View
1.811
Download
5
Category
Tags:
Preview:
DESCRIPTION
Smarter Healthcare - lecture at the Univ. of Leuven, March 10th 2011
Citation preview
1
© 2010-2011 IBM Corporation
The LIRIS Blue Academy 2010-2011
An initiative from L.I.R.I.S. and IBM Belgium
Smarter Healthcare
Dr N.S. HeksterIBM Nederland B.V.
Smarter Healthcare2 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
LIRIS Program 2010-2011� SMARTER cities are the Future
� Jacques De Kegel, Business Development Executive, IBM
� BPM & Case Management (**)
� Te bepalen spreker (SAP) (Wim Verhelst ?)
� From Enterprise Architecture to ICT Architecture (**)� Steven Laurent, Enterprise Architect, AE
� Enterprise Content Management (**)
� Eric Michiels, Executive IT Architect, IBM
� Juridical aspects of ICT Solutions (**)
� Johan Vandendriessche (Bird & Bird)
� Smarter Healthcare (*)
� Nicky Hekster, Technical Leader Healthcare, IBM
� Mobile Banking (*)
� Anton Wilsens, Client Solutions Manager Financial Services
� ICT Sourcing Strategies (**)� Marnix Gillis, Distinguished Engineer,IBM
� Software development productivity (*)
� Antoon Goderis & Jo Vanackere, KBC
� in ‘Beleidsinformatiesystemen’ (HIR, HIRB)� 17-Nov-2010 (11:00 – 13:00) (VHI - 02.29)
� in ‘Analyse en ontwerp van informatiesystemen’� 25-Nov-2010 (14:00 – 16:00) (DV1 - 02.54)
� in ‘Architecture & Modeling of MIS’� 6-Dec-2010 or 29-Nov-2010 (11:00 – 13:00) (ILT - 00.176)
� in ‘Geavanceerd DB Management en Content Management’� 02-Dec-2010 (14:00 – 16:00) (HOGC - 02.22)
� in ‘Analyse en ontwerp van informatiesystemen’� 13-Dec-2010 (15:00 – 17:00) (Aud. Monnet)
� in ‘Beleidsinformatiesystemen’ (Kortrijk)� 10-Mar-2011 (11:00 – 13:00) (Aula lokaal C611)
� in ‘Beleidsinformatiesystemen’ (lic)� xx-yyy-2011 (16:00 – 18:00) (VHI - 01.29)
� in ‘ICT Service Management’� 31-Mar-2011 (18u – 20u) (VHI - 00.10)
� in ‘ICT Service Management’� uu-vvv-2011 (18:00 – 20:00) (VHI - 00.10)
2
Smarter Healthcare3 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Introduction speaker
� My name: Nicky Hekster
� Role: Industry Technical Leader Healthcare & LifeSciences IBM Benelux
� Active in ICT since 1987
� Vendor-chair IHE Netherlands
� n.s.hekster@nl.ibm.com
� You can find me also on LinkedIn and Twitter
Smarter Healthcare4 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Agenda � IBM in Healthcare
� Healthcare in State of Emergency
� Smarter World, Smarter Healthcare
� ======== B r e a k ========
� Smarter Healthcare ICT
� Examples
3
Smarter Healthcare5 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Smarter Healthcare6 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Team IBM – 400,000 people worldwide
15k salespeople
15k salespeople
9k salespeople
9k salespeople
5k salespeople
5k salespeople
10k salespeople
10k salespeople
160,000
102,000
58,000
42,000
15,000sales people
9,000sales people
5,000sales people
10,000sales peopleHealthcare
Defense
4
Smarter Healthcare7 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
IBM Benelux
� IBM Benelux was formed in July 2005
� Over 7000 employees in 3 countries
Smarter Healthcare8 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Heart-Lung machine (IBM and Dr J.H. Gibbon, 1957)
5
Smarter Healthcare9 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
nanoMRI (2009)Magnetic Resonance Force Microscopy (MRFM)
Smarter Healthcare10 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
The Scripps Research InstituteProject Checkmate
6
Smarter Healthcare11 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Eye lasering invented by IBM
Close-up of an IBM logo inscribed on a human hair. The Excimer laser surgical procedure is so precise it can cut a clean pattern into a human hair without burning the strand.
Excimer laser
Inve
ntio
n
Inn
ovatio
nUsing invention to create value, leads to innovation
Collaboration
Close-up of an eye surgery with the Excimer laser where the eye is repaired for sharper visibility
Smarter Healthcare12 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Saving the chocolate industryThe cacoa genome project - a collaboration among MARS, USDA-ARS, IBM, NCGR, Clemson University, HudsonAlpha Institute for Biotechnology, Indiana University and Washington State University
� IBM and Mars, sequencing the Theobroma cocoa genome (done! Sept 2010)
– http://www.youtube.com/watch?NR=1&gl=US&hl=uk&v=ERu5TaqIvHs
� Sustainable crops, unraveling the cocoa genome
– without engineering higher-yielding cacao trees, demand would outstrip supply within 50 years.
� Howard-Yana Shapiro of Mars Inc. was seeking IBM's help in analyzing the cacao genome to ensure the future of the plant, which is being wiped out.
