Healthcare Challenges are rising Increasing Regulations Aging Population Expensive Technology Reduced Reimbursements Labor Shortages Healthcare faces myriad of regulations Shortage of trained nurses Rising expense of technology is impacting cost Increased utilization of healthcare services Healthcare Industry
European countries are world leaders in healthcare quality CountryRank France4 Spain6 Japan9 Netherlands19 Sweden21 United Kingdom 24 Switzerland26 Canada35 Germany41 United States 72 *World Health Organization, 2002 The Comparative Efficiency Of National Health Systems In Producing Health – An Analysis Of 191 Countries*
The “EMR Adoption Gap” The United States versus others Primary Care Physician Office CPR Use by Country, 2002 Source: "European Physicians Especially in Sweden, Netherlands, and Denmark, Lead U.S. in Use of Electronic Medical Records." Harris Interactive Health Care News 2(16).
The Microsoft Healthcare Vision Enable the transformation of healthcare delivery through innovative technology & partnerships that advance public health programs by enabling connected citizen care, improving quality of care & safety, and reducing the healthcare cost burden
Healthcare Challenges are rising Where can Microsoft help? Increasing Regulations Aging Population Expensive Technology Reduced Reimbursements Labor Shortages Healthcare faces myriad of regulations Shortage of trained nurses Rising expense of technology is impacting cost Increased utilization of healthcare services Healthcare Industry
IT Spending – Opposing Forces $ Billions Source: McKinsey Actual IT Spend 15% CAGR Growth Expected Total IT Spend Growth During Bubble Desired Mix Source: Accenture
Improved Outcomes for Patients, Clinicians and Governments Infrastructure Infrastructure Systems Management, Directory, Security, Disaster Recovery, Business Continuity Lifetime Clinical Record Long Term Condition Management Outcome Based Funding Independence Independence Mobility, Remote Access, Inclusion EMR/ E Prescribing Information Information Messaging, Portals, Real-Time collaboration, Business Intelligence, ERP Community EMR MPI National – State – Local - Patient Information Hub Identity Identity Single Sign On, Role Based Access, Privacy, Federated Identity Developed – Emerging – DRE Healthcare LCR MicrosoftValueConnectedProductiveBestEconomicsDependable Clinical Decision Support Healthcare Transformation through Technology Healthcare Transformation through Technology Service Delivery Reform Integration Integration Interoperability and Orchestration Industry Standards Respect for Privacy Improve adoption Leverage legacy apps Scalable and robust Data Aggregator BI Engine Visualization and Analysis Disease Surveillance Real Time Data Consolidation Deployment System Mapping Clinical Messaging PACS Clinical Coding Community Data Collection Electronic Referrals Tele Medicine Genomic Medicine Health ID Cards Call centre & online Triage
Microsoft’s value proposition Connected – Interoperable by design Connected – Interoperable by design Productive – Familiar tools to automate the way you work Productive – Familiar tools to automate the way you work Best Economics – Driving down the cost of healthcare technology Best Economics – Driving down the cost of healthcare technology Dependable – Proven and Robust Dependable – Proven and Robust MK
Healthcare Integration Application Platform and Integration (e.g. Electronic Health Records) National Health Information Network and Regional Health Information Orgs Business Solutions/ Microsoft Dynamics Business and Patient Intelligence Portals and Collaboration Real-Time Communications Mobility and Devices Collaborative Healthcare
Connected Information Committed To Open Standards & Interoperability www.w3c.orgwww.ieee.orgwww.ietf.orgwww.ws-i.org Actively participating with standards bodies: www.oasis-open.org
Source: Modified from World Bank, McKinsey, IGES, IDC and Gartner HardwareSoftware
Integrated Communications Simplification of the myriad of options is the key to value WWW Anywhere Access to Full Range of Services Seamless Movement Across Services In Context “Presence” PC Telephony Integration
Improving organizations by providing business insights to all healthcare actors leading to better, faster, more relevant decisions Integrated platform and applications Integrated platform and applications Secure and personalized Secure and personalized Collaborative Collaborative Cost effective and comprehensive Cost effective and comprehensive Note: Give a box or some “framing” to the text (just the top text) Business Intelligence Vision Better Health
Knowledge Discovery and Insight Analyze data and display key performance indicators Prototype only Track performance with KPIs See trends on the server that flow through Excel
Well@Home Patient Monitor Powered by Microsoft Windows CE Blood Pressure Blood Pressure Blood Oxygen Saturation Blood Oxygen Saturation Temperature Temperature Heart Rate Heart Rate ECG ECG Respiratory Rate Respiratory Rate
HealthGear Sleep Apnea Monitor HealthGear is a real-time wearable system for monitoring, visualizing and analyzing physiological signals. HealthGear consists of a set of non-invasive physiological sensors wirelessly connected via Bluetooth to a cell phone which stores, transmits and analyzes the physiological data, and presents it to the user in an intelligible way.
Short to mid-term challenges Chronic Care needs will grow because of pathologies related to aging and lifestyle Chronic Care needs will grow because of pathologies related to aging and lifestyle We have to rationalize our healthcare technology, infrastructure, and delivery systems We have to rationalize our healthcare technology, infrastructure, and delivery systems We need simple solutions based on familiar components We need simple solutions based on familiar components We need to move from cost-shifting between Medical Specialisms to Intelligent Patient Management We need to move from cost-shifting between Medical Specialisms to Intelligent Patient Management We need to focus on Prevention We need to focus on Prevention
Here’s the transformation cookbook- Step by Step Electronic Record Keeping incl. patients Health Network & Secure e-mail Access to Key Event Summaries ePharmacy eLabs Hospital Discharge Summaries National Network Strategy Chronic Care & Disease Manage National System Access Electronic Referrals National Outpatient Collection Healthcare Analytics Health Network & Secure e-mail ePharmacy eLabs Hospital Discharge Summaries Chronic Care & Disease Manage Electronic Referrals Current State Range Health Network & Secure e-mail Electronic Record Keeping incl. patients Source: NZ Health Ministry NJ Access to Patient Health Demographics Access to Key Event Summaries Hospital Discharge Summaries Access to Patient Health Demographics Long Term Care Community Primary Care Secondary Care Regional/ National/ International Access to Key Event Summaries Access to Patient Health Demographics Chronic Care & Disease Manage Access to Key Event Summaries Access to Patient Health Demographics Electronic Record Keeping incl. patients Access to Key Event Summaries Access to Patient Health Demographics
Who is going to enable this? Chief Medical Information Officer Role IT Champion for clinical community IT Champion for clinical community Provides direction and leadership for physician aspects of clinical information system design and use Conduit of communication to and from medical staff to IT Responsible for linking IT strategy to overall quality Responsible for linking IT strategy to overall quality Responsible for the integration of clinical quality and care management with information technology Represent best interests of medical staff Represent best interests of medical staff Works with the chief information officer’s team with responsibilities for representing physicians and clinicians in information technology strategic planning, project implementations, training programs and service delivery
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