The journey to a new tomorrow: A conversation with Janice E. Nevin, MD, MPH, President and CEO, Christiana Care Health System
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What is the main topic discussed in this episode?
McKinsey on Healthcare, a podcast series about visionaries, leaders, and problem solvers shaping the future of healthcare. On today's episode, McKinsey partner David Newsom is joined by Janice Nevin.
As we look ahead to the next five to seven years, what do you see as the biggest changes or disruptions in healthcare that you expect to see?
The disruptions that I see coming that will be real opportunities for us are in big data. The potential for big data, particularly data that is real-time clinical data, aggregated with claims data, consumer data, will allow us to personalize care, reach out, and potentially impact care impact outcomes before they have happened. So I'm excited about the possibility of using data, predictive analytics, artificial intelligence, machine learning to really help us understand what people need to drive that value before they or we may even know that it's coming. The other area where I believe there's some real opportunity for disruption is certainly around some of the new technology that's being developed.
We've taught Alexa ChristianaCare skills. And I think the opportunity for Alexa to really function, for example, in the home to help prepare people perhaps for surgery or manage their post-op course or perhaps even interact with them on a regular basis to help manage a chronic illness. I think it has a huge potential to really drive care in a different way. The other piece that I get excited about is the potential of gene editing and particularly the CRISPR technique. In many ways, I think this is an evolution in how we will think about treating illness of the kind that occurred when we discovered antibiotics. And at Christiana Care, we have the only gene editing institute in the country that's embedded in an NCI-designated community cancer center.
So why would the head scientist of the gene editing institute want to be in an organization like Christiana Care? A lot of it's around our mission and our values and behaviors. He wants to be able to interact regularly with the physicians that care for patients with cancer and with the patients themselves.
What major disruptions in healthcare does Janice Nevin foresee?
So the underlying theme in all of this is we talk about disruptions that will enable us to solve real problems, innovation that has intent behind it, and ultimately the opportunity to really make a difference in the lives of the people we serve.
You talked about how some of these disruptions would improve outcomes. How do you see these changes impacting patient experience in the way that care is delivered?
Well, I certainly hope that they will improve the way that patients experience care and the way they experience health. What's happening is the technologies that we talked about are highly used in just about every other aspect of a person's life. My daughter, who is 23, gave me a really hard time because she couldn't yet schedule an online appointment with her primary care physician, who happens to be a member of our staff. My 84-year-old mother is adept at using her smartphone. I firmly believe that we've got an opportunity to create access and really create an experience that delights people with the emergence of the technology that is so comfortable to people really of all ages. At Christiana Care, we have talked about our journey from hospital system to health system.
Success as a hospital was how many people could we get in the front door. Success as a health system has been how many lives can we manage using data, using care coordination. We will be a system that has the ability to impact the health of all of the people who live in the communities that we serve. And it's creating that experience that will truly deliver health based on these new technologies. It will be a disruption in a very positive way, and I'm excited about that.
Thinking about partnerships and the important role they can play, what are some innovative partnerships that are changing the landscape of healthcare?
We're used to seeing announcements about horizontal integration and consolidation. I think what's remarkable in that space is some of the mergers have now become mega mergers, and it'll be very interesting to see how, for example, a 191-bit hospital system creates value.
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