7
Smarter Healthcare13 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
IBM Journal of Research & DevelopmentIBM Systems Journal
Information-based MedicineVolume 46, Number 1, 2007
Systems BiologyVolume 50, Number 6, 2006
Smarter Healthcare14 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
National IBM TheGeographic + = Genographic
Society Research Project
Paleontology
Genetics
Anthropology
IT Infrastructure
Phylogenetics
ComputationalBiology
Using DNA to unravel
the path followed by our ancestors
www.ibm.com/genographic
8
Smarter Healthcare15 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
IBM’s Commitment to Healthcare & Life Sciences
� Designated Life Sciences an IBM Emerging Business Opportunity Unit - Spring 2000
– $100M initial investment
� IBM Research
– Computational Biology Center
– Deep Computing Institute
– Blue Gene Project
� IBM Business Consulting Services
– PriceWaterhouseCoopers Consulting acquisition
– Pharma 2010: The Threshold of Innovation
– Healthcare 2015, Win-Win or Lose-Lose
� Strategic partnerships with industry leaders, e.g. Mayo Clinic
� Created IBM Healthcare & Life Sciences (1/04)
– $250M Investment (2/04)
Smarter Healthcare16 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
IBM’s Commitment to Healthcare & Life Sciences� Designated Information Based Medicine an IBM Emerging Business
Oppty Unit (1/04)
– Clinical Genomics and Biomedical Imaging (2004)
– Expand to PGx, CDI and Pervasive in 2005
� National Genographic Project
– IBM and National Geographic jointly gathering one of the largestcollections of DNA samples to map how humankind populated the planet.
� Setting new Health Record precedents
– IBM offers U.S. Employees Electronic Records for Healthcare
– IBM revises non-discrimination and equal opportunity policy –restricts genetic data
� Dedication to Standards
– IBM allow royalty-free access to its patents for developers who wish to create new healthcare and education applications around open standards
– IBMers from Research on the international boards of HL7 and IHE
� Acquisition of Acure (DK)
� Acquisition of HealthLink (5/05)
� Acquisition of Cognos (11/2007)
� Acquisition of Initiate Systems and SPSS (02/10)
9
Smarter Healthcare17 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
La Gaude
Global Healthcare Center of Excellence
IBM Healthcare Knowledge Centers
Montpellier
Products & Solutions
Support Center
Healthcare Barcelona
Center of Excellence
Haifa Research Lab
Mayo Clinic Medical ImagingInformation Innovation Center
(M3IC)
Zürich Research Lab
Mainz Technical Marketing Competence Center (TMCC)
Beaverton Network Transformation Center (NTC)
Dallas Health AnalyticsSolution Center
Smarter Healthcare18 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Fact-based thought leadership helps clients realize business value
10
Smarter Healthcare19 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
So what in the world is happening with healthcare?
Smarter Healthcare20 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Five drivers make healthcare fundamentally different from the past
� Globalization
� Consumerism
� Changing demographics and lifestyle
� Diseases that are more expensive to treat
� New medical technologies and treatments
11
Smarter Healthcare21 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Globalization
Developed Countries
�A majority of adults in ten of the 30 OECD countries are overweight
�As life expectancy has increased (68.5 years in 1960 to 77.8 years in 2003), there has been a concomitant rise in the incidence of chronic diseases
�Total healthcare expenditures are increasing2.0 times more rapidly than economic growth
Least Developed Countries
�There is a strong need to address basic public health issues such as clean water, good sewage systems, and vaccinations
�Countries are beginning to experience the rise of chronic diseases but are less capable to manage them
– By 2015, chronic diseases will be a leading cause of death in Nigeria
�Population expansion is higher than in developed or developing countries
Developing Countries
�The increasing prevalence of and costs to treat chronic diseases, as well as the associated lost productivity, are impacting systems
– The loss of income to China over the next ten years as a result of heart disease, stroke, and diabetes is estimated at US$550 billion
�Countries are still fighting infectious diseases – not only existing ones, but also new diseases and new strains
* Definitions of “developed,” “developing,” and “least developed” countries are presented in the Appendix.
Smarter Healthcare22 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
ConsumerismThe patient becomes co-producer/co-director of his own care
� Patient emancipation and empowerment
� Wants to make better health and wellness choices
� Growing expectations for value from increasingly costly health systems
� Broad global awareness of quality and safety challenges
� New clinical pathways, retail clinics
� Life-style management
� Medical tourism
12
Smarter Healthcare23 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Medical tourism is beginning to subject healthcare delivery to global competitive pressures
$16,000$9,500$5,900$11,500$16,800$27,500Laparoscopic
prostatectomy
$4,500$4,500$2,238$6,500$4,275$19,000Laparoscopic hysterectomy
$10,000$8,500$6,500$9,500$10,500$21,000Knee replacement
$9,000$8,000$6,500$13,000$9,400$45,000Hip replacement
$13,500$11,000$6,650$13,600$14,400$37,000Heart bypass
$12,500$9,200$7,800$14,500$13,125$33,000Angioplasty
SingaporeThailandIndiaCosta RicaMexicoUnited StatesProcedure
Smarter Healthcare24 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Medical tourism in practice
13
Smarter Healthcare25 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Changing demographics and lifestyle
� Graying baby boomers
� More chronic patients
� Overweight
� Population growth
� Mobility
� Pandemics
� Lack of resources
Smarter Healthcare26 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Diseases that are more expensive to treat
� Diseases are more expensive to treat
� Drug development costs go up
14
Smarter Healthcare27 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Emerging diseases
� 1937 – Q-fever, Coxiella burnetii
� 1973 – Rotavirus
� 1977 – Ebola virus
� 1981 – Toxic shock syndrome
� 1982 – Lyme disease
� 1983 – HIV/AIDS
� 1991 – Multidrug-resistant tuberculosis
� 1993 – Cholera caused by strain 0139
� 1994 – Cryptosporidium infection (large outbreak in Wisconsin, USA)
� 1998 – Avian flu
� 1999 – West Nile Virus (first appearance in USA)
� 2003 – SARS (severe acute respiratory syndrome)
� 2004 – Marburg virus (largest outbreak in Angola)
� 2009 – April Swine/Mexican Flu H1N1 strain
Smarter Healthcare28 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
New medical technologies and treatments
� Less invasive therapies
� Improved diagnostics
� Confluence of biotech and healthcare
15
Smarter Healthcare29 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Technology advances at enormous speeds
Grid Computing
Smarter Healthcare30 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Personalized Health Care
Translational Medicine
Health Care Today Digital Imaging
Episodic Treatment Electronic Health Records Artificial Expert Systems
Clinical Genomics
Genetic Predisposition Testing
Molecular Medicine
CA Diagnosis
Pre-symptomatic Treatment
Lifetime Treatment
Evolutionary Practices
Revolutionary Technology Automated
Systems
Non-specific (Treat Symptoms)
Information Correlation
1st Generation Diagnosis
Organized(Error Reduction)
Personalized(Disease Prevention)
Throughput Analytics
Data and Systems Integration
Transformation of Medicine accelerated by a combination of revolutionary technologies and evolutionary practices
16
Smarter Healthcare31 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Confluence
� Research
� Drug discovery
� Diagnostics
� Computational Chemistry
� Information-based medicine
� Medical Visualization
� Analytics
� In silico modeling
� Bioinformatics
� Biomarkers
� Proteomics, Transcriptomics, MicroArrays and Metabonomics
� Very large databases
� Clinical and Regulatory Process Management
Smarter Healthcare32 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Counterbalancing the drivers for change are key inhibitors that threaten to maintain the healthcare status quo
17
Smarter Healthcare33 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Healthcare Systems in EuropeFunding is very different - increasing cost sharing among publicand private health insurers and individuals.
