2
3 
Opening General Session: Improving Outcomes, Changing Lives with 
Smarter Care and Social Programs 
1. Welcome 
John Hearne, IBM General Manager Smarter Care & Social Programs 
2. IBM commitment & investment in health & social programs 
Steve Mills, IBM Senior Vice President, Group Executive, Software & Systems Group 
3. Health and Social Programs as a Cornerstone of Economic Vitality 
Dan Pelino, IBM General Manager, Public Sector 
Outcomes: the imperative for change in H&SP service delivery 
The Honorable Patrick Kennedy, Former US Representative (no presentation, video replay only) 
Re-opening the session after break – and introduction of Judge Leifman by Farhana Alarakhiya, IBM Director, Smarter Care 
The Realities and Impact of Mental Health Care Approaches 
The Honorable Judge Steven Leifman, 11th Circuit District Court, Miami Dade County (no presentation, video replay only) 
4. Innovations in access and engagement: Mobile strategies and solutions for health and social programs 
Nicole Gardner, IBM Global Industry Leader, Government Healthcare and Social Services 
5. 5. Person-centered Team-based Care: Adventures Through Space and Time 
Ronan Rooney, IBM Research, Director of Care Programs 
Q&A moderated by Farhana Alarakhiya, IBM Director, Smarter Care
© 2014 IBM Corporation 
Steve Mills 
Senior Vice President and Group Executive, IBM Software and Systems 
Innovation in Healthcare and Social Programs
5 
IBM’s Involvement in Healthcare and Social Programs 
Buyer / Customer of Healthcare in the U.S. 
– 450,000 employees and family members insured 
– $1.3 B in spend 
Change Agent 
– National and International level reform and standards 
– Commitment to industry based research through 
IBM Research and the IBM Cúram Research Institute 
– IBM Watson cognitive computing that works how people do 
– 600+ patents in life sciences, healthcare and medical devices 
Commercial: Innovative IT Solution Provider 
– $6+ B business; over 4,000 dedicated employees 
– 60+ Medical doctors, 350 health professionals, 500+ social program professionals 
– $16 B in analytic acquisitions, 500+ analytic patents, 12 Analytic Solution Centers 
– Enable ‘connected and personalized care’ across the ecosystem
6 
Unsustainable Costs 
Unnecessary 
Procedures 
Inconsistent Prices 
Disease Complexity 
Shortage of MDs 
Aging 
Populations 
Healthcare 
Social Care 
Increasing Demands Budgetary Constraints 
High Turnover 
of Staff 
Fraud and 
Abuse 
The Transformation of Health and Social Care Has Begun …. 
Individual 
Healthcare Reform 
Regulation 
Population Management 
Accountable Care
7 
Insights-Driven Individualized Care 
Dynamic 
Segmentation 
and 
Assessment 
Supporting Platform (Mobile, Collaborative, Data, …) 
Intervention 
Adaptation 
Adherence 
Team-based 
Intervention 
Execution 
Health Social Behavioral 
Prediction 
and Early 
Identification 
Tailored, 
Outcome Oriented 
Intervention 
Program 
Human Data 
Collection - 
Social, Health, 
Behavioral, 
Financial
8 
The Pace of Big Data is Accelerating …. 
IBM Global Technology Outlook - 2012 
projected health-related 
apps 
downloaded a year 
by 2016 
1 Billion 
avoidable annual 
costs by improving 
medicine adherence 
$500 Billion 4X 
people over 60 
unable to care for 
themselves by 
2050
9 
Exponential Growth in New Forms of Data Will Play an Increasing 
Important Role in Enabling Better Outcomes 
1100 Terabytes 
Generated per lifetime 
6 TB 
Per lifetime 
0.4 TB 
Per lifetime 
60% of determinants of health 
Volume, Variety, Velocity, Veracity 
30% of determinants of health 
Volume 
10% of determinants of health 
Variety 
Clinical data 
Genomics data 
Exogenous data 
(Behavior, Socio-economic, Environmental, ...) 
