Presentation Transcript

1. Jon HallBerg, MDDirector — Mill City Clinic Presents
2. Our Focus Ambulatory Care Chronic Disease Management Acute Care Hospital Procedures
3. Our Journey So Far Concept 8/31/2012 Validation & Commitments Approval 4/9/2013 www.millcityicc.org Facility Design & Construction
4. Chronic Disease Spending is 70% of Total Healthcare Cost Heart Disease and Stroke Diabetes Lung Disease Alzheimer’s Disease Jon Hallberg, D
5. The Formula ENGAGE + + MONITOR +MOTIVATE =IMPROVED OUTCOMES
6. My Vision Make primary care a more rewarding experience.
7. Kevin Peterson MD, MPH Director — Center of Excellence in Primary Care Professor, Family Medicine and Community Health University of Minnesota Medical School Presents
8. My Vision Reduce Unnecessary Clinic Visits By 40%
9. In an Average Month 1000 People 800 Have Symptoms 327 Consider Seeking Medical Care 217 Visit A Physician’s Office 113 Visit Primary Care Physician’s Office 65 Visit CAM Provider 21 Visit A Hospital Outpatient Clinic 14 Receive Home Health Care 13 Visit An Emergency Department 8 Are In A Hospital Green, et al, New Ecology of Medical Care - 2000 < 1 Is In An Academic Health Center Hospital
10. Physicians Specialties to Population Ratio 1980-2008
11. Primary Care Workforce —2010 (Practicing Primary Care Physicians) 79,831 Family Physicians 71,487 General Internists 44,933 General Pediatricians 9,557 General Practitioners 2,999 Geriatrics 208,807 Primary Care Physicians
12. Primary Care Provides Most Health Care To Most People Most Of The Time When a Physician is the Usual Source of Care
13. Ambulatory Care — A Shifting Paradigm Increased Complexity Of Clinical Demands Electronic Medical and Personal Health Records Quality Based Reimbursement Health Care Homes Expanded Care Teams Care Coordination Validated Biometric Data Few healthcare systems or practices have the research capability to develop and evaluate new technologies or novel approaches.
14. Role of the ICC Affordability For More Evidence-based Practice, We Need More Practice-based Evidence. Patients Health of Population Patient Experience
15. The Learning Health Care System Safer Clinical Practice Integrating Work Flow Capturing The Diagnostic Process Care Coordination Continuity Knowledge Translation Practice-Based Research More Evidence
16. Patients: The Most Underutilized Part of the Health System
17. Community — Engaged Research Improves Relevance Of Research Question To The Community Increases Effectiveness Spot And Identify Medical Errors Manage Health Conditions Coordinate Community Services Purchase Health Care Services More Wisely Community Based Participatory Research Community Based Organizations Practice-based Research Networks
18. Practice-Based Research Clinical Research Is Ideally Conducted In Settings That Reflect The Population For Which The Results Will Be Used. “…whole field essential to the progress of medicine will remain unexplored, until the general practitioner takes his place as an investigator.” Sir James MacKenzie1916
19. UMN Center of Excellence in Primary Care A National Resource For Practice Based Research 67,000 Network Members 16,500 Primary Care Practices Serving 52.7 Million People 150 Primary Care Practice-Based Research Networks
20. UMN Center of Excellence in Primary Care A National Resource For Practice Based Research
21. Research Exchange of Health Information Across Communities
22. New Frontiers The Mill City ICC is the First Practice-Based Research Laboratory in the USA Located in a Dedicated Space Within an Active Community Ambulatory Care Practice. Mission: To foster Innovation and Discovery in Ambulatory Health Care through Community Engaged Research and Multi-disciplinary Partnerships.
23. “Knowing is not enough, we must apply. Willing is not enough, we must do.” —Goethe
24. Richard Tanler Presents
25. Eric Topol Super Convergence of Technology = New Medicine
26. New Medicine What does the Cook County North Shore Hospital In Grand Marais, Minnesota (Population 1,400) Have In Common With Allina, HealthPartners and Mayo Clinic?
27. Websites
28. New Medicine 2.0
29. New Medicine 2.0 On-Body Sensors Cameras Batteries Processors Wireless Radios Information Communication Connectivity Engagement Experience Collect Data Integrate Data Interpret Data Communicate Data Engage + Monitor + Motivate
30. The Revolution
31. The Revolution WATCH IT ONLINE…OR BE A PART OF IT!
32. Engage “Webside” Manner Is Now As Important As “Bedside” Manner.
33. Engage ABC Medical ABC Medical Portal EHR Rick Tanler
34. Engage App Store ABC Medical Portal ABC Medical EHR Rick Tanler
35. Engage App Store Nonin ABC Medical Portal ABC Medical PHR EHR Rick Tanler
36. Engage iDigi App Store Nonin ABC Medical Portal SureScripts ABC Medical PHR EHR Rick Tanler
37. Monitor Covered Entity [ABC Medical] Business Associate [Nonin] Sub Contractor [iDigi] EHR PATIENT PHR HIPAA Oversight Rick Tanler
38. Monitor Covered Entity [ABC Medical] Business Associate [Nonin] Sub Contractor [iDigi] EHR PATIENT PHR HIPAA Oversight Rick Tanler
39. Monitor PROVIDER Covered Entity [ABC Medical] Business Associate [Nonin] Sub Contractor [iDigi] EHR PATIENT PHR FDA & HIPAA Oversight Rick Tanler
40. Motivate Decision Support Systems ABC Medical Portal Reporting Services COVERED ENTITY Example ABC Medical EHR Clinician’s Desktop Rick Tanler
41. Questions? REIMAGINING THE PATIENT EXPERIENCE Rick Tanler