I'd Rather Be Skiing

Wednesday, January 25, 2012

#CISummit Hurdles to Better Care, Better Health at lower cost discussion

A lunchtime panel addressing how to overcome the hurdles to achieving Better Care, Better Health at Lower Cost:

- Kelsey Gowin (Special Assistant to Richard J Gifilan, CMS Innovation Center
- Jack Cochran (Executive Director, Permanente Federation)
- Joseph Smith (Chief Medical and Science Officer, The West Wireless Health Institute)

The panel is moderated by Jean-Luc Neptune, Health 2.0.

West Wireless is focused on cost because it threatens our health system. It is an uncomfortable conversation.
Responsibility over cost does not automatically mean rationing. Technology has the opportunity to improve the cost picture. Ample room to do more at lower cost.

CMS - The Three Part aim has an implicit Patient Centric approach.

Health is not isolated. Health is part of a patient's overall life. It impacts their wealth. Over half of all personal bankruptcies are due to medical costs.

No single aim is the most important. We have disparities, shortages, all compounded by a severe recession and an explosion in baby boomers. We have to deal with all the issues - they are inter-related.

Joe Smith - Put health care on the same footing as every other technology-based industry.

In no other industry do you consume the product and after the fact find out what you received and what it cost.

Consumerism is a driving force emerging in Health Care.

CMS is excited by the level of response to challenges and innovation programs.
KP is excited by the move from good to excellent results in conjunction with the transition to Team-based delivery of service.

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#CISummit Bernadette Loftus KP and Patrick Conway CMO at CMS have a fireside chat

Bernadette Loftus - Be relentless in driving improvement

How to improve quality:

Extract data and present and share it. Set numerical discreet goals.

It is not just a primary care job. The EMR prompts specialists to ensure follow ups happen - even outside their specialty.

Patrick Conway:

Acts as a clinical voice in CMS quality programs.

Set the goals and let people figure out the How.

How do you work on rapid cycle change (90 days)?

BL:

- First believe that you can make change happen.

- Line of sight accountability. Connect owners to action.

PC:

- Remove unnecessary regulation

- Focus on measures that matter to patients and clinicians

- Partnering to work with medicaid, CHIP and the exchanges. Act as a catalyst.

Physician Leadership - what is the role in Quality.

BL: Move the attitude to move the results. Be mindful and systematic.

What does success look like for CMS in 5 years?

The point of the innovation center is to test different models. Don't pre-suppose the answer.

Fostering delivery systems that offer high reliability in their change systems.

Move the vast majority of people in to "Systems of care"

How do you spread innovation?

BL: facilitate the conversation.

Reward the innovation

Innovation is also a process. Create innovation access points. - using Innovation Consultants in medical centers to give people an entry point for change.

Evidence-based medicine:

PC: Evidence should inform coverage decisions.

Cancer Screening approaches:

BL: Screening tests must be deliverable across a mass population.

Forward sweep - Watch for people on planned visits - what tests are they missing.

Clinical Workflow - Do all tests during appointments.

Back sweep - Look at those that missed testing

How can this group of participants help CMS?

PC: - do more of what is being done - faster!

We need to speed up the pace of change. Engage broad collaborations.

Collaborate and innovate.

Share.

Learn from best practice.

Keep in mind:

"What would you do if you knew you couldn't fail?"\

"What is best for the patient?"

How do we embed better care in the community?

- Move from volume to value reimbursement.

- Workforce redesign

Moving from Sick Care to Well Care

KP has moved from a primary care comprehensive testing (multi-phasic) approach to a connected network of physicians that can address their specialties and ensure that there are no gaps in testing and care. Patients can attend an appointment and have multiple specialist encounters in a single visit.

Move Faster:

Testing models quickly. Does it save money and does it scale.

The Next Generation of Patients

How do we educate people to establish their electronic health records and sharing their electronic records with researchers.

We need to develop the capability for shared decision making. Making sure their is real engagement.

What is CMS doing to change how Patients are engaged in the policy discussions?

PC: we need more patient engagement in clinical and policy arenas.

The patient needs to be the decision maker.

