1. Setting a Culture for Innovation Penn Medicine Center for Health Care Innovation 9.30.2015 Shivan Mehta, MD, MBA Assistant Professor of Medicine, Division of Gastroenterology Director of Operations, Center for Health Care Innovation

2. 2 Agenda  Context  Innovation Tournament  Center for Health Care Innovation  Methodology  Portfolio and Goals

3. 3 Penn Medicine  Perelman School of Medicine and University of Pennsylvania Health System  5 acute care hospitals  2,846 physicians  2.8 million annual outpatient visits  $5.9 billion operating revenue

4. 4 Changes in Health Care Delivery Current CareFuture Care Fee for service Visit based Reactive Substantial variability Physician as main decision maker Limited use of IT Global or episode of care payments Outcome based Proactive Substantial automation Team-based care Essential role of IT

5. 5 Innovation Tournament

6. 6 “Improving the Patient Experience”

7. 7 Top 10 Finalists TitleIdea 1 Week Patient Guarantee A system-wide guarantee of 1 week appointments after discharge to improve satisfaction Almost Home A transition room for patients and families that have recently been discharged Bereavement Room A special room for family members of patients that have recently passed away in the hospital Discharge Prescription Concierge Concierge service to provide filled prescriptions to patients before leaving the hospital My Penn Scheduler Online scheduling to improve access to care Patient Education Videos A suite of videos to educate patients about a variety of topics involving their care Patient Service Kiosks Automated kiosks in the waiting area of clinics to improve flow and patient experience Penn View Online video conferencing to improve communication between patients, providers, and family members Their Big Idea An innovation tournament with patients as the participants Way Finding Leveraging technology to improve way finding around the health system facilities

8. 8 Center for Health Care Innovation Our Mission The Penn Medicine Center for Health Care Innovation facilitates the rapid, disciplined development, testing and implementation of new strategies to reimagine health care delivery for better value and patient outcomes Our Team Our interdisciplinary team is composed of faculty and staff with diverse backgrounds in fields including medicine, behavioral economics, health policy, business development, design, informatics, computer science, statistics, communications, marketing, and operations management

9. 9 Translating ideas to action

10. 10 Approach to Innovation

11. 11 Contextual Inquiry

12. 12 Problem Definition Oncology Length of Stay “Time to chemotherapy”

13. 13 Orthopedic Same Day Scheduling Fake Back End Results:  45 total inquiries, 36 appointments scheduled, 2 surgeries  48% new to Penn Medicine (79% commercial payor)

14. 14 Rapid Experimentation

15. 15 Sources of Projects Executive Requests Innovation Grant Program Training/ Partnerships Employee Health De-risking the Future Current Business Model Bottom Up Top Down

16. 16 Employee Health Experiments Reducing the burden of disease Population-based hypertension management Colorectal cancer screening Improving the value of care Benefit design changes (advanced imaging, specialty pharma) Employee access to primary care Reducing avoidable ED visits

17. 17 Innovation Accelerator Program Mentorship: Teams attend a series of workshops and one-to-one advising sessions Funding: Teams have access to funding to test and develop their concepts Recognition and Additional Support: Teams that demonstrate early evidence will have the opportunity to receive additional investment to take their ideas to scale

18. 18 Teaching and Training Students Administrative Staff Clinical Faculty and Staff Martin 6, Innovation Service CHCI Internship Program

19. 19 Five Year Goals

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