1. 1 The Future of the Healthcare Economy Laura Kolkman, RN, MS, FHIMSS President Mosaica Partners DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.

2. 2 Objectives Discuss the current and future state of the healthcare industry Define the intent of the Triple Aim framework as it relates to informatics Identify successful team-based, care delivery models and the value they provide Recognize advances in emerging and innovating healthcare technologies Describe the role the clinician plays in ensuring the success of their healthcare organization and the communities they serve

3. 3 Agenda  Trends in Healthcare  What’s Behind the Trends – Why Now?  What Is the Goal – The Triple Aim  Focus on 3 Key Areas  Emerging Care and Delivery Models  Health Information Technology  Aggregation and Use of Healthcare Data  Challenges We’re facing  Working Together to Move Forward  Conclusions & Summary  Questions

4. 4 Introduction

5. 5 Trends in Healthcare

6. 6

7. 7 What’s behind the trends – why now?

8. 8 Health Care Spending Total Health ExpenditureNational Health Expenditures (NHE) As a Share of Gross Domestic Product (GDP), 1989–2013. $10,000/ person

9. 9 How the US Health System Compares

10. 10 How the US Compares on Health Care Quality

11. 11 What Is the goal? Triple Aim 11 Triple AIM is the simultaneous pursuit of: Improving the patient experience of care including quality and satisfaction Improving the health of populations Reducing per capita cost of health care.

12. 12 Focus on Three Key Areas  Emerging Care Delivery and Payment Models  Health Information Technology  Aggregation and Use of Healthcare Data

13. 13 Emerging Care Delivery and Payment Models PCMH ACO - MSSP Telehealth/Telemedicine Value-incented fee-for-service What do these have in COMMON –Accountability –Information needs –Continuous improvement –CHANGE

14. 14 Payer or Employer Provider Hospital Public Health Pharmacy Medicare Consumer Lab State New Models Require 14

15. 15 Health Information Technology Where are we now and where are we going? BYOD Mobile is a channel Patient generated data Remote devices Remote monitoring Remote care (telemedicine) Government push with HITECH, Interoperability Framework,. The Challenge: Unleash the power of technology to fundamentally change how health care is delivered.

16. 16 Hype Cycle for Emerging Technologies Source: Gartner August 2014 Big Data Mobile Health Monitoring Prescriptive Analytics

17. 17 Aggregation and Use of Healthcare Data What we can expect to see Big Data Small Data In 2011data from US healthcare system reached 150 exabytes

18. 18 Challenges We’re Facing We’re making progress but not there yet

19. 19 Working Together to Move Forward Understandable Make information understandable – give it meaning Actionable Push for action based on the information Shareable Push to get complete patient information Analyzable Data that’s consistent and analyzable Usable Standards, and clinically relevant Analytics is the LEVER to help us achieve the Triple aim

20. 20 Too important to Not Get Right!

21. 21 Thank You Laura Kolkman, RN, MS, FHIMSS President, Mosaica Partners LKolkman @ MosaicaPartners.com www.MosaicaPartners.com