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Healthcare IT
Stan Smits
Analysts’ Meeting June 15th, 2005
2Philips Medical Systems
Healthcare IT is the backbone of the care cycle
Information &Decision supportOperating room
MonitoringImaging
Operating roomMonitoringImaging
IntensiveCare unitMonitoring
IntensiveCare unitMonitoring
Step downfacility
Monitoring
Step downfacility
Monitoring
HomeMonitoringHome
MonitoringPre-Hospital/Ambulance
Monitoring
Pre-Hospital/Ambulance
Monitoring
DiagnosticsImaging
DiagnosticsImaging
Treatment
Follow Up
Diagnostics
3Philips Medical Systems Chart ©2004 by Capgemini U.S. LLC. All rights reserved.
Care Management
Enterprise Patient AccessEligibility
Verification
TechnicalDenial
Management
EnterpriseScheduling
ConsumerPortal
Request forAuthorization
Admission/Registration
Pathways(LOS)
DischargePlanning
ClinicalDenial
Management
DiseaseManagement
Initial &Concurrent
Review
InterQualSupport for
LOC
Post AcutePlacement
PrecertificationAuthorization
PayorCommunicatio
nand Notes
CodingSupport
ElectronicSignature
Abstracting
WorkflowTools
Release ofInformation
Chart Tracking
/Management
MRNManagementand Merge
Clinical Decision Support
ResourceUtilization
OutcomesMeasurement CredentialingProvider
Profiling
DataWarehouse
Severity Adjustment
Report Writer
Comparative Database Access
Departmental/Support Services
Lab
Blood BankOther
DepartmentalSystems
Medical Imaging
Cardiology
SurgeryPathology
Radiology
Emergency Department
Physician Clinical PracticeResultsReview
Rounding/Workflow
ToolsProvider
Documentation
AmbulatoryPractice
Management
Patient History/
Problem Lists
Pathways Protocols
Patient Locator/
Patient Lists
Physician Order Entry
Order Sets
Clinical Documentation
Non-MD Evidence Based Documentation
Flowsheets
PatientEducation
I & OVital Signs
Task Lists
Non-MDOrders
PatientAssessment
Kardex Care Plans
Interfaces to Monitors
Critical Care Specialty
Documentation
Transcription/ Dictation
ResearchRepository
EnterpriseMaster Person
Index (MPI)
CommonMedical
Vocabularies
StandardCDM/
Master File
PDASupport
IntegrationTools
User Interface/Portal
Data Aggregation and Reporting Tools
ResponseTime
RulesEngine
SecurityTools
ClinicalData
Repository
DecisionSupport
Repository
Order Managemen
t
Pharmacy/ Medication SafetyMedicationOrder Entry
RobotInterface
OutpatientPrescriptions
FormularyManagement
Substitution/Cost
ManagementDosing
Management
Drug Interactions
Access to Drug
Databases
Pharmacy Robot
Automated Dispensing
Barcoding
eMAR
Coding
Chart Completion
Printing the EMR
DocumentImaging Single
DocumentImaging Batch
Healthcare IT comprises many different applications
Core Information Management
Health Information Management
4Philips Medical Systems
IT in Healthcare = Infrastructure IT + Healthcare ITHealthcare IT = Enterprise IT + Clinical IT
Healthcare IT is:
• very fragmented (1200+ companies)
• a € 22 Bln market (USA 70%)
• with an average growth 11%/year
Clinical IT: PACS, Workstations, Clinical Applications, Decision Support, Monitoring related IT products:Many Philips Medical Systems products
Enterprise IT: Clinical Data Repository, CPOE, EMR andDepartmental IT: RIS, CVIS, etc.:Philips Xtenity powered by Epic
Infrastructure IT: IT Hardware, Op. Systems,Networks, Office Desktop. Outsourced infrastructure: Reseller agreements
Consulting: Business Processing Re-engineering (BPR), Institutional Transformation: Alliance Programs
Consulting
Infrastructure IT
Enterprise IT
Clinical IT
Modalities & Monitors
€30 Bln€20 Bln
€2 Bln
Total IT in Healthcare €52 Bln (USA 50%) in 2004
Healthcare IT Market
Source: CapGemini U.S., DeLoitte, Gartner
5Philips Medical Systems
Healthcare IT market remains very regional
0.00%
0.50%
1.00%
1.50%
2.00%
2.50%
3.00%
3.50%
4.00%
4.50%
5.00%
USA UK D F E I Europe
Hospital IT spend as % revenue
Source: DeLoitte
0
1
2
3
4
5
CPOE R-PACS MAR C-PACS
USA Healthcare IT Application Ranking by Attractiveness
Source: CapGemini
Source: DeLoitte
• CPOE (Computerized Physician Order Entry) and MAR (Medication Administration Record) in USA justified by avoidance of medical errors
• PACS (Picture Archiving and Communication System) both for Cardiology and Radiology remains an important growth market
• ADT (Admission, Discharge, Transfer) in Europe is a replacement market
0
500
1000
1500
2000
2500
MAR ADT R-PACS EPR
European Healthcare IT Application Ranking by Attractiveness
New
Replace
6Philips Medical Systems
Key PACS Vendors Key Clinical Application Vendors
