Diagnosing why innovation hasn’t stopped healthcare productivity declines

Diagnosing why innovation hasn’t stopped healthcare productivity declines

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Autonomous vehicles. Augmented reality. Artificial Intelligence.

The world is undergoing radical transformation via technological innovation. Healthcare is not immune to this trend and has lately unleashed its own wonders from CRISPR to 3D-printed prosthesis to sensor-enabled pills. We can truly transform lives in ways unimaginable even just 10 years ago.

In other ways, however, healthcare lags.

In transportation, Google’s first “driverless” Street View cars were on the road a scant few years after the DARPA Grand Challenges of the mid-2000s that paved the way for them, and Uber become a verb in the same amount of time it takes to implement a current EHR system. Furthermore, Amazon’s chatty Alexa now interacts with you in your home, having arrived just a short time after Siri became the personal assistant in your pocket.

Healthcare innovation has been incapable of gaining similar traction even with profound technological advances.

There is an unmentionable dark side of healthcare innovation.

Advances in productivity via utilization of new tools and technologies has been anemic. Healthcare is struggling to keep pace with other industries. In fact, in a recent McKinsey study, healthcare is one of only two industries (construction is the other) that has shown a productivity decline. Read that again: Despite IT spending growth increasing by over 5 percent per year over the last 10 years, we’ve actually seen the healthcare labor pool and service environment become less efficient!

Sometimes Tiny Is Just The Right Size: ‘Microhospitals’ Filling Some ER Needs

http://khn.org/news/sometimes-tiny-is-just-the-right-size-microhospitals-filling-some-er-needs/

The two-story SCL-Health Community Hospital-Westminster opened outside Denver last fall. The microhospital offers emergency medical care, labor and delivery services, inpatient beds, two operating rooms, radiology services and an on-site laboratory. (Courtesy of Emerus and SCL Health)

http://www.healthcaredive.com/news/think-small-making-the-case-for-microhospitals/423710/

Eyeing fast-growing urban and suburban markets where demand for health care services is outstripping supply, some health care systems are opening tiny, full-service hospitals with comprehensive emergency services but often fewer than a dozen inpatient beds.

These “microhospitals” provide residents quicker access to emergency care, and they may also offer outpatient surgery, primary care and other services. They are generally affiliated with larger health care systems, which can use the smaller facility to expand in an area without incurring the cost of a full-scale hospital. So far, they are being developed primarily in a few states — Texas, Colorado, Nevada and Arizona.

“The big opportunity for these is for health systems that want to establish a strong foothold in a really attractive market,” said Fred Bentley, a vice president at the Center for Payment & Delivery Innovation at Avalere Health. “If you’re an affluent consumer and you need services, they can fill a need.”

SCL Health has two microhospitals operating in the Denver metropolitan area and another two in the works. Microhospitals “are helping us deliver hospital services closer to home, and in a way that is more appropriately sized for the population compared to larger, more complex facilities,” said spokesman Brian Newsome.

The concept is appealing, and some people suggest they should be developed in rural or medically underserved areas where the need for services is great.

 

Here’s how millennials could change health care

http://www.usatoday.com/story/news/politics/elections/2016/02/07/heres-how-millennials-could-change-health-care/79818756/?utm_campaign=CHL%3A+Daily+Edition&utm_source=hs_email&utm_medium=email&utm_content=26011566&_hsenc=p2ANqtz-_9YYmSBm-afsLKmI4KNbJVS8dRt-5A9-eengcRv6EnpGeMvVQWb_qbOcrRFwNFuuj6NvHgPoGYIr-2sD6PHl9dTzfmGg&_hsmi=26011566

A shopper walks past a Minute Clinic at a CVS Pharmacy

Millennials may give the healthcare industry more impetus to improve customer service

CHRISTUS Health, Velocity Care Form JV in AR, LA

http://healthleadersmedia.com/content.cfm?topic=HEP&content_id=323833

Velocity Care

The joint venture intensifies the Dallas health system’s push into retail urgent care and freestanding emergency departments. CHRISTUS is bringing the consumer-friendly tactics of retail operations into its acute-care hospitals.

Do urgent care centers hurt patients?

http://www.fiercehealthcare.com/story/do-urgent-care-centers-hurt-patients/2014-12-10

Keyboard Stethescope

ER docs concerned about industry’s effects on patients, poll finds

Urgent Care 2.0: New Entrants Help Spur the Evolution of an Old Model

http://www.hhnmag.com/Magazine/2015/May/fea_urgent-care-new-models

Apple and Stethescope

Payers and investors are buying urgent care clinics, while hospitals are forging partnerships to add consumer-friendly access points for patients.

Urgent Care Or ER? New Poll Says Some Patients Aren’t Choosing Properly

http://www.forbes.com/sites/robertglatter/2014/12/09/urgent-care-or-er-new-poll-says-some-patients-arent-choosing-properly/

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