This document discusses the importance of centering healthcare around patients' needs rather than what physicians do. It notes that patients are an underused resource and that moving to a patient-centered system could achieve better outcomes at lower costs. The document also discusses challenges like information overload for doctors, the rise of online information sources, and the need to engage patients. Examples from England show potential savings of £4.4 billion from more engaged "people powered" healthcare that addresses patients' holistic needs.

1. Uri Goren
T2MED 2013
Patients and ePatients
are NOT
a 3rd person word

2. 1994

3. “Patient” is not a third person word!
e-patientDave
And
Patients are the most under-used resource in Healthcare
Daniel Z. Sands, MD

5. At its core is maximizing value for patients: that is, achieving
the best outcomes at the lowest cost. We must move away
from a supply-driven health care system organized around
what physicians do and toward a patient-centered system
organized around what patients need.
“The strategy that will fix healthcare”
http://hbr.org/2013/10/the-strategy-that-will-fix-
health-care/ar/1

6. Patient-focused Drug Development

7. http://www.pwc.com/us/pharmacustomer

8. DOI: 10.1056/NEJMp1310132
Overall, our experience suggests that doctors initially feel safest when they can
choose what patients can see, but as they evaluate feedback from patients and
colleagues and learn to discuss choices with their patients, their preconceived
limits tend to fade away. Ideally, both patients and providers should be able to set
preferences about sharing information, but current health information systems
can't handle such nuance.
Regardless of the setting, open notes can help improve patient safety by allowing
contributions from patients and families who may catch questionable statements
or clinically important mistakes in notes or find lapses in follow-up that need to be
rectified. Indeed, the very existence of an environment in which patients are
encouraged to identify potential errors may increase patients' trust. But policies
and processes for amending records remain in flux and vary widely among record
systems and practice settings.

9.  Shortage of doctors
 Turning from acute and infection based medicine to long
term care
 Information overload (Over 2,000 papers a day)
 Online information and social networks
 Rising costs
 Quality and access
It is a necessity

10.  People Powered health in England:
 Turning patients in to a asset
 £4.4 billion savings are expected
 Social prescriptions, holistic approach, dealing with patient
needs
 “patients have an 88 percent reduced risk of dying of a
cardiac-related cause when enrolled within 90 days of a
heart attack, compared to those not in the program.”
And, “clinical care teams reduced overall mortality by 76
percent and cardiac mortality by 73 percent.
When patients are engaged
http://www.nesta.org.uk/search?search_api_views_fulltext=people%20powered%20health
http://xnet.kp.org/future/ahrstudy/032709cardiac.html

11.  Smartphones
 Social networks
 Sensors
 Tele health
 Big Data
And Digital….?

12.  When thinking of digital tool – think about value to patient
 Start working with patients when you are still development
So what?

13. www.e-pochonder.com
Thank You!