Spain
Belgium Netherlands Cyprus
Luxembourg
Greece
Italy
Portugal
France
Benefits in kind DecentralizedCentralizedReimbursement
Access to Healthcare
Social Insurance National Health Service
Smarter Healthcare34 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Financial constraintsHealth expenditure as a share of GDP, 2004
15,4
11,510,6 10,5
9,79,2
8
0
2
4
6
8
10
12
14
16
USA CH D F B NL L
% of GDP
18
Smarter Healthcare35 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Inability to access and share information
� The Electronic Health Record (EHR)
� Different definitions
– Electronic Medical Record (EMR)
– Personal Health record (PHR)
� Unstructured efforts
� Semantic non-interoperability
� Retentions laws
� Regulatory compliance
Smarter Healthcare36 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Where is the relevant information?
19
Smarter Healthcare37 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Electronic Health Records
Smarter Healthcare38 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
EHR – potential inputs
20
Smarter Healthcare39 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Watson – a future physician’s assistant?
� Complex diagnoses
� Better medication
� Prevent medical errors
YouTube, Perspectives on Watson: Healthcare
Smarter Healthcare40 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Healthcare systems must address major issues and questions in the search for an value-based, affordable, sustainable system� Many healthcare systems are being pushed to a crisis stage because
of unrelenting pressures related to cost, quality, andaccess/choice
� Concurrently, factors such as new treatments and increasing
demand for services and value are converging to increase the pressures
� Without major changes, many countries will “hit the wall” (i.e., not be able to continue on the current path) in the next decade
� New levels of accountability, tough decisions, and collaborative
hard work on the part of all stakeholders will be required to transform healthcare systems into a national asset
Countries that successfully transform will focus on value, develop better consumers and create better options to promote health and provide care
21
Smarter Healthcare41 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
EHR adoption around the world (January 2006)
Smarter Healthcare42 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
* assuming current growth rates
** source – HCLS
*** Medical Imaging and Collaborative Care Cloud sizing
**** a large percentage of that spending is on eHealth
Realizing the importance of information in healthcare transformation, there has been a surge of investment worldwide directed to Health IT
North AmericaUS ARRA – $20.4BCanada –$3.1B CDN (InfoWay)
North AmericaUS ARRA – $20.4BCanada –$3.1B CDN (InfoWay)
AsiaChina – $4.2BSingapore – $1.1B SIN
AsiaChina – $4.2BSingapore – $1.1B SIN
EuropeUK– ₤20.4B
EuropeUK– ₤20.4B
Middle EastSaudi Arabia – $14B****
Middle EastSaudi Arabia – $14B****
WorldwideEMR – $10B in 2010 � $30B in 2019 *
WorldwideEMR – $10B in 2010 � $30B in 2019 *
EMR AdoptionUS – 10% AUS – 25% UK – 59%CAN – 14% NZ – 52%
EMR AdoptionUS – 10% AUS – 25% UK – 59%CAN – 14% NZ – 52%
Healthcare Transformation
Additional OpportunitiesClinical Decision Intelligence: $75M (2010), $3.1B (2019)**Health Analytics: Health analytics: $2.3B, $3.29B (2014)**Cloud Computing for HCLS: $1.04B (2010), $6.2B (2014)***
Additional OpportunitiesClinical Decision Intelligence: $75M (2010), $3.1B (2019)**Health Analytics: Health analytics: $2.3B, $3.29B (2014)**Cloud Computing for HCLS: $1.04B (2010), $6.2B (2014)***
Large spending and digitization will not improve outcomes without proper healthcare system
design. We need to instrument the point of care and have consumable, knowledge enhanced EMRs
Large spending and digitization will not improve outcomes without proper healthcare system
design. We need to instrument the point of care and have consumable, knowledge enhanced EMRs
22
Smarter Healthcare43 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
The world-wide challengeChanging the cure and care stakeholder ecosystem – the Healthcare Information Exchange (HIE)
Patient, citizen Secondary
Payors Primary
Social card
Portal
Hospital
Rehabilitation
Pharmacy
General Practitioner
Insurance
Government
eHealthPlatform
Smarter Healthcare44 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
BasisdienstenBasisdiensten
eHealtheHealth--platformplatformNetwerk
Example: eHealth Platform (Frank Robben, 6/2009)
PatiPatiëëntennten, , zorgverlenerszorgverleners
en en zorginstellingenzorginstellingen
GABGAB GABGABGABGAB
Leveranciers
Gebruikers
PortalPortaleHealtheHealth
PortaHealthPortaHealth
DTWDTWDTWDTWDTWDTWDTWDTW Software Software zorginstellingzorginstelling
DTWDTWDTWDTWDTWDTWDTWDTWMyCareNetMyCareNet
DTWDTWDTWDTWDTWDTWDTWDTW
Software Software zorgverlenerzorgverlener
DTWDTWDTWDTWDTWDTWDTWDTWSite RIZIVSite RIZIV
DTWDTWDTWDTWDTWDTWDTWDTW
GABGABGABGABGABGAB
23
Smarter Healthcare45 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
citizenpatient
Home
Hospital Pharmacy
Specialist
Laboratory
Physiotherapist
Radiology
Beds
Doctor
Nurse
Patientgroups
Socialservices
Medical devices
NursecalendarCoordination
center
Ambulances
Insurance
Water and airquality
Alzheimerbracelet
Fooddelivery
From supply-based to demand-driven healthcarePower to the patient – the patient as co-producer of care
� Fromtreatment toprevention
� From acute to chronic diseases
� Frompassive topro-active patients
Smarter Healthcare46 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
The continuum of cure and care
24
Smarter Healthcare47 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Traditional healthcare delivery model
Tertiary care
Primary care
Secondary care
University Medical Centers
General Practitioners
Regional Hospitals
Top Clinical Hospitals
The patient community- bottom of the pile!Unchanged for 6000 years - circa 4000 BC!
