//OBJECTIVES// - Introduce the Center for Care Innovations (CCI) and its role in sparking & seeding innovation - Describe programs to build innovation, design thinking, and partnerships with entrepreneurs in safety net organizations (SNOs) - Discuss an approach to implementing innovation in the San Francisco Department of Public Health (SFDPH)
//SPEAKERS// Veenu Aulakh is Executive Director, Center for Care Innovations (CCI). She is responsible for the organization's overall strategy, building critical partnerships, and helping to ensure CCI continues to make an impact in transforming safety net systems in California. She leads the innovation portfolio for CCI including launching a number of programs to build innovation skills and cultural changes in SNOs. She worked as a Senior Program Officer, California HealthCare Foundation (CHCF) managing investments to organizations with innovations to lower the cost of care. She led projects to improve the quality of primary care and patient engagement. She held a number of positions within Kaiser Permanente improving quality of care, developing disease management programs, and increasing patient engagement.
George Su is Associate Professor of Medicine, Division of Pulmonary and Critical Care at San Francisco General Hospital (SFGH) and UCSF. He has driven efforts to strategically leverage innovation within the San Francisco Health Network (SFHN) delivery system. He served as co-chair of SFDPH Integrated Delivery System Innovation in Healthcare Workgroup and is the lead of the CCI-sponsored SFDPH Innovations HUB. He is a Stanford University Biodesign Program extern and CCI Innovation Catalyst. He is currently supported by the CHCF and the Patient Centered Outcomes Research Institute (PCORI) to formally explore safety-net effectiveness of novel diagnostic and service models. George also serves as the director and medical director of SFGH Telehealth, Healthy San Francisco Asthma/COPD, and SF Community Spirometry programs. He was an NIH-sponsored investigator.
It is exciting to see numerous new primary care delivery business models bursting onto the scene, including concierge medicine, retail clinics, mobile health vans, and direct primary care. While each model has its own merits, direct primary care has some really unique disruptive potential that we’d like to highlight.
"//OBJECTIVES:// - To give an understanding of the value of contemporary approaches to service innovation - To provide an overview in the work of modeling product-service systems in a logical, prescriptive, consistent, and visual way - To offer examples where individuals interact with touch points and services over time and how they transition between them to create meaningful experiences
//SPEAKER:// Steven Dean is a partner at Prehype, a venture development firm that incubates new digital companies on behalf of the world's finest corporations and VCs. Working in product development most of his career, Steven has designed and built new ventures for some of the most innovative consumer health and wellness brands.
Steven teaches at NYU's Interactive Telecommunications Program (ITP) and at School of Visual Arts in its MFA Products of Design program. His courses address how behavior change, technology and design are used to shape how we make changes at the individual, societal and organizational levels. He is also the founder of the NY chapter of Quantified Self.
Steven has a BS in Mathematics from Baylor and received a Master of Fine Arts from Rhode Island School of Design (RISD). He has taught courses on service design, digital media and innovation at Parsons and RISD and is a frequent speaker at design schools and industry forums on topics of behavior change, quantified self, innovation and design.
Objectives: Introduce the CHCF Health Innovation Fund’s mission; explain why the Foundation is now investing in early stage companies Inform the group about…
Sam Basta's insight:
Objectives: Introduce the CHCF Health Innovation Fund’s mission; explain why the Foundation is now investing in early stage companies Inform the group about foundation “impact investing” more broadly Provide case studies of two Health IT/services companies in which CHCF has invested (Propeller Health and CareInSync)
Speaker: Margaret Laws is director of the Innovations for the Underserved program at the California HealthCare Foundation. In this role she oversees the Foundation’s work to reduce barriers to efficient, affordable care for the underserved. She also created and manages the CHCF Health Innovation Fund, a mission-focused fund investing in companies that improve access to and reduce cost of health care.
Ms. Laws joined the Foundation in 1998 after serving as staff to the state of California’s Managed Care Improvement Task Force. Prior to that she was a manager with Accenture, where she worked in both the government and health care strategy practices with state health and human service agencies and payer and provider organizations. Margaret has also worked as a consultant with the Francois Xavier Bagnoud Center for Health and Human Rights at the Harvard School of Public Health, and for the International HIV/AIDS Alliance, providing technical assistance for non-profits in developing countries. Earlier professional positions include consultant for the World Health Organization’s Global Programme on AIDS and caseworker and analyst for the Commonwealth of MA Department of Public Welfare.
Ms. Laws holds a Master’s degree in Public Policy from Harvard University’s John F. Kennedy School of Government and an A.B. in English Literature from Princeton University.
Healthcare benefits continue to be in the spotlight and under the microscope. In light of health reform, employers are revisiting their healthcare benefits strategy and looking to manage escalating healthcare costs considering both new regulatory requirements and continuing cost pressures. While the strategies vary, several common themes emerge—accelerating consumerism and employee engagement, increasing accountability for improving the health and productivity of their workforces, dialing up incentives for more value-based delivery and investigating new alternatives such as private exchanges. Regardless, the Affordable Care Act has changed the healthcare benefits landscape forever, establishing new requirements and tax incentives, while affording new strategic opportunities to leverage the new dynamics of the changing healthcare marketplace.
