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Prof. Dr. oec HSG Alfred AngererConference «Life in Numbers 4» – ZHAW Waedenswil
Digital Health –
The Future of Swiss Healthcare
Digital Health – The Future of Swiss Healthcare
Alfred Angerer; WIG – Winterthurer Institute of Health Economics Seite 2
Digital Health today
Source: Northwestern University
Digital Health – The Future of Swiss Healthcare
Alfred Angerer; WIG – Winterthurer Institute of Health Economics Seite 3
Possible Answers
• 0.05 MB
• 23 MB
• 69 MB
• 103 MB
• 900 MB
Possible Answers
• 0.05 MB (entry in electronic health record)
• 23 MB (right answer)
• 69 MB (yearly data volume using a wearable)
• 103 MB (one X-ray image)
• 900 MB (cruciate ligament rupture)
Health data produced today
What is the data volume in megabyte that a
healthy Swiss (without any mayor health
incident) produces every year ?
Source: ZHAW-WIG: Datenvolumina Schweizer Gesundheitsdaten heute und morgen.
https://www.zhaw.ch/de/ueber-uns/aktuell/news/detailansicht-news/news-single/neue-studie-zu-schweizer-gesundheitsdaten/
Digital Health – The Future of Swiss Healthcare
Alfred Angerer; WIG – Winterthurer Institute of Health Economics Seite 4
Structure of today’s presentation
The basics of
Digital HealthWHAT?
The influence on
our system
Call to action
for playersHOW?
WHY?
Digital Health – The Future of Swiss Healthcare
Alfred Angerer; WIG – Winterthurer Institute of Health Economics Seite 5
Our WIG-ZHAW categorization of Digital Health
Dri
ve
rTe
ch
no
log
y
Ma
na
ge
me
nt
Source: Angerer et al. (2017)
https://digitalcollection.zhaw.ch/handle/11475/1458
Digital Health – The Future of Swiss Healthcare
Alfred Angerer; WIG – Winterthurer Institute of Health Economics Seite 6
Global digital health market (in Billion US$)
*Other: Categories wireless health and mobile health; **EHR: Electronic Health Record Source: Angerer et al. (2017) Digital Health, based on Roland Berger (2016). https://digitalcollection.zhaw.ch/handle/11475/1458
Other* EHR** Telemedicine
Digital Health – The Future of Swiss Healthcare
Alfred Angerer; WIG – Winterthurer Institute of Health Economics Seite 7
Structure of today’s presentation
The basics of
Digital HealthWHAT?
The influence on
our system
Call to action
for playersHOW?
WHY?
Digital Health – The Future of Swiss Healthcare
Alfred Angerer; WIG – Winterthurer Institute of Health Economics Seite 8
What is the media talking about?
Count of newspaper publications per topic
Source: Angerer et al. (2017) https://digitalcollection.zhaw.ch/handle/11475/1458
Electronic Health
Record (EHR)
Wearables Telemedicine Fitness
Digital Health – The Future of Swiss Healthcare
Alfred Angerer; WIG – Winterthurer Institute of Health Economics Seite 9
Impact on our system
First class
Stars
LoserDown-grade
Costs
decrease
Costs
increase
Quality improves
Quality worsens
Source: Angerer et al. (2017) https://digitalcollection.zhaw.ch/handle/11475/1458
Digital Health – The Future of Swiss Healthcare
Alfred Angerer; WIG – Winterthurer Institute of Health Economics Seite 10
The overall expert opinion is cautiously optimistic
First class
Stars
LoserDown
-grade
Costs
decrease
Costs
increase
Quality improves
Quality worsens
EHR Wearables
First class
Stars
LoserDown
-grade
Costs
decrease
Costs
increase
Quality improves
Quality worsens
First class
Stars
LoserDown
-grade
Costs
decrease
Costs
increase
Quality improves
Quality worsens
Telemedicine Fitness
First class
Stars
LoserDown
-grade
Costs
decrease
Costs
increase
Quality improves
Quality worsens
Source: Angerer et al. (2017) https://digitalcollection.zhaw.ch/handle/11475/1458
Digital Health – The Future of Swiss Healthcare
Alfred Angerer; WIG – Winterthurer Institute of Health Economics Seite 11
Future outlook: Probabilty of scenarios
Outsider
Organization #1
25% of all GP
offices closed
3D printing
of organs
Data: Worst
case scenario
Source: Angerer et al. (2017) https://digitalcollection.zhaw.ch/handle/11475/1458
Digital Health – The Future of Swiss Healthcare
Alfred Angerer; WIG – Winterthurer Institute of Health Economics Seite 12
Structure of today’s presentation
The basics of
Digital HealthWHAT?
The influence on
our system
Call to action
for playersHOW?
WHY?
Digital Health – The Future of Swiss Healthcare
Alfred Angerer; WIG – Winterthurer Institute of Health Economics Seite 14
What does change with digitization? 3 types of drivers
Source: Andal-Ancion, Cartwright and Yip (2003). The Digital Transformation of Traditional Business. MIT Sloan Management Review, 44(4), 34–41.
Inherent
characteristics of
product or service
1
Interactions
between company
and its customers
2
Interactions
between company
and its partners and
competitors
3
Digital Health – The Future of Swiss Healthcare
Alfred Angerer; WIG – Winterthurer Institute of Health Economics Seite 15
Where to begin? Example patient discharge
Source: Lean Thinking for the NHS (2006)
Digital Health – The Future of Swiss Healthcare
Alfred Angerer; WIG – Winterthurer Institute of Health Economics Seite 16
The “USA” principle: The right order of optimization
COSTS
Eliminate the
Unnecesseray
Simplify the
processes
Automate
the rest
“USA”
BENEFIT
Source: Angerer, A., Heim, E., & Signer Thöne, S. (2014). Fallstudie zur Optimierung der Physioabteilung einer Rehabilitationsklinik: Instrumente des Prozessmanagements in der Praxis.
COSTS
COSTS
BENEFIT
BENEFIT
Digital Health – The Future of Swiss Healthcare
Alfred Angerer; WIG – Winterthurer Institute of Health Economics Seite 17
3 basic strategies for your company
Customer IntimacyOperational ExcellenceProduct Leadership
Quelle: https://hbr.org/1993/01/customer-intimacy-and-other-value-disciplines
Digital Health – The Future of Swiss Healthcare
Alfred Angerer; WIG – Winterthurer Institute of Health Economics Seite 18
More about our research. Thank you for your attention!
Lean Processes
Lean Healthcare
Transformation Body
of Knowledge
www.amazon.de
Digital Health
Die Zukunft des
Schweizer
Gesundheitswesens
www.wig.zhaw.ch
Data Volumes
Schweizer
Gesundheitsdaten heute
und morgen
www.wig.zhaw.ch
Digital Health – The Future of Swiss Healthcare
Alfred Angerer; WIG – Winterthurer Institute of Health Economics Seite 19
Contact
Professor Dr. oec. Alfred Angerer
Head Center for Healthcare Management
Winterthur Institut of Health Economics WIG
ZHAW School of Management and Law
Gertrudstrasse 15
8401 Winterthur
www.zhaw.ch/de/ueber-uns/person/ange/
+41 58 934 66 72
@AlfredAngerer
www.linkedin.com/in/AlfredAngerer
https://www.xing.com/profile/Alfred_Angerer
