Re-imagining Health in the Now, Next and Beyond PSN Healthcare - PowerPoint PPT Presentation

Re-imagining Health in the Now, Next and Beyond PSN Healthcare Innovation June 2020

Introductions: Here with you today John Bethel Elaine McKnight EY National Health Practice Leader EY Victoria Practice Lead Public Sector & Health Advisory Fmr. Associate Deputy Minister –Health Fmr. Associate Deputy Minister –Health Fmr. Deputy Minister –Energy and Mines Fmr. Deputy Minister –Public Service Agency Page 2

The traditional model of health is rapidly evolving Point of care Data ownership Reference point Physician’s role Data analysis Hospitals Home Authority Guide Silos Big Data Institutions Patients Population Individual Treatment centres Health data is owned Treatment is Physicians are guides Harness the power where the patient is by the patient and personalized with for patients who of big data and (at home); targeted shared with other precision medicine, are empowered to multifactorial follow-ups in medical parties empowering better take control of their predictive analysis to buildings engagement and treatment and drive give insights to adherence to health their own outcomes patients and clinicians, plans which improves outcomes Page 3

Organizations need to optimize today’s business, while innovating toward a more participatory model CONTINUE TO OPTIMIZE THE INNOVATE AND ENABLE THE HEALTH SYSTEM OF TODAY HEALTH SYSTEM OF TOMORROW DUAL PATH Health systems today focus on the supply An “always on” participatory health model, side of the health paradigm –buildings, beds, distinguished by proactive self-management, doctors, nurses as examples. higher reliability, and improved outcomes. Severity of episode Severity of episode My Health Baseline My Health Baseline DRIVERS OF CHANGE COVID-19 Consumerism Technology New Entrants Convergence Personalization Sustainability Page 4

Global health spending continues to increase… Healthcare spending, US$b (2015-2020) Canada is above OECD with 8,734.6 Global 11.5% of country’s GDP or 7,077.1 CA$6,604 per person 4,083.6 North America 3,306.2 2,006.6 Western Europe Healthcare spending as a 1,645.7 percentage of GDP (2017) 1,964.9 Asia & Australasia 18% 1,537.5 400.5 12% Latin America 9% 355.7 138.9 Middle East & Africa 112.7 United Canada OECD 246.1 Transition States average economies 170.9 2020 2015 Source: The Economist Intelligence Unit Page 5

As the world grows older… Rapidly aging population is a global phenomenon that will also critically impact health systems, driving up demand An Aging World In some regions including North America, ~25% of the population will be over 60 By 2050, 1 in 5 people ► years old by 2030 (Showing proportion of population aged 60+ years, 2030) globally will be aged 60+ Latin America In 30 years, the global ► North Africa 6% and the 17% Asia 17% Oceania 20% Europe 25% 25% America population aged 65+ is Caribbean expected to reach 1.5b Source: UN World Population Ageing 2015 … heavier and sicker Non-communicable diseases will cost the world economy an estimated US$47 trillion by 2030 Over US$1 trillion will be spent treating obesity and its co-morbidities In 2015, 39.5m or 70% of global deaths were due to Non ► each year from 2025 communicable diseases (NCDs). ► In 2014, NCDs were estimated to account for 88% of >2.2b people – nearly 30% of the world’s total deaths in the US and 89% in Canada population – are either obese or overweight Page 6

The growing empowerment of the patient-consumer dominates an industry-wide power shift Traditional power Future power Power shift Physician / care provider Biopharma and medtech Payers Patient-consumers Policymakers Technology Employers Retailers Page 7 NextWave Health

The highest valued companies today look very different from 2001 Only one company that made the top 10 list in 2001 -- Microsoft -- remains on it in 2020. T op op 20 20 comp compan anie ies s by by ma mark rket et capit capitali alizati tion on #1 #2 #3 #4 #5 #6 #7 #8 #9 #10 2001 $398B $357B $269B $260B $257B $251B $211B $208B $207B $180B #1 #2 #3 #4 #5 #6 #7 #8 #9 #10 2019 $939B $886B $867B $827B $505B $492B $487B $449B $395B $353B Note: Green circle indicates health focus Page 8 NextWave Health

“ COVID, has in 10 weeks, driven changes that the system has tried to make over 10 years… Virtual care and other technology adoptions; redesigned pathways focused out of the hospital; prioritizing mental health are all examples of how we must return to a new normal - Recalibrating the system -

Health systems will need to execute a restart while also recalibrating the operating model –we need to recover and reimagine Healthcare services utilization levels Pre-COVID, during, and beyond (2020) Illustrative Utilization reduces due to: COVID-19 Wave 2 : Increased in- 1.Cancelling non-urgent elective person exposure will likely lead to activity second wave in late summer / fall; 2.Reducing bed occupancy and However elective services will now enhanced clinical decision compete for access and capacity Health System Utilization Pre COVID-19: making High utilization of 3.Building net new capacity current services and capacity with unmet access Co-existing with COVID-19: targets Returning to pre COVID norms maybe cost and Recovery : outcome prohibitive. A consistent increase in utilization The System restarts: rates driven from BAU operations. Loss of confidence in safety of Patient demand begins to increase Rather, a recalibration to a healthcare services from the as communities ‘open’ and policy makers new normal can result in a Services resume with new public, combined with not announce resumption of elective better system of care complexities related to delayed care wanting to burden the system services. Acute providers to catch up to emerging and psychosocial consequences of results in lowering of numbers the messaging the pandemic. presenting to ED (and primary care) –‘stay at home’ Pre COVID-19 COVID-19 possible Co-existing with COVID-19 Wave 1 System restart Recovery and social distancing Wave 2 COVID-19 Source: EY Resources, The Lancet, Nature, Wbur, Modern Healthcare, AMA, ProPublica Page 10

COVID-19 has accelerated innovation and smart health globally Robots aiding to maintain zero infection among medical staff and lowering patient fatality Several hospitals across the world are engaging driverless vehicles to deliver medicine and food , and robots to disinfect rooms —UVD Robots have sold ~60,000 self-driving disinfection robots in >40 countries Virtual health and digital consultations Several health systems and providers have launched telehealth consultation for their regular patients to prevent virus spread —Stanford Health Care witnessed a 50x surge in its CardioClick program televisits , 3,000 per day (40% of total clinic visits). In Canada, more than 55% of care was delivered via video, telephone or messaging in April – up from 10-20% prior to COVID. Long-term care transformation The need to isolate vulnerable seniors is driving the use of virtual tools, both for clinical service delivery as well as to provide critical social connections between LTC residents and their families. Toronto’s Women’s College Hospital is expanding its Virtual LTC+ program from 5 facilities to 33 LTC homes in the Toronto area. Big data and artificial intelligence for screening and diagnosis Digital contact tracing using mobile phones has been used effectively in South Korea, Taiwan and Singapore. MIT Media Lab has developed an app PrivateKit, that they claims protects privacy when digitally tracing . In the US, Providence St. Joseph partnered with Microsoft to build an AI enabled online screening and triage tool to differentiate between severe Covid-19 cases and less threatening cases —the tool served >40,000 patients in first week.