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Agfa HealthCare 360°
Our Roadmap to integrated care and 360° patient insight
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Agenda
Healthcare is changing
Fee for service versus Fee for value
Benefits of integrated care, i.e. chronic disease management
Agfa Maturity model / HIMSS Continuity of Care model
Economics in a changing environment
Step-by-step approach
New quality driven business model enabled by IT
Value for Stakeholders
Patients
Providers
Payers
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Healthcare costs in selected OECD countries
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Hospital admission rates – a comparison
0
5
10
15
20
25
30
35
40
2006 2007 2008 2009 2010 2011
0
50
100
150
200
250
300
350
400
USA
Germany
UK
France
Brazil
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Chronic Disease Management: Cost & Quality
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Outcomes based payments require integrated care
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Integrated Care is here to stay
Care Coordination shows
results
Initial results of accountable
care organization show double
digit cost reduction and quality
improvement
Shift from acute care to
preventive care
More prevention saves cost
Less revenue for Hospitals
(fewer acute care episodes),
more revenue for GPs and
Specialists (more preventive
care)
.
The end of the fee for service era?
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Agfa Maturity Model
Maturity
Level
Objectives Characteristics
1 Messaging
• Simple pnt-to-pnt messaging (e.g. email) to send orders and to receive results (push only – the data is
stored in the edge systems)
2 Sharing • Query and retrieve results, stored at different locations (push-pull model, central / federated data
storage ). Example XDS
• Data is structured and non-structured with various levels of data quality
• Tracking of orders / referrals (status monitoring, task management)
3 EHR • Use semantics (e.g. NLP, master data, tagging) and data quality management mechanisms (e.g.
validation, normalization) to ensure that the data is structured and of guaranteed data quality
(complete, consistent and correct)
• Provide longitudinal view on clinical results of patients (virtual patient record), stored at different
locations
• Support secure electronic communication (e.g. chat, secure email) among different members of care
team
• Access to clinical guidelines in applications
• Provide patient level alerting
4 Analytics • Provide outcome reporting (KPIs) and dashboards on financial, operational, clinical level
• Search and navigate through the data in interactive way
• Support secondary data usage for clinical trials
5 Smart Care
• Improve clinical outcome and reduce clinical risk by using Clinical Decision Support mechanism (e.g.
reasoning, predictive analytics) for ordering, diagnosis and treatment planning
• Generate knowledge from information (e.g. using predictive analytics, community authoring)
• Integrate high variety of data sources, including sensors, genomics
6 Integrated
Care
• Support clinical pathways (process workflow) for disease / health management
• Create patient/case centric virtual care teams using advanced collaboration tools (e.g. forums, social
media,
• Provide population level alerting
HIE
EHR
Agfa
360
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HIMSS Continuity of Care Model
= Level 1
AGFA
Model
= Level 2
= Level 3
~ Level 4
~ Level 5
= Level 6
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Step-by-Step Transition
An economically viable way to transition from status-quo to state-of-the-Art
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Quality driven delivery model
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Data progression enables integrated care
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5 steps to integrated care; value @ every step
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Value creation
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Summary
Integrated Care is promising
Can improve outcomes by supporting a holistic, 360° view of the patient
Can reduce cost by eliminating waste & redundancy, prevention of escalations
New generation of Health IT can support Integrated care
Collect and aggregate data across the care continuum
Semantically enhance data
Support clinical decisions, reminders, & prevention
New Business model
From fee-for-service (volume oriented) to
fee-for-value (outcomes oriented)
Patient Engagement
Patient is involved and informed to better manage health outcomes
Governments and Payers are important
Create & funds standards, infrastructure to enable transition
