Wednesday, October 22, 2014

Healthcare, Healthcare, Healthcare

A series of changes anywhere from 7 to 10 years ago in healthcare precipitated the tsunami effect that in many respects is what we are witnessing today

This is my metaphor for describing healthcare transformation. This is a Japanese painting of a tsunami wave. Tsunami as you all know is a result of disruption that occurs on the surface of the earth and its basically a sound wave that is moving through water. In reality the sound wave is separated in time and distance from the actual tsunami wave. The reason I use this a metaphor is that a series of changes anywhere from 7 to 10 years ago in healthcare have precipitated a few years ago are having the tsunami effect in healthcare today. One of the things about tsunami is that there is no way to stop it, no way to brick walls high enough. Tsunami waves are insurmountable and will overtake the situation and that is in many respects what we are having in healthcare today. 

Jonathan Swift in 1711 said that “Vision is the art of seeing things that are invisible”. Charles H. Duell was the Commissioner of US patent office in 1899. Mr. Deull's most famous attributed utterance is that "everything that can be invented has been invented.“ But, I believe that “Vision is the art of seeing things that are invisible”. 

What I am stating here is my vision about healthcare transformation and my vision. 

Establish a Triple Aim in Healthcare: 
  • Improving the patient experience of care (including quality and satisfaction) 
  • Improving the health of populations; and 
  • Reducing the per capita cost of health care 

 Current State of Healthcare

Transformation Journey

Recommended components for achieving tripe aim

Interactive and Visual Model Builder
Population Health Management Governance
Increasing dollar value (downward economic pressure)
Improve Utilization (under and over)
Health System – ACO communication
Extensible Software Framework for Mobile and Telemedicine
KPI Management (financial against quality)
Analytics Solutions and Capabilities
Ø Care management
Ø Disease management
Ø Palliative care
Ø Medication Adherence
Ø Avoidable Admissions
Ø Fraud Waste and Abuse
Ø Risk Modeling and Analytics