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To be, or well be, II Teknologiat osana palveluprosessin muutosta Jaana Tuominen, GE Healthcare.

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Presentation on theme: "To be, or well be, II Teknologiat osana palveluprosessin muutosta Jaana Tuominen, GE Healthcare."— Presentation transcript:

1 To be, or well be, II Teknologiat osana palveluprosessin muutosta Jaana Tuominen, GE Healthcare

2 GE Healthcare

3 3 /GE TechnologiesBio-Sciences Molecular Diagnostics Information Technology Pharmaceutical Solutions Imaging and Intervention GE Healthcare: A Unique Collection of Expertise… …creating advanced diagnostics

4 4 /GE Need a fundamental change … 50% die after 1 st heart attack Heart Disease One person in three will have cancer Cancer 20% aged 75-84 suffer from Alzheimer’s disease Brain Disorders

5 5 /GE A new age of medicine 21 st Century Personalized Healthcare Predict Diagnose Inform Treat

6 6 /GE If we can detect it here, it may never appear here.

7 7 /GE Predict See the future. Change the future. Molecular understanding of diseases A new generation of diagnostics Identify the “genetic fingerprints” of disease Predict disease before the onset

8 8 /GE Diagnose The earlier you detect disease, the earlier you can deal with it. Transformational medical imaging and medical diagnostics Visualize and analyze disease at a molecular level Diagnose disease more precisely – based on the individual patient Improve patient outcomes

9 9 /GE Inform Enable better care through molecular knowledge. Provide life-critical patient information – when, where and how it’s needed Empower through information about “genetic signatures” Tailor treatment to the patient Monitor and manage the efficacy of personalized therapy

10 10 /GE Treat Read the genes. Tailor the treatment. Understand disease at a molecular level Develop more targeted and effective therapies Enable the development of new, more targeted drugs… faster

11 11 /GE GE Healthcare Vision At GE Healthcare, We Strive to See Life More Clearly We Help Predict, Diagnose, Inform and Treat So That Every Individual Can Live Life to the Fullest

12 The Emerging Era of Chronic Disease

13 13 /GE Response Needed for a New Era 1900-1950 Era of Infectious Disease Care 1950-2000 Era of Acute Care 2000-2050 Era of Chronic Care Era of Chronic Care requires collection and management of patient medical information outside of the traditional hospital setting.

14 14 /GE Population Managing Multiple Diseases Medical progress often turns an acute condition into a chronic one. Ex: 40% decline in mortality from coronary heart disease since 1980, but more people are living with survival effects. A chronic condition lasts more than one year, limits a patient’s abilities and requires ongoing care. Chronic conditions include: Cardiovascular disease Diabetes Hypertension End-stage renal disease (ESRD) Chronic obstructive pulmonary disease (COPD) Osteoporosis Arthritis Some types of cancers Asthma Neurodegenerative disorders (Alzheimer’s, Parkinson’s, etc.) Chronic pain Stroke and other brain injuries

15 15 /GE Chronic Health Impact Patients With Chronic Conditions Account For: 55% 66% 96% 60% 80% Supply Demand US Supply & Demand for Registered Nurses Pending Dr. & RN Shortage Rising Costs of Healthcare Quality of Care Dilemma Medicare Expenditures Per # of Chronic Conditions 60 Million Americans with 1 Chronic Disease 157 Million Americans with 1 by 2020 Medicare Insolvency by 2019 Direct Costs $510 Billion, to $1.07 Trillion, 2020 80% of Healthcare Costs on 20% of Population Chronic consuming 70% of Prescription Drugs

16 Ambulatory Care – to address chronic diseases

17 17 /GE Ambulatory Care Chronic patient, managed at home Congestive Heart Failure Ambulatory diagnostic device + connection to physician & EMR Asthma and COPD Therapeutic dose monitoring + Address Key Disease States… Ambulatory Monitoring… Enables early intervention Improves patient outcomes Reduces hospitalization costs Increases Cost Savings Increases patient compliance Improves provider productivity Improves quality of life MSU Telehealth Case Study: Ambulatory Monitoring Solution reduced… Total Bed Utilization  55% CHF Patient Hospital Utilization  43% Urgent Care Visits  35%

18 18 /GE Market Drivers Aging population Acute conditions  chronic conditions Acute intervention  managed care Increasing patient consumerism - “Worried well” Need for cost reductions in healthcare systems Changes in reimbursement to encourage outpatient care Improvement in communications access (Source: F&S 2004 US RPM)

19 19 /GE Market Restraints High cost and inflexibility of products Limited scope of reimbursement Documentation of outcomes Legal issues (e.g. state licensure issues) Lack of standardization of clinical protocols Privacy concerns Tight budgets with home health care Lack of physician acceptance (Source: F&S 2004 US RPM)

20 20 /GE Product Needs Low cost Flexibility Ease of Use (single button, voice prompts) Unbreakable Designed for home environment Communications requirements Key CHF Parameters… Weight SPO2 ECG Heart Rhythm Blood Pressure Drug Compliance Activity Level Nutrition/Diet

21 21 /GE Remote Patient Monitoring Overview Sensing Smart alerts Wireless platform Information portal Telecommunication Information interface Customer interface Data management Non-professional caregivers Professional caregivers Alertee (e.g., FNP) Physician Data alert Configured Data EMR/ Patient dashboard Central platform Algorithm Home hub Data Results PC/TV Network / Data Pre-prosessing Novel algorithms, modeling Existing algorithms Decision Support Configurable Alerts EMR Integration Patient Access Non-invasive sensors Novel Parameters Drug Compliance Patient Triage Educate Patient Engage Family Patient

22 Remote monitoring and viewing – opportunities in the near future

23 23 /GE The story of Joe Doe Telemetry patient John Doe is going to have a cup of coffee in the hospital cafeteria. 14:32:23 RN M. Smith receives the ‘ST high’ alarm in her PDA. She checks the snapshot, acknowledges the message and hurries to the patient. 14:32:28

24 24 /GE After examination she decides to consult Dr. S. Jones who is the physician in charge of John Doe. 14:33:32 The message shows the snapshot and RN Smith’s request for advice 14:33:55

25 25 /GE After looking at the John Doe’s snapshot and real-time and trended data, Dr. Jones gives care instructions to RN Smith RN Smith makes the lab test order electronically with her PDA 14:35:12 14:36:38

26 26 /GE The lab results are ready and they are sent to Dr. Jones automatically by the system Dr. Jones makes the drug order with his PDA, and sends it to RN Smith 15:17:09

27 27 /GE RN Smith receives the drug order and administers the drug in John Doe’s IV bag RN Smith documents the drug treatment utilizing the bar code scanner that is built-in her PDA 15:21:17 15:22:50


29 29 /GE

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