Day 1: The day began with one of Kraft’s characteristically rapid-fire and exciting overviews of the technologies that are changing medicine, ranging from 3D tissue printing to Google Glass applications in health care. Given that nine months have passed, there were a number of new examples including a sensor-laden diaper that sends Tweets to an augmented-reality car windshield that doubles as your behavioral health advisor by telling you to “turn right to the gym, instead of left to McDonald’s.” Read More »
Day 2: The first full day at FutureMed began with a talk by famed futurist and Singularity University founder Ray Kurzweil. He video conferenced in from Boston to give his talk on creating a mind and repeated some of his insights into how the neocortex works, with multiple levels of pattern recognizers.
Daniel Kraft then returned to introduce the Chief Medical Information Officer at Kaiser Permanent, Dr. John Mattison, but preceded that with a retrospectively-hilarious Kaiser advertisement about the “Hospital of the Future” from the 1950s. While some of the innovations described in the video continue to be ideals, like integrated and coordinated healthcare teams, others such as allowing people to smoke “in comfort” while in the waiting room have clearly fallen out of fashion. Mattison then characteristically began his talk with a series of questions to understand the audience, after which he launched into a presentation filled with insights and predictions ranging from democratized health to the quantified self movement. Read More »
Day 3: Day three of began with a session on the Future of Intervention and a talk by Intuitive Surgical’s Dr. Catherine Mohr. She spoke at FutureMed earlier this year (where we were able to interview her) and repeated her message that even though robotic surgery is sleek, we have not yet reached the zenith of where intervention should go since we still have to make incisions. Her vision is for a future where surgery will be unnecessary, or at least made even less invasive. Read More »
Day 4: The culmination of FutureMed began with a thought-provoking session on “re-inventions and reframings.” The first speaker of the day was Lucien Engelen, Director of the Radbound Reshape & Innovation Center and Curator of multiple TEDx events. His discussion reiterated a consistent theme of the week: improving patient engagement. Englen prompted us to imagine an ecosystem where all medical devices and health data are centralized into one system incorporating both patient and clinician-facing components. Read More »
Sam Basta's insight:
Healthcare Innovation by Design is a sponsor of Singularity University's FutureMed (from now on to be known as "Exponential Medicine")
As always medGadget provides great recaps of the conference.
A new fitness tracking and motivational nudging service seeks to get at a person's "stickiness" quotient, that is, how likely will he or she stay engaged with one of the myriad health and fitness apps currently available.
Sam Basta's insight:
"October 2013 survey of 2,014 adults in the U.S. which found the following about fitness-tracking behavior:
• Sixty-eight percent say encouragement from family and friends is important for achieving health goals. • More than half of respondents aged 35-44 found it difficult to stay motivated to live in a healthier way. • Sixty-five percent think tracking their health using a device, website or app would be beneficial, including 32% who felt it could keep them motivated in pursuing health and/or fitness. About half of those 18-44 agree that easy-to-use tracking tools are essential to following through with their health goals. • Eighty-six percent say feeling informed about the status of their health is empowering."
//OBJECTIVES// - Understand of the advantages and disadvantages of the various innovation funding sources - Challenges within the typical funding lifecycle of early stage to late/mature stage - Critical success factors to securing funding
//SPEAKER// Mary Beth Chalk is leveraging her 25 years of healthcare domain experience, including Co-Founder of a venture capital backed, digital and connected health software start-up, Healthrageous. After selling Healthrageous, Mary Beth began assisting health service firms with creating business model and product innovation and growth through business development and sales.
She has created, led and sold innovation within digital and connected health, pharmaceutical marketing, behavioral health, disease management, prevention and wellness, employee assistance programs, pharmacy benefit management, physician practices and health plans. Mary Beth has experience securing funding for innovative services and projects from venture capitalists, pharmaceutical companies, health plans, employers, state Medicaid and CMS Medicare.
Mary Beth holds a BBA in marketing and a BFA in commercial design. She believes that the combination of the two disciples contributes to her ability to see the shape of new services and connect the dots necessary to create and validate a new market concept. This has enabled the organizations she has led and worked for to achieve competitive innovation. For additional information please refer to: http://www.linkedin.com/in/marybethchalk
//OBJECTIVES// Provider organizations are unleashing the potential of their teams by arming them with tools, techniques and knowledge to bring innovation to the front lines of care delivery. While this is important, a key question is ‘is it enough?’. It is our belief that while this activity is necessary, it is not sufficient to fully drive the healthcare transformation agenda.
During this webcast Mihir Ganhi will share AVIA’s view on external entrepreneurship, alternative routes for value creation and different ways provider organization are both incubating early ideas and accelerating promising solutions.
