How digital technology will make care more productive and more - - PowerPoint PPT Presentation

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How digital technology will make care more productive and more - - PowerPoint PPT Presentation

INSIGHT DRIVEN HEALTH INSIGHT DRIVEN HEALTH How digital technology will make care more productive and more personalized KAVEH SAFAVI, M.D., J.D. SENIOR MANAGING DIRECTOR ACCENTURE GLOBAL HEALTH PRACTICE If something cannot go on


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SLIDE 1

INSIGHT DRIVEN HEALTH INSIGHT DRIVEN HEALTH

KAVEH SAFAVI, M.D., J.D. SENIOR MANAGING DIRECTOR – ACCENTURE GLOBAL HEALTH PRACTICE

How digital technology will make care more productive and more personalized

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SLIDE 2

“If something cannot go on forever, it will stop.”

  • Herbert Stein

Former chairman of the Council of Economic Advisers, Presidents Nixon and Ford

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SLIDE 3

GROWING AT GDP + 1.2% OVER PAST DECADE OECD HEALTHCARE SPEND

  • 4%
  • 2%

0% 2% 4% 6% 8% 10% 12% 2005 2007 2009 2011 2013 2015

Rate of OECD Expenditure Growth GDP Growth

Source: OECD.org & Accenture Analysis

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SLIDE 4

GROWING AT GDP + 1% TO 3%, FOR A CUMULATIVE IMPACT OF GDP +25% OVER PAST DECADE

AUSTRALIA'S HEALTHCARE SPENDING EXCEEDS GDP

0% 20% 40% 60% 80% 100% 0% 2% 4% 6% 8% 10% 12% 14%

2005 2007 2009 2011 2013 2015 Cumulative Impact Annual Change Rate of NHE Inflation GDP Growth Cumulative NHE Impact Cumulative GDP Growth

Source: OECD.org & Accenture Analysis

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SLIDE 5

LABOR COSTS UNSUSTAINABLE WITHOUT INNOVATION EXPERT LABOR COSTS GROWING FASTER THAN GDP

Annual Cost Growth High Innovation Sector Productivity without labor

Personal service labor cost Consumption

Years

Productivity ≠ Efficiency

Source: Baumol WJ, The Cost Disease, Yale Univ. Press 2012

Conceptual Rate of Cost Increases: Low vs. High Innovation Without innovation, cost of unit care growing faster than GDP due to its reliance on expert labor.

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SLIDE 6

HEALTHCARE HAS BEEN LOSING PRODUCTIVITY SERVICE SECTOR PRODUCTIVITY DECLINING SINCE 1980S, ESPECIALLY IN HEALTHCARE

Source: Brookings Institution; WSJ, While the Services Sector Booms, Productivity Remains Elusive, November 2016

— Average annual rate of change 1987-2014—

3X

Gap between most & least productive companies

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SLIDE 7

VALUE IS NEITHER COST NOR OUTCOME FOR PATIENTS

Physicians Patients Neither Cost or Outcome Cost Outcome Not Sure Cost & Outcome Cost Cost & Outcome Outcome Neither Cost or Outcome Not Sure

10 20 30 40

Source: Quintiles, The New Health Report 2011

“In your own words, how would you define “value” in healthcare? Please be specific.” (unaided response)

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SLIDE 8

COST AND TRUST DOMINATE PATIENT PREFERENCE TOP PATIENT PREFERENCES FOR SELECTING HEALTH SYSTEM

Source: Muhlbacher, A., Schulman, K., et al Health Service Research, April 2016

3,900 Respondents asked to rate 21 attributes for 3 scenario (current health, new lung cancer diagnosis, diabetes)

2 4 6 8 10

Relative Importance

Out of Pocket Cost Trust and Respect Multidisciplinary care Shared Decision-making Attention to Personal situation Experience of care provider Care transitions Waiting time for appointments Travel time to provider

