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This slide deck summarizes the key takeaways from the first Pan European Healthcare Executive Event. Focused on the three themes of the Summit ( Personalization,Integration and Industrialization), the Summit has explored the different dimensions in which ICT is an enabler of a new business model for sustainable healthcare in Europe
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IDC Pan-European Healthcare Executive Summit Personalization, Integration and IndustrializationThe Three Forces of Healthcare Change
Healthcare Systems In Transition
Achieving Efficiency Targets
12%
12%
66%
11%
IT budget allocation
Growth InnovationMaintain/RunCompliance to regulatory requirements
ITALY: €1BN,€4BN
FRAN
CE
2.7%
VS
4%
UK: £ 20 BNSource: IDC Health Insights and IDC Vertical Markets Western European Survey, September ‘12
How can volatility be addressed?
Input Output
Episode
Patient
Single practice
or departm
ent
Healthcare and
Social Syste
ms
Healthcare Systems Transformation: 3 Dimensions Maturity Model
The three pillars of the new business model
Industrialization
Pers
onal
izati
on
Integration
Healthcare Transformation: Three Forces of Change
The three pillars of the new business model
Industrialization
Personalization
Integration
Where is ICT in the equation?
Integration
Industrialization
Personalization
3 Forces of Change
Chronic Disease Management
EMR-Mobility and telehealth
EHR and patient-centric decision support
Embedded computing for assisted living
Genomics
Toda
y20
20
Optimized technology deployment
Back office shared services
Strategic sourcing
Core system consolidation and virtualization
Cloud computing
Toda
y20
20
EMR HIE0%
20%
40%
60%
49%
34%
48% 46%
Investments in EMR and HIE
HospitalOther Health Providers
Patient information sharing patterns
Source: IDC Health Insights and IDC Vertical Markets Western European Survey, September ‘12
Readiness for the third generation platform
Hospitals Other healthcare provider
57%
45%
Cloud investment plans for HIE
27%
29%19%
25%
EHR mobile access
Currently access
Planned in the next 12 months
Planned in the next 24 months
No plans
65% 65% 68%
Reasons to adopt social media
30%
43%
18%
8%
How do you think the growth in data will affect you?
We need to re-assess our current information management process
We can deal with it by expanding our storage capacity
It will have limited or no effect
Don’t know
Source: IDC Health Insights and IDC Vertical Markets Western European Survey, September ‘12
Day One Agenda Highlights
Day Two: Agenda Highlights
What are your organization's top business priorities for the next 12-18 months?
Patient information privacy
Regulatory compliance
Pay for performance
Industrialization of Healthcare
Chronic disease management
Cultural readiness and change management
Retooling core clinical processes
Customer service
Personalization of Healthcare
Integration of the healthcare value chain
Patient safety
Operation efficiency
0% 10% 20% 30% 40% 50% 60% 70% 80%Number of respondents: 30Source: Pre-summit delegate survey, September 2013
What are your organization's top technology priorities for the next 12-18 months?
Departmental systemsLaboratory and pathology systems
CloudSourcing / Procurement
IT SecurityBusiness process management
Enterprise architectureCollaboration and communicationProgram and project management
PACS/RISIT infrastructure
Information, content and knowledge managementEnd-User devices and mobile
IT managementClinical information systems
EHR/EMRBusiness intelligence/analytics/big data
0% 10% 20% 30% 40% 50% 60% 70%Number of respondents: 30Source: Pre-summit delegate survey, September 2013
Data is available and
quality improves...
... data must be turned
into valuable insights
What is the future hospital going to look like? Fewer beds, fewer doctors, faster turnaround... Patient Safety will remain the key goal
Key Takeaways from the Summit
Systemic changes to a century old healthcare system will drive double-digit benefits in care coordination
It is not about designing higher quality inpatient care pathways, it is about preventing patients to have to go through those
Mobility is shifting the center of gravity outside the hospital... And consumerization is tipping the balance in
favor of patient centricityDecision support algorithms and pay for performance can be part of the puzzle, but they require cultural and organizational changes .... not to drop the hammer on your toes
It is increasingly important not to neglect investments in primary and community care professional capabilities if care
coordination is to happen
The variety of options is broad ranging from disconnected databases to all inclusive big suite, to portal with integrated best-of-breed or layered approach with a Central Data Warehouse as the foundation
Data is key -- users need to be able to access, manipulate, extract the data A standardized data model is essential to eliminate data ambiguity -- all best-
of- breed applications have their own data model, not always easy to integrate -- lack of interoperability is a big problem
In many cases, using a suite and vendor designed care pathways/processes is an interim option and is used to impose a discipline that previously did not exist -- avoids user anarchy
No absolute right answer -- depends on your goals and what your starting point is
Executive Workshop – Apps and Applications: Big Package vs Best of Breed - Key Takeaways
Payers are pushing for new reimbursement models, such as ‘volume requirements’ in the Netherlands. Minimum volumes for each procedures can increase efficiency and safety, but also means hospitals and out-patient clinics will specialize further and will need to collaborate to offer a comprehensive service to patients. That will increase the need for sharing electronic health records, both for reimbursement and clinical purposes.
