JENNINGS Marketing for Better Health jenningshealthcaremarketing.com This article originally appeared in eHealthcare Strategy & Trends, May 24, 2017. The Role of Innovation and Technology in Healthcare Transformation By Dan Dunlop As we continue to travel I recently had the opportunity to sit down with Dr. Slonim down the path of healthcare and discuss the future of healthcare delivery. In particular, I was transformation, there are key curious to learn his perspective on the role of technology and individuals—healthcare leaders innovation in healthcare transformation. Here, I’ll share excerpts and innovators—whose ideas and from our in-depth conversation covering: actions are helping to shape the Dan Dunlop, President • The importance of consumer engagement as health systems Jennings Healthcare new look of healthcare delivery in shift to new models of care Marketing America. Tony Slonim, MD, DrPH, • The changing role of marketing in healthcare transformation is one such individual. • Innovations using predictive analytics and genetics Tony Slonim, MD, • How mobile technologies and virtual care are expanding access DrPH, President, and CEO Renown Health DD: On your website I read that innovation is one of the three pillars of your strategic plan. With that in mind, what role does innovation play at Dr. Slonim is president and chief Renown Health? executive officer of Renown Health in Reno, Nevada, a TS: Innovation, for us, occurs in two places. First, it’s a very basic level of understanding not-for-profit integrated health about the way we do our work every day, and how we apply a quality improvement network and Accountable mindset to make things better. We bring that same philosophy to the bedside. Care Organization serving a We have a program grounded in lean methodology called 17-county region that includes the Transformational Healthcare Program, where we put northern Nevada, Lake Tahoe, our team members in a room for a full week, usually 12 individuals or so, to reengineer and northeast California. For a process. We’re using the people who actually provide the care to identify new and the past four years, he has improved ways to deliver care to people we serve. Through this process we are investing in chaired the American Journal of our people and empowering them to come up with the solutions. Managed Care’s ACO Coalition. The second place for innovation at Renown is around the things we do that are A recognized thought leader, potentially world-class. For example, how does our investment in our genetics warehouse he also serves on the American Hospital Association’s Health Care and predictive analytics better serve our needs? Systems Council, representing The human brain is only capable of recognizing the interaction between two or three more than 250 integrated health variables at a time. A supercomputer can identify relationships in the data that we never systems in the U.S. and their conceived of, and those relationships may be the linchpin to driving an entirely new way of concerns. delivering care. (continued next page) CONTACT: Dan Dunlop at [email protected] 919.929.0225 JENNINGS Marketing for Better Health jenningshealthcaremarketing.com (continued from page 1) So we’re using that supercomputer framework in our But my question is: Can they back it up? Are they walking data warehouse along with predictive analytics to identify the walk? If we start talking about health and wellness those operational improvements, genetic opportunities, before we’ve made a transition operationally, it can lead to a and community-based interventions that may lead to new disconnect in the patient experience. ways of delivering care that will potentially resonate with people more broadly than the traditional ways in which DD: As a healthcare executive, have you felt the need to embrace digital communication as part we’ve operated. of your professional role? DD: As health systems adopt a new way of TS: Absolutely. Admittedly, when it comes to digital delivering care, shifting from fee-for-service to communication, I am an amateur—but I’m learning.Today, value-based models, do you see healthcare marketing undergoing a similar transformation? communicating with social media is quickly becoming a priority. I’ve always been involved on Linkedln, and TS: It is clear to me that marketing communications will recently launched my own blog. I’m also enjoying shift from a focus on healthcare and service line promotion to being much more active on Twitter and discovering the a focus on health and wellness. In fact, it is already happening. opportunities that presents. It is also clear that the ways in which we communicate There are issues that are important to me, issues that are with people in the community are changing. At Renown, vital to the future of healthcare, and these digital channels we are using digital tools, social media, and blogs to give me a platform to share my perspectives and engage engage consumers in conversations about health. So digital peers in conversation. On my blog, I’m using video posts to communication and digital platforms are playing a significant talk about accountable care, physician education, population role in our marketing, and that will only grow over time. health, physician leadership, innovations in healthcare Importantly, we’ve recognized that the people we serve all delivery, and community partnerships. From my perspective, have one thing in common: They may not have a television, this is an exciting time to be a health system CEO. read a newspaper, or have a home computer, but they surely DD: In what ways is Renown Health using have some type of mobile device. That has to impact the way technology to reimagine care delivery? we think about care delivery and the ways in which we reach our customers with information. Ultimately, this focus on TS: At Renown, we cover a catchment area of 100,000 mobile technology should lead to more effective marketing square miles. We’re the only tertiary provider between and improvements in the delivery of care. Sacramento and Salt Lake City, with some 30 rural hospitals In terms of what we communicate, we need to make sure out there where people live on the frontier. Reaching them that we don’t put the cart before the horse. In the end, I’m sometimes takes a six-hour drive. Technology and mobile trained as a scientist, not a marketer. I’m always concerned devices can help us deliver care both on the frontier and right about overstating what we’re doing. It is important to me that here at home. we don’t get caught up in our own hype. One example is the telemedicine program we’re planning Health systems all over the country are now talking about and developing with the Boys & Girls Club in Reno. Moms health and wellness, rather than healthcare. This is a big trend. and dads whose kids go to the Boys & Girls Club are 2 (continued next page) CONTACT: Dan Dunlop at [email protected] 919.929.0225 JENNINGS Marketing for Better Health jenningshealthcaremarketing.com (continued from page 2) often hourly wage earners. For them to leave work for environmental data platform, added in data about the social an afternoon to take their child to see a doctor is a major determinants of health from our community, and put it in expense to the family. a mega data warehouse so that we could better understand With our telemedicine services, we will be able to Skype the patterns of disease and illness in our community through mom at her place of work, the doctor at his or her offi ce, predictive analytics. and the child at the Boys & Girls Club. The child can receive The major breakthrough came when we recognized the care he or she needs and go home with a prescription in that we were missing genetic data—the missing piece of hand, without mom or dad ever having to leave work. That’s the puzzle. So we partnered with 23andMe, the direct-to- a new way of delivering care, made possible by technology. consumer genetics company, to help us with genetic testing That’s exciting. in our community. This summer we will begin using those same telemedicine We offered free genetic testing to 10,000 people in our capabilities to improve the health of students in a number community, sponsored by the Governor’s Offi ce of Economic of elementary schools in our most impoverished ZIP codes. Development and the Renown How can we have a children’s hospital and not partner with Health Foundation. We had 10,000 the local school districts? We’ve learned that improvements people volunteer within 48 hours. in community health often come down to partnerships. Of importance, one-third of those 10,000 samples are from We’ve got to think about how we deliver better health people in our fi ve most impoverished ZIP codes. We thought and well-being to children who will likely never [set] foot in that this would be a way to engage consumers in their own our building. That interaction won’t happen in the hospital. health, and it has more than lived up to that expectation. If we want to impact their health in a positive way, we’ve got to go to them. So reaching out and partnering with DD: What do you hope to learn from the data you’ve gathered through your partnership with others is how we’re doing it—developing new, scalable, and DRI and 23andMe? sustainable models of care that allow us to deliver the right care at the right time in a manner that is convenient for the TS: The things that we’re learning about the interactions people we serve.