Recommended
Recommended
More Related Content
What's hot
What's hot (20)
Viewers also liked
Viewers also liked (12)
Similar to P4 Medicine Town Meeting
Similar to P4 Medicine Town Meeting (20)
More from The Ohio State University Wexner Medical Center
More from The Ohio State University Wexner Medical Center (20)
Recently uploaded
Recently uploaded (20)
P4 Medicine Town Meeting
- 2. “It is not the fittest of the species that survives, it is the most adaptable to change” Charles Darwin
- 5. What is the Compelling Opportunity in Medicine?
- 6. Healthcare: The Need for Transformation • Total health care spending was $2.5 trillion in 2009, representing ~17.6% of the GDP, likely to reach $4 trillion by 2016 • 75-90% were spent on managing and treating chronic illnesses that are preventable and effectively managed • On a per-person basis, our health care costs are 50% higher than the second most costly nation. • IOM reports that up to 98,000 preventable deaths occur per year and the research to practice gap is 17 years. • The U.S. healthcare ranked by the WHO 37/191 countries in performance. • Drugs prescribed for patients are effective in fewer than 60% of treated patients but costs of development is skyrocketed.
- 7. Blue Ocean Strategy Value Innovation Costs Value Innovation Buyer Value
- 8. What is the External Landscape?
- 9. Francis Collins NIH Vision • Large Biology Projects with High Throughput Technologies • Translational Research • Global Health • Health Care Reform • Sustaining Biomedical Research
- 10. Disruptive Innovation to Transform Health Care • Create precision medicine (personalized care) • Push care from more specialized to less specialized providers using rules- based approaches • Decentralize medical care (push to community) • Integrate medical information • Incentivize health from integrated organizations that will benefit from health of its members (like Ohio State)
- 11. What Do Health, Disease and Nature Share in Common?
- 16. corpusoptima.com corpusoptima.com
- 18. They are Complex Adaptive Systems Made up of Networks
- 19. What Else Works in Networks?
- 20. clickonf5.org
- 21. The Tipping Point and Social Networks www.flickr.com
- 22. NEJM 2007 (357): 406-07
- 24. Medical Center Strategic Portfolio Personalized Health Care Education Signature Programs Research Innovation and Academic excellence Transplantation Neurosciences Critical Care intellectual impact and knowledge Imaging Cancer Heart Key Research Programs Human Genetics Creating the future Biomedical Informatics of medicine to Behavioral Medicine improve people’s Patient Care lives Clinical Excellence and Service Delivery
- 26. Personalized Health Care is P4/Systems Medicine
- 27. Wellness from the Individual to the World Resilience To Sustainability
- 28. P4 Medicine Partnerships 28
- 29. Predictive Using a person’s genetic makeup and family history to Preventive generate predictions about his or her health Personalized Participatory 29
- 30. Diane Balster • Genetic testing revealed BRCA2 mutation • Chose preventive procedures to minimize her risk • Predictive care at Ohio State gives people the knowledge they need to make informed decisions 30
- 31. Predictive Using a person’s health- related information to Preventive prevent disease before it starts Personalized Participatory 31
- 32. Medical Genetics at Ohio State • Hereditary Heart Rhythm Disorders Clinic • High Risk Family Heart Clinic • Clinical Cancer Genetics Program • Coriell Personalized Medicine Collaborative • Heather Hampel, genetics counselor and ABGC president Heather Hampel, MS, CGC 32
- 33. Predictive Customizing medical care to the individual patient Preventive Personalized Participatory 33
- 34. Janet Graves • Routine test revealed hypertrophic cardiomyopathy • Chose to treat condition with implantable cardiac defibrillator • Extended family undergoing genetic testing 34
- 35. Predictive Encouraging patients to actively participate in their Preventive personal choices about illness and well-being Personalized Participatory 35
- 36. Rita Brosie • Chose Ohio State for her bariatric surgery • Ohio State is a Bariatric Surgery Center of Excellence • Rita’s participation in her own care plan is key to her continued success 36
- 37. Your Plan for Health • Faculty and staff YP4H wellness program at Ohio State • Provides tools and programs that help faculty and staff and their families take a proactive approach to their health • Incentivizes healthy behaviors 37
- 38. OSUMyChart • Provides secure online access to patient information and health services • IHIS: a single, electronic, personalized health record for the entire Medical Center • Improves the quality, safety and efficiency of our care. 38
- 39. P4 Medicine in Medical Curriculum • Curriculum restructure prepares future doctors to practice P4 Medicine • Greater focus on predictive medicine and preventive health care • Use of mobile devices like iPod touch at the bedside promotes participatory medicine • Clinical Skills Education and Assessment Center Catherine Lucey, MD expansion helps prevent medical complications 39
- 40. P4 Medicine: Disease to Wellness How Do We Define Wellness?
