Health IT: Better Information for Better Decisions. HSE Healthcare Leaders Masterclass April Robert Wah, MD

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1 Health IT: Better Information for Better Decisions HSE Healthcare Leaders Masterclass April 2015 Robert Wah, MD Global Chief Medical Officer CSC 1

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5 Three Waves of Health IT Investment: Health Information Exchanges (HIEs), Electronic Health Records (EHRs) and Tools for Health Analytics Pilots Health IT Investment Over 10 Years: $150B Ongoing Regulatory and Policy Changes Standards Health Information Exchanges Implementation of EHRs Population-Based Analytics EHRs Population Analysis and Decision Support HIEs

6 The Way Forward Coordinated Care Care Coordination Transitions of Care Integration and Edge Adapter Services HIE capabilities for Data Exchange Population Health/Care Mgmt Collaboration and Communication Bridge Rules based surveillance Chronic Disease Mgt Coordination of Care Mgt Disease Specific Dashboards Care Coordinator Workspace Patient Engagement TeleHealth, TeleCoaching In-Home Device Integration and Monitoring Video Conferencing Encounter Documentation CDR Analytics BI/DW Big Data Enterprise Data Warehouse BI Tools Reporting Descriptive Analytics Advanced Alerts and Care Coordination Near-Real time Patient Surveillance Predictive Analytics BIG Data Analytics Advanced Rules Engine Health Services Strategy Competition Sensitive 4/21/2015 4:10 AM 8

7 Care Coordination Maturation Organizational Alignment People Assets Locations Services Provided Patients Care Delivery Operating System Technology Choices Care and Business Processes Operations Policies Organizational Alignment LEVEL 5: PREDICTIVE COORDINATION Patient and provider behavior change achieved Outcomes improved Big data and predictive analytics LEVEL 4: COORDINATION Outcomes impacted Communication and collaboration bridges adopted Coordinated Care Program matured, part of organizational DNA Workflows socialized Patients engaged in their health Analytics impacting outcomes LEVEL 3: COLLABORATION Robust coordinated care program care coordination workflow/workspace established Coordinated Care record Increased patient engagement (teleservices) LEVEL 2: COMMUNICATION Provider workflow (care transitions and notifications) Message and data exchange (DIRECT, CCD) Basic reporting program initiated LEVEL 1: INFRASTRUCTURE Technical infrastructure Data ingestion Information exchange Base lifetime EHR Begin workflow process changes Program planning Organizational alignment Governance CURRENT STATE Traditional approaches to case and disease management BIG DATA Predictive Analytics Business Intelligence Reporting

8 Meaningful Use Stage 2 must report on 20 measures 9 clinical 125 discrete requirements Reporting period is a full year Measures include: View, Download, and Transmit (patient portal) Transitions of Care (care summary) 10

9 EHR Meaningful Use Penalties 48% 234,000 EPs 52% 257,000 EPs Getting 2015 MU Penalty 7% of EPs Attested to Stage 2

10 AMA Priorities to Improve EHR Usability Enhance physicians ability to provide high quality care Team-based care Care coordination Product modularity and configuration Reduce cognitive workload Promote data liquidity Digital and mobile engagement User input into product design and post-implementation feedback

11 More than 100,000 NHS Professionals Now Use the Over 2,300 Systems Provided by CSC covering over 60% of UK Improving the quality of healthcare delivery in the UK Electronic patient records for joined up healthcare Coordinated, efficient scheduling of patient services Filmless, online diagnostic scans, images, and studies Emergency access to critical patient medical data Supporting government health objectives of patient choice, patient-centric care, safety and clinical efficiency NHS Trusts (Medical Centers) PACS/RIS First 3 Lorenzo sites live, 6 more signing up; 1 going live 45 Patient Administration Systems (PAS) serving Acute Trusts 32 theatre(operating Room) systems 6 maternity systems 40 Picture Archiving and Communications (PACS) systems deployed 38 Radiology Information Systems (RIS) deployed Storing over 1 Billion images General Practitioner Surgery Children's Services Ambulance Services Nearly 2,300 general practitioner (GP) system deployments covering more than 25 million patients 106 child health system deployments 4 ambulance emergency care system deployments In more than 600 ambulances An award-winning solution Community, Prisons, and Mental Health Facilities 180 community systems 133 prison systems 12 mental health systems 4/21/2015 4:10 AM 14

12 CSC is Transforming Healthcare with Better Information for Better Decisions Quality of care is improved with better information saving lives and money Patients make better decisions about their care, their physicians, and their health Physicians make better decisions for their patients Government makes better decisions about quality of care, biosurveillance, Medicare utilization and integrity, and transparency Payers make better decisions about benefits, features and services to offer plan members, promoting wellness and better care, controlling costs, and developing new outcomes-based reimbursement models Life Science workers make better decisions to produce more useful clinical trials and laboratory findings

13 CSC Proprietary and Confidential

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15 2013 Computer Sciences Corporation 4/21/2015 Creative Services

16 The Future Interconnected, Private, Secure Health Information Exchange Patient Patient Health Record Physicians Nurses PMS Misys EMR Berdy PMS, EMR Specialist PMS, EMR Secure and Private Exchange Payer Payer System Claims, Eligibility, Formulary Self Care Routine Care Grand Healthcare Platform Specialty Care Acute Care Lab Testing Hospital CPOE, EMR, ERP PACS Lab Lab System Misys Lab System FDA/CDC Adverse Event Database Bioterrorism Surveillance Preventive Care Chronic Care Registries Service Company Disease Management Domain Expertise Product Performance and Evidence Manufacturers Pharma/Medical Devices/Surgical Professional Society Treatment Guidelines

17 CSC Transforming Healthcare with Better Information for Better Decisions Or CSC Healthcare IT on YouTube.com CSC Proprietary and Confidential

18 Thank You! Robert Wah,

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