Overview of Innov8 for Health. A project in Cincinnati to engage key stakeholders across the country in catalyzing innovation to revolutionize health

1. Innov8
for
Health
Catalyzing
a
Culture
of
Innova5on
to
Revolu5onize
Health
Presented
by:
Craig
Osterhues,
GE
Avia5on
Health
Execu5ve
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more:
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Sunnie
Southern,
Founder
and
CEO
Viable
Synergy
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us:
@Innov8forHealth
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2. Innov8
for
Health
Discussion
Points
• What
is
Innov8
for
Health?
• Idea
Expo
2011
Challenge
– Challenge
Background
• Chronic
Condi5ons
• Transi5ons
in
Care
• Innov8
for
Health
Implementa5on
Plan
• What
you
can
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us:
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3. Innov8
for
Health
What
is
Innov-­‐8
for
Health?
• A
community
wide
effort
to
catalyze
innova5on
and
revolu5onize
health,
aWract
and
retain
top
talent,
and
create
jobs
in
greater
Cincinna5
• Private-­‐public
partnership
between
–
Universi5es
– Start-­‐ups/
Entrepreneurs
–
Employers
– Investors
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more:
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us:
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4. Innov8
for
Health
2011
Challenge
• Improving
care
transi0ons
for
people
with
chronic
condi0ons:
– Home
to
Camp
– High
School
to
College
– Hospital
to
Nursing
Home
to
Home
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more:
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5. Innov8
for
Health
Background
2011
Innov-­‐8
Challenge
What
is
a
Chronic
Disease?
• Chronic
diseases
(also
called
chronic
condi5ons
or
chronic
illnesses)
are
noncommunicable
illnesses
that
are
prolonged
in
dura5on,
do
not
resolve
spontaneously,
and
are
rarely
cured
completely.
o Examples
of
chronic
diseases
include:
Heart
disease
Cancer
Stroke
Diabetes
Arthri5s
Asthma
Obesity
• 133
million
Americans
live
with
at
• ¼
of
persons
living
with
a
chronic
illness
least
one
chronic
illness
experience
significant
limita5ons
in
daily
– nearly
1
in
2
adults
ac5vi5es
• 7
in
10
deaths
caused
from
chronic
• %
of
U.S.
children
and
adolescents
w/
a
diseases
each
year
in
the
United
chronic
health
condi5on
increased
from
States
1.8%
in
1960s
t0
>
7%
in
2004
• >75%
of
health
care
costs
are
due
• 1
in
every
400
to
600
individuals
younger
to
chronic
condi5ons
than
20
years
affected
by
type
1
diabetes*
References:
hWp://www.cdc.gov/chronicdisease/resources/publica5ons/AAG/chronic.htm
hWp://tde.sagepub.com/content/34/6/996.full
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6. Innov8
for
Health
Background
2011
Innov-­‐8
Challenge
Economic
Impact
of
Managing
Chronic
Condi0ons
Is
Staggering-­‐
Today
&
Tomorrow
Economic
Impact
of
Chronic
Condi7ons
in
Billions
of
US
$s
United
States
2003
2013
2023
Cost
of
Mgt
Chronic
Condi5ons
US
$1,324
$2,192
$3,030
Avoidable
Costs
NA
$297
(12%)
$1,123
(27%)
Totals
$2,489
$4,153
Ohio
2003
2013
2023
Cost
of
Mgt
Chronic
Condi5ons
Ohio
$57
$87
$111
Avoidable
Costs
Na
$12
(12%)
$40
(26%)
Totals
$99
$151
B=
Billions
of
$s
Reference:
The
Milken
Ins5tute
hWp://www.chronicdiseaseimpact.com/state_sheet/OH.pdf
,
hWp://
www.chronicdiseaseimpact.com/state_pdfs/StateFactSheets.pdf
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7. Issues
in
Care
Transi5ons
Impacts
People
of
All
Ages
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8. Innov8
for
Health
Issues
in
Care
Transi5ons:
Children
&
Adolescents
• A
study
of
135
pa5ents
with
type
1
diabetes
found:
– 33%
experienced
problems
during
transi5on
– 28%
experienced
a
loss
of
follow-­‐up
between
their
last
pediatric-­‐care
visit
and
their
first
visit
in
adult-­‐care
services
of
>6
months
– 13%
experienced
a
loss
of
follow-­‐up
of
>12
months
– Overall,
50%
of
respondents
either
felt
there
was
a
problem
or
had
a
loss
of
follow-­‐up
for
more
than
6
months
References:
Problems
in
Transi5on
From
Pediatric
Care
to
Adult
Care
for
Individuals
With
Diabetes
Danièle
Pacaud
1,2
MD,
Jean-­‐François
Yale3
MD,
David
Stephure1,2
MD,
Rebecca
Trussell
1,2
MD,
H.