- 41. Your Environment Regulates DNA Activity
- 42. Behavior Environment Gene
- 43. Defining and Quantifying Health Health is a state of complete physical, mental, and social well-being and not Behavior merely the absence of disease or infirmity. -- WHO, 1948 Environment Health is the ever-changing process of achieving individual potential in the physical, emotional, social, mental, Genetics spiritual, and environmental dimensions. -- Bridget Melton, 2010 Physical
- 44. Dimensions for Measuring Health • Optimism • Faith/Spiritual • Relationship: family and Behavior social network • Empathy • Social functioning Environment • Lifestyles Genetics Physical
- 45. Dimensions for Measuring Health Behavior • Diet / Nutrition • Sleep / biorhythm • Micro-biomes Environment • Geo-locations • Employment / workplace • Culture Genetics Physical
- 46. Dimensions for Measuring Health Behavior Environment • Family health history • Genetic test (SNPs) • Pharmacogenomics test Genetics • DNA sequences and epigenetics • Transcriptomics • Targeted genetic screening • Network analysis (systems and Physical computational biology)
- 47. Dimensions for Measuring Health Behavior Environment Genetics • Biometrics • Autonomic nervous system • Grip /core strengths • Balance Physical • Endurance • Cognitive functioning • Bio markers
- 49. Program at OSUMC
- 50. Two Main Pilot Projects: Wellness and Care Coordination in Chronic Disease wellness.ucsd.edu/WhatisWellness.shtml kardiol.com/?tag=heart-failure
- 51. P4 Approach to Wellness Longitudinal Optional special and/or virtual clinics that meet individual needs PHA/Biomarker data leads to Care Team review and Molecular Diagnostics • Biomarker and Genetic risk factor recommendations Genetic Counseling awareness and education • Behavioral risk factor awareness and mitigation strategies; Your Strategic Plan For Behavioral Health happiness, optimism Health • Sleep medicine and circadian Sleep Medicine & rhythm analysis Circadian Rhythm • Assist individuals for best rest to Customer visit medical home promote health team and/or family physician to review and finalize plan: • Evidence-based • Current strengths and Nutrition recommendations weaknesses • Nutrition and diet changes that • Opportunities for meet each person’s unique needs improvement • Health and wellness targets for • Exercise and physical next 2, 5, and 10 years Exercise & performance performance routines designed • Action Plan: recommendations for individual needs
- 52. Chronic Disease Identify Stratify Prevent/Treat acl.com www.indezine.com/.../peopleanimation_02.jpg www.socialsecurityinsider.com/wp-content/uplo
- 53. Principles of Transforming Health Care • Reduce variability and deliver evidence-based medicine (Personalize) • Stratify patients to create smaller, precise groups (Predict, Prevent, Personalize) • Analyze data to create knowledge (Predict, Prevent, Personalize) • Activate patients (Participation)
- 54. Reduce Variability to Decrease Cost and Increase Quality
- 58. Single Nucleotide Polymorphisms in Clinical Medicine: Pharmacogenomics Pharmacogenomics science.marshall.edu pharmainfo.net
- 59. Analyze Data to Create Knowledge
- 61. Hubs are Strong Links in Networks
- 62. Group Working on Complex Adaptive Systems and Networks in Health Care
- 63. Identify Networks and Key Regulatory Nodes Controlling Networks http://mcdb.colorado.edu/courses/3280/lectures/class16-2.html
- 64. Engage Consumers
- 66. The Power of Networks • 500 M users – 50% on line at any one time • 700 B minutes a month • 177 M tweets/day • 572K new accts/day jeichert.wordpress.com
- 67. You Tube is the 2nd Most Used Search Engine on the Internet
- 68. 1 in 75 People on the Planet is Playing Farmville www.slideshare.net/avantgame/born-to-play-games-a-talk-by- jane-mcgonigal-about-human-destiny-circa-2020-ad
- 69. Networks, Participation, the Power of Games and Crowdsourcing
- 70. Jane McGonigal and Games
- 71. Finding the Red Balloon techcrunch.com
- 72. What Are Health Applications?
- 75. Social Media and Smoking Cessation http://www.euroclinix.net/health-news/smoking- www.health.com/.../0,,20209135,00.html cessation/facebook-helping-people-to-kick-the-habit-231.html
- 77. Personalized Medicine Home Dedicated PCP or NP Assigned Telemed tools Care Coordinator Visits, Lab- Patient Test, and tracking Referral and registry tracking functions Patient self- management support
- 78. Be the Change That You Want to See in the World Mahatma Gandhi