technology & healthcare steve perroots, vp claims raz winiarsky, m.d., cmo
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Technology & Healthcare
Technology Today Marriott’s Technology Initiatives Healthcare Overview How Much Did That Really Cost? Is Newer Better? A Future Vision in Healthcare
Marriot’s History of Implementing Technology
•KPI (2006)•Document Imaging (2007)•Centralized Claims Handling (2008)•Electronic Recorded Interviews (2009)•Electronic Funds Transfer (2011)•Online Incident Reporting (2012)
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UNDERSTAND YOUR GOALS
•Improve Customer Experience•Improve Collaboration•Improve Quality of Service•Reduce Costs
TECHNOLOGY INNOVATIONS
•KPI (2006)•Document Imaging (2007)•Centralized Claims Handling (2008)
•Electronic Recorded Interviews (2009)
•Electronic Funds Transfer (2011)•Online Incident Reporting (2012)
CHALLENGES IN HEALTHCARE
•Reduce Medical Expense•Improve Outcomes / Reduce Disability•Improve Administrative Efficiency
Today’s Healthcare System Fragmented
Pricing model: confusing, opaque
No mechanism to measure, store, utilize
provider outcomes
How do providers/payers communicate today?
What is the impact of poor record exchange?
Fragmented Healthcare
Phone/Fax
Physician selection is often subjective and arbitrary.
How can we include provider performance in decision-making?
Measure/Record Outcomes Complication Rates
Patient Satisfaction
Return to Work
Time to Play
Name That Price! Cost for Hip Implant
1. $1,000
2. $4,000
3. $12,000
4. $19,000
5. All of the above
How Many People Does It Take to Sell a Hip Implant?
Manufacturer| Distributor| Broker | Surgical Center|Patient$1,500$4,000
$12,000$30,000
$22,000
Does Newer Mean Better? How to Understand Innovation
✦ 1.5 versus 3.0 Tesla MRI
✦ Number of Sequences
✦ Joint Implants
✦ Recalls
HIGH REAL-TIME DATA EXCHANGE
Leverage Technology Direct Connection with
Providers Reduce Medical Costs Quality-driven Referrals
Grades of Connectivity in Managed Care