Digital Transformation in Health: The New Patient Paradigm

DigitalTransformationinHealth

PaulSmolkeSeniorDirector,ProductivityWorldwideHealth

TheNewPatientParadigm

2billionpeopleaged60 andoverin2050(WorldHealthOrganization)

$475billion USDWWcostofpatients nottakingtheirmedications(Prescriber)

14millionprojectedWWshortageofhealthcareworkersin2030(WorldHealthOrganization)

10.5%WWhealthcarespendingasapercentageofGDPin2020(TheEconomistIntelligenceUnit)

15%securitybreachesWWin2017 involvinghealthcareorganizations(VerizonData)

$4 trillion USDWWhealthcarespendonthethreeleadingcausesofdeathin2020- half ofthetotal(WorldHealthOrganization)

•

Cost• Lower the per

capita cost of care

Access• Improve the

wellness of populations

Quality• Improve the

patient experience

Berwick,D."TheTripleAim"Care,Health,Cost".HealthAff,May2008vol.27no.3759-769

Productivity• Improve the

clinician experience

Cost• Lower the per

capita cost of care

Access• Improve the

wellness of populations

Quality• Improve the

patient experience

Bodenheimer,T.&Sinsky,C."FromTripletoQuadrupleAim:Careofthepatientrequirescareoftheprovider"AnnFamMedNov/Dec2014,vol.12no.6673-576

0

20

40

60

80

100

120

140

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Inpatie

ntadm

issionsper1,000peo

ple

Outpatientvisitsper1,000people

Inpatientadmissionsper1,000people

Outpatientvisitsper1,000people1,937

120

Changes in Hospital Inpatient & Outpatient Utilization

Care Within Walls

2,200

2,100

1,900

1,800

Estimatedprojectionsofutilizationchange

1900

92

Source:PwCHealthResearchInsights

96

2,171

DigitalTransformationInpatientcarevolumeonarapiddecline

Virtual HealthCareTeamCollaboration,Videoconsultations,Securemessaging,Booking

Population Health CareCoordination,Remotepatientmonitoring,ClinicalAnalytics

CurrentHealthITMarket

ExpansionofHealthITMarket

Precision MedicineGenomics,ClinicalAnalytics,Customer&ProductAnalysis

NextGenSystemsofInsight&Engagement

Fragmentedsystemsofrecord(EMR,Imaging,CaseManagement)

GlobalHealthSoftwarePlatformMarket

DigitalTransformationInpatientcarevolumeonarapiddecline

Evolutionofhealthsolutions

SYSTEMSOFENGAGEMENT

SYSTEMSOFINSIGHT

SYSTEMSOFRECORD

Reactive

CyclicalDisconnected

Receivetreatment

Giveinformation

Seedoctor

Feelsymptoms

Recover

Gotohospital

Theoldpatientparadigm

Thenewpatientparadigm

Connecteddevices

Proactivewellnessplan

Connectedcarepartners

Personalizedtreatments

Remotemonitoring

Connectedconsumers

Preventative

ContinuousConnected

10

HealthAgentsfortriageandinquiries…CanIntegrate

•Worldknowledge• Location• Calendar• Travel

ABotframework….

• Naturallanguageprocessing•Multi-turnconversations• Anyendpoint• AnyAPI

• Personalhealthrecords• Prescriptions•Wearabledata

…andwithThirdpartydata&CustomerData

• Authoritativemedicalprotocols• Serviceproviderlookupandscheduling

AdvancedAnalyticsinHealth

REAL-TIME & PREDICTIVE ANALYTICS

toshapeoutcomes

SELF-SERVICE ANALYTICS

toprovideresearchon-demand

INTERNET OF THINGS

toconnectdevicestodatabases

CLOUD ANALYTICStoerasehistoricalboundariesfordata

Patients

ClinicalTeams&Practitioners

Diagnostic

Why did it happen?

Careteamsperformtests

[InteractiveDashboards]

ActionableInsight

Prescriptive

What shouldIdo?

Datascientistsuseknowledgetomakerecommendations

[Recommendations&Automation]

What will happen?

Predictive

Clinicianscompareresultswithacohortofpatients

[MachineLearning]

Descriptive

What happened?

Patientspresenttheirhealthcondition(s)

[Reports]

Data&

Technology

Outcomes&

EfficiencyDataInteroperabilityStandards/Clinical&ProfessionalStandards

Predict&RespondProactively

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