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GE HealthcareHealthcare Analytics- HC Quality and Cost- Challenges/Opportunities
Rhett Alden, PhD.Chief Software ArchitectMedical DiagnosticsGE Healthcare
2
Processes of Care Research
Safety by the numbers …$17-$29 billion in added cost1
[1] IOM, “To Err is Human: Building a Safer Health System”, 1999[2] Harvard study in NEJM, Nov 25 2010[3] CDC, Hospitalizations & Deaths Caused by Methicillin-Resistant Staphylococcus aureus, U.S., 1999–2005, 2007.[4] NIH, “The impact of methicillin resistance in Staphylococcus aureus bacteremia on patient outcomes: mortality, length of stay, and hospital charges”, 2005[5] NIH, “Pressure ulcers, hospital complications, and disease severity: impact on hospital costs and length of stay.“, 1999.[6] “Hand Hygiene Noncompliance and the Cost of Hospital-AcquiredMethicillin-Resistant Staphylococcus aureus Infection”, infection control and hospital epidemiology, 2010
1% increase in hand hygiene compliance = $45K annual
savings6
Little or no change in the last 10 years2
100,000+ deaths per year1,3
Medical Error ranks as the 6th leading cause of death in the U.S.,
killing more people than breast cancer, motor vehicle accidents,
and AIDS combined
Impact of MRSA infection = 9 extra days, $26K4
Impact of pressure ulcer = 8 extra days, $29K5
Our customers face many challenges
Pre-Hosp/ER ICU/CCU PICU/NICU Gen WardOR/RR• Increasing # of
patients & acuity• Need faster
assessment for triage
• Need to manage multiple devices with various UI
• Interoperability of devices to ensure integrated patient information
• Patients are moved to Gen Wards sooner
• Early patient mobility
• Alarm fatigue for clinicians and patients
• Silent ICU concept becoming the norm
• Pediatric adverse events much higher than in adult pop
• Growing demand for Clinical Decision Support
• Staff shortage & lower level of education• Infections, errors, preventable deaths• “Data fog”... Too much information
Looking for Standardization-Ease of use-Safety-Workflow-Data continuity-IT
4 GE Title or job number
05/03/2023
Challenges and Opportunities“Health is something very difficult to quantify”
Caring for people is verydifferent, but analyticswith new technologyand emergingecosystemswill ... Efficiently move patients in, through and
out of care settings ... similar to the hospitality industry
Coordinate complex logistics to move assets for care delivery .... similar to transportation control
Accelerate Pharma discovery of bioscience breakthroughs defining personal care
Identify care treatments that work best for different individuals
Proactively manage chronic disease through new forms of patient reach and tele-health sensor data
Intent of helping patients who subjectively look at the whole experienceMany legal barriers to data, delivery, discovery and competitionIndirect alignment between decisions to consume and payDiverse data sets with gaps in interoperability and access