Physical movement of the patient
Smarter Healthcare48 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Future health system transformation
Allied health professionals
Maternity
Diagnostic Centers
Retail Health Centers
Home Care
Health Kiosks Daycare Surgery
Community Hospitals
acute care
Community Hospitals
non-acute care
Acute Trauma
The always connected and informed citizen community iPhone
Web 2.0
iPad
TV
Primary Healthcare
The Super Primary Care Physician
Clusters of specialists,
globally spread and universal accessible
e-Health
telemedicine
Primary teleradiology
telepathology
telediagnostics
Patient/citizen-centric care
>Direct access to specialists<
25
Smarter Healthcare49 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
So what is happening in the world?
Smarter Healthcare50 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
The world is
SMALLER
The world is
FLATTER
The world is about to get increasingly
SMARTER
26
Smarter Healthcare51 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
ICT merging with our physical world
Smarter Healthcare52 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
INSTRUMENTED We now have the ability to measure, sense and see the exact condition of everything.
� Today, there are 1 billion transistors for each person on the planet.
� By 2010, 30 billion RFID tags will be embedded into our world and across entire ecosystems.
� Remote patient monitoring devices that track the vital signs of patients with chronic diseases could reduce U.S. healthcare spending up to $197 billion over 25 years.
� Typically, hospitals over-procure mobile assets by 20-30% while critical staff spend 10-30% of their time searching for them.
Smarter health systems automatically capture and exchange information through diverse channels to proactively manage and deliver preventive and therapeutic care.
27
Smarter Healthcare53 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
INTERCONNECTED
People, systems and objects can communicate and interact with each other in entirely new ways.
� The Internet of people is 1 billion strong. Almost one third of the world’s population will be on the Web by 2011.
� There are more than 4 billion mobile phone subscribersworldwide.
� In 2007, 56% of American adults sought information about a personal health concern on the Internet—up from 38% in 2001.
53
Smarter health systems remove information barriersand work as integrated teams with the individual to make smarter decisions.
Smarter Healthcare54 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
54
INTELLIGENTWe can respond to changes quickly and accurately, and
get better results by predicting and optimizing for future events.
� Every day, 15 Petabytes (1015) of new information are being generated. This is 8x more than the information in all U.S. libraries.
� More than 3,600 statistical articles are published each year on the topic of coronary heart disease alone.
� Increasing digitization and medical imaging will lead to a 41% annual increase in storage requirements between 2008 and 2012.
Smarter health systems continually analyze information to meet the changing needs of the organization, optimize performance, integrate predictive models, and deliver greater value to the individual.
28
Smarter Healthcare55 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
55
A smarter health systemforges collaborative partnerships
to deliver better acute, chronic and preventive care, while activating individuals to make smarter choices.
The mandate for change is a mandate for smart.
Smarter Healthcare56 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
To meet expectations for improved outcomes, increased value and more accountable, sustainable health systems, healthcare organizations are working to …
HEALTHCARE
56
IMPROVE OPERATIONAL
EFFECTIVENESS
Building flexibility into operations to support cost reduction and
excellence in clinical and business performance and
practices.
DELIVER COLLABORATIVE CARE FOR PREVENTION AND
WELLNESS
Collaborating across care settings to deliver integrated, personalized care experiences, prevent disease, promote wellness and manage care.
ACHIEVE BETTER QUALITYAND OUTCOMES
Applying insights to improve qualityof care, clinical outcomes and services
and deliver personalized healthcare value, while improving financial results.
29
Smarter Healthcare57 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
IBM’s strategy
� Patient-centric Networks
– The availability of information at the right time, at the right place, and in the right context
� Clinical and Business Optimization
– Increasing productivity andefficiency
� Health and Wellness Management
– Lowering costs en improving quality in the long term
Improve operational effectiveness.
Deliver collaborative care for
prevention and wellness.
Achieve better quality and outcomes.
