bringing data and finance together to create high … · lorica health: confidential bringing data...

LORICA HEALTH: CONFIDENTIAL

Bringing data and finance together to create

high quality, high value health care markets

Dr Paul Nicolarakis

@PaulNicolarakis


“HEALTHCARE IS NOT A SYSTEM”


Average rate per exposure of catastrophes and associated

deaths in various industries and human activities

Adapted from: Amalberti R et al. Ann Intern Med 2005;142:756-764

Fatal iatrogenic adverse events

Himalayan mountaineering

Cardiac surgery in patient in ASA3-5 Medical risk (total)

Microlight aircraft or helicopters

Blood transfusion

Anaesthesiology in patient in ASA 1

Commerciallarge-jet aviation

Road safety

Chemical industry (total)

Chartered flight

Railways

Nuclear industry

10-2 10-3 10-4 10-5 10-6

very unsafe ultrasafe

RISK

NO

SYSTEM

BEYO

ND

TH

IS P

OIN

T

http://www.nytimes.com/2010/08/01/health/01radiation.html

• At least 400 patients in eight hospitals have

been overdosed on radiation during CT

brain perfusion scans.

• Some cases were up to 13 times the amount

of radiation generally used in the test.

• Doctors and hospitals missed symptoms

such as hair loss in the irradiated areas.

• Two hospitals said technicians confused a

feature that raised radiation levels and

thought it lowered them, saying the feature

was “counterintuitive.”

After Stroke Scans, Patients

Face Serious Health Risks

Source: http://www.popsci.com/science/article/2013-04/which-drugs-actually-kill-americans


One man’s obesity is another man’s bread on the table…


Health span vs life span

It's all about health span, not lifespan: the 47p HALE opus

@TheLancet http://goo.gl/2BpZhR http://econ.st/1IjAo3p

http://dx.doi.org/10.1016/S0140-6736(15)61340-X

https://twitter.com/TheLancet

http://t.co/GyKqQw8KpS

http://t.co/HNUUdGPX7j

Our Thesis…

HEALTHCARE

MARKET QUALITY

FAIRNESS

Access

to Care

Absence

of Fraud

Absence

of Abuse

EFFICIENCY

Price

Discovery

Quality

Discovery

Value

Discovery

Market Quality Road Map

IDENTIFY fairness & efficiency data and metrics

GATHER & SYNTHESISE data to produce metrics

DEVELOP & DEPLOY solutions to key stakeholders

The Compliance Continuum

FRAUD

~1%

ERRORS

~2%

ABUSE

~2%

LOW

QUALITY

~10% LOW

VALUE

~15%

VALUABLE

~40%

HIGH VALUE

~30%

100

0

ILLUSTRATIVE

administrative clinical

valu

e


April 1, 2016 COAG Communique

https://www.coag.gov.au/sites/default/files/files/HeadsofAgreement-MASTER-CLEAN.pdf


Thank you

@PaulNicolarakis

bringing data and finance together to create high … · lorica health: confidential bringing data...

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