E-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
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Background of Boston Children’s Hospital
US Healthcare landscape
Digital Health Opportunities
E-health Innovation at Boston Children’s
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Boston Children’s by the numbers:
2012 Statistics
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40 clinical departments
250 specialized clinical programs
395 licensed beds
24,714 inpatient and observations
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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
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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
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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
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Healthcare Landscape
New Payment models to
providers shift from
volume to value
Efforts to increase
transparency and shift
responsibility to
consumers
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Greater Demand for Healthcare
• The Affordable Care
Act (ACA) increases
the shortage of
Physicians
• Must improve
efficiency and
resource allocation
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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
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Consumers and Technology
Over 90% of US adults
own a cellphone.
>50% have smartphones
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Computing Power
Apple iPhone 5
Mars Rover Curiosity
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Opportunities in Digital Health
Telemedicine- virtual visits
Remote data monitoring
Mobile health medical devices
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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
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Clinician to Clinician Consultations
TeleConsult
Using medical grade telemedicine technologies to
remotely evaluate patients in community hospitals
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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.
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Innovations in Technology at
Boston Children’s Hospital
FastTrack Innovation in Technology
Hackathon
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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
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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/
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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
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