martin duggan - ibm watson health - integrated care & the evolution to cognitive computing

Individual Health!Healthcare!Providers!Insurers!

Researchers!!

Community Health!Social Care!

Child & Adult Protection!Disability Supports!

!

Employer Health!Accident & Injury Compensation!

Workforce Development!Sickness & Presentism!

Rehabilitation & back to work!!!

Economic Health!Retirement!Disability!

Employment!Migration!Education!

!

IBM Watson Health // ©2015 International Business Machines Corporation// SOURCES: 1. 2015 Global Health Care Outlook Common Goals, Competing Priorities. Rep. Deloitte, 2015. Web. 16 June 2015. Roeder, Amy. Reducing Wasteful Health Care Spending Begs the Question, What Is Waste? Harvard, T.H. Chan School of Public Health. Harvard, T.H. Chan School of Public Health. .

Worldwide $7.8 trillion is expended annually for health and social programs around the world. Up to 30% of every dollar is wasted. 1

Treats the symptom not the cause Spent in Silos On episodes not outcomes With little view of the real economic impact

There’s a gap in the accuracy of treatment decisions.

As many as 44% of all initial cancer treatments are modified on the second course of treatment. 1

Less than 50% of medicine is evidence based.2

An epidemiologist would have to read 167 hours a week to keep up with new professional insight. 3

Mental Health is the 3rd largest US spend category.

$46 bn and that doesn’t include spend in prisons, nursing homes and institutional care. 4

IBM Watson Health // SOURCES: 1. Journal of Clinical Oncology, Talk about Health Blog, Sept 2011 2. www.washingtonmonthly.com/features/2007/0710.brownlee.html 3. http://www.economist.com/blogs/babbage/2013/02/computer-aided-medicine 4. MEPS, NHIS, Milkin Institute.

Watson Health is working to enhance, scale, and accelerate expertise across the domains

of health and human services, and to facilitate collaboration across the

communities of care.

Individual

Social Programs

Education

Governments

Home Health Agencies

Practitioners

Hospitals

Therapists

Health Plans

Family

Public Health

Medical Devicesand Diagnostics

Bio-Pharma

Employers

Engagement Across Communities of Care!

Payers

Understands Natural Language Watson can read and understand millions of documents. • Medical Texts • Evidence-Based Guidelines • Peer-reviewed Articles • Clinical and Case Records

Generates and Evaluates Watson searches, extracts candidate recommendations scores and ranks decisions

Learns and Adapts Decisions being made by leading professionals feed the engine

Watson and Me Understands and engages me Learns and improves over time Helps me discover Establishes trust Has endless capacity for insight Operates in a timely fashion

Watson: A Cognitive System

Solutions!Population Health!

Management!

Condition!Specific Care!

Health!and Wellness!

Social !Programs!

Discovery!Solutions!

Real World!Evidence!

Ecosystem!Population Health!

Management!

Condition!Specific Care!

Health!and Wellness!

Social !Programs!

Discovery!Solutions!

Real World!Evidence!

Individual

Social Programs

Education

Governments

Home Health Agencies

Practitioners

Hospitals

Therapists

Health Plans

Family

Public Health

Medical Devicesand Diagnostics

Bio-Pharma

Employers

Payers

DataInsight

Population Health Management

Identify care gaps

and enable delivery of timely,

coordinated care

Social Programs

Ensure that care

approaches address individuals' social

context

Real World Evidence

Uncover health interventions to

inform care approaches

Condition Specific Care

Apply best care

protocols for chronic conditions

Health and Wellness

Empower individuals

to live healthier, more productive

lives

Discovery Solutions

Accelerate

research and improve treatment

options

Research and Innovation! Systems of Care!

New York State Department of Health Medicaid redesign: !Health Homes to improve care, quality & bend the cost curve!

“New York has emerged as a national leader in the development of Health Homes…Health Homes are envisioned as a permanent part of the state’s considerable efforts to coordinate care for high need and high cost populations, consistent with the MRT’s ‘care management for all’ objective.”

- New York State Medicaid Redesign Team (MRT)

Background: Services for >5M citizens. Spending for Medicaid >35% of the state budget and on path for annual growth of 13%

Issues: High need clients drive a disproportionate share of spend – 20% of the total clients account for >50% of Medicaid spending – or $30B

Solution: Enables a patient-centered, multidisciplinary team based approach for a holistic view of the patient

A decline in spending from as high as 9,500 per recipient to $8,500

A target of reducing avoidable hospital use by 25% in 5 years

Savings of

billions of dollars

Results:


Government of Catalonia Department of Health collaborates across clinicians and social care teams to cut costs and improve outcomes!

“We understand the importance of the joint action between professionals across different service levels and its positive effects on the health outcomes of the patients being cared for, in the quality of the care provided and in the use of healthcare and social resources.”

- Jaume Benavent, Deputy Director of Health Affaires, ICS

Background: 25% of the individuals are over 65 years old, consuming 70% of resources

Solution: Integrated care management analyzes patient and disease-related data as well as treatment options and costs to create a individualized, 360-degree care plan.

Patients receive better care, at lowers costs through better collaboration among a multidisciplinary team.

Up to

15% cost reduc7on for caring for chronically ill pa?ents

An 8% reduc7on in outpa?ent visits

As many as 12% fewer readmissions to care provider facili?es

Results:


What do these have in common

360 degree view!

Democratise expertise!

Ability to scale beyond the pilots!

Really manage outcomes!

Engage the individual & their ‘family’!

Enable a multi-disciplinary team!

Individual Care Plan!

A call to action…..!

What are the assessment models we should standardize on…

How should service effectiveness be measured and compared…

What are the leading practices….



Watson Health brings together individuals and organizations to democratize knowledge and access to tools and information that help lead to healthier, more

productive lives.

martin duggan - ibm watson health - integrated care & the evolution to cognitive computing

Health & Medicine