,#,Questions whose,answers,will,shape the,future,of healthcare,in the,United,States,Center,for,Health,Systems,&Design,Texas,A&M University,Questions whose answers willCe,1,The challenge,United,States,healthcare,system:,Most,expensive,per,capita,in the world,BUT,Ranked,last,by,the Commonwealth Fund,2004,2006,2007,2010,2014,Center,for,Health,Systems,&Design,Texas,A&M University,The challengeUnited States hea,2,Q 1,Patient:,Help or hindrance in healthcare reform?,Center,for,Health,Systems,&Design,Texas,A&M University,Q 1Patient:Help or hindrance i,3,Patient,Chronic Disease,86%All healthcare spending,81%Hospital admissions,76%,Physician,visits,91%Prescriptions,Deaths,CDC Foundation 2015,Center,for,Health,Systems,&Design,Texas,A&M University,PatientChronic Disease86%All,4,Patient,Dont,tell,me!,50%,Average,70%(!)If change behavior,Story D,r.,Rick,Deaths,from,treatable,conditions,Nursing,home admissions,Hospital admissions,Martin,F,2005.,Center,for,Health,Systems,&Design,Texas,A&M University,PatientDont tell me!50%Avera,5,Q 2,Information,technologies:,Are we,forever,behind the curve?,Center,for,Health,Systems,&Design,Texas,A&M University,Q 2Information technologies:Ar,6,Information,UNC,1000,patients,Watson,300+,Watson,identified a treatment that a well-,meaning,hard-working group of physicians hadnt,found,for,30%,of the patients!,Ned Sharpless,MD,UNC Chappel Hill,Rose,Charlie.(2016).,Report Title,(Artificial intelligence positioned be be a game-changer).,CBS Interactive,60 Minutes.,New,York,NY.,Center,for,Health,Systems,&Design,Texas,A&M University,InformationUNC 1000 patientsWa,7,Information,Doubling Up:,By,2020:medical knowledge will,start,doubling,every,73,days,!,20/20 Vision:Curriculum,Renewal,Project,University of Iowa healthcare,2012.,Center,for,Health,Systems,&Design,Texas,A&M University,InformationDoubling Up:By 2020,8,Information,29,Center,for,Health,Systems,&Design,Texas,A&M University,Information29Center for Health,9,Q 3,Next,generation,healthcare facilities:,When is flexibility not enough?,Center,for,Health,Systems,&Design,Texas,A&M University,Q 3Next generation healthcare,10,Design,Reality:,Lower,Payment,for,Care,Requires,More,Efficient,Use of Capital:,Lower,building,cost,longer,life,Flexible design adaptable,to,changing,market,need,Persefield,William,Evolving,care,settings;The evolving healthcare,system:,having the conversation is,challenging,Healthcare Design Conference,Houston,TX,November,2016.,Center,for,Health,Systems,&Design,Texas,A&M University,DesignReality:Lower Payment f,11,Design,Reality:,Out-of-Date,Facilities,dont house,New,Models of,Care:,“Retail-ization”,Convenience a high,priority,Persefield,William,Evolving,care,settings;The evolving healthcare,system:,having the conversation is,challenging,Healthcare Design Conference,Houston,TX,November,2016.,Center,for,Health,Systems,&Design,Texas,A&M University,DesignReality:Out-of-Date Fac,12,Design,Reality:,Technology,Moving,Patients,Away,From,“,Traditional”,Facilities:,Home,care,monitoring,Wellness,prevention,Persefield,William,Evolving,care,settings;The evolving healthcare,system:,having the conversation is,challenging,Healthcare Design Conference,Houston,TX,November,2016.,Center,for,Health,Systems,&Design,Texas,A&M University,DesignReality:Technology Movi,13,Q 4,Virtual,patient,experiences:,What are the practical limits?,Center,for,Health,Systems,&Design,Texas,A&M University,Q 4Virtual patient experiences,14,Virtual,Kaiser,Permanente,patient,experiences,Inpatient,.36%,Outpatient,99.64%,Virtual/,Non institutional,TOTA,L,100%,100%,2013 KP,data,Center,for,Health,Systems,&Design,Texas,A&M University,VirtualKaiser Permanente patie,15,Virtual,11,783 digital visits/month of children(18),From,900 cities,18%,sent,to,ER(only 30%,hospitalized),10%,received,eRx,47.5%,fewer,unnecessary ER,referrals,Yossi,Bahagon,MD,Israel,Health Infrastructure in Israel:the E-Health Success Story,technology under,development,by,Clalit Health,system,Design&Health Europe,2012,International Academy,for,Design&,Health,Helsinki,Finland,September 20,2012.,Center,for,Health,Systems,&Design,Texas,A&M University,Virtual11,783 digital visits/,16,Virtual,Luminox:,a success,story,Concerta,patients:,drop,out in 3 months,Child:Rx,for,a pill,Parent:,Rx,for,the app,data,monitoring,Dropout,rate,after,3 months,Yossi,Bahagon,MD,Israel,former,CEO,of Luminox,conversation with the,presenter,May,2014.,Center,for,Health,Systems,&Design,Texas,A&M University,VirtualLuminox:a success stor,17,Q 5,Demand signal:,Coming from clinical services or IT?,Center,for,Health,Systems,&Design,Texas,A&M University,Q 5Demand signal:Coming from c,18,Demand,In the,we,are,going,to,send,nano-robots,into,the,brain,(via capillaries)that,will,provide,full,immersion virtual reality,from,within the,nervous,system,and,will connect our,neocortex,to,the cloud.,First,graders,today,Singularity Hub,Oct.12,2015,Center,for,Health,Systems,&Design,Texas,A&M University,DemandIn thewe are going to se,19,Demand,As soon as the,2040s,it