Published on October 27, 2008
High Tech and Personal Touch: Case Studies in Chronic Care from United States and Africa Steve Brown, Founder and Former CEO, Health Hero Network On Lok Lifeways Conference, October 22, 2008 Sustainable Long Term Care: Ethics, Technology and International Perspectives 1 Lifeways Conference - Steve Brown 10/22/08
Agenda Background – Health Hero Network Chronic Care Models Example from US Example from Africa False Dichotomies in Chronic Care A Better Mental Model 2 Lifeways Conference - Steve Brown 10/22/08
Background: Health Hero Network We recognized a problem Too much effort spent treating the complications of chronic disease, and not enough on preventing them We had an idea A technology platform to enable a better model of care based on identifying problems early and changing behavior 3 Lifeways Conference - Steve Brown 10/22/08
Health Buddy in 2008: Patients receive better support and monitoring at home Daily check-in starts with “how are you feeling today” Reporting symptoms and device readings like glucose and weight Receiving supportive feedback and education 4 Lifeways Conference - Steve Brown 10/22/08
Health Buddy 2008: Nurses can identify problems early and prevent complications Dashboard to see how all patients are doing today. Patients needs are triaged using red, yellow, green coding Full picture includes symptoms, behavior and knowledge 5 Lifeways Conference - Steve Brown 10/22/08
Why is innovation addressing the chronic care problem so painfully slow? It is well known that monitoring high risk patients at home can improve care and reduce hospitalizations. ABC World News Tonight featured Health Buddy way back in 1999 and predicted a new model of care for the 21st century. The business of healthcare – especially in Medicare – still rewards treating complications far more than preventing them. 6 Lifeways Conference - Steve Brown 10/22/08
Meanwhile in Rwanda Africa, necessity is the mother of invention Community health workers support and monitor at-risk patients at home Focus on the simple things that have the biggest impact Everything starts with “how are you feeling today” 7 Lifeways Conference - Steve Brown 10/22/08
Partners in Health is a community-based model focused on prevention and education The regional hospital sees its mission as preventing hospital admissions Training community health workers to extend care into the community Keeping organized and tracking patients with an open source electronic medical record system 8 Lifeways Conference - Steve Brown 10/22/08
False Dichotomies in Chronic Care High Tech versus Personal Touch Improving Care versus Saving Money Information Technology versus Simplicity 9 Lifeways Conference - Steve Brown 10/22/08
False Dichotomy: Tech versus Touch. Explain the growth in social media! Life can be richer when we share more of it. 10 Lifeways Conference - Steve Brown 10/22/08
False Dichotomy: Improving Care versus Saving Money 11 Lifeways Conference - Steve Brown 10/22/08
False Dichotomy: Hi Tech versus Simplicity How About a Better Mental Model! Value Potential Value Cost Opportunity Realized Value Complexity 12 Lifeways Conference - Steve Brown 10/22/08
Content can change the shape of the Potential Value Curve Example: congestive heart failure, the leading hospital admission in Medicare Focus on areas where you can make a difference. Start with the simple things first. 13 Lifeways Conference - Steve Brown 10/22/08
Design can change the shape of the Realized Value Curve Simplicity must be a strength 14 Lifeways Conference - Steve Brown 10/22/08
Disruptive technology has radically changed the shape of the Price Curve Cloud computing and resources Open source tools for everything Consumer electronics with open APIs Result: 100x or greater capital efficiency 15 Lifeways Conference - Steve Brown 10/22/08
Conclusions High Tech can increase Personal Touch Technology is just a tool, not a transformation Apply the mental model to choose wisely We can gain insights and inspiration in how to improve care and leverage technology from innovative models of care in highly resource constrained environments. 16 Lifeways Conference - Steve Brown 10/22/08
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