Dele
Davies
1,2
1
Alberta
Children’s
Hospital,
Calgary,
Alberta,
Canada2
Department
of
Pediatrics,
Faculty
of
Medicine,
University
of
Calgary,
Calgary,
Alberta,
Canada
3
McGill
Nutri5on
and
Food
Science
Centre,
Department
of
Medicine,
McGill
University,
Montreal,
Quebec,
Canada
hWp://www.diabetes.ca/files/Pacaud.pdf
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9. Innov8
for
Health
Issues
in
Care
Transi5ons:
in
School
Children/
Adolescents
– 84.1%
of
children
surveyed
did
not
get
help
on
returning
to
school
from
hospital/illness
– ~
70%
of
children/
adolescents
felt
were
treated
differently
in
school
because
of
their
diabetes
at
least
some
of
the
5me
– 27.6%
of
children
and
adolescents
surveyed
felt
that
school
personnel
were
knowledgeable
to
adequately
care
for
their
diabetes
Parents
– 30.8%
of
parents
had
to
miss
work
due
to
inadequacy
of
school
to
care
for
needs
and
63.4%
because
child
had
to
go
to
the
doctor
– 40%
of
parents
felt
school
staff
was
not
adequately
trained
to
care
for
children
– No
wriWen
care
plan
or
nurse
at
school^
– Most
children
not
allowed
to
check
blood
glucose
levels
or
administer
insulin
in
class^
– Most
parents
worried
about
hyperglycemia
&
hypoglycemia
in
school^
School
Staff
– 38%
of
school
personnel
expressed
great
concern
about
the
inadequacy
of
training
– 65%
concerned
about
poten5al
liability
of
caring
for
children
and
adolescents
at
school
– 38%
of
school
personal
felt
concerned
about
preparedness
to
deal
with
an
emergency
References:
Experiences
of
Children
and
Adolescents
With
Type
1
Diabetes
in
School:
Survey
of
Children,
Parents,
and
SchoolsFrank
L.
Schwartz,
MD,
Sharon
Denham,
DSN,
Victor
Heh,
PhD,
Andrew
Wapner,
DO,
and
Jay
Shubrook,
DO.
Diabetes
Spectrum
Volume
23,
Number
1,
2010
Twenty-­‐eight
surveys
were
returned
by
school
personnel
represen5ng
20
schools.
The
number
of
children
with
type
1
diabetes
in
each
school
ranged
from
none
(5.9%),
1–2
(27.5%),
3–4
(41.2%),
5–10
(13.7%),
and
>10
(11.8%).
^Parent
Perspec7ves
of
Diabetes
Management
in
Schools
Farrah
Jacquez,
PhD
Stacey
Stout,
MD
Rose
Alvarez-­‐Salvat,
PhD
Michelle
Fernandez,
MA
Manuela
Villa,
MS
Janine
Sanchez,
MD
Margaret
Eidson,
MD
Robin
Nemery,
MD
Alan
Delamater,
PhD
From
the
University
of
Miami
School
of
Medicine,
Miami,
Florida
(Dr
Jacquez,
Dr
Stout,
Ms
Fernandez,
Ms
Villa,
Dr
Sanchez,
Dr
Eidson,
Dr
Delamater);
Miami
Children's
Hospital,
Miami,
Florida
(Dr
Alvaraz-­‐Salvat);
and
Joe
Dimaggio
Children's
Hospital,
Hollywood,
Florida
(Dr
Nemery).
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10. Innov8
for
Health
Issues
in
Care
Transi5ons:
Medicare
Pa5ents
• Hospital
Readmissions
for
Medicare
Pa5ents
(Jenks,
NEJM
2009)*
– ~1/5
of
11,855,702
Medicare
beneficiaries
discharged
from
a
hospital
in
2004
were
rehospitalized
w/in
30
days
• 34.0%
were
rehospitalized
w/in
90
days
– $17.4
billion
was
cost
to
Medicare
of
unplanned
rehospitaliza5ons
in
2004
• Up
to
76%
of
re-­‐hospitaliza5ons
may
be
preventable
(MedPAC,
2007)
Reference:
*Rehospitaliza5ons
among
Pa5ents
in
the
Medicare
Fee-­‐for-­‐Service
Program.
Stephen
F.
Jencks,
M.D.,
M.P.H.,
Mark
V.
Williams,
M.D.,
and
Eric
A.
Coleman,
M.D.,
M.P.H.N
Engl
J
Med
2009;
360:1418-­‐1428.
April
2,
2009.
AhWp://www.nejm.org/doi/full/
10.1056/NEJMsa0803563
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11. Overview
of
Investments
to
Solve
Care
Transi5on
Issues
&
Improve
Healthcare
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12. Innov8
for
Health
Center
for
Medicare
and
Medicaid
Innova5on
(CMMI)
$10
Billion
2011
-­‐
2019
• $10
billion
in
direct
funding
available
beginning
2011
to
2019
• “test
innova5ve
payment
and
service
delivery
models
to
reduce
program
expenditures,
while
preserving
or
enhancing
the
quality
of
care”
for
those
who
get
Medicare,
Medicaid
or
CHIP
benefits
CMMI
Current
Funding
Opportuni7es
Interven7on Funds
Allocated
Partnership for Patients $500 M
Transitions in Care Program $500 M
HH
2011.
hWp://www.hhs.gov/news/press/2011pres/06/20110622a.html
hWp://innova5ons.cms.gov/about-­‐us/our-­‐charge/
hWp://www.cms.gov/DemoProjectsEvalRpts/downloads/CCTP_Transcript.pdf
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13. Innov8
for
Health
Cincinna5’s:
$40
Million
in
Grants
and
Funding
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14. Innov-­‐8
for
Health
Implementa5on
Plan
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15. Innov8
for
Health
Idea
Funnel
Process
for
capturing,
cataloging,
and
incen5vizes
the
best
ideas
across
two
tracks
University
Entrepreneur/
Track*
Start-­‐Up
Track*
All
Ideas
SubmiWed
to
Website
www.Innov8forHealth.com
Best
Ideas
Selected
for
Idea
Expo
Dec.
2,
2011
Idea
Expo
Winners
$s
+
More
Idea
Expo
Winners
Opportunity
for
mentoring,
Idea
Expo
Winners
course
credit,
&
Opportunity
for
mentoring,
presen5ng
during
the
acceptance
into
an
Business
Concept
Exhibi5on
accelerator,
For
more
$s
+
presen5ng
during
the
Business
Concept
Exhibi5on
For
more
$s
+
*Visit
Innov8forHealth.com
for
your
university
contact
or
to
learn
more
about
mentoring
and
the
accelerator
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16. Innov8
for
Health
Innov8
for
Health
Capture
the
Best
Ideas
&
Cul5vate
into
Viable
Businesses
4
Events
w/
2
Tracks
Ini7ate
Cul7vate
Harvest
Prosper
University
University
Angel
Investor
Entrepreneur
Students
Support
Tracks
&
OR
Health
Venture
Entrepreneurs
Innova5on
Capital
Accelerator
Support
Business
Concept
Idea
Expo
Exhibi7on
Start-­‐Up
Show
Case
BeWer
Health
&
Care
More
Talent
&
Jobs
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more:
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17. What
You
Can
Do
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18. Innov8
for
Health
What
You
Can
Do
• Start-­‐ups
and
Entrepreneurs
– Bring
your
best
ideas
to
improve
transi5ons
in
care
• University
Students
– Bring
your
best
ideas
to
improve
transi5ons
in
care
• Investors
– Provide
mentorship
and
funding
to
help
make
the
ideas
into
viable
businesses
• University
Professors
– Engage
your
students
and
encourage
to
par5cipate
in
the
challenge
– Support
the
winners
from
your
University
via
the
entrepreneur
tracks
• Employers
– Support
live
events
with
sponsorship
funds
and
your
aWendance
– Encourage
entrepreneurs
in
your
organiza5ons
to
par5cipate
• Health
Systems
– Support
live
events
with
sponsorship
funds
and
your
aWendance
– Work
with
organizers
to
communicate
most
important
“challenges”
to
be
addressed
• Everyone
– Share
info.
about
Innov8
for
Health
with
friends
– Par5cipate
in
community
events
and
show
your
support
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