Source: "The Relative Contribution of Multiple Determinants to Health 
Outcomes", Lauren McGover et al., Health Affairs, 33, no.2 (2014)
10 
Healthcare 
Social Care 
The Future Will Look Very Different …… 
Individual 
Cognitive 
Medical 
Decision 
Support 
Tools 
Individual 
Centered 
Care Teams
11 
IBM Watson Can Address the Challenges of Health and Social Programs 
Understands natural language, 
including medical guidelines, 
publications and clinical notes 
Adapts and learns from 
interactions and outcomes 
Generates and evaluates 
evidence-based hypotheses 
to improve patient care 
1 
2 
3 
Feeds into and drives 
Smarter Care delivery
12 
The Volume is Overwhelming and the Language is Complex 
Diseases Symptoms 
Medications Modifiers 
Symptoms
13 
Watson Solutions Map to Clinical and Operational Processes and Drive 
Tangible Benefits 
 Extract information 
from EHR 
 Integrate information 
from structured & 
unstructured sources 
 Tap into various 
multi-modal data 
 Access evidence 
from medical 
literature 
 Enable interpretation 
and application of 
evidence from 
market leaders 
 Care Planning Tools 
 Leverage observational 
data for deriving insights 
 Integrated outcomes 
data to enable 
continuous, closed loop 
training 
 Data Exploration and 
visualization 
Watson Healthcare Solutions: 
 Optimize clinician efficiency and insight 
 Improve ability to make evidence-based decisions 
 Leverage advanced data exploration to optimize care delivery and quality control 
Outcomes Driven 
Learning System 
Evidence-based 
Insights 
Patient Intake
14 
Watson Solutions for Healthcare and Life Sciences 
Discovery Advisor 
to enable researchers to 
uncover new insights into 
relationships between 
genes, proteins, pathways, 
phenotypes and diseases 
Clinical Trial Matching 
to optimize patient selection 
and recruitment for clinical 
trials 
Engagement Advisor 
to transform interactions 
and experiences with 
patients and physicians 
Oncology 
to assist in the creation of 
individualized treatment plans 
and enhance patient / 
physician experience 
Utilization Management 
to streamline and automate 
authorizations and ensure 
adherence to guidelines 
EMR Advisor 
to identify critical attributes 
of a patient case and provide 
easy-to-consume summaries 
Paths 
Clinical reasoning for Medical 
Education and top of license 
care delivery
15 
Watson Helping Oncologists Treat Cancer Patients 
Attacking the cause of 
one in four deaths 
Built with Memorial Sloan Kettering 
Need better individualized 
cancer treatment plans 
 Suggestions to help inform oncologists’ decisions based on 
600 K+ pieces of evidence and 2 M pages of text from 42 publications 
 Analyzes patient data against thousands of historical cases and trained 
through 5,000+ Memorial Sloan-Kettering MD and analyst hours 
 Evolves with the fast-changing field
16 
Watson Facilitating Medical School Problem-based Learning Methods 
Cognitive systems in a 
classroom-based setting 
Need easier insight into data 
for diagnoses and decisions 
 Intuitive, new user interface to Watson’s power revealing chains of 
evidence to support clinical reasoning 
 Analysis of whole EMRs to extract and visually present summarized 
knowledge with semantic understanding of context
17 
Watson Transforms Hospital Procurement Process 
Procurement process is inefficient. 