+ +
Smarter Healthcare58 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Smarter Healthcare ICT
30
Smarter Healthcare59 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Find record and acquire usefulpatient information
Diagnose Treat Document & process records
Increase Cognitive WindowIncrease Cognitive Window
RelevantRelevant PatientPatientInformationInformation
Anywhere,Any Time
Any Device
Anywhere,Any Time
Any Device
Automatic documentgeneration
Automatic documentgeneration
� Clinician’s use systems� Horizontal platform for knowledge workers
� Clinician’s use systems� Horizontal platform for knowledge workers
Clinician’s environment
Impact
Today
Smarter Healthcare60 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
The hospital tension triangle
Clinical Practice
Board of Directors
ICT
�No enforcing power
�Ad hoc application management and deployment dictated by physicians
�Busy managing day-to-day operations
�Forcing power
�Ultimate patient responsibility
� ICT as a tool
�Technology shifts the entire approach that physicians have to medicine
�Learning new technologies consumes too much time
�New technologies changes existing procedures too much
�Poor governance
�No transparency
�Low risk, no risk
�Not business-like
� ICT as a cost
�Old boys network
“De techniek interesseert me niet, ik ben alleen geinteresseerd in de cost/benefit van de business case en het
risicoprofiel”
J.Th. Kedzierski, ex-voorzitter raad van
bestuur MCA
31
Smarter Healthcare61 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Change requires a strong governance model
Resistance to change
� Changes in habits
� Skeptics of the system
� Becoming transparent
Privacy
� Complexity of the issue
� Changes on legislation are often needed
� Lack of confidence in the system
Funding
� Who is going to fund it?
� What is required to obtain it?
Smarter Healthcare62 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Transformation of healthcare
�Clinical process management
� Information management
�Changes of roles
�Collaboration
�Culture and attitude
�Education
32
Smarter Healthcare63 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
In the meantime at the datacenter …Crisis of infrastructure complexity
Utilization85% runs idle
Information growth54% per year
Maintenance costs70 cent per €1
Smarter Healthcare64 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Today’s application complexity
E01-EDI
Data Warehouse
(Interfaces to and from theData Warehouse are not
displayed on this diagram)
Application Diagram V4
G02 - General
Ledger
A05 - AP
S01 - Sales
Corrections
I01 PO
Receiving
I03 Return to
Vendor
I06 Warehouse
Management
M a inframe apps - B lue
PC/NT apps - G reen
Unix apps - Y ellow
3rd party interface - Orange
Lines: Colors have no special meaning.
They are to help make the diagram easier toread.
For More Information: See the databasecontaining information about each
application: Application V4.mdb
S06 - Credit App
P15 EES Employee
Change Notice
OTHER A PPS - PC
AP - Collections/Credit
TM - Credit C ard D B
ACCTS R EC A PPS - PC
990C OR
Bad D ebt
Benefical Fees
Beneficial R econcil
JEAXF
JEBFA
JEBK A
JEDVA
JESOA
JEVSA
JEVSF
NSF
TeleCredit Fees
INVENTORY CON TROL APPS - PC
Code Alarm
Debit R eceivings
Devo Sales
Display Inventory
In Home
Junkout s
Merchandise W ithdrawl
Promo Credits
RTV Accrual
Shrink
AP R esearch - Inv Cntrl
AP R esearch- Addl Rpts
Book to Perpetual Inventory
Close Out R eporting
Computer Intell igence D ata
Count Corrections
Cross R ef for VCB Dn lds
Damage W rite Off
Debit R eceivings
DFI Vendor D atabase
Display Inventory Reconcil
Display Inventory Reporting
INVENTORY CON TROL APPS - PC
DPI/C PI
IC Bat ching
Inventory Adj/Count Correct
Inventory Control Reports
Inventory Lev els
Inventory Roll
Merchandise W ithdrawl
Open Receivings
PI Count Result s
PI Time Results from Inv
Price Prot ection
Sales Flash R eporting
Shrink R eporting
SKU Gross M argin
SKU Shrink Lev el D etail
USM
VCB Downloads
Journal Entry Tool Kit
Scorecard - HR
L02-Resource
Scheduling
(Campbell)
P09 - P17
Cyborg
M02 - Millennium
M03 - Millennuim 3.0
Banks - ACH and Pos to
Pay
Cobra
B01 - Stock
Status
S03-Polling
P14 On-line New
Hire Entry
CTS
Plan Administrators
(401K, PCS, Life,
Unicare, Solomon
Smith Barney)
D01 Post Load
Billing
I04 Home
Deliveries
I02 -
Transfers
Arthur Planning
I07 Purchase
Order
I12 Entertainment
Software
I05
Inventory Info
E13
E3 Interface
S04 - Sales Posting
V01-Price Management
System
I10 Cycle Physical
Inventory
I55 SKU
Information
K02
Customer Repair
TrackingI35 Early Warning
System
B02 Merchandise
Analysis
I13- Auto
Replenishment
U18 - CTO
Intercept
I09 Cycle Counts
E02-Employee
Purchase
Texlon 3.5
ACH
Stock Options
I17 Customer Perceived
In-Stock
U16-Texlon
SiteSeer
C02 - Capital
Projects
F06 - Fixed
Assets
US Bank Recon
File
Star Repair
EDI
Coordinator
Mesa D ata
NEW Soundscan
NPD Group
AIG W arrant y Guard
Resumix
Optika
Store Budget
Reporting
P16 - Tally Sheet
Cash Receipts/Credit
S05 - House
Charges
Ad Expense
L01-Promo
Analysis
V02-Price
Marketing
Support
BMP - Bus
performance Mngt
Store
Scorecard
I11 Price
Testing
Valley Media
P09
Bonus/HR
I15 Hand Scan
Apps
Roadshow
POS
S08 - Vertex
Sales
Tax
A04 - Cust
Refund Chks
Equifax
ICMS Credit
Cellular
Rollover
S09 - Digital
Satellite
System
NPD,
SoundScan
Sterling VAN
Mailbox (Value)
I18
SKU Rep
X92-X96
Host to AS400
Communication
S02 -
Layaways
Washington,
RGIS,
Ntl Bus Systems
V04-Sign
System
I14 Count CorrectionsNARM
P01-
Employee
Masterfile
I06 - Customer
Order
Frick
Co
UAR - Universal Account
Reconcilliation
Depository
Banks
S07 - Cell
Phones
S11 - ISP
Tracking
AAS
Fringe PO
Cash Over/
Short
L60 MDF
CoopSKU Selection
Tool
SKU
Performance
Supplier
Compliance
1
I35 - CEI
ASIS
Misc Accounting/Finance Apps - PC/NT
COBA (Corp office Budget Assistant)
PCBS(Profit Center Budget System)
Merchandising Budget
AIMS
Merch Mngr Approval
Batch Forcasting
Ad Measurement
AIMS Admin
AIMS
ReportingAd
Launcher
V03- Mkt
Reactions
Spec
Source
CTO2.Bestbuy.
