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An Evolving Digital Health Landscape Transformation and the contributing role of standards Don Sweete, CEO SNOMED International

An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

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Page 1: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

An Evolving Digital Health LandscapeTransformation and the contributing role of standards

Don Sweete, CEO

SNOMED International

Page 2: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO 2SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

Welcome & Bienvenidos

Page 3: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

3

The Landscape

Page 4: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

Today’s Global Health Environment

Aging

Populations

↓ Budgets

↑ Costs

↑ Chronic

Disease

Coordination

of Care

Community

Based Care

Prevalence

Digital Health

Page 5: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

Today’s Global Health Environment

5SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

Digital Health Beginnings

Telemedicine & Telehealth

Electronic Health Records

Physician Office SystemsElectronic Medical Records

Page 6: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

6

Consumer & Mobile Health

Data Analytics

The Evolving Landscape

Precision Medicine &

Artificial Intelligence

Page 7: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

7

The Journey

Page 8: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

The Renaissance

This is the moment in

history when every

aspect of our lives is

being affected by

technology, data, and a

connected innovation

ecosystem.

Page 9: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

How it Began

EHR Building Blocks

Health Care Provider Tools

Consumer & Patient Tools

All nations have commonalities and

variances in their approach

Page 10: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

EHR Building Blocks

Patient & ProviderRegistrie

s

Diagnostic

Imaging

Laboratory

DrugsClinical

Documents

ARCHITECTURE PRIVACY STANDARDS

NATIONAL & REGIONAL STRATEGY & LEADERSHIP

Page 11: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

Standards

remain a key

building block

for

interoperability

Moving information in a

seamless &

unambiguous way

EHR Building Blocks: Standards

Page 12: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

SNOMED International Vision

By 2020 clinical

terminologies will be

used globally, which will

result in better health,

supported by one

language of health.

Page 13: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

13SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

SNOMED International

produces and enhances

vocabulary that enables

the clear exchange of

health information for all

SNOMED International Mission

Page 14: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

Computable definitions of meaningCommon reference terminology

Facilitates integration of clinical data

from multiple sources, which use

different code systems or free text

Provides a consistent representation of

meaning for retrieval, processing and

communication

Allows meaning-based retrieval of

clinical relevant facts

Defining relationships support

powerful querying, reporting and

knowledge linkages

EHR Building Blocks: SNOMED CT

Page 15: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

Health Care Provider Tools

Telehealth Telemedicine

Telehomecare

Telenursing

Telecoaching

Telerehabilitation

Education

Teleradiology

Telepathology

Telepsychiatry

Telecardiology

Telesurgery

Page 16: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

Health Care Provider Tools

Electronic Medical Records

PRACTICE USES

ELECTRONIC

MEDICAL RECORDS

(%)

The Commonwealth Fund, International Health Care System Profiles, 2015, 2006 International Survey of Physicians

2006 7

9

2

3

- 4

2

9

8

9

2

- - - 8

9

2

8

Page 17: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

Consumer & Patient Tools

Online Access:

Health Records

E-RenewalsE-Booking

E-Visits

Patients choose

their appointments,

receive reminders,

make changes

Secure messaging,

video visits

Request prescription

renewals online

Lab results,

immunizations,

summary records

Improve Experiences

Page 18: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

Documenting the Journey

The Gartner hype

cycle is a graphical

representation of the

lifecycle stages a

technology goes through

from conception to

maturity and widespread

adoption.

Page 19: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

The Journey

Looking back

to 2009

Page 20: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

Challenges: The Last 10 Years

LEADERSHIP, POLITICAL WILL & SHIFTING PRIORITIES

CHANGE MANAGEMENT

CLINICAL ACCEPTANCE

GOVERNANCE

COST OF IMPLEMENTING, MAINTAINING

PRIVACY

Page 21: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

21SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO The Horizon

Page 22: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

The Work Continues

Nations still

need to

find solutions

to achieve

interoperabilityINSTITUTIONS – REGIONS

Researchers

COUNTRIES – LANGUAGES

Page 23: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

Collaborative Partnerships

SNOMED International has an active program of collaboration with international standards development organizations and professional clinical bodies to facilitate the use of SNOMED CT with other standards.

Trillium

Bridge

Page 24: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

The Horizon:

2017 and Beyond

SNOMED CT is in a unique

position to impact most health

technology trends in 2017

and beyond

Wearable Technology Connected Devices

Electronic Health Records Telehealth

Predictive Analytics Population Health

Mobile Health Apps Data Security

Partnerships Cloud Technologies

Page 25: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

2017 Gartner Hype

Cycle for Healthcare

Providers

The Horizon:2017 & Beyond

Page 26: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

• Standardization – The “Uniqueness”

Problem

• Standards Partnerships &

Collaboration

• Interoperability & Industry Role

• National & International

Capacity

• Payment Models

• Ongoing Capitalization

Ongoing Hurdles

Page 27: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

27

• A reality where information flows freely and follows each citizen without

encountering barriers among care providers, care delivery organizations,

state or country borders.

SNOMED International – Leading healthcare terminology, worldwide | www.snomed.org | @Snomedct | © 2017 IHTSDO

Revisiting the Goal

A reality where information flows freely and follows each

citizen without encountering barriers among care

providers, care delivery organizations, state or country

borders.

Page 28: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

Continue the conversation atSNOMED CT Expo 2018

Page 29: An Evolving Digital Health Landscape - Aventri...The Gartner hype cycle is a graphical representation of the lifecycle stages a technology goes through from conception to maturity

Don Sweete

CEO

SNOMED International

[email protected]