Putting the Patient at the Center of the
Digital Universe
David Blumenthal, MD, MPP
President, The Commonwealth Fund
2016 Digital Healthcare Innovation Summit
Boston, MA
November 2, 2016
2
Agenda
• Next great challenge in digital health.
• What stands in the way?
• A path forward.
• What next?
3
Empowering consumer choice and self-care
The Challenge
4
Information
Data StewardsAnalytics
5
Clinical data from EHRs
Information
6
Financial data from payers
Information
7
Scientific information from the medical literature
Information
8
Consumer-supplied data from self monitoring
Information
9
Contextual data
Information
10
Quality data
Information
11
12
Analytics
13
Analytics
14
Trusted Data Stewards
15
What Stands in the Way?
16
Health Information Exchange is a Team Sport
17
Market Competition is Not a Team Sport
18
Competition Between Health Systems
19
20
21
The Blue Button
22
Analytics: Seriously Neglected Up Until Now
23
Not Where The Money Is
24
Real Target
25
Health Care Costs are
Concentrated in Sick Few
Source: Agency for Healthcare Research and Quality analysis of 2013 Medical Expenditure Panel
Survey; MEPS Statistical Brief 480.
1%
5%
10%
49%
65%
22%
50%
97%
Population Share of Health Spending
26
What These Patients Want
EMOTIONAL
NEEDS
PERSONAL
NEEDS
Source: http://www.sagehealthadvisor.com/
FUNCTIONAL
NEEDS
MEDICAL
NEEDS
27
Advice Tracking
Communication
Functions Potentially Supported
by Digital Health
Source: http://www.sagehealthadvisor.com/
Coordination
28
29
The Path Forward
30
Consumer Directed Exchange
Consumer
31
32
The Blue Button
33
34
35
What’s Next?
36
37
Question and Answer
38

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The Commonwealth Fund - Putting the Patient at the Center of the Digital Universe - Digital Healthcare Innovation Summit 2016

Editor's Notes

  • #26: Costs concentrated on small percentage of the sick
  • #28: Advice and Information Offer real time advice and guidance Help with questions about symptoms, treatments, medications, your insurance, and more Tracking and Insights analyzes your health data and makes simple, actionable suggestions to help you live a better life every day. Holistic Picture Helps you share your story to give medical professionals a more complete picture of your health This helps you form a deeper connection with doctors and nurses because they understand the real you Coordination and Communication Manages a host of coordination and communication roles between patient and care team.