The Promise of Integrated Healthcare: Health Information Systems


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The Promise of Integrated Healthcare: Health Information Systems

  1. 1. The Promise of Integrated Healthcare How can Health Information Systems Help? Bhargav Rajan, Research Analyst Healthcare July 31, 2014 © 2014 Frost & Sullivan. All rights reserved. This document contains highly confidential information and is the sole property of Frost & Sullivan. No part of it may be circulated, quoted, copied or otherwise reproduced without the written approval of Frost & Sullivan.
  2. 2. 2 Today’s Presenter Industrial experience in biomaterials, tissue engineering, wound healing, implants and devices Tracking emerging technologies, competitive benchmarking and opportunity landscape, with expertise in: Medical devices and imaging Clinical diagnostics Innovations in healthcare systems and delivery Frost & Sullivan research publications (Most recent): Innovations in Home Medical Devices & Integrated Healthcare (June 2014) Technologies Enabling Home Medical Devices & Integrated Healthcare (June 2014) Top Medical Technologies for 2014 (February 2014) Advances in Smart Pills (October 2014) Bhargav Rajan, Research Analyst Frost & Sullivan Follow me on: (Connect with social media)
  3. 3. 3 Focus Points What is integrated healthcare (IHC)? What are the different IHC models? What is the need for IHC? IHC adoption - Drivers and Challenges 4 Pillars of IHC Health information systems - introduction and segmentation HIS - Drivers and Challenges Global Mega Trends and collaboration potential Roadmap - What to expect from HIS
  4. 4. 4 Healthcare Consumerism – Patient or Consumer? or Are healthcare end users “Patients” or “Consumers”? Patients: Passive, uninformed, hands-off - implies that they are taken care of, rather than being actively engaged in the healthcare process. Consumer: Actively engaged in healthcare process; demanding; “consumer experience” from other industries; interactive process Reducing gap between patient and consumer Integrated Healthcare (IHC): The design, management and delivery of health services so that clients receive and perceive a continuum of health promotion, health protection and disease prevention services, as well as diagnosis, treatment, long-term care, rehabilitation and palliative care services through the different levels and sites of care within the health system and according to their needs – WHO 2013 Importance of IHC: Patient-centric system Services across the continuum of care Efficiency and transparency in services Consumer demands: Round-the-clock services, convenience, flexibility, freedom and mobility IHC Enabling features IHC Drivers and challenges
  5. 5. 5 Changing Healthcare Trends Sphere of Innovation Focus Approach Information Exchange Dispensation Decision Making Objective Partnerships Traditional Healthcare Systems Integrated Healthcare Systems Provider-centric healthcare model Patient-centric healthcare model One-size-fits-all treatment Customized and personalized treatment Unidirectional, unstructured Bi-directional, organized Centralized and hospital-based De-centralized and community-based Physician-expertise driven model Healthcare analytics-driven model Treatment of disease Prevention of diseaseEmergingTrends Individual, physician expertise Collaborative, consultative model
  6. 6. 6 How is IHC Delivered? Integrated Healthcare Physician Hospital Organization (PHO) Management Service Organization (MSO) Group Practice without Walls (GPWW) Health Maintenance Organization (HMO) Staff Model HMO Group Model HMO Network Model HMO Individual Practice Association Model HMO VerticalIntegration Horizontal Integration • Merging of organizations and teams that are specialized in different services. • Clumping together similar teams • Merging physician practice with hospitals, payers, healthcare providers, information technology support and other specialized service providers. • Improving efficiency, scope of services and financial consolidation. • Merging or consolidation of organizations at a similar or comparable levels of services. • Example: Outpatient clinics across geographies in order to create a network of such clinics. • Expand presence/footprint • Optimize resource utilization • Financial strengthening • Managerial challenges
  7. 7. 7 The 4 Pillars of IHC Source: Marino DJ (2012); Frost and Sullivan Integrated Care Systems Leadership • Governance Body • Compliance • Business model • Work Culture Allied Incentives Clinical Programs Technical Infrastructure • Physician Engagement • Staff Support • Performance- tagged Incentives • Disease Management • Palliative care • Population Health Management • Tools and Devices • Content Digitization • Network and Connectivity • Interfaces •PACS •EHR, EMR •CPOE, RCM •Rostering •Cloud •IoT •Big Data •Biometrics •RFID/NFC •Apps and software •Integration •PDA, phones •RPM devices •mHealth •Medical devices Tools & Devices Interfaces Information Exchange Network & Connectivity Enabling Infrastructure
