health it summit washington d.c. 2014- case study dr. ed chung, physician advisor
TRANSCRIPT
![Page 1: Health IT Summit Washington D.C. 2014- Case Study Dr. Ed Chung, Physician Advisor](https://reader033.vdocuments.net/reader033/viewer/2022042717/55d54d8dbb61ebd6228b4721/html5/thumbnails/1.jpg)
Paper to Platforms: The Journey of Population Health Management
Ed Chung, MD
Physician Advisor
![Page 2: Health IT Summit Washington D.C. 2014- Case Study Dr. Ed Chung, Physician Advisor](https://reader033.vdocuments.net/reader033/viewer/2022042717/55d54d8dbb61ebd6228b4721/html5/thumbnails/2.jpg)
Discussion points
• What is population health management?
• The three D’s of PHM
• The role of a health informatics platform
01
![Page 3: Health IT Summit Washington D.C. 2014- Case Study Dr. Ed Chung, Physician Advisor](https://reader033.vdocuments.net/reader033/viewer/2022042717/55d54d8dbb61ebd6228b4721/html5/thumbnails/3.jpg)
A historical perspective
We are in a post-data age
01
Yesterday’s challenge: get the data
![Page 4: Health IT Summit Washington D.C. 2014- Case Study Dr. Ed Chung, Physician Advisor](https://reader033.vdocuments.net/reader033/viewer/2022042717/55d54d8dbb61ebd6228b4721/html5/thumbnails/4.jpg)
01
Image credit: Juhan Sonin, flickr
![Page 5: Health IT Summit Washington D.C. 2014- Case Study Dr. Ed Chung, Physician Advisor](https://reader033.vdocuments.net/reader033/viewer/2022042717/55d54d8dbb61ebd6228b4721/html5/thumbnails/5.jpg)
Closer to the present
interoperability
01
analytics
business intelligence
informatics
benchmarking dashboards
silos
quality
![Page 6: Health IT Summit Washington D.C. 2014- Case Study Dr. Ed Chung, Physician Advisor](https://reader033.vdocuments.net/reader033/viewer/2022042717/55d54d8dbb61ebd6228b4721/html5/thumbnails/6.jpg)
Personal genomics
Photo credits: mjtmail, Ray_from_LA, Rev Stan – all on flickr
The ground is fertile
Predictive analytics
Rapid cycle improvement
![Page 7: Health IT Summit Washington D.C. 2014- Case Study Dr. Ed Chung, Physician Advisor](https://reader033.vdocuments.net/reader033/viewer/2022042717/55d54d8dbb61ebd6228b4721/html5/thumbnails/7.jpg)
The driver of PHM
01
Payment reform = move to fee-for-value
Payment reform
+ Fertile data ground
Population Health Management
![Page 8: Health IT Summit Washington D.C. 2014- Case Study Dr. Ed Chung, Physician Advisor](https://reader033.vdocuments.net/reader033/viewer/2022042717/55d54d8dbb61ebd6228b4721/html5/thumbnails/8.jpg)
What is Population Health Management?
01
Using data to optimize care for a well-defined
group of individuals
![Page 9: Health IT Summit Washington D.C. 2014- Case Study Dr. Ed Chung, Physician Advisor](https://reader033.vdocuments.net/reader033/viewer/2022042717/55d54d8dbb61ebd6228b4721/html5/thumbnails/9.jpg)
Why is it so hard?
10/10/2014 9 ill
ne
ss a
nd
co
st
![Page 10: Health IT Summit Washington D.C. 2014- Case Study Dr. Ed Chung, Physician Advisor](https://reader033.vdocuments.net/reader033/viewer/2022042717/55d54d8dbb61ebd6228b4721/html5/thumbnails/10.jpg)
Why is it so hard?
10/10/2014 10
Instant Replay — A
Quarterback's View of
Care Coordination
Press MJ,
N Engl J Med 2014;
371:489-491
![Page 11: Health IT Summit Washington D.C. 2014- Case Study Dr. Ed Chung, Physician Advisor](https://reader033.vdocuments.net/reader033/viewer/2022042717/55d54d8dbb61ebd6228b4721/html5/thumbnails/11.jpg)
The three D’s of PHM
01
1) Data
2) Define
3) Drive
![Page 12: Health IT Summit Washington D.C. 2014- Case Study Dr. Ed Chung, Physician Advisor](https://reader033.vdocuments.net/reader033/viewer/2022042717/55d54d8dbb61ebd6228b4721/html5/thumbnails/12.jpg)
Data: Is it…
• Complete?
