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Primary Care 2020

Keynote Presentation, InciteHealth Launch at Harvard Medical School's Center for Primary Care Medicine

Sharon Knight

on 23 February 2015

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Transcript of Primary Care 2020

Patient collected data will alert doctors with whom and when to intervene.
Appointment scheduling will be done online and supported by AI assisted triage
Freeing up reception staff for higher value patient interactions
Doctors would only see the sickest or most at risk patients.
Chart notes can focus on what's relevant to patient care
. . . and not to payers
Doctors no longer spend valuable time on lower value tasks
. . . like prescription renewals
and referrals
Primary Care

Medical school graduates will
increasingly choose internal
or family medicine residencies
PCPs have time to discuss
prevention and wellness
and suggest tools and
resources to patients
Practices become more focused on target populations
PCPs become the
focal point
of the US
healthcare system
not just for pediatrics and geriatrics but also women, diabetics etc.
When patients will receive "
personalized prevention prescriptions"
When care will naturally
extend outside the
4 walls of the
clinic / office
What would this world look like?
Provider Happiness
Patient Health
More effective
health care system
Mobile Patient Engagement
Patients, care givers and providers are connected via 2-way HIPAA compliant communication - synchronous and asynchronous
Home Diagnostics
Quantified self data becomes mainstream - wearables, adhesives, and ingestibles provide focused feedback to support healthy habits - enabled by digital health platforms that support sharing and analytics
Vitals - Weight, BP
Blood glucose
Medication adherence
Fitness tracking - movement, HR
Nutrition - food, supplements
Genetic Testing
House Calls
Doctors, PAs or NPs visit patients at home, office or hotel
Referral Management
Smart Scheduling
Free up physician and nursing staff to spend more time with patients
Reduce no-shows
Improve access for highest priority patients
Virtual Care | Telemedicine
Providers connect to patients and to specialist consults
a world
where . . .
What solutions will
make this vision
a reality?
Less critical cases would be seen by nurses, NPs or PAs.
Connecting patients to high quality, covered or lower cost solutions - with feedback to physicians
Nutrition, coaching
Behavioral health
Decision Support Tools
Match patient values with treatment options - reduce unnecessary treatment
Declining reimbursement rates
Shift to fee for value
Costs increasing > revenue
More insured Americans
Aging population
Rising rates of chronic disease
25- 30 Patients / Day
Shorter Visits (<10 min)
Less focus on wellness and prevention
Provider burnout
Decreasing # of PCPs
Demand > Supply
Automated Medical
Data Collection
And, patient cohorts will share experiences and support peer-to-peer preventative care
Room for more innovation?
Many HIT devices, apps, s/w, and services BUT too often

Solutions chasing problems
Features or products not companies
Lack diversity of input into development
Lack evidence of demonstrated value
Fail to consider impact on practice work flow
Challenged to integrate into EMR
Don't coordinate with other solutions
Patient adoption and engagement are low
Connecting patients to resources to get or stay healthy
Practices increasingly going at risk with populations - PMPM paid directly by consumer or employer
Direct Primary Care
Clipboards / paper -- > tablets for patient check in and collecting personal and family medical history
Full transcript