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Stan Smits Philips Healthcare 14 May 2008 A vendor’s view on eHealth.

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Presentation on theme: "Stan Smits Philips Healthcare 14 May 2008 A vendor’s view on eHealth."— Presentation transcript:

1 Stan Smits Philips Healthcare 14 May 2008 A vendor’s view on eHealth

2 14 May Stan Smits Philips Healthcare 2 Source: Medistat Source: OECD, WHO, PH Internal Analysis US Healthcare Expenditure: ~ US$ 2,000 bln in 2007 ~ US$ 4,300 bln in 2017 Worldwide Healthcare Expenditure: ~ US$ 4,000 bln in 2006 US healthcare jobs vs manufacturing 19778% 22% %10% Source Wall Street Journal Healthcare is the world’s largest service sector Healthcare cost will grow from 9% of worldwide GDP in 2005 to ~11% in 2015 in US from 16% of GDP in 2007 to ~20% GDP in % 2% 4% 6% 8% 10%

3 14 May Stan Smits Philips Healthcare 3 Key challenges for the healthcare systems Building sustainable healthcare systems: Value-based reimbursement systems Reducing the prevalence of chronic disease Coping with the shortage in healthcare personnel Reducing healthcare variability Europe’s population by age groups, Source: OECD Health Care Quality Indicators Project Health Working Paper 22, 2006

4 14 May Stan Smits Philips Healthcare 4 Value-based healthcare delivery From focus on Cost to focus on Value Value for patients: –Outcome: mortality, morbidity, physical and mental stress, length-of stay –Avoiding medical errors –Disease specific Care Cycles Value for society: –Increasing the health of the population and thus economic value Value for healthcare systems: –Continuous improvements for more effectiveness and efficiency –More competitive healthcare delivery eHealth is pivotal in this transformation to value-based healthcare delivery

5 14 May Stan Smits Philips Healthcare 5 eHealth definition* 1.Clinical Information Systems a)Specialized tools for professionals within care institutions b)Tools for primary care and/or outside the care institutions 2.Telemedicine and Homecare a)Personalized health systems and services, disease management (usually connecting patient to nurse) b)Tele-medicine, tele-radiology, tele-care, tele-consultation (usually connecting physician to physician) 3.Integrated regional / national health information networks 4.Secondary usage non-clinical systems * Definition agreed with the ehealth Industry Stakeholders Group reporting to the i2010 subgroup on eHealth

6 14 May Stan Smits Philips Healthcare 6 “eHealth is worth it”: Case study of 10 projects with policy recommendations “Accelerating the development of the eHealth market in Europe”: lead market initiative FP7 ICT challenge 5: towards sustainable and personalized healthcare Artemis SP2: Person-centric health management ITEA2 Roadmap 3 attention for health in the Me, Group and Society domains eHealth high on the i2010 agenda

7 14 May Stan Smits Philips Healthcare 7 2. Process Prevention DiagnosisTreatmentSurveillanceScreeningManagement Information and Communication eHealth key enabler in driving new care delivery models… … which together deliver a full set of care to a patient with a medical condition

8 14 May Stan Smits Philips Healthcare 8 …by integrating patient information…

9 14 May Stan Smits Philips Healthcare 9 Discovery to Balloon: Treatment of Heart Attack Advanced life support monitor Reliable 12-lead transmission 12-lead forwarding & viewing Expedite Emergency Department care Cath Lab or Thrombolytic therapy Discover Diagnose Monitor MRx Monitor/Defibrillator Transmit Bluetooth over the Internet View 12-lead Transfer Station Transport IntelliVue Monitor Treat Allura 3D-CA Cath Lab Treat ECG Activate Cath Lab Simultaneous Pagers to all Cath Lab staff 12-ld ECG to Cardiologist’s Hand-held device Improve Workflow : Measure component times & feedback …into Care Cycles (1)

10 14 May Stan Smits Philips Healthcare 10 …into Care Cycles (2) ElectroPhysiology: Integration of information

11 14 May Stan Smits Philips Healthcare 11 …into Care Cycles (3) Dutch Mammography Screening: 1 Million exams per year Exporting and importing > 450 GB per day % uptime garantee for each component More than 835 employees Unique screening worklow 52 Mobile units

12 14 May Stan Smits Philips Healthcare 12 prevention self care self pay chronic care home care insurance eHealth for connecting lifestyle and healthcare Examples: FP6 MyHeart: Fighting cardiovascular diseases by prevention and early diagnosis FP7 HeartCycle: Closed-loop management of medication and lifestyle compliance

13 14 May Stan Smits Philips Healthcare 13 FP7 Project Start:March1, 2008 Duration:4 years Partners:19 (9 countries) Announced EC-funding:~14.1 M€ –Largest FP7 project in “ICT for Health” Coordinator:Philips Patient Compliance is a major problem in healthcare today. Aim: Closed-loop management of medication and lifestyle compliance Applications: Heart Failure & Coronary Heart Disease Solution: –Multi-parametric monitoring of vital signs and other variables –Physiological and statistical modelling of medication and lifestyle effects –Motivating patients to adhere to treatment regime –Decision support system for physicians and patients

14 14 May Stan Smits Philips Healthcare 14 eHealth as a key enabler for Home Healthcare Both in the “prevention” stage and “surveillance” stage of the care cycle, Home Health needs to be integrated into the overall care-cycle view Effective chronic disease management and post-discharge monitoring improves patients’ quality of life and reduces recurring hospitalization Telemonitoring proven to reduce cardiac re-hospitalizations for CHF patients 1 eHealth enhances patients’ compliance and self-care regimen 1 TEN-HMS Study published in JACC, May 17, 2005; John GF Cleland, MD, Aggie Balk, MD, et al clinical investigators

15 14 May Stan Smits Philips Healthcare 15 Many grassroots eHealth activities Microsoft HealthVault GoogleHealth Many Web 2.0 mash-up services $ versus $301.23!!

16 14 May Stan Smits Philips Healthcare 16 How to encourage adoption of eHealth Create a lead market for eHealth at European, national and regional level to connect healthcare providers across the care- cycle, including family doctor, pharmacy, hospital and home care provider Address increase in evidence requirements, also in Europe and the slow adoption of proven innovations in the medical community – 15 years from proof of concept to mainstream Foster international standards and profiles for eHealth interoperability (DICOM, HL7, IHE, Continua)

17 14 May Stan Smits Philips Healthcare 17 In summary, eHealth can catalyze the transformation to value-based healthcare delivery Shift from expensive treatment of acute disease in hospital setting to more cost-effective prevention in the primary care setting (however also requires reimbursement incentives) Reduce prevalence of chronic disease through early detection and lifestyle compliance Reduce the healthcare burden of treating the chronically ill Support independent living of the elderly Increase productivity to reduce demand for scarce talent and cost Increase quality of care using Clinical Decision Support tools Improve quality of care and reduce costs through minimally invasive procedures

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