Through participating in this webcast, attendees will: 1) Appreciate why provider organizations are becoming more active in venture investing 2) Understand distinctions between mission, strategic and financial investing 3) Learn what areas are ‘hot’ right now 4) Clarify differences between incubators and accelerator and the specific roles each play
//SPEAKER// Mihir Gandhi Director of Health Care Ventures
Mihir is an experienced consultant with expertise across provider, payer, health IT, and medical devices. Prior to joining AVIA, Mihir spent time working across multiple divisions of Abbott Labs with a deep focus on medical devices. He also worked at Abbott Ventures, where he helped develop frameworks for assessing strategic investments and led the investment process on multiple early-stage technologies. Mihir gained additional experience in global product marketing, market development, sales operations, and emerging markets. Prior to Abbott, Mihir worked with hospitals and health systems, via strategy consulting at Oliver Wyman, operational redesign engagements at Huron Consulting, and thought leadership roles at the Advisory Board Company.
Mihir holds a MBA from the University of Pennsylvania and dual-BS degrees from Duke University.
"As detailed in the images throughout this article, which are complete recreations of screenshots, Healthbook’s user interface is largely inspired by the iPhone’s existing Passbook application. Versions of Healthbook in testing are capable of tracking several different health and fitness data points.
Each category of functionality is a card in the Healthbook. Cards are distinguished by a color, and the tabs can be arranged to fit user preferences. As can be seen in the above images, Healthbook has sections that can track data pertaining to bloodwork, heart rate, hydration, blood pressure, physical activity, nutrition, blood sugar, sleep, respiratory rate, oxygen satura..."
"So how do we begin to break through the barriers that exist in healthcare to create an environment where truly disruptive innovation is possible? One option is to fling open the doors of the R&D department, figuratively speaking, and invite anyone — doctor, nurse, healthcare administrator, even patient and caregiver — to participate in product creation. Common sense suggests that any person living with a healthcare challenge or any healthcare worker tasked with patient care is ideally situated to identify problems and opportunities that exist within their current environment of care. It stands to reason that these same people might already have solutions in mind for how to improve the situation, but perhaps lack the knowledge, resources, or time necessary to bring their ideas to life. In the consumer world, we talk about new inventions fulfilling unmet consumer needs, but in the medical world, no important need is ever ignored — rather, nurses, doctors, or the patients themselves often develop their own “work-around” when the ideal solution is missing. These “work-arounds” represent ideal opportunities for innovation."
Using the natural language processing technology that underpins IBM Watson, Carilion Clinic was able to identify 8,500 patients who are at risk of developing congestive heart failure within one year. The pilot project, which began in October, took only six weeks to wrap up. “We look at this as the [...]
The video embedded in this post is one of my favorite moments from the Forbes Healthcare Summit we held earlier this year. It focuses on how ‘big data’ – that is, the availability of large data sets and the ability to analyze them – will change the way that doctors treat patients. Other industries are moving toward putting more data in the cloud, keeping it on remote servers instead of in house. What opportunities does an Amazon-like focus bring to health care? I spoke for a lively forty-five minutes with:
Susan Desmond-Hellmann, the dean at University of California, San Francisco, and formerly the head of development at Genentech, where she became one of the most well-regarded executives in the drug industry.
Jonathan Bush, the founder and chief executive of Athena Health, a provider of cloud-based electronic medical records; the company has a market capitalization of $4.8 billion and revenues of $539 million.
Glen de Vries, the President of Medidata (one of the conference’s sponsors). Medidata provides clinical trial databases, also cloud-based, to drug companies, and helps pharmaceutical firms control their research costs and manage their research productivity. It’s stock has tripled this year.
Stephen Friend, the director of SAGE Bionetworks, which uses network-based biology and data submitted by patients themselves to try to figure out new ways of developing drugs and other therapeutics. He was previously the head of cancer drug research at Merck.
HAVING spent the last year reporting for a series of articles on the high cost of American medicine, I’ve heard it all. There was Fred Abrahams, 77, a skier who had surgery on both ankles for arthritis — one in New York for more than $200,000 and one in New Hampshire for less than $40,000. There was Matthew Landman, 41, billed more than $100,000 for antivenin administered in an E.R. after a small rattlesnake bite. There was Robin Miller, a Florida businessman, who needed to buy an implantable defibrillator for his ill brother, who was uninsured; the machine costs tens of thousands of dollars, but he couldn’t get a price for a make or a model.
As of Jan. 1, the Affordable Care Act promises for the first time to deliver the possibility of meaningful health insurance to every American. But where...
"Medical information doubles roughly every five years, making it impossible for physicians to stay current. Computing power has also increased to the point that machines like IBM’s Watson, first programed to play chess and Jeopardy, are now used to diagnose and recommend treatment for patients. Mary Cummings, one of the first women aviators to land a plane on an aircraft carrier, faced a similar situation when she left the navy; a computer was replacing many of the skills she had acquired in order to fly. Today, as the Director of the Human and Automation Lab at MIT, she poses an important and related question: “Are we in Medicine teaching the next generation of physician’s skills or are we teaching them expertise?” If we are teaching the former, then academic medicine faces obsolescence. However, if we emphasize the latter, our mission is durable. Skills equip people to respond to specific well-understood circumstances; expertiseprovides the capability to respond to highly complex, dynamic and uncertain environments." Read More »
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