com
Rebate
Transfer
Sign
System
CopyWriter's
Workspace
ELT
PowerSuite
Store
Monitor
AIS Calendar
Stores & Mrkts
Due Dates
Smart Plus
Insertions
Orders
Budget
Analysis Tool
Print Costing
Invoice App
AIS Reports
Broadcast
Filter
Smart Plus
Launcher
General
Maintenance
Printer PO
Printer
Maintenance
Vendor
Maintenance
Vendor Setup
Connect 3
Connect 3
ReportsConnect 3
PDF Transfe
Spec Source
SKU Tracking
S20-Sales
Polling
Prodigy
PSP
In-Home
Repair
Warranty
Billing
System
Process Servers
(Imaging)
Prepared by Michelle Mills
Page 1 of 2
33
Smarter Healthcare65 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Healthcare information infrastructureA true system of systems
EHR
PACS/RIS
Hospital Information System
Admin and planning
Collaboration, e-mail
e-Learning
Telecare
Laboratory Information System
Claims and payment
Transmural communication
Traditionally, healthcare institutions have invested in siloedapplications and infrastructure
There is a need for an integrated environment for all healthcare stakeholders
Manuals, literature
GP Information System
Pharmacy Information System
Smarter Healthcare66 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Average dept.-hospital-region-country: point-to-point
34
Smarter Healthcare67 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
The data explosion
Smarter Healthcare68 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Structured
Unstructured
Around 85% of all medical data is
reference data/fixed content (e-mail, video,
images)
Shipments of storage capacity grows with
54% per year
30% of world-wide storage consists of
medical images
1 MB/2Dimage
500 MB/4Dimage
2004 20092005 2006 2007 2008 2009 2010
PACS
Challenges of smarter medical data management Static data!
Shipped PBs
xIS
“I am in the business of taking care of patients here. I am not in the business of
specializing and managing data storage”
35
Smarter Healthcare69 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Healthcare infrastructure pain points
� Complexity
� Surge in criticality, value and volume of data
� Under-, over- and misutilization of servers and storage
� Security, role-based access to data (IAA)
� Reliability, availability and serviceability (RAS)
� Future investments
� Integration of new medical technology
� Resources
Suffering fromMultiple
Informatiose
MI is symptomatic of a non-human disorder which is characterized by
working inefficiently; storing multiple duplications of data in non-integrated
data systems.
Theo van der Ven (Royal Haskoning in The Lancet)
Smarter Healthcare70 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Healthcare Integration Framework (HIF)SOA based blueprint for smarter integration and interoperability
Ap
ps
&
Info
As
sets
De
ve
lop
me
nt
Se
rvic
es
Interaction Services Process Services Information Services
Partner Services Business App Services Access Services
Enterprise Services Bus
IT S
erv
ice
Ma
na
ge
me
nt
Infrastructure Services
Enables collaboration between
people, processes & information
Orchestrate and automate
business processes Manages diverse data in a
unified manner
Connect with trading partners Build on a robust, scaleable,
and secure services
environment
Facilitates interactions with
existing information and
application assets
Optimizes throughput, availability and
performance
Integrated
environment
for design and
creation of
solution
assets
Facilitates better decision-making with real-time
business information
Manage and
secure
services,
applications &
resources
Business Innovation & Optimization Services
Strategic platform for healthcare and life sciences solutions, focused on helping clients to build, extend and transform existing infrastructures incrementally over time through re-use of an extensive set of business services, industry-specific extensions and built-in support for industry, business and technology standards.
36
Smarter Healthcare71 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Use (inter)national standards
� HL7
� Integrating the Healthcare Enterprise
� Open Health Tools (OHT)
� Continua Health Alliance
� COCIR
� SNOMED
� ICD-9, ICD-10
� LOINC
� KMEHR
� DICOM
� ISO 13606
Smarter Healthcare72 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
IHE – Integrating the Healthcare Enterprise� IHE drives the adoption of standards to address specific clinical needs
by creating a framework for passing vital health information seamlessly across the entire healthcare enterprise
– From application to application, system to system and setting tosetting
� IHE currently supports the following domains:
– Cardiology
– Eye Care
– IT Infrastructure
– Laboratory
– Patient Care Coordination
– Patient Care Devices
– Quality, Research and Public Health
– Radiation Oncology
– Radiology
� http://www.ihe.net or http://www.ihe-nl.org
37
Smarter Healthcare73 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Telecare (Health 1.0)
� eConsult (e.g. e-mail, SMS, Twitter)
– Rob Mol, www.internetdokter.nl
– Prof dr George Henneman, www.mijnspecialist.nl
– Erik Jansen, Nijmegen
� Remote Patient Monitoring (e.g. Health Buddies)
� Education
� On-line treatments
� Video conferencing
� e-Fitness
� e-Appointment (e.g. SMS, RememberTheMilk)
� e-Prescription
� Medication loyalty (e.g. SMS)
� Family care
Deliver collaborative care for prevention and wellness.