+ +
Key Enterprise IT Integrated Solution
Vendors
7Philips Medical Systems
Philips offers a consistent experience
Imaging Modalities & Monitoring
EnterpriseSolutions
Clinical SpecialtySolutions
8Philips Medical Systems
November 2003: Philips announced alliance for Enterprise IT with Epic
Epic Company Profile:• Founded in 1979• Based in Madison, Wisconsin, US• 1,600 Employees• Privately owned HealthCare IT company • Growth approximately 30% per year• Website: www.epicsystems.com• Epic has a complete Integrated Enterprise Healthcare IT system • Received again (10th time in a row), the #1 customer satisfaction
ranking by KLAS• 42 M Patient Records in use in the US
HealthCare’s premium award winning technology vendor
9Philips Medical Systems
31Medical Systems
We are on-track…• World-wide announcement previous
analyst meeting November 4th
• Partnership introduction for Cardiologists (AHA) and Radiologists (RSNA) in November 2003
• Major launch at major US Healthcare IT event (HIMSS) in February 2004
• Training and roll-out during 2004
• Highly qualified Philips Healthcare IT team (50 by year-end) being trained by Epic
• This will allow Philips also to use the award winning Epic processes
• Philips selected as Vendor of Choice in first project
• Major announcements planned for RSNA 2004 and HIMSS 2005
• By mid 2005 fully operational Healthcare IT practice in North America
Medical Systems
We remain on-track…
• Metro Health, Grand Rapids, Mi, has selected Xtenity
• Second half 2005 operational Enterprise IT practice in North America
Alliance benefits:• Fully Integrated Enterprise IT portfolio• Staff trained by KLAS #1 vendor• Scaleable in deployment• Tight integration with modalities,
PACS and monitoring equipment
10Philips Medical Systems
Philips Xtenity Enterprise Chart ©2004 by Capgemini U.S. LLC. All rights reserved.
Health Information Management
AvailableAvailable key strength UnavailableThird party In DevelopmentEvolved/acquired from third party system
Enterprise Patient AccessEligibility
Verification
TechnicalDenial
Management
EnterpriseScheduling
ConsumerPortal
Request forAuthorization
Admission/Registration
Care Management
Pathways(LOS)
DischargePlanning
ClinicalDenial
Management
DiseaseManagement
Initial &Concurrent
Review
InterQualSupport for
LOC
Post AcutePlacement
PrecertificationAuthorization
PayorCommunicatio
nand Notes
CodingSupport
ElectronicSignature
Abstracting
WorkflowTools
Release ofInformation
Chart Tracking
/Management
MRNManagementand Merge
Clinical Decision Support
ResourceUtilization
OutcomesMeasurement CredentialingProvider
Profiling
DataWarehouse
Severity Adjustment
Report Writer
Comparative Database Access
Departmental/Support Services
Lab
Blood BankOther
DepartmentalSystems
Medical Imaging
Cardiology
SurgeryPathology
Radiology
Emergency Department
Physician Clinical PracticeResultsReview
Rounding/Workflow
ToolsProvider
Documentation
AmbulatoryPractice
Management
Patient History/
Problem Lists
Pathways Protocols
Patient Locator/
Patient Lists
Physician Order Entry
Order Sets
Clinical Documentation
Non-MD Evidence Based Documentation
Flowsheets
PatientEducation
I & OVital Signs
Task Lists
Non-MDOrders
PatientAssessment
Kardex Care Plans
Interfaces to Monitors
Critical Care Specialty
Documentation
Transcription/ Dictation
Core Information Management Components
ResearchRepository
EnterpriseMaster Person
Index (MPI)
CommonMedical
Vocabularies
StandardCDM/
Master File
PDASupport
IntegrationTools
User Interface/Portal
Data Aggregation and Reporting Tools
ResponseTime
RulesEngine
SecurityTools
ClinicalData
Repository
DecisionSupport
Repository
Order Managemen
t
Pharmacy/ Medication Safety
MedicationOrder Entry
RobotInterface
OutpatientPrescriptions
FormularyManagement
Substitution/Cost
ManagementDosing
Management
Drug Interactions
Access to Drug
Databases
Pharmacy Robot
Automated Dispensing
Barcoding
eMAR
Coding
Chart Completion
Printing the EMR
DocumentImaging Single
DocumentImaging Batch
Let’s zoom into Cardiology
11Philips Medical Systems
HeartDisease
Cancer Stroke ChronicLung
Disease
Accidents
Diabetesmellitus
InfluenzaPneumonia
Alzheimer
Nephritis
Septicaemia
Other
Relevance for Philips’ focus on clinical segments
29.5%
23%
6.9%5.1%
3.9% 2.9% 2.8% 2.0% 1.6%
26.0%
1.3%
0%
5%
10%
15%
20%
25%
30%
35% Cardio and Vascular diseases
Cardio and Vascular diseases
Source: CDC, National Vital Statistics, 2001
Cardio and Vascular Diseases and Cancer responsible for ~60% of US Deaths.
