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What we do today, shapes our thinking of tomorrow.

An Observation on Operating Room Integration Trends 2014-2015

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What we do today, shapes our thinking of tomorrow.

There are 5 Undeniable Truths Affecting Worldwide

OR Integration

A WAR exists Between Old Thinking and New Perspectives

1

The Battle of Alesia(52 B.C.) Gauls vs Romans

• With the fall of Alesia: within a year all of Gaul became a Roman province

• It lead to the conquering of Britannia

• It aligned Celtic with Latin and was the formation of the Romance Cultures

• It changed Roman history: It forged the Roman Empire as the World Leader and it strengthen the trade routes which provided economic superiority and stability for years to come

• It solidified in history Julius Caesar‘s standing as a Military Genius

• Pinpoint precision and focus through better organizational strategy created solid offense

• Even at formidable odds at one point 6:1 perseverance signifies success

• You need to work smart, look for opportunities, and take advantage of any situation

• Cooler heads prevail. Don’t act rashly

• Must assertively act and other’s over-confidence can be their greatest weakness

Focus and Adaptability will Lead to Success

2

The Landscape Affecting Current Traditional Thinking

Act rather than Re-Act:

• Complete features to catch up to industry standards

• Developing systems which matter and differentiate us from others

• Lead by example and become clinical experts other will choose to emulate and follow

FACT:

You risk falling behind

No Fate is Set and Pre-Ordained

3

They are all now only part of History

Being Caught Off-Guard.No one wants to get CRUSHED !

Negativity and Complacency

4

is a CANCER

You must decide to be either an AV company or a Medical Consultation Company

5

Many More will followin the field of AV Medical Integration Diluting the

Experience

What Clients are Demanding in Digital Healthcare

Clinical Integration  and Safety is Key to Success

1. Workflow Automation2. Procedure Optimization / Create Best Practice Approach and Track Operating 

Parameters3. Creating a Value : Patients, Doctors, and the Hospital. 

How to meet the growing challenge:

1. High Quality / Reliability2. Provide a “Best Practice” approach  defining instrumentation 

requirements, and safety protocols3. Reduce costs by providing a single vendor solution for clinical 

needs – Turnkey Projects: Encourages Compliance to Standard Contract

Urgency to unlock and understand the next frontiers . . . the potential

EMR Connectivity

1

Endoscopy: Expected Growth of 23.2B in Sales by 2020Cardiology: Expected Growth of 57.3B in Sales by 2020Diagnostic Imaging: Expected Growth of 47B in Sales by 2020

Key Trend:

A. Hospitals pursuing cost savings to create more thru-put

B. They want more “plug and play”

C. Any new technology must integrate with EMR to improve productivity and efficiency

D. They want “smarter” use of the space

• By 2016, Forecasted Revenue to Reach 30 Billion in Expenditures (USD)

• Driven by Government Incentives• Championed by Several Governments

including: Australia, Canada, China, and US

Electronic Medical Systems

Global EMR/EHR market forecasted to reach $22.3 billion (USD) by the endof 2015

* Compound Annual Growth Rate - CAGR

“ EMR services coupled with innovative solutions will allow vendors toflourish” – 2014 Accenture Analysis and Technology Consulting

mHealth and Telemedicine

2

7 Global Key Trends Impacting Telehealth

1. Shift Away from reimbursement model to operational

2. It will be seen as the Standard of Care

3. More remote clinics4. An exponential rise to

virtual medical centers5. mHealth ideas will

expand6. Individual Programs

will diminish, but Networks of Experts will increase

7. Increase in Internet Bandwidth will open borders globally

4.5 Billion Globally by 2018

Telemedicine is Growing in Momentum within Healthcare

Patient Requests and Mandates will drive this market . . . . They are becoming more educated.

Telehealth is expanding its influence . . . .

Investments will continue to be made to meet those needs: 4.5 Billion Globally by 2018

The shortage of medical doctors has become a serious social problem in Japan. Doctors, themselves must speak up on the present crisis or the entire medical service system of Japan would collapse. There is not a single prefecture where in urban areas sufficient number of doctors are secured……. this causes serious negative effects on the quality and safety of medical services- Dr. Honda Hiroshi, Vice-President of Kosei-kai Kurihashi Hospital in Saitama

A record 16,381 people in serious condition were refused admission by hospitals three times or more during ambulance transport in 2010, up 3,217 from the previous year. The agency said the rise came as hospitals are yet to be prepared to receive an increasing number of elderly patients in aging Japan. - Kyodo, Mainichi Japan,

“it will, in the coming years, transform the medical practice – even the way in which we conceive of our health system…. It will facilitate both group and multi-disciplinary practice – sharing competences, accelerating exchanges, reinforcing patient safety and improving patient care. The effectiveness of these systems is proven and their deployment is a priority”

Roselyne Bachelot-NarquinFormer French Minister for Health and SportThe Telemedicine Challenge in Europe, The European Files Vol 20, June/July

"There is nothing more difficult to take in hand, more perilous to conduct, or more uncertain in its success, than to take the lead in the introduction of a new order of things.“

Niccolo MachiavelliThe Prince (1532)

We are many, but one . . .