Smarter Healthcare74 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Teledoctor (Cisco July 2008)
Improve operational effectiveness.
38
Smarter Healthcare75 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Server
Telemonitoring
Nourish and exercise schemesCalendar Athlete
DataData
Alert
Data
Deliver collaborative care for prevention and wellness.
Smarter Healthcare76 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Telemedicine through satellite communicationTristan da Cunha
Deliver collaborative care for prevention and wellness.
39
Smarter Healthcare77 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
PHR Cloud
Devices Device Manager
TelemedicineService
Wired Weighing Scale
Independent Living Hub Medication Monitor
Wired Glucose Meter
Wired Glucose Meter
Healthcare Management
Data aggregation
Patient Centered Medical HomeHealth and Welness Scenario - Obesitas + Diabetes Type 2
Deliver collaborative care for prevention and wellness.
Smarter Healthcare78 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Speed medical research while preserving patient privacy in the Academic Medical Center – a biobank
� AMC had a vision to integrate Clinical and Research environments� integrate clinical information of patients and DNA information for
research and treatment of patients� Inflammatory Bowel Diseases (IBD)
� IBM implemented solution which makes integration of data from different sources possible
� federated data warehouse� preserves patient privacy
� Benefits are significant time savings when gathering data from different databases
� minutes in stead of weeks or months
� This solution will enable better research and more accurate diagnoses and tailored treatment,
� improved patient outcomes. � part of the Dutch UMC Research project Parelsnoer.
Achieve better quality and outcomes.
40
Smarter Healthcare79 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
University Hospital of Heidelberg -Transforming the treatment of dialysis patients
� In a groundbreaking pilot study, the University of Heidelberg
wanted to explore the value of telemedicine for dialysis patients.
� The German hospital undertakes a telemedicine pilot study that
– enables doctors to adjust dialysis settings and medication remotely
– based on weight and blood pressure measurements sent remotely to a healthcare portal via Bluetooth technology
� Benefits of innovation
– Increases quality of life for patients
– Allows state-of-the-art treatment for patients regardless of patient or doctor location
– Reduces costs for patients who do not have to travel to doctors’ offices
– Ensures the most reliable, precise carepossible, eliminating detrimental long-term side effects that can result from improper dialysis settings or medication amounts
Achieve better quality and outcomes.
Smarter Healthcare80 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Bedside terminals Improve operational effectiveness.
41
Smarter Healthcare81 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Portals for patients, employees and specialists
King FaisalCancer Center
Memorial HealthSystem
Duke MedicalUniv. of TexasCancer Therapy &Research Center
Mayo Clinic
Richardson RegionalMedical Center
Baby KiekMST
UZ Gent University Hospital System
Danish/SwedisheHealth Portal
Smarter Healthcare82 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Denmark
Improve operational effectiveness.
Deliver collaborative care for prevention and wellness.
Achieve better quality and outcomes.
42
Smarter Healthcare83 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Sweden
Deliver collaborative care for prevention and wellness.
Smarter Healthcare84 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
eHealth Belgiumhttps://www.ehealth.fgov.be
43
Smarter Healthcare85 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
1 out of 3 patients seek advice of non-medical professionals
7 out of 10 consultsdr. Google
14% writes about disease and treatment
6% of on-line companion patient
information is wrong
>14.000 Hyvesdealing with healthcare
52% goeson-line, 4% asks the general
practitioner
Smarter Healthcare86 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
� Search engines
� Self-management, self-care
� Virtual tours through the human body
� Medical encyclopedia
� Wikipedia
� Blogs for chronic diseases
� Social networks - The Wisdom of Crowds
� Life-style management, well-being
Health 2.0 – patient and citizena blog a day keeps the doctor away
44
Smarter Healthcare87 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
� Professional networks
� Chatting with patients
� e-Anamnesis, e-Triage
� Auctioning of care
� Serious gaming for surgeons; simulation
� On-line Q&A, wiki’s
� On-line treatment (e.g. psychiatry)
� On-line pharmacy
� (Health malls, health boulevards, retail-based health clinics)
Health 2.0 – care provider
MediumZorg
Smarter Healthcare88 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
MijnZorgNet - the virtual outpatient clinicSt. Radboud Nijmegen, Prof. dr Jan Kremer and Prof. dr Bas Bloem
“Do not underestimate the patient”
“Specialists have lost focus on the patient”
“From paternalism to collaboration on the basis of equivalence”
45
Smarter Healthcare89 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Personal Health Records (PHRs)
Smarter Healthcare90 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
CS Anesthesia
� Training tool and guide in anestesia
� Top 1 Medical App in the Netherlands
46
Smarter Healthcare91 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
NeuroMind
� Tool for medical students, neurology residents, and even neurosurgeons.
� Developed by Pieter Kubben, resident in neurosurgery (Maastricht University hospital)
Smarter Healthcare92 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
1816
47
Smarter Healthcare93 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Sensors of band-aids – cardiovasuclair solutions from Corventis
Why now?
– 4 billion cell phone users
– Broadband 3G
– Pervasive connectivity
– SmartPhones
– Ingeneous Sensors
– Nike shoe!
� Data-driven healthcare innovation
Smarter Healthcare94 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Health rabbit
� WiFi enabled
� Contact with family
� Improves/alleviates care experience
� Pilots at children’s hospitals
Deliver collaborative care for prevention and wellness.