In procuring implantable devices 
alone, $15 B is wasted annually due 
to these inefficiencies 
 Powering rapid decision support by leveraging 
MD Buyline’s data, research, and domain 
expertise in junction with Watson’s cognitive 
abilities 
 Driving optimal purchasing decisions for providers 
enabling informative comparison of medical 
device options 
 SSM Health Care realizes over $2 million in 
improved operating margins with MD Buyline’s 
Purchased Services Program 
 DCH Health System Identifies $3 Million 
in Actionable Savings with MD Buyline
18 
Watson Empowers Consumer Engagement 
By 2020, the customer will 
manage 85% of the relationship 
with an enterprise without 
interacting with a human 
 Transforms client engagement by knowing, 
engaging and empowering clients where they are 
 Develops client relationships by reaching out to 
clients who do not leverage traditional channels 
 Empowers consumers and contact center agents 
to take informed action with confidence 
 Answers questions and guides users through 
processes with plain-English dialogue 
 Leverages natural language to interact with 
users and build knowledge and expertise 
 Utilizes evidence evaluation and learning 
to provide informed and effective 
responses to users
19 
Watson Synthesizes Information in Seconds 
80% of the world’s knowledge 
is in unstructured form 
Answer the tough research questions 
that have never been answered before 
 Leverage Watson natural language and inference 
technology to discover new insight 
 Link internal and external research to expand 
knowledge corpus 
 Initial focus in Pharma, Education and Publishing
20 
Communities of Care: Collaboration and Process to Support 
Transformation 
Public Health 
Organizations 
Pharmaceuticals 
Private Social Programs 
Organizations 
Health Clubs and Patient 
Healthcare Providers Education 
Health Plan Providers / Payers / 
Insurers 
Home Healthcare Providers 
Government 
Agencies 
Retirement 
Communities 
Solution Providers 
Pharmacies and Retailers 
Government 
Social Services
21 
The Need for Coordination and Collaboration 
Ineffective coordination of benefits (COB) burdens the U.S. healthcare 
system with more than $ 800 million in unnecessary administrative 
expenses per year 
Implementation of care coordination initiatives for senior citizens resulted 
in 5.7% hospital readmission decline. For a community of 50,000 Medicare 
beneficiaries, Medicare could save $ 4 million annually on readmissions for 
every $ 1 million spent on these community interventions 
In the United Kingdom, preventable errors cost hospitals $USD 4 
billion per year in additional hospital stays alone, while litigation 
represents further substantial cost
22 
Announcing IBM Care Management 
 Packaged software 
application that helps 
synchronize care needs 
across healthcare and 
social care 
 Brings in structured data 
from sources that extend 
beyond clinical health 
records, and unstructured 
data from physician, case 
worker and care worker 
notes 
 Available: 
December 2014 
Generate 
Individual 
ized care 
plans 
Other Data 
Sources 
Enterprise 
Services 
Unstructured 
data 
Claims 
EMR / 
EHR 
Analysts 
Multi-disciplinary 
Care Team 
Ingest and 
Unify Data 
Provide Insight at 
point of care 
Doctor’s notes 
Case worker’s 
notes 
Social 
Workers 
Medical 
Professionals 
Mental Health 
Professionals 
Care Workers
23 
Announcing the IBM Cúram Practice Accelerator Program 
IBM standard training, skills development and accreditation 
program for business partners, now includes IBM Cúram solutions 
Partner Success Roadmap 
IBM Software Practice Accelerator 
Sales 
Training 
Product 
Training 
Implement-ation 
Training 
Deployment 
Experience 
Accreditation
24
© 2014 IBM Corporation 
Dan Pelino 
General Manager, IBM Public Sector 
#ibmhsps14 
Economic Vitality

IBM Health and Social Programs Summit: IBM Commitment & investment in health and social programs

  • 2.
  • 3.
    3 Opening GeneralSession: Improving Outcomes, Changing Lives with Smarter Care and Social Programs 1. Welcome John Hearne, IBM General Manager Smarter Care & Social Programs 2. IBM commitment & investment in health & social programs Steve Mills, IBM Senior Vice President, Group Executive, Software & Systems Group 3. Health and Social Programs as a Cornerstone of Economic Vitality Dan Pelino, IBM General Manager, Public Sector Outcomes: the imperative for change in H&SP service delivery The Honorable Patrick Kennedy, Former US Representative (no presentation, video replay only) Re-opening the session after break – and introduction of Judge Leifman by Farhana Alarakhiya, IBM Director, Smarter Care The Realities and Impact of Mental Health Care Approaches The Honorable Judge Steven Leifman, 11th Circuit District Court, Miami Dade County (no presentation, video replay only) 4. Innovations in access and engagement: Mobile strategies and solutions for health and social programs Nicole Gardner, IBM Global Industry Leader, Government Healthcare and Social Services 5. 5. Person-centered Team-based Care: Adventures Through Space and Time Ronan Rooney, IBM Research, Director of Care Programs Q&A moderated by Farhana Alarakhiya, IBM Director, Smarter Care
  • 4.
    © 2014 IBMCorporation Steve Mills Senior Vice President and Group Executive, IBM Software and Systems Innovation in Healthcare and Social Programs
  • 5.