12Philips Medical Systems
Philips position in the Cardiology PACS market
North American Cardiology PACS Vendor Market Share, by Facility Appearance, 2004
GE HEALTHCARE15%
HEARTLAB, INC.5%
CAMTRONICS MEDICAL SYSTEMS
4%
AGFA-GEVAERT GROUP14%
FUJIFILM MEDICAL SYSTEMS4%
OTHERS20%
SIEMENS MEDICAL SOLUTIONS13%
UNDISCLOSED8%
PHILIPS MEDICAL SYSTEMS17%
Approximately 32,000 Facilities were surveyedSource: CapGemini
13Philips Medical Systems
Integrated Cardiology IT
Exam WorklistCath Lab
Management
series
Allura Xper
ImageManagement
Exam
Enterprise
Echo LabManagement
series
SONOS / iE33
Results Distribution
Images &Reports
EnterpriseDistribution
Exam Worklist
Exam
Demographics
Results data
Images &Reports
HaemoSphere
Xcelera
WebForum
ADT, Clinical Reports, Billing
Exposure data
Optimizing the workflow of the digital cardiology department.
14Philips Medical Systems
Xcelera Echo Lab Management Integrated workflow is more than the sum of the components….
Personalized Echo Reporting Workflow
Automated labeled measurementstransfer from the iE33 cart to the Xcelera database and to the report
iE33 and Xcelera support for Live 3D and quantification system managementis unique in the world
iE33 Ultrasound
Xcelera
15Philips Medical Systems
Xcelera Cath Lab Management Integrated workflow is more than the sum of the components…
Instant report generation from all data entered during cardio procedure
Insert Xcelera image(s) from procedure for further quantification and processing
Physician findings and conclusions can be added where required
Create management reports,– Supply usage, performed procedures– Analyze workload– Billing & inventory reports
16Philips Medical Systems
Radiology and Cardiology PACS market
GE29%
Siemens15%
Agfa11%
Fuji11%
McKesson7%
Others13%
Philips14%
GE Siemens Philips AgfaFuji McKesson OthersSource: DrKW Equity Research
2005, Frost & Sullivan 2004
Global PACS market 2004E: € 1.5 Bln Global PACS market share, 2004EGrowth 9% per year
17Philips Medical Systems
0
100
200
300
400
500
600
700
800
2004 2005 2006 2007 2008
CADWorkstations
Clinical Image Processing Applications
• Clinical image processing applications historically used close to the imaging equipment
• Multi modality applications requiring image fusion
• Trend to move applications towards PACS workstations
• Enlarged market: new applications for referring physicians
• Computer Aided Detection is a new class of applications:
– Mammography: Breast Lesions– Lung Imaging: Nodules– Virtual Colonoscopy: Polyps
• 2004 Market: around € 500 Mln.• Growing 11% during 2005-2008• Philips market share ~ 10-15%
Global Market (€ Mln.)
18Philips Medical Systems
Legs osteotomy simulation
• Legs osteotomy: to change the orientation of the leg bones in such a way that the weight-bearing axis and the joint lines return to ‘normal’ positions
• The application allows to measure bone angles, plan the intervention and simulate the result
• The application also brings the results directly to the report
19Philips Medical Systems
20Philips Medical Systems
21Philips Medical Systems
Thank you for your attention!
Healthcare IT: integrated, comprehensive and proven
