Monday, June 02, 2014

#HDPalooza 2nd General Session MC:@BryanSivak

The second General Session at the Health Data Palooza. Bryan Sivak CTO and Entrepreneur in Residence at Dept of Health and Human Services (HHS) is hosting the session.

This session has presentations from:

  • Jeremy Hunt MP, Secretary of State for Health, UK
  • Jonathan Bush, CEO, Athenahealth
  • Atul Gawande, Director, Adriadne Labs

Plus App Demos.

Maxwell Health

Re-invent the way people think about health insurance and health.

Making Health a product. Make it a beautiful experience. An operating system for Employee Benefits.
A recommendation engine.

an App for your health benefits. Lightweight wellness program.

Adding biometric data.
Providing a rewards store
HealthCare Concierge – a live person plugged in to your benefits application.

Distribution is through benefit brokers.

Bryan Sivak: one of first apps treating people as people and not statistics.

Jeremy Hunt – Secretary of State for Health UK

Jeremy Hunt: “The Secretary of Health job is a secure one – because nobody else wants the job!”

US and UK share data on Obesity and Mental Health.
Working on a joint project for safe electronic record sharing.

Never Events and Avoidable Deaths and the power of data.

The Chief executive of Salford Hospital asked home many patients they harmed. It was the first time the question had been asked.

It started a journey that has eliminated MERS and dramatically reduced other issues. They also saved 5M UK Pounds and the hospital is treated as one of the best in England by both patients and staff.

A similar story in the US means that the scandal is how INFREQUENTLY these steps are taken. In the G7 countries 200K avoidable deaths per year.

There are too many avoidable errors. The cost is excessive. Safe care REDUCES cost.

It is difficult because people fear litigation. Doctors are worried about being struck off the medical register.

The power of data is incredibly important in achieving culture change.

Virginia Mason, Seattle – Instituted Patient Safety Alerts.

The number of PSA’s has increased and Litigation has fallen fourfold.

Transparency is essential.

The UK has published surgical outcome data for Heart Surgery. By rsk adjusting for heart condition they enabled this data to be published. The result has been thousands of lives saved each year.

Transparency Plus Peer Pressure leads to big changes.
- Raises standards
- Reverses the Patient/Doctor relationship. The patient is in the driving seat for their own health care.

Purple Binder – Joseph Flesch

Finding relevant social services in your community.

Finding and Accessing Services is still difficult.

  • Collecting Actionable Data

Making data available that isn’t available on Google.

Starting from State and local data sets and then pass to the company’s research team. The results of the research is published back out.
They are also working to establish standards for community health and social work data.

PurpleBinder is really daling with Messy data.

AthenaHealth – Jonathan Bush

Where Does it hurt?

18% of GDP gets you:

  • 62M patients without a PCP
  • 85% of patient not receiving Well Patient Visits
  • 42 Rank in Global Life Expectancy

  • 55& of referrals come back with no information
  • 8 Minute average visit duration
  • 50% of doctors would not recommend being a doctor

Upper-Right Quadrant Syndrome

Protect and Defend
Innovate and Compete

Protect and Defend rather than compete and innovate

eg. Microsoft v Apple

Athensa Health does 1B transactins per year.
51M Patients
110,000 interfaces
50B web hits per year.

Shout out to the Government for Claims Data Release and BlueButton data

But Boos for Shifting mandates and making data markets and Corporate Medicine Illegal.

The innovation we need is the “Curation of Care”

Jonathan’s call:
Get out and do your dance. It may be lonely at first but that will change.

Nial Brennan – Office of Enterprise Management

The man driving the distribution of CMS data.

Released 9M records from 1M providers.
Today they release the 2012 Hospital inpatient and outpatient data.

They also have a dashboard for county-level chronic conditions data.

Also the Cohort Estimate Tool. that allows you to query data and understand the size of the population you are interested in.

Atul Gawande – Ariadne Labs and Harvard School of Public Health

Where are we taking things in HealthCare. We are starting to see interesting lessons emerge.

Four Lessons:

  1. The Debate about whether to provide healthcare coverage is over. Now a question of how.
  2. The Delivery system for health care needs is broken.
  3. Understanding the sickest is how we fix our healthcare system.
  4. Success requires making data the most important resource to clinicians AND patients for improving Care.

5% of population account for 50% of healthcare spending.. the top 1% account for 20% of cost.

The sickest people also receive the worst care. Is it any wonder our costs are out of control.

Data helps us drill in to helping the sickest people.

We need to treat the whole person and not just the symptoms that present in the Emergency room.

Acute care accounts for the vast majority of cost.
Data creates a feedback loop that rives higher quality and reduced cost..

Data is still considered a BY-PRODUCT and not a central resource.

Ariadne Labs is about scalable solutions to support people’s lives.

In Maternity – Identifying the key moments of risk and addressing processes to improve results. Simple checklists can create big improvements.

Building data and making it accessible and actionable:

Access – Getting heterogeneous, distributed and inaccessible.
We then have to characterize, structure and standardize
Then we can do machine learning and data mining, network analysis and causal analytics.
Then we can look at interaction and interface design, process mapping and workflow optimization.

Our big data strategy has relied on the data exhaust.

We have to instrument the workflows so we can collect operational data.

EHRs are turning skilled medical staff in to data entry clerks. And the Patient and Clinician have been ignored along the way.

Visualization is critical. There is no way to get the patient generated data in to the EMR
[Ed; this is one area Medyear is addressing - Making Patient data available]

  1. When the fax machine disappears we will know that Healthcare has been digitized.
  2. When the doctor and patient can make applicaitins to make their health better.

Mark Scrimshire
Health & Cloud Technology Consultant

Mark is available for challenging assignments at the intersection of Health and Technology using Big Data, Mobile and Cloud Technologies. If you need help to move, or create, your health applications in the cloud let’s talk.
Stay up-to-date: Twitter @ekivemark
Disclosure: I am a Patient Engagement Advisor to Personiform, Inc and their platform, a Consumer-Mediated Health Exchange that puts members in control of their health data and who they want to share that data with.

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