48
Smarter Healthcare95 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
3D Avatar – a visual patient health recordAnatomic and Symbolic Mapper Engine
� New 3D graphical and intuitive way to request, annotate and exchange patient information
� “Google Earth” of the patiënt, in a relevant clinical context
Smarter Healthcare96 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Rockingham Co., NCNCHICA RHIORural environment, small practices and regional hospitals
Rockingham Co., NCNCHICA RHIORural environment, small practices and regional hospitals
Research Triangle Park, NCNCHICA RHIOHigh-tech, competitive, city environment
Research Triangle Park, NCNCHICA RHIOHigh-tech, competitive, city environment
Mid-Hudson Valley, NY, THINC RHIO6 counties sharing information
Mid-Hudson Valley, NY, THINC RHIO6 counties sharing information
Use case scenarios� Biosurveillance� Consumer Empowerment� Electronic Health Record
Use case scenarios� Biosurveillance� Consumer Empowerment� Electronic Health Record
Nationwide Health Information Network (NHIN)
RHIO = Regional Health Information Organization
49
Smarter Healthcare97 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
epSOS - Smart Open Services for European Patients
� Goal for the epSOS eHealth Project:
– to develop a practical eHealth framework and ICT infrastructure that will
enable secure access to patient health information, particularly with
respect to a basic patient summary and ePrescription, between
European healthcare systems
� Challenges to get there:
– Legal Interoperability
– Organizational Interoperability
– Semantic Interoperability
– Technical Interoperability
� Supported by 27 beneficiaries representing 12 EU-member states
Smarter Healthcare98 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Servicio Extremeño de Salud (SES)
� Population of 1 million citizens
� 8 care regions
� 104 primary care posts
� 10 hospitals
� > 5000 care providers
� SAP based
Improve operational effectiveness.
Deliver collaborative care for prevention and wellness.
Achieve better quality and outcomes.
50
Smarter Healthcare99 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Building the hospital environment for the future at Medical Centre Alkmaar
Smarter Healthcare starts with the hospital organization
• For the Medical Centre in Alkmaar IBM is building the hospital environment for the future.
• The integration of Medical Centre Alkmaar and Gemini Ziekenhuis in Den Helder are part of this project.
• This is to gain a higher efficiency and open possibilities to build a new IT platform that makes these hospitals ready for the new ways of communication within healthcare.
Improve operational effectiveness.
Smarter Healthcare100 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Improve the knowledge and diagnostic capability of rare diseases in the UZA
THE RARE DISEASE DIAGNOSIS PLATFORM
� Allows for an earlier, quicker and more accurate diagnosis by integrating both medical expertise and data mining tools
� Creates direct and indirect value for different stakeholders
� Rules are generated much faster and accurate by a predictive model based on known patient data
� In comparison with a pure rule based system, a combination with data mining tools proofs both a higher sensitivity and specificity
Achieve better quality and outcomes.
51
Smarter Healthcare101 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Healthcare Cloud – Storage as a Service� Information lifecycle management
– Long-term digital preservation
� Exchange hub
� Applications
– Computer Aided Detection
– Grid computing
� Business Intelligence en Analytics
– Clinical Decision Support
– Datawarehouse
– Data mining
– Simulation
� Content Management
– Images, ultrasound, film
Improve operational effectiveness.
Smarter Healthcare102 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Cloud-based Medical Imaging and Data Services
� InSiteOne
–Wallingford, Connecticut, V.S.
�Number of exams: ~43 million
�Number of images: ~3 billion
�Standards based
–DICOM, HL7, XDS-I
–CIFS
52
Smarter Healthcare103 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
EHRPHR
EHRPHR
RCTRCT
ClaimsClaims
DevicesDevices
HSM
Analytics
Evidence Synthesis Engine
Evidence Repositories & Registries
Evidence Aggregators & providers
Evidence services platforms (e.g. Cloud) enable data aggregation, evidence extraction, synthesis and dissemination to consumers, providers, payers, pharma’s, individuals, regulators…
Healthcare Transformation
TrendsEmergence of large scale consortia for data and evidence sharing
Emergence of innovative companies for evidence generation & delivery
The industry is enhancing the traditional static, locally curate evidence with dynamic
real-time evidence synthesis
The industry is enhancing the traditional static, locally curate evidence with dynamic
real-time evidence synthesis
Achieve better quality and outcomes.
Smarter Healthcare104 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
World Community Grid� www.worldcommunitygrid.org
� Launched in Nov ’04
� Mobilize the community
� >2400 years of computing in first 50 days
� Technology solving problems
� Advisory Board of experts in health sciences, technology and philanthropy
� RFP for new projects
� FightAIDS@Home launched Nov 21, 2005
� 30,000 additional devices in first 10 days
� Art Olson, Scripps
� AutoDOCK for HIV Protease inhibitors
Completed
Deliver collaborative care for prevention and wellness.
53
Smarter Healthcare105 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
IBM and the Scripps Research Institute
Virology Immunology
Biochemicalmodeling
DrugDiscovery
Bio-patterningMicrofluidics
Supercomputing
ComputationalBiology
Anticipate,Manage and Contain
Pandemics
The Scripps IBM ProjectResearch + = Institute Research Checkmate
Achieve better quality and outcomes.
Smarter Healthcare106 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
References
� http://www.ibm.com/ibm/ideasfromibm/us/smartplanet/topics/healthcare/20091006/index.shtml
� http://www.youtube.com/ibmhealthcare
� http://www-01.ibm.com/software/solutions/smartwork/healthcare.jsp
� http://blog.irvingwb.com/blog/2009/10/designing-a-smart-healthcare-system.html
� http://www.youtube.com/watch?v=hAKy_e5MVXk
54
Smarter Healthcare107 © 2010-2011 IBM Corporation
LIRIS Blue Academy 2010-2011
Thank you for your attention!
© 2010-2011 IBM Corporation
The LIRIS Blue Academy 2010-2011
An initiative from L.I.R.I.S. and IBM Belgium
Thank You for attending this Lecture on“Smarter Healthcare”
Dr N.S. HeksterIndustry Technical Leader Healthcare & Lifesciences
Recommended