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#2013ictoutlook
Opportunities in the New World of Connected Health
Will this road lead to healthcare transformation?
Rhenu BhullerVice President, Healthcare
December 5th, 2012
#2013ictoutlook
Connected Health
#2013ictoutlook
Personalized Medicine
Patient Centric
Decentralized, Community-based
Collaborative, Shared Information
Outcomes-based
Preventing Sickness (Wellness)
Integrated, Two Way
Source: Frost & Sullivan analysis.
Megatrends Impacting the Entire Spectrum of Care
A modern health care system is on the horizon, demanding a paradigm shift
From...
One Size Fits All
Provider Centric
Centralized, Hospital-based
Fragmented, Specialized
Procedure-based
Treating Sickness
Fragmented, One-way INFORMATION FLOW
LOCATION
FOCUS
APPROACH
TREATMENT
REIMBURSEMENT
OBJECTIVE
...To
#2013ictoutlook
Disease/Care Management
Prevention/Wellness
Goal:Keep
People Healthy Longer
Goal:Keep
People Healthy Longer Goal:
Manage or
Mitigate Risk
Goal:Manage
or Mitigate
Risk Goal:Diagnose
and Reduce
Treatment Delay
Goal:Diagnose
and Reduce
Treatment Delay
Goal:Manage
Goal:Manage Goal:
Informed Decisions
Goal:Informed Decisions
Goal:Move to
More Interactio
n and Self-Mgmt
Goal:Move to
More Interactio
n and Self-Mgmt
Healthy/“Worried Well”
“At Risk” Undiagnosed Chronically IllManaged
Chronically IllUnmanaged
Endof Life
Continuum of Care
Siz
e o
f Im
pa
cted
Po
pu
lati
on
Source: Frost & Sullivan analysis.
Shifting Emphasis From Acute Care to Prevention
Track, Predict, Intervene, Manage• Early identification and prevention
• New forms of care delivery to improve collaboration among providers, patient knowledge, self-help and health
• Increase coverage for those services which prevent disease and improve health over long term; incentivize better chronic disease management
#2013ictoutlook
Settings for Care Provision
D
C
B
A
Planned interventionsEmergency careComplex diagnostic treatment& inpatient care
Basic Diagnostic ServicesDay interventionsMinor injuriesNurse-led inpatient careIntensive rehabilitationChronic care management
Social carePrimary careOutreach careInformation and advice
Self careMonitoringAutomated treatmentInformation and adviceNHS Direct
DiagnosticTreatment centresSecondary careTertiary care
Resource centresCommunity hospitals
SurgeriesDrop in centresHealthy living centres
HomeNursing homePharmacyCyber caféHealth kiosk
SpecialistSpecialist care centresServing population of 250K, 500Kand 1,000K on central city sites
CommunityCommunity care centresServing populations of 100KIn the heart of the community
Health and SocialHealth and social care centresClose to home, serving populationsOf up to 10K
Home
#2013ictoutlook
More emphasis on diagnosis, monitoring, preventative care =
INCREASED COLLABORATION
Greater info flows to support training, supply chain, patient education
COMMUNICATIONS AND CONTENT
Tighter cost constraints, declining reimbursement, more expensive tools =
BETTER FINANCIAL MANAGEMENT
P4P, more public scrutiny, evidence-based medicine =
TRACK AND DOCUMENT OUTCOMES
What Does This New Healthcare World Look Like?
#2013ictoutlook
Enables hospitals to improve patient care and reduce
costs
Empowers users with key
knowledge needed for effective
decision making
The role of Health Data Analytics in the shift from treatment to prevention
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Connected Health Ecosystem
Remote Monitoring
mHealth
GeneralHealthcare IT (CIS and
non-CIS)
Telemedicine
• Professional Apps
• Wellness Apps• Fitness Apps• Texting
Informational Services
• Video Diagnostic Consultation
• Remote Doctor/Specialist Services
• Distance Learning/Simulation
• Retail Telehealth• TeleImaging
• Home and Disease Management Monitoring
• Activity Monitoring• Diabetes Management• Wellness Programs• Remote Cardiac ECG• PERS• Medication Management
• Electronic Health Records (EHR)
• Health Information Exchange (HIE)
• Patient Portals• Hosted Cloud
Infrastructure
Source: Frost & Sullivan analysis.
IHCIN
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Big Data—Data Explosion Drives the Need for Powerful Analytics Leveraged Across Disparate Data Sets
Source: Frost & Sullivan analysis.
Select Vendors Core Solutions
Humedica MinedShare, SaaS-based clinical, financial, operational intelligence solution; MinedStream; real-time predictive clinical surveillance
EMC Greenplum Unified Analytics Platform (database, computing, storage, and network)
IBM IBM Content and Predictive Analytics for Healthcare; InfoSphere BigInsights
Definition
• Amount and movement of digitized data
• Healthcare reform
• Explosion of scientific information
Key Trends
“Big data” terabyte to petabyte to exabyte-sized data.
Healthcare providers will increasingly utilize advanced, cloud-based database technologies for patient care, financial management, and
scientific research.
#2013ictoutlook
Healthcare Cloud – What does it mean for Healthcare players?
Scale
Flexibility
Multi-tenancy
Pay as you goAgility
High Availability
Rapid Provisioning
Cloud Computing
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Healthcare Cloud – Who is leading ?
