The National Quality Form model for coordination of care provides an ecosystem framework focused on patients and priorities of value based care. Patient characteristics derived from multiple sources are rendered into workflows with accountable entities, anticipated outcomes and event managers. Model driven, no-code platforms enable curation by clinical experts and configuration by technology teams. Democratized data inputs and outputs from direct clinical care can be seamlessly repurposed for process improvement, care analytics, reimbursement and other functions. Medical knowledge management innovation will involve library repositories and technical choreography. Big data methods for population management must be accompanied by small data strategies for individual patient planning and ongoing care. Complexity theory has implications. Predictive analytics have limited value for individuals, while event detection and individualized responses are impactful. Healthcare is ripe for disruption and filled with opportunities for entrepreneurs and their partners in the innovation ecosystem.
David A Stumpf, MD, PhD is board certified in neurologist, pediatrics and clinical informatics. He is Professor Emeritus at Northwestern University and a mentor at MATTER, a Chicago health care incubator. Previously he was an executive at UnitedHealth Group, working at the corporate level with its subsidiary companies: United Healthcare (payer) and Optum (data, analytics and disease management). Additional information: http://woodstockhit.com/stumpf_resume.html