The vast majority of patients are healthy and cost little, it’s the minority that have multiple chronic conditions that cost a lot to national healthcare services and private insurers. So it is more important to figure out ways to prevent the healthy patients to get sick, than to design overly complicated care pathways and related ICT solutions. Instead many clinicians still tend to “build temples”
Executive Workshop – ICT and the Changing Healthcare Delivery Ecosystem - Key Takeaways 1/2
Patients are increasingly empowered. They want to know more about their conditions to make conscious choices and, sometimes, they want to own their medical records. At the same time, hospitals, particularly university hospitals are making available more and more specialized information through specialty portals. These two trends (consumerization of patient data and specialization of clinical insights) will require an orchestrated approach.
Sharing information (among clinicians and with patients), either through orchestration, or through consolidation of solutions for multiple hospitals and outpatient services (e.g. Assistance Publique-Hôpitaux de Paris has moved towards consolidated systems for laboratories and PACS) require agreeing on standards, otherwise quality of data could suffer. Commoditization and consumerization of ICT are both a blessing (lower costs of integration) and a curse (more rapid obsolescence and proliferation of solutions).
Increasingly, huge volumes of research data will be made available to improve clinical decisions through evidence-based medicine and vice-versa.
Executive Workshop – ICT and the Changing Healthcare Delivery Ecosystem - Key Takeaways 2/2
No killer application at the horizon. All government led project simposing more than a common set of interoperability rules and common infrastructural elements have proved failure. The main reason is that EHR and HIE projects are too often a political battle ground. Time of politics are not aligned with the timings of these projets. Moreover there has been also wrong expectations around these projects.
Vendor community is in many cases very far from the language of healthcare organization: “operational efficiency” is a concept that can interest the management but not the clinicians community, while they should focus on the aspect of “patient safety”. These should be clinically led projects, based on the concept of
The value that these systems can bring is based on– the quality of patient information provided : complete and relevant picture of the patient. It is
important to determine the use cases: which type of information is mostly needed by who – The reuse of patient information in new contexts ( research, planning, management) . The core is to
achieve interoperable and accessible patient information – building a platform.
Some form of incentives based on usage of EHR and HIE like the meaningful use can be applied also to Europe.
Executive Workshop – The Value of Electronic Patient Health Records and Health Information Exchanges - Key Takeaways
Gradual move from reactive to predictive to prescriptive systems will increase the benefits and value of healthcare transformation
Success in transformation and reform is based on achieving a balance between cost, population health and patient experience
Evidence-based medicine pendulum continues to swing, but much depends on the culture, who is driving the move forward and who the players are
Value-based healthcare depends on cost elimination, e.g., closing beds as they become empty, thus reducing all costs associated with keeping them active
The patient's own bed is the best value bed, but systems must be in place to support the patient who is in his/her own bed
Little is being done to change the education healthcare professionals receive or to proactively change the mix of professionals that make up the healthcare team that will be needed to deliver successful healthcare reform
Executive Workshop – How Will the Role of ICT in Healthcare Differ in 2020 and Beyond? - Key Takeaways
Driving toward healthcare systems reform
The mobility is a multifaced phenomenon.– Device: BYOD building an infrastructure able to serve multiople devices– Applications BYOA using an approach that take into cosideration that with the BYOD – Patient ‘s participation to the process of care ( delivering information to his/her device and to his/her
applications) – Further contribution to the big data phenomenon in the healthcare. Extension of the point of care,
additing new data . New visualization and integration required.
The diversity produced cannot be tamed with some top-down rules. The key is to deliver “unity without uniformity” and “diversity without fragmentation”. Probably the best way to overcome the convergence challenge is to enable an “ordered divergence” where the key strategy is “build one -deploy many “
To this end, separating data from information is key. It is important treating data in the most vendor neutral way, allowing a greater flexibility in the various use cases ( where inforation is produced).
Analyzing workflow and use cases is key – Finding common foundation elements on which developing an integration approach – In this strategy , however it is important to not focusing to much on enabling a single peculiar vertical
application, or functionality that can jeopardize the overall strategy. Focus on most common use case s, and used functionallities
The same approach should be used both for clinical mobility ( healthcare professional) and the broader aspects of mobile health (actively involving the patient)
Executive Workshop – Overcoming the Healthcare Technology Convergence Challenge - Key Takeaways
Mobile apps are making healthcare more personalized by default Mobility is shifting the center of gravity outside the hospital Mobile phones are becoming the health platform for many individuals, especially in
the developing world It is a challenge to integrate mobile apps with core systems -- many apps still have
read-only capabilities It is challenging to organize and manage mobile apps -- many cease to be used a few
days after download and safety and privacy is not accredited if they are consumer apps – however consumer-like mechanisms (e.g. rating, crowdsourcing upgrades) might help with selecting the “right” app
Patients are not willing to wait ten years for the perfect EHR, they are looking for responsiveness and safety, so good enough data might be sufficient -- Some healthcare providers might choose to assemble an electronic health record by joining up mobile apps that provide access to siloed applications, instead of buying a suite or bolting every best-of-breed module
Multiple complementary solutions are likely to emerge: native apps, HTML5, portals – IT and business decision makers will have to choose based on use cases, technical competencies, etc.
Wearable devices are not just the next frontier, they are already here!
Executive Workshop – Apps and Applications: Better Together - Key Takeaways
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Contact Details
Scott LundstromGroup Vice President and General ManagerIDC Health Insights and IDC Financial [email protected]
Massimiliano ClapsResearch DirectorIDC EMEA Government Insights and IDC Health [email protected]
Silvia PiaiResearch ManagerIDC EMEA Health [email protected]