    5 IBM’s Involvementin Healthcare and Social Programs Buyer / Customer of Healthcare in the U.S. – 450,000 employees and family members insured – $1.3 B in spend Change Agent – National and International level reform and standards – Commitment to industry based research through IBM Research and the IBM Cúram Research Institute – IBM Watson cognitive computing that works how people do – 600+ patents in life sciences, healthcare and medical devices Commercial: Innovative IT Solution Provider – $6+ B business; over 4,000 dedicated employees – 60+ Medical doctors, 350 health professionals, 500+ social program professionals – $16 B in analytic acquisitions, 500+ analytic patents, 12 Analytic Solution Centers – Enable ‘connected and personalized care’ across the ecosystem
  • 6.
    6 Unsustainable Costs Unnecessary Procedures Inconsistent Prices Disease Complexity Shortage of MDs Aging Populations Healthcare Social Care Increasing Demands Budgetary Constraints High Turnover of Staff Fraud and Abuse The Transformation of Health and Social Care Has Begun …. Individual Healthcare Reform Regulation Population Management Accountable Care
  • 7.
    7 Insights-Driven IndividualizedCare Dynamic Segmentation and Assessment Supporting Platform (Mobile, Collaborative, Data, …) Intervention Adaptation Adherence Team-based Intervention Execution Health Social Behavioral Prediction and Early Identification Tailored, Outcome Oriented Intervention Program Human Data Collection - Social, Health, Behavioral, Financial
  • 8.
    8 The Paceof Big Data is Accelerating …. IBM Global Technology Outlook - 2012 projected health-related apps downloaded a year by 2016 1 Billion avoidable annual costs by improving medicine adherence $500 Billion 4X people over 60 unable to care for themselves by 2050
  • 9.
    9 Exponential Growthin New Forms of Data Will Play an Increasing Important Role in Enabling Better Outcomes 1100 Terabytes Generated per lifetime 6 TB Per lifetime 0.4 TB Per lifetime 60% of determinants of health Volume, Variety, Velocity, Veracity 30% of determinants of health Volume 10% of determinants of health Variety Clinical data Genomics data Exogenous data (Behavior, Socio-economic, Environmental, ...) Source: "The Relative Contribution of Multiple Determinants to Health Outcomes", Lauren McGover et al., Health Affairs, 33, no.2 (2014)
  • 10.
    10 Healthcare SocialCare The Future Will Look Very Different …… Individual Cognitive Medical Decision Support Tools Individual Centered Care Teams
  • 11.
    11 IBM WatsonCan Address the Challenges of Health and Social Programs Understands natural language, including medical guidelines, publications and clinical notes Adapts and learns from interactions and outcomes Generates and evaluates evidence-based hypotheses to improve patient care 1 2 3 Feeds into and drives Smarter Care delivery
  • 12.
    12 The Volumeis Overwhelming and the Language is Complex Diseases Symptoms Medications Modifiers Symptoms
  • 13.
    13 Watson SolutionsMap to Clinical and Operational Processes and Drive Tangible Benefits  Extract information from EHR  Integrate information from structured & unstructured sources  Tap into various multi-modal data  Access evidence from medical literature  Enable interpretation and application of evidence from market leaders  Care Planning Tools  Leverage observational data for deriving insights  Integrated outcomes data to enable continuous, closed loop training  Data Exploration and visualization Watson Healthcare Solutions:  Optimize clinician efficiency and insight  Improve ability to make evidence-based decisions  Leverage advanced data exploration to optimize care delivery and quality control Outcomes Driven Learning System Evidence-based Insights Patient Intake
  • 14.
    14 Watson Solutionsfor Healthcare and Life Sciences Discovery Advisor to enable researchers to uncover new insights into relationships between genes, proteins, pathways, phenotypes and diseases Clinical Trial Matching to optimize patient selection and recruitment for clinical trials Engagement Advisor to transform interactions and experiences with patients and physicians Oncology to assist in the creation of individualized treatment plans and enhance patient / physician experience Utilization Management to streamline and automate authorizations and ensure adherence to guidelines EMR Advisor to identify critical attributes of a patient case and provide easy-to-consume summaries Paths Clinical reasoning for Medical Education and top of license care delivery
  • 15.