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SLIDE 9

CARE AND COMPASSION QUALITIES OF SERVICES THAT EMPOWER PEOPLE TODAY , DRIVE EXPECTATIONS & INFORM TOMORROW’S SERVICES

Coordinated

Connect and synch healthcare info

Secure

Health data is private and protected

Simple

Easy to navigate and use

Seamless

Consistent experiences at every touch point

Transparent

Open and timely access to healthcare info

Personalized

Intelligent, tailored health experiences

Source: FJORD Era of Living Services 2015

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SLIDE 10

COMPETITION AND EXPECTATIONS COMING FROM EVERYWHERE

DIRECT COMPETITORS EXPERIENTIAL COMPETITORS PERCEPTUAL COMPETITORS

Products or services that directly compete with yours Companies that sell experiences that replace yours Companies that change customer expectations

LIQUID CONSUMER EXPECTATIONS

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SLIDE 11

NEW HEALTHCARE PARADIGM

PERSONALIZED VIRTUAL LOCATION AGNOSTIC SELF-SERVICE

See Labs Pay bill Take Vitals Scheduling

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SLIDE 12

HEALTHCARE WILL BECOME MORE VIRTUAL BENEFITS THE ALREADY SERVED, NOT JUST THE UNDERSERVED

Source: Silvercloud

Matching supply to demand One to many Asynchronous Augmented experience Digital Therapy

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VIRTUAL HEALTH TOOLS UNLOCK PRODUCTIVITY THREE USES AMONG PRIMARY CARE PHYSICIANS

Source: Accenture, “Virtual Health: Untapped Opportunity to get the most out of Healthcare,” 2015

Allowing more clinical care to get done without expanding the workforce

Typical Office Visit Ongoing Management Patient Self-Management

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SLIDE 14

Source: Economist, March of the Machines, 2016

ARTIFICIAL INTELLIGENCE

Automation of routine vs. judgement tasks U.S. employment by type of work

  • Intelligent automation
  • Humans + machines
  • Social + character

skills matter

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WILL THESE PROFESSIONS BECOME AUTOMATED? PROBABILITY OF AUTOMATION OF SELECT PROFESSIONS

Source: Economist, March of the Machines, 2016 Frey, C. Osborne, M. The Future of Employment www.oxfordmartin.ox.au.uk 2013

> 98%

Brokerage clerk Insurance underwriter Legal secretary Loan officer Procurement clerks Referees, sports officials Tax preparers Telemarketer Watch repairer

47% of U.S. employment at risk for automation

< 1%

Audiologist Choreographer Dentist Elementary teacher Physical therapists Physician, surgeon Psychologist Public relations Social worker

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PACE OF ADOPTION THE SHARK FIN ADOPTION CURVE IS GRADUALLY THEN SUDDENLY

  • High volume of seemingly

random market experiments in market

  • Often from innovators
  • utside of industry
  • Operating on the regulated

edges

  • Failed experiments signal

the change about to arrive

Source: Big Bang Disruption: Strategy in the Age of Devastating Innovation Innovators Early Adopters Early Majority Late Majority Laggards

Old Curve of Market Innovation Trial Users Everybody Else

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SLIDE 17

SERVICES INNOVATION REQUIRES EXPERIMENTATION

Source: Source: Snowden D, Boone M. A Leaders Framework for Decision Making; Harvard Bus. Rev. Nov. 2007

Known Knows Sense Categorize Respond Known Unknowns Sense Analyze Respond Unknown Unknowns Probe Sense Unknowable Act Sense Respond

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“That it will ever come into general use, notwithstanding its value, is extremely doubtful because its beneficial application requires much time and gives a good bit

  • f trouble, both to the patient and to the

practitioner because its hue and character are foreign and opposed to all

  • ur habits and associations.”
  • The London Times 1834

Laennec Stethoscope

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Kaveh Safavi, MD JD

+1 312 693 1541 kaveh.t.safavi@accenture.com @drkavehsafavi @AccentureHealth kavehsafavi