The Future of Healthcare? W H A T D O E S T H E F U T U R E H O L D? The Empowered Consumer

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1 : : The Future of Healthcare? W H A T D O E S T H E F U T U R E H O L D? The Empowered Consumer Dr. Anne Anne W. Snowdon, W. Snowdon, RN, BScN, Chair MSc, PhD World Health Innovation Network, Odette School of Business World Health Innovation Network, Odette School of World Health Innovation Network

2 G L O B A L C O N T E X T I N Rising Global Healthcare Costs: 5.3% per year ( ) 17.4% 8% 10.7% 6.4% 6.6% Highest global spending as a percentage of GDP is in North America Deloitte, 2014

3 C A N A D I A N C O N T E X T I N Total Spend: $215 Billion Economy: 11% of GDP Growth: 5.5% (2011) CIHI, 2014

4 O V E R A L L P E R F O R M A N C E R A N K I N G A U S C A N F R A G E R N E T H NZ N O R S W E S W I Z UK U S A O V E R A L L R A N K I N G ( ) Q U A L I T Y C A R E E F F E C T I V E C A R E S A F E C A R E C O O R D I N A T E D C A R E D P A T I E N T - C E N T R E D C A R E A C C E S S C O S T - R E L A T E D P R O B L E M T I M E L I N E S S O F C A R E E F F I C I E N C Y E Q U I T Y H E A L T H Y L I V E S H E A L T H E X P E N D I T U R E S / C A P I T A, * $ 5, $ 5, $ 4, $ 5, $ 6, $ 4, $ 9, $ 5, $ 9, $ 3, $ 9, T O P 2 M I D D L E B O T T O M 2 Commonwealth Fund, 2014; *World Bank, 2014

5 W H E R E A R E H E A L T H S Y S T E M S G O I N G? G L O B A L T R E N D S Empowered Consumer Shift Towards Wellness Emergence of Digital Tools Single illness to Multi-comorbidities Accountability and Value

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7 S H I F T I N G T H E H E A L T H S Y S T E M P A R A D I G M T H E E M P O W E R E D C O N S U M E R

8 The Digital World: Canadians spend approximately 45 hours per month online and 7 days a year on Facebook CIRA, 2013; Gov. Can., 2010

9 . In Canada, 56% of people have a smartphone and 79% say they would not leave home without it Canadians check their smartphones 127 times per day Deloitte, 2014; CBC, 2014

10 In 2012, 44 million unique healthcare apps downloaded Searching for health information is now the thi rd most popular online activity for all internet user s 18 and older. There are over 97,000 health applications Deloitte, 2014

11 Global Revenues of seniors download apps, fastest growing market, 39 71% million using social media Mobile Healthcare Application Market: $26 Billion in revenue by % Deloitte, 2014; CBC 2014

12 Our society increasingly relies on transparent, real time information at a glance, from everywhere E.g. Uber, FedEx, etc.

13 Consumers are creating their own personal health systems, not connected to the formalized health system E.g. Fitbit, MapMyRun

14 Health System Challenges in Connecting to the Consumer World? Healthcare information is provider centric, not easily accessible to patients, no flow of information across the continuum of care

15 SHIFTING CONSUMER CULTURE MY CHILDREN Impatient Super Connected MY PARENTS Patient, used to waiting Values Stable relationship Loyalty to Value Health as a Right Researches, asks for data, negotiates Loyalty to Brand Health as a service Defers to the expertise of the provider

16 Consumers who will Transform Health Care: Women and Baby Boomers 94% of Women make majority of health decisions for their families -Chief Medical Officer for the family 7 million women in Canada provide care for both children and aging parents Boomers: wealthy (47x net worth), 3 Central Values: 1. agelessness, 2. autonomy, and 3. personalization

17 Age-Adjusted Prevalence (%) Chronic disease rates increasing % per year Cancer Cardiovascular Diseases Diabetes Hypertension

18 FUTURE OF H E A L T H S Y S T E M S? N E E D T O mg E T C O N N E C T E D A N D A C H I E V E V A L U E F O R C O N S U M E R S We use digital technologies every day to to shop, study, do banking, travel. except for health care Facebook connected people to the world around them, health systems need to do the same E.g. Bluetooth Pacemaker

19 Priority Populations: Youth yrs. 5 0 % O F A D U L T M E N T A L H E A L T H S T A R T S B E F O R E A G E 1 4 Y R S.

20 S M A R T M E N T A L H E A L T H : The idea that I can have my individualized mental health care and health care team in my pocket... Walking with me, at my fingertips... Rahma

