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Communication Collaboration Education Rapid Cycle Improvement

Communication Collaboration Education Rapid Cycle Improvement. Willingness to adopt the paradigm shift. Healthcare Unbound. Patient Value. Physician Value. Payer Value. Ability to expand population across State Lines Capacity to create products that attract physicians and patients

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Communication Collaboration Education Rapid Cycle Improvement

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  1. Communication Collaboration Education Rapid Cycle Improvement Willingness to adopt the paradigm shift

  2. Healthcare Unbound Patient Value Physician Value Payer Value Ability to expand population across State Lines Capacity to create products that attract physicians and patients A new paradigm where they are seen as team collaborator in population health improvement Accurately weighted clinical outcome, member, physician satisfaction and cost efficiency metrics • Better quality of life • Decrease cost out of pocket • Actual rewards for careful self management • Supportive community and employer • New community of friends with similar conditions • Ability to understand the quality of our products • Simplified workflow • Reduced Liability • Improved Pt. Compliance • Higher Clinical Outcomes • Proven Cost Benefit • Ability to ‘once again’ practice medicine

  3. Healthcare Unbound Perhaps an opportunity to Engage and Motivate Patients Data and Information Secure message A patient (me) and my tools communicate through my I-Phone to the Web using a single PHR interface What I want! Hi Jeff, Here is some great educational material (click here): Your employer has awarded you many self care credits and has allocated six hours per month for health improvement activities and won’t fire you: AND PLEASE FORGET ALL OF THE FORMS WE HAVE BEEN SENDING.

  4. Healthcare Unbound Hi there! Will you please follow us down this rabbit hole?

  5. Coronary Artery Stent2007 Well, you have great insurance, lets take you to the lab and fix that nasty blood vessel Here, Read this and you will be all set Help me! I can’t breathe! My chest hurts!

  6. Coronary Artery Stent2007 Well, you have great insurance, lets take you to the lab and fix that nasty blood vessel Here, Read this and you will be all set Help me! I can’t breathe! My chest hurts!

  7. Coronary Artery Stent2015 Medical Home Coordinates The Best Care Well, I don’t even need to check to see if you have a source of payment; lets get going! Here, Read this and then go to lifestyle retraining Help me! I can’t breathe! My chest hurts!

  8. A personal ‘real time’ example of what is available to Jeff Harris in March 2011

  9. Selecting providers

  10. Activating Patients

  11. My PHR

  12. How I connected my system • Located physician with knowledge of health data interchange and motivation to heal • Located surgeons who would treat me as equal • Located tools online that worked and were interoperable • Created my own accounts {HealthVault, Connected to • Connected to CVS, SPINN secure Communication and LabCorp • Keep redundant record at Duke

  13. Duke Health View

  14. Dukes Vital Sign Communicationand Film Education

  15. Example of one-way communication at Duke

  16. Not Good

  17. Duke’s p-HR home page

  18. Decision Support

  19. Details of record source

  20. Medication Reconciliation Who ordered drug Where did record come from Is this patient staying with medical home or Dr. Shopping

  21. Family History

  22. Providers and Contacts

  23. Monitoring

  24. Now data tools for smart phones

  25. My Droid Diabetes Meal and Insulin Managers

  26. Self maintenance personal note

  27. What Scenarios are Patients Face

  28. What is the difference between an engaged patient and one without influence to engage Diabetic Gangrene Prior To Amputation Diabetic with healthy feet Good Self Management My feet forever please

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