Making Sense of the Healthcare IT Landscape

Elad BenjaminCEO

Zebra Medical Vision

It’s a Jungle Out There…

• Over 1,000 exhibitors at HIMSS 2015• Extremely fragmented market• Unclear boundaries and division of responsibilities

between market participants– Difficult to differentiate between companies and products– Company claims are typically heavily discounted by providers

• Financial interests are not aligned between all constituents

• Interoperability is difficult, despite standards• Messaging across many companies is nearly identical• Can be overwhelming to make sense of it all…

When looking at a company, how can you tell what they actually do?

• We’ve divided the market to six categories*

• Determining where a company belongs, helps understand their basic value proposition and place in the financial food chain

• Remember – many companies offer products across multiple categories

* These categories purposely simplify the complex structure of the HIT market, and it is understood that there are numerous exceptions and outliers

The Six Healthcare IT Vendor Groups

Builders

Integrators

Communicators

Reporters

Teachers

Aggregators

Builders

• Companies and products that create the basic IT building blocks for providers

• These can be departmental or hospital wide information systems or derivatives thereof

– CIS, LIS, HIS, RIS, CVIS, EMR, EHR, etc

• They represent the tools that manage, run, report and control the day to day operations of care providers

Integrators

• Connect the myriad of systems, devices and providers

• They can be niche products for particular types of information, or large scale integration engines for enterprise interoperability

• Strong integration engines can create smooth, seamless working environments, whereas poor engines actually hurt performance and make it impossible to be efficient in the long term

Reporters

• Companies or products that assist in meeting regulatory or governmental reporting or certification requirements

• These include, among others:– PQRS– QMPS– CAHPS– GPRO– Meaningful Use

• Well integrated and robust solutions can have significant revenue impact on institutions

Communicators

• Provide channels of communication between the various HIT participants

• These can be for care management, compliance, triage, telemedicine, education or other needs

• Efficient communicators can significantly boost patient engagement, as well as create trust and accountability between patients, physicians, providers and payors.

Aggregators

• Infrastructure solutions that help organizations consolidate large quantities of disparate data into one common platform

• They often include hardware components, hosting and storage

• Some provide middleware layers that assist in indexing and structuring data for easier use by 3rd party tools

Teachers

• Analyze the vast amount of data stored in consolidated or disparate platforms

• Provide clinical, financial or other insights based on data

• Some focus on specific data types, hospital departments or IT activity, while others attempt to create insights based on multiple types of HIT data

Government

Patients

Payo

rs

Pro

vid

ers

BuildersDepartmental or

hospital wide information systems,

decision support systems, management

systems

ReportersPQRS, QMPS, CAHPS,

GPRO, Meaningful use

IntegratorsConnect disparate systems,

machines to systems, providers to each other,

Both niche and enterprise players

CommunicatorsProvider – patient

Payor – patientPatient – physicianPhysician – payorProvider – payor

TeachersAnalyze data to produce Clinical,

financial, operational insights

AggregatorsProvide data

Infrastructure, HW, SW, storage, hosting

Big Data

= Flow of information

Healthcare IT – Flow of Information

To Sum It Up…

• A complex business environment has created a complex myriad of solutions

• Hopefully over time, the HIT market will mature, and more straightforward roles & responsibilities will emerge

• In the meantime, we hope we’ve helped you make sense of some of it!