21 REDEFINING HEALTH CARE: SHIFT TOWARDS PATIENT & FAMILY GOALS Wellness, Prevention, Quality of Life Empowered Consumers want the flexibility to determine what they need most, disease management is just not enough. Ex. Knee replacement

22 The Challenge of Complexity: Meet Jim: COPD, Stroke, 24 medications, 8 providers visiting weekly, 8 admissions to hospital in last 14 weeks, multiple ED visits & Wife struggling to cope It is no longer "One Size Fits All", Families assuming increasing caregiver burden need the flexibility to tailor their care plan to their unique and evolving situation

23 Chronic Illness Management: Navigating the Impossible

24 C O M P L E X I T Y O F M U L T I - C O M O R B I D I T Y P A T I E N T S R E Q U I R E I N T E G R A T E D, T R A N S P A R E N T C O L L A B O R A T I VE C A R E Improve Transparency between primary care providers, hospital and community care providers who hold each other accountable for executing the plan to achieve outcomes. E.g MediaMed

25 O N E - S I Z E F I T S A L L T O O N E - S I Z E F I T S O N E Personalization in product development and service delivery is the future which is emerging rapidly IT solutions that connect consumers to providers will be important for transparency and connectivity across the continuum of care Trato

26 Shifting Accountability that "levels the playing field" Shift away from a provider knows best to Collaborative partnership between providers and patients

27 D E M O C R A T I Z E I N F O R M A T I O N : P U T H E A L T H I N F O R M A T I O N I N T O T H E H A N D S O F C O N S U M E R S, J U S T L I K E E V E R Y O T H E R S E C T O R Transparency Real Time It is easier to open a Swiss Bank Vault than to access your personal health information! People need health information to make informed decisions with their providers, and flow seamlessly across the continuum of care

28 P U T T H E P O P U L A T I O N I N C H A R G E O F D E F I N I N G V A L U E : T H E Y W I L L A N Y W A Y! How many stars would you give this resort? -Trip Advisor

29 M E A S U R E W H A T M A T T E R S : B R I D G E T H E D I S C O N N E C T B E T W E E N T H E S Y S T E M A N D T H E C O N S U M E R Consumers measure progress towards their healthgoals Health Systems Measure: Survival (Mortality rate), Infections, Readmissions, Adverse Events, etc.

30 Create Transparency: Streamlined, Efficient, Accessible Health Information "You know everything you need to know in "Real Time"

31 F R O M T R I P L E A I M T O T R I P L E V A L U E Convenience Value Choice Cost System Focused Consumer Focused

32 Leading the Future of Health Care? If I had asked people what they wanted, they would have said faster horses

33 B U I L D T H E E V I D E N C E F O R I N N O V A T I O N A D O P T I O N A N D S C A L A B I L I T Y Research Innovation New technology New therapies Proof of Concept Clinical Innovation Patient care implementation Clinician adoption Integration into service delivery Proof of Relevance Innovation Adoption across Health Systems IT decision support Service delivery model redesign Performance metrics support adoption Financial model for reimbursement Leadership to drive innovation Clinical guidelines Integration Consumer uptake Proof of Value and Reimbursement

34 F U T U R E O F H E A L T H C A R E : : : C O N S U M E R P E R S O N A L I Z E D C O N N E C T E D T O P E O P L E S D A I L Y L I F E C O N S U M E R D R I V E N - V A L U E S E L F M A N A G E M E N T W I T H P R O V I D E R A S P A R T N E R C O L L A B O R A T I V E I N T E G R A T E D T E A M S O U T C O M E S D R I V E N

35 Nobody s going for us, but, making use of technological and human alike, we might just be able to. Jamais Cascio

36 Thank

37 Challenges All Countries are Facing: T R A N S A C T I O N A L S Y S T E M S W I T H L I T T L E I M P A C T O N P O P U L A T I O N H E A L T H P R O V I D E R A N D S Y S T E M F O C U S E D - N O T R A C E A B I L I T Y, P O O R S A F E T Y U N S U S T A I N A B L E C O S T S A N D G R O W I N G D E M A N D S D I S C O N N E C T E D F R O M T H E C O N S U M E R M E A S U R E T H E S Y S T E M N O T V A L U E F O R P O P U L A T I O N S