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Douglas Goldstein eFuturist Lead…Innovate…Transform Quality and Safety through Knowledge at the Point of Care
© All Rights Reserved Douglas Goldstein Driving Forces Accelerate…
© All Rights Reserved Douglas Goldstein Lets Explore… Distinctive Innovation Stories Continuum of Care – Knowledge at the Point of Care …and Beyond
© All Rights Reserved Douglas Goldstein A Combination of Deadly Medical Errors - Josie King
© All Rights Reserved Douglas Goldstein Initial Solutions… John Hopkins response included dedicated patient transport teams pharmacists in ICUs, medication reconciliation at the moment of nursing discharge daily short-term goal sheets for patient rounds, relabeling of Buretrol and epidural catheters.
© All Rights Reserved Douglas Goldstein Distinctive… Something or process is Distinct if its not equal to the previous state
© All Rights Reserved Douglas Goldstein Innovation New Idea Product or Process that is useful and practical – different –improved
© All Rights Reserved Douglas Goldstein Types of Innovation Breakthrough Distinctive Is Your Innovation a Product or Process?
© All Rights Reserved Douglas Goldstein …happens in complex systems by teams working smarter with appropriate tools and technology 2 Six Sigma = 308,357 DPMO 6 Six Sigma = 3.4 DPMO
© All Rights Reserved Douglas Goldstein Take a Moment to… Describe a recent Distinctive Innovation that you contributed to or developed
© All Rights Reserved Douglas Goldstein ER Diversion – Losing Admissions Problem: Loss of admissions through ER diversion Solution: –Two consulting engagement with outside cost of $250,000 that never got implemented or –Internal Six Sigma analysis with internal team where the same people who identified the problem could also fix it
© All Rights Reserved Douglas Goldstein …it smarter, better with the right tools and technology…
© All Rights Reserved Douglas Goldstein …Online! Beyond … …Smart Collaboration
© All Rights Reserved Douglas Goldstein Ascension Health Exchange Elevating Quality and Service through Knowledge Transfer and Innovation
© All Rights Reserved Douglas Goldstein https://kx.afms.mil/demo
© All Rights Reserved Douglas Goldstein Distinctive Innovation Bon Secours Health System QUALITY FIRST Energized by Six Sigma & Knowledge Transfer
© All Rights Reserved Douglas Goldstein Knowledge Transfer - Quality Technologies : Paper U.S. Mail Copy machines Phones BEFORE Distinctive Innovation... Processes: Print Based Toolkit of Resources – Photocopied and Mailed Photocopying and distribution within local systems and Phone – for progress reporting
© All Rights Reserved Douglas Goldstein Beyond to Web Services
© All Rights Reserved Douglas Goldstein Performance Metrics Online – One Click Access
© All Rights Reserved Douglas Goldstein Share Resource – Structure Makes it Easy to Share Innovations, Tools and Resources
© All Rights Reserved Douglas Goldstein Smart Collaboratives & Online Community of Excellence Provides Learning/Working Environment Delivers Point of Need Supports Behavior Change from to Web Sharing Share Search Collaborate Knowledge Innovate Support Smart Collaborative Community of Excellence
© All Rights Reserved Douglas Goldstein Right Knowledge Right Person Right Time Right Form Right Technology Real Fast Current State
© All Rights Reserved Douglas Goldstein Source - Provider Centric Continuum of Care
© All Rights Reserved Douglas Goldstein Right When I Want… Anywhere! Future State
© All Rights Reserved Douglas Goldstein
© All Rights Reserved Douglas Goldstein Consumer Centric Continuum of Care
© All Rights Reserved Douglas Goldstein Mercy Health System Uses HealthBuddy to Increase Medication Compliance from 34% to 94%; Reduces Hospitalization Rates 41% Per Patient Per Year
© All Rights Reserved Douglas Goldstein PLUS: Charges for CHF encounters decreased from $25,013 to $11,854 Mercys Return on Care Medication compliance increased from 34% to 94% Hospitalizations per patient per year decreased to 1.18 from % said they had a better understanding of their condition 93% believed Health Buddy helped them better manage their disease
© All Rights Reserved Douglas Goldstein Anywhere Disease Management, But Not By Your Doctor
© All Rights Reserved Douglas Goldstein 500,000 Medical Information Access Cards and Counting
© All Rights Reserved Douglas Goldstein A Driving Force for EHRs
© All Rights Reserved Douglas Goldstein EHRs & PHRs = Disruptive Innovation For Everyone!