• Clean?
• Timely?
01
Key question: Do I have confidence in my data?
![Page 13: Health IT Summit Washington D.C. 2014- Case Study Dr. Ed Chung, Physician Advisor](https://reader033.vdocuments.net/reader033/viewer/2022042717/55d54d8dbb61ebd6228b4721/html5/thumbnails/13.jpg)
Why is it so hard?
10/10/2014 13
“Typical IT solution interface map”
• multiple formats
• multiple meanings
• multiple IT solutions
• multiple vendors
![Page 14: Health IT Summit Washington D.C. 2014- Case Study Dr. Ed Chung, Physician Advisor](https://reader033.vdocuments.net/reader033/viewer/2022042717/55d54d8dbb61ebd6228b4721/html5/thumbnails/14.jpg)
Define: Find the right patient population
• What is the clinical question?
• What measure am I trying to meet?
• Whom am I trying to target?
01
Key question: Do I have the ability to isolate and manipulate
this population?
![Page 15: Health IT Summit Washington D.C. 2014- Case Study Dr. Ed Chung, Physician Advisor](https://reader033.vdocuments.net/reader033/viewer/2022042717/55d54d8dbb61ebd6228b4721/html5/thumbnails/15.jpg)
Why is it so hard?
Then: Let’s look at our population of over-65 patients to make sure
they got Pneumovax.
Now: Let’s look at our Medicaid-eligible kids with inner city
residence, persistent asthma, and ED visit or inpatient admission in
the last year to make sure they’re on appropriate controller meds
and have an asthma action plan for school. And let’s slice the data
by their primary clinic and primary care provider to see where we
need to do the most reeducation.
01
![Page 16: Health IT Summit Washington D.C. 2014- Case Study Dr. Ed Chung, Physician Advisor](https://reader033.vdocuments.net/reader033/viewer/2022042717/55d54d8dbb61ebd6228b4721/html5/thumbnails/16.jpg)
Drive: Can I enable…
01
• Engagement?
• Action?
Key question: Can I put the right information in the right place
at the right time?
![Page 17: Health IT Summit Washington D.C. 2014- Case Study Dr. Ed Chung, Physician Advisor](https://reader033.vdocuments.net/reader033/viewer/2022042717/55d54d8dbb61ebd6228b4721/html5/thumbnails/17.jpg)
Why is it so hard?
10/10/2014 17
right
information
right time
right place
![Page 18: Health IT Summit Washington D.C. 2014- Case Study Dr. Ed Chung, Physician Advisor](https://reader033.vdocuments.net/reader033/viewer/2022042717/55d54d8dbb61ebd6228b4721/html5/thumbnails/18.jpg)
18
![Page 19: Health IT Summit Washington D.C. 2014- Case Study Dr. Ed Chung, Physician Advisor](https://reader033.vdocuments.net/reader033/viewer/2022042717/55d54d8dbb61ebd6228b4721/html5/thumbnails/19.jpg)
10/10/2014 19
![Page 20: Health IT Summit Washington D.C. 2014- Case Study Dr. Ed Chung, Physician Advisor](https://reader033.vdocuments.net/reader033/viewer/2022042717/55d54d8dbb61ebd6228b4721/html5/thumbnails/20.jpg)
Health Informatics Platform
• Enables the 3 D’s
• Strategic, foundational structure
• Minimize the number of pieces in your
foundation
01
![Page 21: Health IT Summit Washington D.C. 2014- Case Study Dr. Ed Chung, Physician Advisor](https://reader033.vdocuments.net/reader033/viewer/2022042717/55d54d8dbb61ebd6228b4721/html5/thumbnails/21.jpg)
Health Informatics Platform
01
Image credit: Roger Perriss, Peter Curbishley, Vyacheslav Argenberg – all from flickr
![Page 22: Health IT Summit Washington D.C. 2014- Case Study Dr. Ed Chung, Physician Advisor](https://reader033.vdocuments.net/reader033/viewer/2022042717/55d54d8dbb61ebd6228b4721/html5/thumbnails/22.jpg)
Health Informatics Platform
• Success in PHM is directly proportional to
the strength of your health informatics
platform
• Achieve the 3 D’s (Data, Define, Drive) as
fully as possible
• Robust yet simple is the goal
01