Chairman and Co-Founder, healthfinch; and Director, Szollosi Healthcare Innovation Program at Northwestern Medicine

Transcription

1 Post-EHR Platforms The Power of Doctor Happiness Tools Lyle Berkowitz, MD, FACP, FHIMSS Chairman and Co-Founder, healthfinch; and Director, Szollosi Healthcare Innovation Program at Northwestern Medicine June 17, 2015 DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS or any other associated organization. Disclosure of Conflicts of Interest 1. Chairman and Chief Medical Officer, healthfinch 2. Editor, Innovation with Information Technologies in Healthcare 1

2 Agenda The Importance of Doctor Happiness Can Innovative Thinking + HIT Make Doctors Happier and Patients Healthier? What if we created an HIT company that truly focused on Doctor Happiness? Lessons learned from an EMR Extender Why Doctor Happiness is Important Then 1848 (167 years ago) Although both made life better for patients, only one made life better for doctors. Atul Gawunde, MD Slow Ideas: Some innovations spread fast. How do you speed the ones that don t? Source: The New Yorker. July 29, There is no quality without use 2

3 Why Doctor Happiness is Important 88% Physicians Report Being Burnt Out Now 2015 Source: VITAL WorkLife & Cejka Search Physician Stress and Burnout Survey (2015) Source: Medscape (2014) Problem #1: The EMR/Reimbursement Disconnect (aka Misaligned Incentives) What the Government And Payors Want What Doctors Want Cost Savings Efficiency Quality 3

4 Problem #2: HIT Usability Sucks (What Happened? How can we Improve?) The FIRST Principles Flexible Intuitive Reliable Speedy Topical We don t have a shortage of physicians We have a shortage of using them efficiently! Expand Team Based Care Sh&*#@ that needs to get done Make EMRs Better What Doctors have time to do Get SAD to make Doctors Happy 4

5 Can we Innovate in a post-ehr World? Let Me Tell You A Story EMRs Care Coordination Preventive Care and Dz Management Adverse Event Detection TeleHealth evisits, econsults Patient Portals, Home Monitoring Tele-Pharmacists, Tele-Translators Advanced Technologies Mobile EMRs, Smart Rooms Analytics, Dashboards, Checklists epanels, CrowdSourcing and Gaming The Doctor Happiness Company TM Making life easier for doctors and better for patients healthfinch A cloud-based, team-enabled CDS platform which integrates with EMRs to save physician and staff time by simplifying, automating and delegating their common, repeatable activities. 5

6 Care Redesign Apps The Challenge Toxic Toxic In In Basket Basket Volume Volume 6

7 The Consequences The Financial and Emotional Impact of In Basket Overload 88% Physicians Report Being Burnt Out 6.6% Average Turnover Rate/Physician at a cost of $500k-$1M f Hours/Day Spent on EMR Documentation In Basket Tasks/Day: Refills, Diagnostics, Consults, Messages A Closer Look at In Basket Volume 12 Refill Requests 19 Lab Requests 11 Imaging Results 14 Consultation Reports 40 Phone & Messages 12 Refill Requests per Day = 3.75 FTE Physicians per Year! $937,500 in Provider Costs! 7

8 Swoop Refill Delegation Software Swoop is the first tool on the healthfinch platform. It saves physicians minutes a day by running all EMR based refill requests through a cloud based rules engine, applying physician approved protocols to automate and delegate ~70% of these messages away from physicians (and towards their staff) in a safe and efficient manner. The result is less work for the doctor, easier process for the staff, quicker turnaround time for the patient and overall higher quality. Swoop Extras Care Gap Batching When a renewal request is received for one medication, Swoop runs ALL of the patient s active medications through protocols. This process catches over 25% of diagnostics that would have otherwise been missed. 1 RECEIVE Lipitor renewal requested 2 EVALUATE The Challenge Active meds run through protocol Toxic In LDL Basket overdue Volume Carbamazepine level also overdue 3 EXECUTE Scheduling message sent to right party Orders pended 8

9 Real World Example: HealthPartners Care Redesign Goals: Improve Safety, Efficiency and Standardization HealthPartners has >50 clinics and almost 400 primary care physicians. ROI 4x Efficiency/Cost Savings Improved Quality Improved Turn-around time Pre- Swoop Post- Swoop FTE RNs processing refills Refills processed per RN/day Refills fully automated/day Total Supported Providers Turn around time 24-72hrs <24hrs Refill center costs $1.96M $580K Toxic In Basket Volume 9

10 Lessons Learned as an EMR Extender Company Build and Evolve the Ecosystem Content Evidence Based Protocols Interface vs. Integration Acknowledge Muscle Memory Technical Support Build it and they will come Process Improvement Expertise Client Success Team What Else Can we Simplify, Automate, or Delegate? 10

11 Happier Doctors Make Healthier Patients THANK YOU Lyle Berkowitz, MD, FACP, FHIMSS Copyright Lyle Berkowitz All Rights Reserved. No part of this document may be reproduced or shared with anyone outside of your organization without prior written consent from the author(s). 11