  8. 8. 8 What are Health Information Systems (HIS)? Health Information Exchange Non-Clinical Information Systems Revenue Cycle Management Rostering and Scheduling Administrative Information Systems Clinical Information Systems Laboratory Information System (LIS) Operating Room Information Systems (ORIS) Pathology Information Systems (PIS) Radiology Information Systems (RIS) Health Information System Electronic Medical Records (EMR) Patient Portals Health Informatics Picture Archiving and Communication System Source: Frost and Sullivan analysis • $46 bn revenue loss (2012) • US market size: $12 bn (2012) • CAGR: 4% • $23 bn market • CAGR: 5 - 7% • NA ($9 bn), EU ($7 bn) and APAC ($8 bn) • > $250 mn US market • CAGR: ~22% • ~300 companies; 10% hospitals own system
  9. 9. 9 HIS – Market Forces Drivers DriversRestraints Restraints Long term: 4-5 years Short term: 1-3 years Need for improved decision support and analytics Cost reduction, elimination of redundancy and manual processes Emergence of integrated healthcare systems and new business models Need for efficiency and flexibility in workflow Lack of standardization Interoperability Budget Constraints Source: Frost & Sullivan analysis Rapid advances in IT and ICT technologies power innovations in health infrastructure End-user Compliance
  10. 10. 10 Alignment with Global Mega Trends Customer Focus Professional Consumer Industry FocusInformation & Communication Technologies Healthcare I Video Conferencing Personal Health Programs Patient portals Fitness apps Community programs Digital Imaging EHR Web-MD services Wellness apps Remote Patient Monitoring Physician assist software ePayment gateways Remote Specialist Services Diagnostics PACS II III IV • Mega Trends: Mega Trends are global, sustained and macroeconomic forces of development that impact business, economy, society, cultures and personal lives, thereby defining our future world and its increasing pace of change. Connectivity & Convergence - Future of Mobility - Social Trends - Beyond BRICS - New Business Models - Bricks & Clicks – Urbanization - Health, Wellness & Wellbeing
  11. 11. D540-TI 11 Technology Roadmap Adoption of Health Information Systems 2014 2018 2019 Patient Portals Electronic Medical Records Virtual Community Support Groups Predictive analytics Population health informatics Increasing adoption of non-clinical, financial and administrative workflow systems Early adoption of clinical information systems Complete transfer to ICD-10 coding systems Further adoption of clinical information systems Creating of national and regional health information repositories Use of health analytics in framing policies, creating infrastructure, distributing supplies Predictive analytics, epidemic control, preparing for seasonal diseases Personalized healthcare services Source: Frost & Sullivan Analysis 2011 2015 2022 Administrative Workflow Systems Revenue Management Health and Wellness Applications Meaningful Use Stage 1: 2011 Data capture and sharing Meaningful Use Stage 2: 2014 Advance clinical processes Meaningful Use Stage 3: 2016 Improved outcomes
  12. 12. 12 The Last Word – Can HIS Ensure IHC? Adoption potential: • NA, EU, APAC, ME Kaiser Permanente (Oakland, CA) – • Largest integrated healthcare institution • > $4 billion in 10 years for HIS • 9.1 million users 34 mn test views; 3.6 mn appointments; 15 mn emails; 15 mn e-prescriptions Investments by IT giants – Microsoft, IBM, Dell, Google • VC funding $1.2 bn (2012); $2.2 bn (2013); $900 mn (Q1 2014) ~ $5 bn since 2010 • GE Healthcare $2 bn between 2013-2017 towards data analytics, HER • Google Ventures: $130 mn Series B in Flatrion Health - Big data in cancer imaging and diagnosis • IBM Watson: $23 mn Series C in Welltok – Social Health Management Incentives by governments: • Meaningful Use program: Stage 1 (completed in 2011), Stage 2 (2012-2014), Stage 3 (2015 - ) • Financial incentives for meaningful use of health information systems • Data acquisition Clinical use Analyticsa
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  14. 14. 14 Your Feedback is Important to Us Growth Forecasts? Competitive Structure? Emerging Trends? Strategic Recommendations? Other? Please inform us by “Rating” this presentation. What would you like to see from Frost & Sullivan?
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  16. 16. 16 For Additional Information Jennifer Carson Corporate Communications Healthcare (210) 247-2450 Bhargav Rajan Research Analyst Technical Insights - Healthcare (044) 6160-6666 Ext 4114 Sandhya Kamath Research Manager Technical Insights - Healthcare (91) 99003 44552 • Bernard Weber Sales Director Technical Insights +44 207 343 8352