shaping a culture of innovation from idea to execution...
TRANSCRIPT
Shaping a Culture of Innovation from Idea to Execution
April 15, 2015
Barbara Adams, MSHI, MBA, Vice President, ITS
Tricia Nguyen, MD, MBA, Executive Vice President, Population Health & President of Population Health,
Education & Innovation Center
Texas Health Resources 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.
Conflict of Interest
Barbara Adams, MSHI, MBA Has no real or apparent conflicts of interest to report. Tricia Nguyen, MD, MBA Has no real or apparent conflicts of interest to report.
© HIMSS 2015 2
Learning Objectives
• Create a common definition of innovation across the enterprise
• Define pragmatic steps to create a culture of innovation
• Design an infrastructure to promote innovation across the enterprise
• Create a process for evaluating and selecting high impact innovations for further development and execution
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Engaged and empowered employees are ready to offer their creativity and innovative ideas. Innovation will help lead the way in disrupting traditional healthcare models.
One approach to solve for the unsustainable cost is individual accountability. In order to have accountability, we must empower front line staff as they see firsthand the gaps and barriers.
Innovative ideas can lead to improvements in treatments and clinical outcomes.
Healthcare is lagging behind other industries. Information and data are critical to increasing patient engagement as we move into offering anytime, anywhere healthcare.
Opportunity identified by line staff on readmissions which involved Medication Recon and Post Visit Discharge. While it appeared to be a simple idea about access to drugs and physicians, it made a huge impact.
Value Steps Linked to a Culture of Innovation
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22 outpatient facilities
Texas Health Resources
More than 22,000 employees
25 hospitals in North Texas
More than 5,500 physicians with active staff privileges
Physicians Group: 500+ physicians and 200+ physician assistants & nurse practitioners
THA, THAL, THAZ, THC THD, THDN, THFW, THSH,
THS, THSW, THK
John E. Gall Jr. CIO of the Year Award
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More than half a trillion dollars of annual healthcare spend is related to inefficiencies with overuse, underuse, duplication, and system failures.
3 of every 10 medical tests are re-ordered because results cannot be located.
Over 1/5 of medical errors are due to lack of immediate access to patient information.
Healthcare Is Broken-We Must Innovate To Survive
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Bill Gates
• “To be innovative, you cannot be afraid to obsolete your own products. If you are, others will obsolete them for you. Innovate or Die.”
Steve Jobs
• "Innovation has nothing to do with money. It's about the people you have, how they are led, and how much you get it."
Albert Einstein
• “We cannot solve a problem by using the same kind of thinking we used when we created them.”
How is Innovation Defined?
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Improving Patient Care Through Innovative Steps
Robust applied research program
Fueled by visionary
ideas
Direct improvement in the care of
the communities
we serve
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Innovation is encouraged through our Office of Commercialization.
The office assists in the development of health-care
related innovations originated by employees, physicians and contractors.
New Policy and Process
Now reaching out for all levels of innovations – across the system
Already 13 disclosures
Some are moving forward
Exploring commercialization
Office of Commercialization
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Innovation Steps
New Care Delivery Model
Vertical on care redesign People – redeploying care teams
Process – workflow Technology - platform
Pitch Day
A call for innovative ideas
Promoting
Quality Improvements with awards Leadership
Buy-In Gaining board commitment
Gaining Senior Leadership Buy-In Leveraging ITS
cHealth Launching an
innovative Connected Health
Offering
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Brought together multi-disciplinary team to brainstorm and determine steps and timelines
Sought senior management approval for “Pitch” activities and awards
Included legal input for handling IP protection
Narrowed down to the three finalists who received coaching for the “Pitch” event
Held “Pitch” event at reVive; audience voted, winner announced
Innovation Pitch Day
Innovation Pitch Day Process
Communicated announcements and the proposal formats; including scoring guidelines
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Innovation Pitch Day
50+ Entries Received
Broad Spectrum of
Ideas
Take away success and
lessons learned for next annual
event
Winning team working with leadership to
explore options of turning their idea
into a reality
Innovative thinking is
critical to Texas Health, both in
helping us improve patient care while helping us achieve
recognition as a nationally
benchmarked health care system.
Innovation Pitch Day Outcomes Achieved
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Competing Priorities
Confusion around who
owns innovation
What is the payment structure
when implementing
innovative ideas
Decision making on when and
what innovative ideas to invest in
Culture of Innovation Challenges and Barriers
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Gain board commitment
Gain Senior Leadership buy-in
Promote culture of innovation throughout the enterprise
Culture of Innovation Recommendations
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What’s in Common?
