Thursday, January 26, 2012

#CISummit Ignite Talks - Part 3


Ignite Talks: Rapid Fire Innovation Pitches

Facilitated by Joe McCannon

Senior Advisor to the Administrator, Centers for Medicare and Medicaid Services (CMS) 

Will Shrank, MD

Director, Rapid Cycle Evaluation Group, Centers for Medicare & Medicaid Services (CMS) 

David Eddy MD, PhD

Co-Founder, Archimedes
Joe McCannon -  Asked the question:

- Who would you most like to meet?
- What innovation has captured your imagination?

I know I want to learn more about the Allscripts challenge. 

Will Shrank - Rapid Cycle Evaluation Group - CMS

Medication Non-Adherence - Americas other drug problem

$0.5T problem due to medication non-adherence.

No magic bullet.  But....

Better education and communication

Pharmacists are potent communicators

Benefit design to remove payment barrier.

Simple reminders

Better labeling and packaging

HIT is the backbone of any adherence initiative. Social Networks are powerful tools.
Engage family and friends.

Entrepreneur behind epocraties

Redesigned primary care service at lower cost. Same day appointments. More time with patients. 
Not a concierge model.

Ideas are cheap. It is putting them in to practice that takes effort.

There is waste in the system. First concentrate on internal waste.  Started looking at support staff. Typical practice has 4.5 FTE's per MD.
But that depends on handling many, many patients.

Dropped it to 1.5 FTE per MD

Classic People - Process - Technology challenge.

Instituted email. - what a concept! 

Simple systems. Email, web forms, simple EHR

Don't specialize

What was learned:

- The bar is low.

- Expectations are rising.

Creativity is thinking new things - Innovation is doing new things.

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