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Join the Revolution: Technology is Changing Health Care!
Suneela Joshi
Chief Engineer, Digital Health
Abbott Cardiac Rhythm Division
Los Angeles, CA
Trudy Sullivan
Chief Diversity, Equity & Inclusion Officer
Health Catalyst
Dallas, TX
Nadine Louis
Director, Client Success
Health Catalyst
Atlanta, GA
M
Moderator
P
Presenter
P
Presenter
Nadine Louis
Director, Client Success
Health Catalyst
Education:
Interests:
Connecticut State University - BS, Education
Liceo Anglais Frances, Mexico - Bachelor of Arts (B.A.), Spanish
Healthcare Financial Management Association (HFMA)-CRCR Certification
Crucial Learning = Crucial Conversation Certified Trainer
Health Catalyst University - Servant Leadership Certification
Spiritual, Work/life Balance, Chairperson - Shades, Church
Counselor, Cooking, Dancing, Cosmetic
4
CAREER
• Financial Software - Ann Arbor, MI – 4 years
• Automotive Software – Auburn Hills, MI – 3 years
• Medical Device Software – Los Angeles -18 years
WORK-LIFE BALANCE
• Family and career balance
• Fitness driven healthy lifestyle
• Hobbies – Traveling, Cooking and painting
Suneela Joshi
Chief Engineer & Director, Digital Health
EDUCATION
• Bachelors of Engineering,- Mumbai, India
• Masters in Computer Science – EMU, MI
• Many professional certifications
Trudy Sullivan
Chief Diversity, Equity & Inclusion Officer
Health Catalyst
Education:
Interests:
University of Portland - BA in History – minor emphasis in Communications
Harvard – MIT - Using a Mutual Gains Framework to Deal with An Angry Public
Kellogg at Northwestern - MBA
Family, Reading, Cooking, Professional Basketball, Tennis
6
Digital Health
The use of information and communications
technologies in health professions to
manage illnesses and health risks and to
promote wellness.
Connected Connected Connected Connected Connected
computers commerce people things healthcare
INTERNET E-COM SOC MEDIA IOT DIGITAL HEALTH
Convergence of digital
technologies for healthy living
7
PLAYERS IN TECHNOLOGY REVOLUTION IN HEALTH CARE
MONEY MATTERS
• Medical Insurance, Medicare etc.
• Incorporating Digital Health
TECHNOLOGY PROVIDER
• Medical Technology industry
• Data Management, analysis and AI/ML
Development
REGULATORY
• Worldwide changes
• Accommodating digital health
HEALTH CARE PROVIDER
• Doctors, nurses, health care technicians
• COVID 19 changed viewpoint
DOCTOR INDUSTRY
PAYER FDA
PATIENT
Digital Health Evolution
Patient At the Center
8
Poll Question:
• (A) Clinician/ health care provider
• (B) Health Technology provider
• (C) Medical insurance, Medicare provider
• (D) Regulatory body e.g., FDA
Are you part of Technology
Revolution in Health Care?
9
Digital Health Transformation Trends
On Demand
Health Care
Wearables /
Mobile Apps
Big Data -
Predictive Analytics
Health
Cloud
Virtual Reality /
Augmented Reality
Patient
Engagement
Artificial Intelligence
Machine Learning
10
Poll Question:
Pope Benedict XVI
Julie Bowen
Kemoy Campbell
Sir Elton John
Mother Teresa
Roger Moore
David Hasselhoff
King McClure
What Do They All Have In Common?
11
They All Have a Pacemaker/ICD
Pope Benedict XVI
Julie Bowen
Kemoy Campbell
Sir Elton John
Mother Teresa
Roger Moore
David Hasselhoff
King McClure
12
Remote Monitoring of Implanted Heart Device Patients
• Health Equity - the
attainment of the highest
level of health for all people
• Hospitals and health
systems are employing
many strategies to
improve health equity
Healthcare Disparities – What’s the Societal Cost?
2020
2050
Economic burdens of health disparities in the U.S. if unchanged
$353B
$126B
Healthcare Inequity
Sources: Washington Post, JAMA Pediatrics Study 2018, MHA Keystone Center, NIH, AHA, VA +
Lower birthweight
babies are born to
African American
mothers suffering
from discrimination.
15%
OF NURSES &
NURSE PRACTICIONERS
10%
OF PHYSICIANS
PEOPLE OF COLOR ACCOUNT FOR
JAMA Pediatrics Study found an
increase in teenagers’ stress and
worry about discrimination. More
stress translates into drinking,
smoking, and experimenting with
drugs.
African Americans are more
likely than whites to die of
diabetes and have a higher
prevalence of hypertension
and heart disease.
2020
2050
$126B $353B
Economic
burdens of
health
disparities in
the U.S. if
unchanged.
*than predominantly white counties
19.4% of Asian adults compared to 12.9% of whites
report being without a usual source of health care.