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What is Disruptive Innovation?
1. Launches as an inferior product and lower in price than the incumbent. Price sensitive customers are attracted by its low price.
2. Then, it must evolve to become “good enough” in performance while at the same time remaining lower in price.
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• As the environment changes, so too must the organization
• As the organization changes, so too must thinking/models
• Things that don’t change, remain the same
Change Requires Risk Taking
Environment
Organization
Thinking
cHealth Environment Statistics
• App usage statistics:
• 1 billion annual health and fitness app downloads by the year 2016 (ABI)
• Azumio (Instant Heart Rate): 20 million downloads
• Nike+: 18 million downloads
• iTriage: 12 million downloads
• Mayo App: 75 thousand downloads
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Wellness-focused
Used for daily activities User derives direct
value from apps
Health-focused Used mostly when special
events occur Apps support treatment to be
received at physical facility
Insource Outsource
Where are We Today in cHealth?
Nike Fuel Band Weight Bots
Fitbit Jawbone Up
Mayo Clinic App
THR cHealth iTriage EPIC
Airstrip THR Current
State
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Consumerism Trend
Consumer expectations are evolving; empowered and tech-enabled consumers are more
knowledgeable and have higher expectations of care provided.
Stay Competitive
Systems must “do more with less” to accommodate increasing
demand despite downward cost pressures – relying on technology
for productivity increases.
THR Findings The Women’s Initiative found that
patients are willing to switch providers for more convenient
access to care.
Market Research Studies show convenience is a driving
factor for choosing a physician. A recent BCG study found that 26% of consumers rank online scheduling as
a top 2 priority.
Market Dynamics
Idea: Online Appointment Scheduling
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Pilot Details • Launched on 10/22/14
• 10 THPG PCP’s • 7 Offices Total
Pilot Statistics
• 121 Total Appointments • Wellness Visits • New Patient Visits
Patient Feedback
• Patients love the 24/7
accessibility of this feature. • Direct quote from one of
our patients: “This is how I will be making my appointments from now on!”
Execution: Online Appointment Scheduling
Total Appointments
30% New Patients 70%
Existing Patients
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1 • Track and analyze
consumer behavior
• Identify and develop
predictive scheduling
models
• Increase physician in-
office efficiency
2 • Consistent and
convenient access
• Easier the access,
greater the outreach
• Satisfaction measurable
through surveys
3 • Increase referrals
• Target specific
consumers
• Track the trends
Results: Online Appointment Scheduling
Economic Consumer Experience Growth
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Future rollouts based on pilot results
Use reactive data to build a proactive ROI
Fine tune the adoption process
Communicate feedback & plans with transparency
Future Plans: Online Appointment Scheduling
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Where do We Want to Be in cHealth?
Future State
Keeps THR
ahead of technology curve as
Millennials come of
age
Gives providers
more accurate
information about patient
wellness
Aligns with long term
goal of population
health
Nike Fuel Band Weight Bots
Fitbit Jawbone Up
Mayo Clinic App
THR cHealth iTriage EPIC
Airstrip
Wellness- focused
Health- focused
Insource Outsource
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Engaged and empowered employees are ready to offer their creativity and innovative ideas. Innovation will help lead the way in disrupting traditional healthcare models.
One approach to solve for the unsustainable cost is individual accountability. In order to have accountability, we must empower front line staff as they see firsthand the gaps and barriers.
Innovative ideas can lead to improvements in treatments and clinical outcomes.
Healthcare is lagging behind other industries. Information and data are critical to increasing patient engagement as we move into offering anytime, anywhere healthcare.
Opportunity identified by line staff on readmissions which involved Medication Recon and Post Visit Discharge. While it appeared to be a simple idea about access to drugs and physicians, it made a huge impact.
Value Steps Linked to a Culture of Innovation
S
T
E
P
S
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Questions? Thank You! Barbara Adams, MSHI, MBA Vice President, Innovative Technology Services – Texas Health Resources
• Office: 972-739-3090 • Email: [email protected]
Tricia Nguyen, MD, MBA Executive Vice President, Population Health & President of Population Health, Education & Innovation Center – Texas Health Resources
• Office 682-236-7950 • Email: [email protected]
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