    15 Watson HelpingOncologists Treat Cancer Patients Attacking the cause of one in four deaths Built with Memorial Sloan Kettering Need better individualized cancer treatment plans  Suggestions to help inform oncologists’ decisions based on 600 K+ pieces of evidence and 2 M pages of text from 42 publications  Analyzes patient data against thousands of historical cases and trained through 5,000+ Memorial Sloan-Kettering MD and analyst hours  Evolves with the fast-changing field
  • 16.
    16 Watson FacilitatingMedical School Problem-based Learning Methods Cognitive systems in a classroom-based setting Need easier insight into data for diagnoses and decisions  Intuitive, new user interface to Watson’s power revealing chains of evidence to support clinical reasoning  Analysis of whole EMRs to extract and visually present summarized knowledge with semantic understanding of context
  • 17.
    17 Watson TransformsHospital Procurement Process Procurement process is inefficient. In procuring implantable devices alone, $15 B is wasted annually due to these inefficiencies  Powering rapid decision support by leveraging MD Buyline’s data, research, and domain expertise in junction with Watson’s cognitive abilities  Driving optimal purchasing decisions for providers enabling informative comparison of medical device options  SSM Health Care realizes over $2 million in improved operating margins with MD Buyline’s Purchased Services Program  DCH Health System Identifies $3 Million in Actionable Savings with MD Buyline
  • 18.
    18 Watson EmpowersConsumer Engagement By 2020, the customer will manage 85% of the relationship with an enterprise without interacting with a human  Transforms client engagement by knowing, engaging and empowering clients where they are  Develops client relationships by reaching out to clients who do not leverage traditional channels  Empowers consumers and contact center agents to take informed action with confidence  Answers questions and guides users through processes with plain-English dialogue  Leverages natural language to interact with users and build knowledge and expertise  Utilizes evidence evaluation and learning to provide informed and effective responses to users
  • 19.
    19 Watson SynthesizesInformation in Seconds 80% of the world’s knowledge is in unstructured form Answer the tough research questions that have never been answered before  Leverage Watson natural language and inference technology to discover new insight  Link internal and external research to expand knowledge corpus  Initial focus in Pharma, Education and Publishing
  • 20.
    20 Communities ofCare: Collaboration and Process to Support Transformation Public Health Organizations Pharmaceuticals Private Social Programs Organizations Health Clubs and Patient Healthcare Providers Education Health Plan Providers / Payers / Insurers Home Healthcare Providers Government Agencies Retirement Communities Solution Providers Pharmacies and Retailers Government Social Services
  • 21.
    21 The Needfor Coordination and Collaboration Ineffective coordination of benefits (COB) burdens the U.S. healthcare system with more than $ 800 million in unnecessary administrative expenses per year Implementation of care coordination initiatives for senior citizens resulted in 5.7% hospital readmission decline. For a community of 50,000 Medicare beneficiaries, Medicare could save $ 4 million annually on readmissions for every $ 1 million spent on these community interventions In the United Kingdom, preventable errors cost hospitals $USD 4 billion per year in additional hospital stays alone, while litigation represents further substantial cost
  • 22.
    22 Announcing IBMCare Management  Packaged software application that helps synchronize care needs across healthcare and social care  Brings in structured data from sources that extend beyond clinical health records, and unstructured data from physician, case worker and care worker notes  Available: December 2014 Generate Individual ized care plans Other Data Sources Enterprise Services Unstructured data Claims EMR / EHR Analysts Multi-disciplinary Care Team Ingest and Unify Data Provide Insight at point of care Doctor’s notes Case worker’s notes Social Workers Medical Professionals Mental Health Professionals Care Workers
  • 23.
    23 Announcing theIBM Cúram Practice Accelerator Program IBM standard training, skills development and accreditation program for business partners, now includes IBM Cúram solutions Partner Success Roadmap IBM Software Practice Accelerator Sales Training Product Training Implement-ation Training Deployment Experience Accreditation
  • 24.
  • 25.
    © 2014 IBMCorporation Dan Pelino General Manager, IBM Public Sector #ibmhsps14 Economic Vitality