Amazon Web services SalesforceIBM
Collaborative Care using Cloud
Elasticity – Pay as you go model
Health cloud offering
In 2009 , Salesforce announced equity investment in PracticeFusion, an EMR service provider that was one of the first to offer free, ad supported physician EHRs to physician groups.
Others
Microsoft, Dell and GE Health are some of the other major players offering cloud computing services.
Microsoft - leading the way on the policy front.
Dell, GE Health and others - services such as EHRs, health information exchanges and PHRs.
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HCIT Market Overview
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In Asia, countries are at different stages of healthcare delivery which represent a different set of opportunities
Source: Frost & Sullivan.
Japan
South Korea
China Australia
Taiwan
MalaysiaThailand
Administrative IT Solutions Clinical IT Solutions Integrated Healthcare Delivery
ResourceManagement
Patient Administration
Patient Management
Image Management
Computer Information
Systems
Electronic Medical
Record (EMR )
Electronic Health Record
(EHR) Personal
Health Record (PHR)
Clinical Decision Support
Singapore
Financial Management
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Key challenges faced by CIOs in Australian hospitals
Priority areas for CIOs
Key future drivers
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Areas of opportunity
15
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Telehealth Will be Enabled with Various Devices
TV as Access Device
• In place in nearly 100% of households
• High penetration and comfort with use by elderly population
• New capabilities with motion sensing
Smartphones & Tablets
• Widespread use among clinicians and consumers
• Easy to deploy and diffuse new applications and solutions
• Addition of mobility increases value of apps
Telehealth Video Monitors
• Act as home hub for plug-in of various devices, support two-way communications
• Difficult to deploy and provision at large scale
• Will be displaced by consumer devices
Source: Frost & Sullivan.
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The Mobile Health Market
Fitness monitors
Activity monitors
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m-Health . . . Potential efficiencies in the system
The adoption of mobile healthcare technologies speeds up the process of delivering healthcare information and outcomes. More advanced mobile phone technologies are enabling the prospects for further healthcare delivery
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Opportunities in aged care
Australia is seeking to redesign its aged care system to meet challenges presented by the increasing demands of an ageing population, shifting consumer preferences and workforce shortages.
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Healthcare solutions provided by collaborations between telco and healthcare providers
Airtel, India’s largest mobile phone operator, has recently tied-up with Religare Technologies, a company controlled by promoters of the Fortis hospital chain, to offer healthcare solutions and guidance over telephone. By paying an introductory tele-consultation fee of Rs 15 ($0.25 cents) a call, Airtel customers can get basic medical guidance on non-emergency health problems through this service, 24 hours, seven days a week. Airtel charges ~ $0.50 for this call. The service is based on a protocol developed by Medibank Health Solutions, Australia
With a customer base of 173 million, Airtel’s latest value addition is expected to provide a productive platform for Religare to promote their e-health service.
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SAP’s focus on healthcare and its solutions portfolio
SAP has been providing solutions for the healthcare industry for a long
time. In 2012, the company elected healthcare as one of the five verticals
that it would focus on.
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Brand Equity
M2M Networking Technology
AT&T Healthcare Community Online
Medical Imaging Storage and Mgmt
Cloud Services, Managed Services
Data and Voice Services
Wireless Network, Device Support
Web/Video/Audio Conferencing
mHealth Platform
Sales Force
AT&T Key Value Propositions to Healthcare Stakeholders
Hospitals
Physician Offices
Application Developers
Consumers
Health Plans
Employers
Source: Frost & Sullivan.
#2013ictoutlook
Future Trends
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Mobile health continues to extend the reachability of healthcare platforms
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Advancements in mobile phone technologies are enabling prospects for improved healthcare delivery
#2013ictoutlook
HCIT Will Include The Entire Continuum of Care
Illne
ssW
elln
ess
CommunityInstitutionalHealth
Management
Primary Care Centre
Mobile Clinics
Home Care
Day CareHealth Centers:
Preventive, Nutritional, Alternative
Hospitals:Acute & Chronic Care
Workplace Wellness:
Nutritional, Fitness, Preventive
Hospitality Wellness: Spa,
Fitness
Medical Wellness:Spa, Nutritional, Rejuvenation, Rehabilitation
Assisted Lifestyle Villages & Townships
Healthy Villages
Retirements Homes
Fitness, Rejuvenation, and
Beauty Centers
Age Sphere: Lifelong Continuum“from womb to tomb”
#2013ictoutlook
The Future of Healthcare . . . .Linking Stakeholders From Different Industries
Community
Education Hospitality
Healthcare
Corporate Wellness
Medical SpaPreventive WellnessMedical WellnessCosmetic SurgeryNutritionalAlternative
SpaFitnessBeautyNutritional
Assisted LifestyleRetirement HomesHealthy VillagesWellness Villages
Primary
Courses
Secondary
Tertiary
Supportive Industries
#2013ictoutlook
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For Additional Information
Donna JeremiahCorporate CommunicationsAsia Pacific+61 (0) 8247 8927 [email protected]
Carrie LowCorporate CommunicationsAsia Pacific+603 6204 [email protected]
Jessie LohCorporate CommunicationsAsia Pacific+65 6890 [email protected]
