docE-Health and Digital Services Boston Children`s Hospital
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E-Health and Digital Services Boston Children`s Hospital
E-Health and Digital Services Boston Children’s Hospital Alexandra Pelletier, MBA Digital Health Program Manager Twitter: @acpelletier Overview 1. 2. 3. 4. Background of Boston Children’s Hospital US Healthcare landscape Digital Health Opportunities E-health Innovation at Boston Children’s 2 Boston Children’s by the numbers: 2012 Statistics • • • • 40 clinical departments 250 specialized clinical programs 395 licensed beds 24,714 inpatient and observations • • • • • discharges 6.53 day average length of stay 557,620 outpatient visits 58,782 emergency room visits 26,542 inpatient and day surgical cases 2.34 average case mix index Employees • Founded in 1869 • The primary pediatric teaching hospital for Harvard Medical School • Largest pediatric research program in the world • • • • • 9,580 total employees 1,254 active medical and dental staff 1,859 full-time nursing staff 1,630 full-time scientific staff 18,079 employees and associated staff Trainees • 339 HMS medical students • 150 pediatric residents • >500 Subspecialty medical/surgical fellows • >200 Graduate students and postdoctoral fellows 3 Boston Children’s Hospital Community of Care- Eastern Massachusetts Holy Family Satellite visits: • 160,000 outpatient visits • 30% of ambulatory surgeries • 20% of all radiology visits Beverly Boston Children’s North Winchester Lexington BCH physician-staffed community hospitals: • 1,600 neonatal admissions • 40,000 ED visits CHB @ Waltham St. Elizabeth’s Norwood CHB – Main Campus Martha Eliot South Shore & BCP South Good Samaritan 4 Healthcare Landscape New Payment models to providers shift from volume to value Efforts to increase transparency and shift responsibility to consumers 5 Greater Demand for Healthcare • The Affordable Care Act (ACA) increases the shortage of Physicians • Must improve efficiency and resource allocation 6 Caregivers: The Sandwich Generation • Caregivers (ave 48 yrs) are usually defined as caring for an elderly relative1. • Parents and guardians of children should also be included. Real Economic Impact: • 70% of working caregivers suffer work-related difficulties due to their dual caregiving roles2. – Rearrange work schedules – Take unpaid leave – Limit work responsibilities 7 Consumers and Technology Over 90% of US adults own a cellphone. >50% have smartphones 8 Computing Power Apple iPhone 5 Mars Rover Curiosity 9 Opportunities in Digital Health Telemedicine- virtual visits Remote data monitoring Mobile health medical devices 10 Innovation Acceleration Program Enhance the Innovation Culture at Boston Children’s Hospital Initiate Facilitate Collaborate Catalyze New Innovation Projects Foster Grass Roots Innovation Support Strategic Innovation Hackathon FastTrack Innovation in Technology Award Program Telemedicine Program Telehealth Program at Boston Children’s Hospital Clinician to Clinician consultations consultations Community hospital Direct to Patient consultations E-visits Patient/ Families 12 Clinician to Clinician Consultations TeleConsult Using medical grade telemedicine technologies to remotely evaluate patients in community hospitals 13 Patient Follow up Post Surgery Urology Post Surgical Follow Up Families go home with a mobile robotic videoconferencing device for two weeks. Patients & family interact with care team via live video & audio from home. 14 Innovations in Technology at Boston Children’s Hospital FastTrack Innovation in Technology Hackathon 15 Innovation: MyPassport Pilot Application for patients and families to help them navigate and understand their care experience while an inpatient. • Caregiver remote access • Health Dashboard • Plan of Care • Care Team • Care Questions 16 Hackathon Innovation: Comfy Ball Early stage prototype concept to help non-verbal patients express pain using a sensor in the hospital setting Learn More: http://vectorblog.org/ 17 Changing Healthcare is an uphill journey “The pessimist complains about the wind; the optimist expects it to change; the realist adjusts the sails.” William Arthur Ward Thank you 18