40% of Mexicans and Mexican Americans, 26% of Cubans, and 21% of Puerto
Ricans were uninsured in 2006 as compared with 16% of white non-Latinos
LGBT youth receive poor quality care
due to stigma, lack of healthcare
providers’ awareness, and insensitivity
to their unique needs.
~23.5 million Americans are living in food deserts, associated
with adverse cardiovascular outcomes in patients with
coronary artery disease, independent of their traditional
cardiovascular risk factor burden.
Black children are
as likely to be admitted to the
hospital for asthma.
4x
U.S. Korean children are
more likely to have no health insurance as
compared to others
4x
of returning veterans needing mental
health services receive treatment. Of
those receiving PTSD and major
depression treatment
are receiving evidence-based care.
<50%
<1/3
Poll Question:
What is the economic burden of health disparities in
the U.S. if left unchanged?
(A) $750M
(B) $100B
(C) $353B
(D) $1.3T
Applying AI to Identify and Eliminate Healthcare Disparities
• Offering health equity insight to the healthcare
ecosystem.
• Starts with existing process and performance measures
and patient personal characteristics.
• Applying AI designed to quantify disparities across
measures and contributing characteristics.
• Identify focus areas for achieving massive, measurable,
data-informed health equity improvements.
Equity is a Core Dimension of Healthcare Quality
Borrowing from Strength in Economics and Education
Gini Index Measuring Income Inequality Can Be Applied to Healthcare
https://en.wikipedia.org/wiki/List_of_countries_by_income_equality
http://uis.unesco.org/sites/default/files/documents/handbook-measuring-equity-education-2018-en.pdf
AI Identifies Quantifies across Measures…
0.27
Diabetes Care HbA1c <8%
Depression Care
Post-Heart Attack Medication 0.34
0.27
Pediatric ADHD Medication 0.13
GREATER
EQUITY
GREATER
INEQUITY
Gini Index
Applied to Healthcare
Misconceptions Miss the Biggest Opportunities
…and the Contributors within Measures
0.03
Diabetes Care
HbA1c <8%
0.18
Depression Care
0.20
0.06
Race Age
Misconceptions Miss the Biggest Opportunities
Poll Question:
Have you, or someone you know, experienced
healthcare inequity?
(A) YES
(B) NO
(C) UNSURE
Assumption and anecdote Disparities quantified using holistic measures
Interest, passion, brilliance but minimal
forward momentum
Return on Invested time and resources,
measurable clinical, financial and operational
improvements
Lack of understanding disparities’ impact
on clinical outcomes in communities
served
Impactful community partnerships and
improved access
Ashamed to share current state
Shared learnings in healthcare ecosystem for
greater, sustainable improvements
Transforming Care for All
Assessment
Outcomes
Guidance
Aspirations
To
From
22
Q&A

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1416 Join the Revolution

  • 1.
  • 2. 2 Join the Revolution: Technology is Changing Health Care! Suneela Joshi Chief Engineer, Digital Health Abbott Cardiac Rhythm Division Los Angeles, CA Trudy Sullivan Chief Diversity, Equity & Inclusion Officer Health Catalyst Dallas, TX Nadine Louis Director, Client Success Health Catalyst Atlanta, GA M Moderator P Presenter P Presenter
  • 3. Nadine Louis Director, Client Success Health Catalyst Education: Interests: Connecticut State University - BS, Education Liceo Anglais Frances, Mexico - Bachelor of Arts (B.A.), Spanish Healthcare Financial Management Association (HFMA)-CRCR Certification Crucial Learning = Crucial Conversation Certified Trainer Health Catalyst University - Servant Leadership Certification Spiritual, Work/life Balance, Chairperson - Shades, Church Counselor, Cooking, Dancing, Cosmetic
  • 4. 4 CAREER • Financial Software - Ann Arbor, MI – 4 years • Automotive Software – Auburn Hills, MI – 3 years • Medical Device Software – Los Angeles -18 years WORK-LIFE BALANCE • Family and career balance • Fitness driven healthy lifestyle • Hobbies – Traveling, Cooking and painting Suneela Joshi Chief Engineer & Director, Digital Health EDUCATION • Bachelors of Engineering,- Mumbai, India • Masters in Computer Science – EMU, MI • Many professional certifications
  • 5. Trudy Sullivan Chief Diversity, Equity & Inclusion Officer Health Catalyst Education: Interests: University of Portland - BA in History – minor emphasis in Communications Harvard – MIT - Using a Mutual Gains Framework to Deal with An Angry Public Kellogg at Northwestern - MBA Family, Reading, Cooking, Professional Basketball, Tennis
  • 6. 6 Digital Health The use of information and communications technologies in health professions to manage illnesses and health risks and to promote wellness. Connected Connected Connected Connected Connected computers commerce people things healthcare INTERNET E-COM SOC MEDIA IOT DIGITAL HEALTH Convergence of digital technologies for healthy living
  • 7. 7 PLAYERS IN TECHNOLOGY REVOLUTION IN HEALTH CARE MONEY MATTERS • Medical Insurance, Medicare etc. • Incorporating Digital Health TECHNOLOGY PROVIDER • Medical Technology industry • Data Management, analysis and AI/ML Development REGULATORY • Worldwide changes • Accommodating digital health HEALTH CARE PROVIDER • Doctors, nurses, health care technicians • COVID 19 changed viewpoint DOCTOR INDUSTRY PAYER FDA PATIENT Digital Health Evolution Patient At the Center
  • 8. 8 Poll Question: • (A) Clinician/ health care provider • (B) Health Technology provider • (C) Medical insurance, Medicare provider • (D) Regulatory body e.g., FDA Are you part of Technology Revolution in Health Care?
