Dr. John Haughom: john.haughom@healthcatalyst.com

The Future Is Already Here It Is Just Not Evenly Distributed

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The Future Is Already Here It Is Just Not Evenly Distributed