© All Rights Reserved Douglas Goldstein My Health eVet Interactive Medical Record
© All Rights Reserved Douglas Goldstein TeleHealth by Veterans Health VitalSign Monitoring Unit by Panasonic
© All Rights Reserved Douglas Goldstein Mike Manages His Heart Disease Using Digital Technology
© All Rights Reserved Douglas Goldstein Data-mining yields unique health status reports Patient Family Doctor customizable to needs individual cultural. MARC Smart In-Home Monitoring System has the following unique characteristics: low-cost sensor technology, retrofits easily in existing homes Smart In-Home Monitoring
© All Rights Reserved Douglas Home AirWatch from iMetrikus allows a patient to shares their respiratory data immediately with their doctors
© All Rights Reserved Douglas Goldstein Tele Presence & More Assisting the elderly by: reminding connecting –tele-presence technology collecting data & monitoring manipulating objects Helping them feel less isolated. Pearl, created by the University of Michigan, Pittsburgh, Carnegie Mellon, and Stanford
© All Rights Reserved Douglas Goldstein I Wear My Health (Sensor)
© All Rights Reserved Douglas Goldstein Drug Delivery - BioMEMs Implantable devices that deliver drugs via nano- sized valves and pumps that are controlled by sensors that regulate delivery rates Schematic of Self Regulating Responsive Therapeutic System
© All Rights Reserved Douglas Goldstein Nanomedicine Rx
© All Rights Reserved Douglas Goldstein
© All Rights Reserved Douglas Goldstein For Everyone!
© All Rights Reserved Douglas Goldstein Liberate Your Potential… …is the Way!
© All Rights Reserved Douglas Goldstein Douglas E. Goldstein eFuturist…Beyond Theory to Action Speaker - Lead..Innovate…Transform Consultant and Author Other Recent Publications: Quality, Safety and Cost Effectiveness through Leadership and Health Information Technology eHealthcare: Harness the Power of Internet e-Commerce & e-Care Best of the Net Guides to Health and Wellness and Healthcare and Medicine New Book: Medical Informatics 20/20: Quality and EHRs through Collaboration, Innovation and Open Solutions
As a CEO, consultant and author, he guides organizations in dynamic change that improve performance, productivity and profits. As a professional speaker.
E-Health Networks The New Shape of Public Health NGA State Alliance for e-Health 2nd Annual State Learning Forum Stephen Goldsmith Daniel Paul Professor.
Transforming Primary Care: What Works and Whats Next A chartbook created by the staff of Improving Chronic Illness Care At the MacColl Institute for Healthcare.
Read and then delete this slide This PSNC slide deck contains information on NHS England’s Community Pharmacy Call to Action (CTA) It is designed to be.
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1. Telephony and web access application provide a powerful remote telehealth monitoring tool and remote case management through the use of the internet,
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Health Care Coverage for You and Your Family! Welcome.
11 Reaching consumers with (their own) health information David Lansky, Ph.D. Markle Foundation September 9, 2005.
Presenter name Presenter Organization Location and date Clinical Information Systems Adapted from Improving Chronic Illness Care
1 What A Provider Wants In An EHR & How To Pay For It ! Presented by: Nancy Babbitt, FACMPE
1Elsevier items and derived items © 2007 by Saunders, an imprint of Elsevier, Inc. Chapter 4 The Leadership Role of the Licensed Practical Nurse.
1 Standards Compliant? Give Me Your Data? What Community of Practice Do You Belong To? Now we know why cats dont like to be herded!
The future of health care Richard Smith Editor, BMJ
Patient Centered Medical Home Data and Recognition Review for Saint Lukes Medical Group by Jennifer Woods, RN, BSN Director of Physician Practice Management.
Copyright Medical Group Management Association. All rights reserved. 1 Meaningful Use and the Capabilities of HIE to Support the Needs of a PCMH.
A dialogue document July The Challenge In a country that expects the best of everything we fail to achieve the best in health. What must be.
1 Collaboration, Open Solutions, and Innovation (COSI) in Healthcare Marc Wine, M.H.A New Roadmap for Health IT Interoperability January 10, 2008.
Scottsdale Institute Webinar May 24, 2011 Dr. James L. Holly, CEO Southeast Texas Medical Associates, LLP C ARE T RANSITIONS : T HE HEART.
Proprietary and Confidential © SCI Solutions. All rights reserved. Is Your Patient Access Program Ready for Accountable Care Organizations.
Insert Local Authority Transformation Strategy Workshop Insert date This document is part of the personalisation toolkit
1 Information Systems: the Foundation of E-Business (CIS 108) Customer Relationship Management, (CRM) Lecture SEVEN (28 th February 2005) Amare Michael.
Research, the Internet and Innovation: Ready or Not… AcademyHealth Summit on the Future of HSR Data and Methods June 1, 2009 Carol C. Diamond MD, MPH Managing.
National Safety Compliance, Inc. …because safety is never an accident… Presentation works best if displayed on a computer with an active internet connection.
Results of AIWFC KM Assessment Conducted by Dr. Jill Powell 15 Aug 2012.
Selecting Outstanding Teachers for Level 4 Schools Spring 2010 Massachusetts Department of Elementary and Secondary Education.
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