  • 9. 9 Digital Health Transformation Trends On Demand Health Care Wearables / Mobile Apps Big Data - Predictive Analytics Health Cloud Virtual Reality / Augmented Reality Patient Engagement Artificial Intelligence Machine Learning
  • 10. 10 Poll Question: Pope Benedict XVI Julie Bowen Kemoy Campbell Sir Elton John Mother Teresa Roger Moore David Hasselhoff King McClure What Do They All Have In Common?
  • 11. 11 They All Have a Pacemaker/ICD Pope Benedict XVI Julie Bowen Kemoy Campbell Sir Elton John Mother Teresa Roger Moore David Hasselhoff King McClure
  • 12. 12 Remote Monitoring of Implanted Heart Device Patients
  • 13. • Health Equity - the attainment of the highest level of health for all people • Hospitals and health systems are employing many strategies to improve health equity Healthcare Disparities – What’s the Societal Cost? 2020 2050 Economic burdens of health disparities in the U.S. if unchanged $353B $126B
  • 14. Healthcare Inequity Sources: Washington Post, JAMA Pediatrics Study 2018, MHA Keystone Center, NIH, AHA, VA + Lower birthweight babies are born to African American mothers suffering from discrimination. 15% OF NURSES & NURSE PRACTICIONERS 10% OF PHYSICIANS PEOPLE OF COLOR ACCOUNT FOR JAMA Pediatrics Study found an increase in teenagers’ stress and worry about discrimination. More stress translates into drinking, smoking, and experimenting with drugs. African Americans are more likely than whites to die of diabetes and have a higher prevalence of hypertension and heart disease. 2020 2050 $126B $353B Economic burdens of health disparities in the U.S. if unchanged. *than predominantly white counties 19.4% of Asian adults compared to 12.9% of whites report being without a usual source of health care. 40% of Mexicans and Mexican Americans, 26% of Cubans, and 21% of Puerto Ricans were uninsured in 2006 as compared with 16% of white non-Latinos LGBT youth receive poor quality care due to stigma, lack of healthcare providers’ awareness, and insensitivity to their unique needs. ~23.5 million Americans are living in food deserts, associated with adverse cardiovascular outcomes in patients with coronary artery disease, independent of their traditional cardiovascular risk factor burden. Black children are as likely to be admitted to the hospital for asthma. 4x U.S. Korean children are more likely to have no health insurance as compared to others 4x of returning veterans needing mental health services receive treatment. Of those receiving PTSD and major depression treatment are receiving evidence-based care. <50% <1/3
  • 15. Poll Question: What is the economic burden of health disparities in the U.S. if left unchanged? (A) $750M (B) $100B (C) $353B (D) $1.3T
  • 16. Applying AI to Identify and Eliminate Healthcare Disparities • Offering health equity insight to the healthcare ecosystem. • Starts with existing process and performance measures and patient personal characteristics. • Applying AI designed to quantify disparities across measures and contributing characteristics. • Identify focus areas for achieving massive, measurable, data-informed health equity improvements. Equity is a Core Dimension of Healthcare Quality
  • 17. Borrowing from Strength in Economics and Education Gini Index Measuring Income Inequality Can Be Applied to Healthcare https://en.wikipedia.org/wiki/List_of_countries_by_income_equality http://uis.unesco.org/sites/default/files/documents/handbook-measuring-equity-education-2018-en.pdf
  • 18. AI Identifies Quantifies across Measures… 0.27 Diabetes Care HbA1c <8% Depression Care Post-Heart Attack Medication 0.34 0.27 Pediatric ADHD Medication 0.13 GREATER EQUITY GREATER INEQUITY Gini Index Applied to Healthcare Misconceptions Miss the Biggest Opportunities
  • 19. …and the Contributors within Measures 0.03 Diabetes Care HbA1c <8% 0.18 Depression Care 0.20 0.06 Race Age Misconceptions Miss the Biggest Opportunities
  • 20. Poll Question: Have you, or someone you know, experienced healthcare inequity? (A) YES (B) NO (C) UNSURE
  • 21. Assumption and anecdote Disparities quantified using holistic measures Interest, passion, brilliance but minimal forward momentum Return on Invested time and resources, measurable clinical, financial and operational improvements Lack of understanding disparities’ impact on clinical outcomes in communities served Impactful community partnerships and improved access Ashamed to share current state Shared learnings in healthcare ecosystem for greater, sustainable improvements Transforming Care for All Assessment Outcomes Guidance Aspirations To From