KP is putting more emphasis on the voice of the patient.

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#CISummit Mohit Kaushal and Joe Smith from WWHI

Live blogging from #CISummit.

West Wireless Health Institute - is co-sponsoring the day.
Healthcare costs are rising at rate above every other metric in the US economy.
WWHI is driven to drive down the cost of health care. They are doing this through innovation and commercialization.

WWHI has opened a policy center. Policy can drive change.

"Most smart people work somewhere else" We need to collaborate. There is so much to be done.

Let's get stuff done!

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#CISummit @tedeytan introduces his boss - Jack Cochran for the networking day @kptotalhealth

I am live blogging from the pre-summit day at the Kaiser Permanente Center For Total Health.

"Our greatest responsibility is to be good ancestors" - This is why we need to change HealthCare.

The USA faces tough challenges and tough choices and health care is a major part of the economy - running around 20% of GDP.

Too many families have had the fabric of their American Dream ripped apart. Health Care impacts both financially and socially.

Quality, safety, accessibility and affordability are still major issues.

The american people want fairness in health. Legislation is not the only answer. We need solutions.

"The role of patient is an involuntary act"

Small victories are not enough. We need to learn from each other. We need to leverage meaningful collaboration.

Take the enthusiasm and energy and use it as a platform to improve dramatically.

People want affordable access to safe care - when they need it.

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Preparing for the Health Care Innovations Summit, Washington DC 25-26/1/2012

Tomorrow is the Health Care Innovations Summit in Washington, DC. The event is organized by the Centers for Medicare & Medicaid Services (CMS), West Wireless Health Institute and and Health Affairs. THe summit itself on January 26th is over subscribed and there is a packed agenda. Fortunately Kaiser Permanente is lending a hand and helping to make the day more productive for attendees. Today, Wednesday January 25th, Kaiser Permenanente's Center for Total Health is hosting a pre-event networking day and tomorrow the center hosts a viewing party for people that can't get to the Summit event at the Renaissance Hotel. You can still register for the viewing party here:

http://summitviewingliveatkp.eventbrite.com

Today I am working with Danielle Cass and Ted Eytan to facilitate the networking day. It is set to be both fun and informative. The objective of the day is to turbo charge the summit experience for participants, helping them to connect with others of like mind and to share innovation ideas. There are also some fascinating discussions organized throughout the day.

For those of you that watch my tweets, I know I have been lying low for a few weeks. But over the next few days I will be live tweeting and blogging from the summit - so watch out for a stream of blogs and tweets.

The reason for me lying low is that I have been working with Community Education Group (CEG) in Washington DC to help them submit a proposal for a CMS Health Innovation Award. CEG is a leader in HIV Education and Support and for 18 years has focused outreach to the disadvantaged communities in Washington DC. This has involved bringing together some amazing partners to implement an innovative community-based medical home for patients in disadvantaged communities living with life long chronic conditions. There will be more to come on this subject, including some exciting partnerships with some great organizations.

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Tuesday, January 24, 2012

Students demonstrate innovative iPad book page flip | TUAW - The Unofficial Apple Weblog

One major complaint about reading an eBook is the experience; holding an iPad is just not the same as holding a book and thumbing through the pages. This complaint may lose some of its weight if the folks at the KAIST Institute of Information Technology Convergence can get their patented Smart E-Book Interface Prototype out of the lab and into the wild.
The interface uses the private Apple API for the page flip and turns it upside down and inside out. Not only do you get a beautiful page flip like the one in iBooks, you also get page flipping that lets you scan 20 or 30 pages at a time, multiple page flips that are controlled by the speed of your finger swipe, and a way to hold your thumb on one page and flip through the book with your fingers. You can see it in action in the video below to marvel at how the interface mimics the way most people flip the pages of a softcover book.
[Via Macgasm]

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Source:

via tuaw.com

Very cool animation.

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Wednesday, January 18, 2012

#ReginaHolliday asked me where my Walking Gallery Jacket has been...

In May of this year Regina Holliday painted my favorite leather jacket. Since then my Jacket has been well travelled... Regina asked where it had been. So let's try to put together a list. Here goes....

May 2011: