Healthcare Tomorrow 2018
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What are the social and technological trends driving the transition in healthcare from reactive disease-care, to proactive health optimisation? How will this affect your work? A presentation delivered to healthcare leaders in Sydney, Melbourne, Adelaide and Brisbane in 2018
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Healthcare Tomorrow 2018
- 1. The Healthcare of Tomorrow Douglas Fahlbusch Perioperative Healthcare Consulting, 2018 MIGA Key Opinion Leaders Dinners
- 2. The Past …
- 4. The Future …
- 5. Healthcare today DiseaseCare. What are the drivers? Cover Credit: DENNIS CHALKIN, 1991
- 10. Burnout Epidemic
- 11. * *
- 12. Future Tools
- 14. Machine Learning => Intelligence What the ?? Tomorrow
- 17. Supply Chain
- 18. Genomics
- 19. Telehealth & AR/ VR https://www.silverchain.org.au/innovation/what-is-emmr/
- 20. Future Trends “Those who have knowledge, don't predict. Those who predict, don't have knowledge.” Lao Tzu C4 BC
- 21. Centre of Health
- 24. Healthcare Roles
- 27. The Future …
Notes de l'éditeur
- “Prediction is very difficult, especially if it's about the future.” Niels Bohr 1885-1962
- Doctors & Hospitals Healthcare 1000’s yrs Prof Mx 100
- Public v Private Admin v Clinical Sub-speciality v sub-speciality Me anaesthesia 15 yrs, doctor 25
- Cultural/ behavioural obstruction to updating accepted practice
- Look at the past to see the future Scarce resources Rewards volume DiseaseCare
- Aus 9% GDP, US 18% … 150B pa AUS, 20% waste – $30B p.a.
- Definition of Insanity – doing the same thing and expecting different results
- Dr Google: Pts arrive with lists of questions Google surgeons - pick the one with the 'best website' I’ve been a patient – cancer – healthcare is difficult to navigate – what is it like for ‘normal’ patients
- Me -> GDM, GAICD Realisation that: - What we do only affects 20% of outcomes! - There are a whole lot of factors we could manipulate, but we don’t know how to Frustration with just in time admissions – poor data
- eg: CHF relapse - not taking night diuretic bc ‘inconvenient’
- Formed PHC to investigate/ tackle: Funding Societal demands Technology changes Non-clinical determinants of health Burnout epidemic
- Hunter-gather 1000’s years Agricultural 100’s Industrial generations Tech decades
- Hunter-gather 1000’s years Agricultural 100’s Industrial generations Tech decades
- Public ‘v’ private
- Detect at stage 0 - ‘Digital exhaust’ – my cancer
- Engaged, empowered, efficient staff know surgeon x wants zz, so hides it .. meanwhile not available to others, or restocked
- ‘antibiotics’ & immunisation for cancer Biome RNA transcription – altered expression based on environmental influences CRISPR: gene editing CAR-T: Immune reprogramming SCNT: cellular reprogramming
- Engaged, empowered, efficient
- Proactive continuous HealthCare vs Reactive Episodic Disease Care Assist transition from here to there: Strategy/ Governance Ethics, Data + Clinical Admin Collaboration
- Chris O’Brien Lifehouse - steps & sleep Predictive – diagnosis MI, COAD – cancer recovery – steps & sleep Family education readmissions: patient portal
- Connectedness of existing data; data warehouse Triage for surgeon referrals … ED … Trust: Robust, Secure, transparent Employment increases worldwide Solve JIT admissions - data prior
- Trust: Robust, Secure, transparent
- Engaged, empowered, efficient. Blurring public/ private lines Students: learning it as they go (from other industries) Need frameworks, not recipes App helping staff, patients, doctors
- Aetna 22.2 million medical members, 13.4 million dental members, 13.8 million pharmacy services members ~ 1.2 million health care professionals, .> 690,000 primary care doctors and specialists, > Over 5,700 hospitals Bought by CVS Health: Pharmacy - More than 246,000 colleagues across all 50 states, Washington, D.C., Puerto Rico and Brazil
- Engaged, empowered, efficient
- Exponential learning Data, Analytics, Therapeutic HC outside traditional/ non-clinical determinants of health Leverage domain knowledge from business and clinical teams Based around data & patients, not bricks and mortar (or public, or private)