Healthcare 2.0

The State of Healthcare, Trends and Future Developments

Nick van Terheyden, MDChief Medical Officer

Agenda Healthcare Problems Current Proposals

Meaningful Use and Healthcare Reform Healthcare 2.0 and Social Networking Healthcare Future

Hospital Problems

4

Current Problems Facing Clinicians in Healthcare According to an American College of Physician Executives survey, 6

in 10 physicians have considered leaving the profession due to burnout low morale/depression loss of autonomy low reimbursement rates patient overload bureaucratic red tape loss of respect, and medical liability environment

“It's getting worse. It's almost like a snowball rolling downhill. No one ever taught us this in medical school. No one ever said, 'Folks, the world is going to change professionally for you, not only technologically, but also in the way that business is done.‘

Complexity and workload is crippling Physicians and hindering their ability to deliver High Quality Care

Total Health Care Expenditure as % of GDP

Or Put Another Way

Compare Healthcare to Other Industries

Buy a shirt in Tysons Corner

This triggers an automatic order to producer in Hong Kong

Producer aggregates orders and ships depending on real time demand

Order Arrives in Store with little or no human intervention

Doctor sees patient Hand writes a

prescription Multiple stops for the

patient before departing with piece of paper

Arrive at pharmacy and find script is incorrect or uncovered or not in stock

Plant Administration Pharmacy

$1,433

Foodservices

Lab

$3,233

About that BillRadiology$1,290

Cardiology$3,943

Billing

Intensive Care

$17,664

Operating

Room

$36,127

Meet Gerard Donovan….

... and his 150 medical staff...

Electronic Health Record Universe

Critical to the success of electronic health records is to reconcile two opposing needs

Enterprise need for structured and coded information capture

Physician’s practical need for a fast and easy method for creating clinical notes.

Reading to Keep up – Information Overload Today's experienced clinician needs close to 2

million pieces of information to practice medicine Doctors subscribe to an average of seven journals

representing over 2,500 new articles each year, making it literally impossible to keep up-to-date with the latest information about diagnosis, prognosis and therapy

Comparison of the time required for reading (for general medicine, enough to examine 19 articles per day, 365 days per year ) with the time available (well under an hour per week by British medical consultants, even on self-reports ).

Furthermore, the interpretation of patient data is difficult and complicated, mainly because the required expert knowledge in each of the many different medical fields is enormous and the information available for the individual patient is multi-disciplinary, imprecise and very often incomplete.

General Risks Odds of being an astronaut: 13,200,000 to 1 Odds of being struck by lightning: 576,000 to 1 Odds of becoming a pro athlete: 22,000 to 1 Odds of injury from fireworks: 19,556 to 1 Odds of being murdered: 18,000 to 1 Odds of injury from shaving: 6,585 to 1 Odds of injury from using a chain saw: 4,464 to 1 Odds of injury from mowing the lawn: 3,623 to 1 Odds of fatally slipping in bath or shower: 2,232 to

1 Odds of finding out your child is a genius: 250 to 1 Odds of getting away with murder: 2 to 1

Think about this…...

A. The number of physicians in the US is 700,000

B. Accidental deaths caused by physicians per year is 120,000

C. Accidental deaths per physician is 0.171 *

*Statistics courtesy of the US Dept. of Health & Human Services

A. The number of gun owners in the US is 80,000,000

B. The number of accidental gun deaths per year (all age groups) is 1,500

C. The number of accidental deaths per gun owner is .0000188 **

**Statistics courtesy of the FBI

Statistically, doctors are approximately 9,000 times more dangerous than guns

p < 0.0000000001

Healthcare Risks Chance of dying from SARS in the United States: 1 in

100,000,000 Chance of contracting the human version of mad cow

disease: 1 in 40,000,000 Chance of developing schizophrenia: 1 in 100 Chance of getting colon / rectal cancer: 1 in 26 Chance of getting the flu this year: 1 in 10 Chance of getting breast cancer: 1 in 9 Chance of getting arthritis: 1 in 7 Chance of suffering from asthma or allergy diseases: 1 in 6 Chance of getting prostate cancer: 1 in 6 Chance of having a stroke: 1 in 6 Chance of an American woman developing cancer in her

lifetime: 1 in 3 Chance of dying from heart disease: 1 in 3 Chance of American man developing cancer in his lifetime: 1

in 2

15

© Gartner Hypecycle for Healthcare Provider Technologies 2006

Healthcare 2.0 Takes 17 years for Medical Facts to

reach routing practice Publication system is flawed Web 2.0/Social Media represents a

new way of working – we must all interact

Science 2.0 – consumers share more observational data real time Medical Record Banking Patients Like me

time

anatomy function perfusion

flowviability

ViewForum MRcardio

Fused VisualizationsHemodyn

Blood-Flow Simulations

Flow velocity on a cut plane

along the centerline

Flow velocity profile

Flow velocity visualized with particles

Hemodyn

Perceptive Pixels - Multitouch

Where are we Headed in Healthcare

Nick van Terheyden, MD, CMO, M*Modal

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Nick van Terheyden, MDChief Medical OfficerM*Modal