Oracle - 9iun2011


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Oracle - 9iun2011

  1. 1. Building eHealth Solutions on Oracle – Bestpractice from Europe and BeyondMiroslav Koncar, PhDHealthcare Business Development Director, OracleBucharest, 9th of June 2011
  2. 2. Contents• The value of IT in healthcare – what is eHealth all about?• Oracle in eHealth – Learning by Examples• Conclusions and Final Remarks
  3. 3. Healthcare expenditure across Europe Total HC expenditure as % of GDP 12,0• Healthcare Expenditure (HE) 10,0 % GDP • EU - Reaching 9% of GDP and $3000+ 8,0 6,0 PPP in most developed economies 4,0 • Romania HE growth on per capita 2,0 0,0 2000 spending by 98% (2000-2007) 2007 • BMI forecasted Romania’s total HE growth from RON23.47bn (US$7.75bn) in 2009 to RON24.77bn (US$7.81bn) in 2010.• Reasons for High Costs? • Misbalance on supply and demand • Impact of the ageing population and chronic Per capita total expenditure on HC (USD, diseases - hospital centric system does not PPP) support continuity of care 4 000 • Missing performance incentives for USD, PPP 3 000 providers network 2 000 • Duplication and overhead (administration, 1 000 diagnostic procedures) 2000 0 • Drugs adverse events and information 2007 underuse • Resources utilization *source: McKinsey, WHO, OECD, Emprica, Business Monitor International
  4. 4. eHealth in Healthcare Brothers in Arms• Some of the Key Messages from Analysts • eHealth is part of health strategy – usage of IT needs to span across all segments structural reforms and care provisioning • Interoperability as the key criteria – it enables you to leverage e from best practice economies of scale• Overall Key Benefits from eHealth* • Improve prevention of illness and delivery of treatments • Reduce the cost of errors, fraud and duplication in process • Support a shift from hospital care to prevention and primary care • Help in providing better citizen-centered care • Support interoperability across national boundaries• eHealth Market Size • Estimated at 15b€ in Europe, and • CEE is the 2nd largest growth market in EMEA (CAGR 11%) • 6% of total EMEA IT market size (~950m USD) * “Together for Health: A Strategic Approach for the EU 2008-2013”, European Commission WhitePaper, 2008
  5. 5. Contents• The value of IT in healthcare – what is eHealth all about?• Oracle in eHealth – Learning by Examples• Conclusions and Final Remarks
  6. 6. Romania - Spending on Pharmaceuticals 800 700 600 PS Spending on pharmaceuticals 1999–2005* 500Million USD 400 300 200 100 0 1999 2000 2001 2002 2003 2004 2005 • Combined sales of prescription drugs and OTC medicines sold through pharmacies and hospitals achieved growth of 17.5% to RON11.93bn (US$3.76bn)** • Reasons for costs increase (or methods how to maintain it)? • Regulatory mechanisms – reference pricing, out of pocket payments, payment policy • Decision support and Incentive models – pharmaceutical budgets per physician’s office, generics vs. branded drugs • Clinical evaluation and compliance - finding the best treatment for the individual patient • PharmacoEconomics • Fraud detection *Source: National Health Insurance Fund, 2006 **Source: Business Monitor International
  7. 7. Professional Community on ePrescribing• Functionality and Features • Prescribing Decision Support (Dosage, contra-indications, financials) • Fraud detection • Improved patient safety, by connecting medical records with medication treatments • Increased compliance • Policy and reimbursement process automatization• Business Benefits • First year of positive annual net benefits on ePrescribing and EHR - 4 to 9 years! • ROI – socio-economic impact of EHR and ePrescribing proven across 400+ benefit and 300+ cost functions “ If you can not measure it, you can not improve it.” Lord Kelvin
  8. 8. New and Enhanced Offering Health Information Exchange Oracle Health Management OHIB E-Health Applications Platform Healthcare Infrastructure Services Oracle Enterprise Healthcare Home Care Master Patient Terminology EHR IndexClinical MMA Business ClinicalPortal Viewer Analytics Prescribing Intelligence Disease CRM Trials Index Mgmt. Oracle Oracle Healthcare Health Record Application Server & Database Master Locator Person Index Health Information Access LayerOrchestration Management & MonitoringTransformation ? ETL& Routing SecurityConnectivity & Privacy Packaged Oracle Database Messaging Healthcare FastPath Oracle Security Governor for Healthcare Clinical Data Multimedia Data Warehouse Repository Medical Archive RIS PACS EMR Accounting System System System System Oracle Oracle Database 11g Health Data Multimedia DICOM Repository Existing Legacy Applications Clinical Data Repositories 9
  9. 9. Oracle Applied in Practice Regione Lombardia ePrescribing Case Study CRS-SISS Project (Carta Regionale dei Servizi della Lombardia-Sistema Informativo Socio Sanitario)• Lombardy Basic Data • ePrescribing • 9.2 Million citizens • 80 million prescriptions processed in • 8500 GPs, 2500 Pharmacies, 140k health 2007, 150m in 2010 professionals in total • National Health Insurance Card – basis• SISS Project Objectives (2000 – ongoing) for patient consent and authorization • Improve healthcare and social services for citizens by simplifying procedures and mgmt reducing waiting time; • Standards of choice – digitally signed • Improve the quality of prescriptions, diagnosis, HL7 CDA format, IHE profiles and care by sharing clinical data among healthcare professionals • Improve the administration of social and healthcare system costs by enhancing planning and controlling instruments • Improve the efficiency of HPO’s internal processes through the deployment of new technologies such as digital signature, electronic filing, and electronic prescriptions.• SISS today interconnects entire public sector plus 70% of private sector 10
  10. 10. Socio-economic impactEHR/ePrescribing in Regione Lombardia* 180.000.000 160.000.000 140.000.000 120.000.000 100.000.000 Euro 80.000.000 60.000.000 40.000.000 20.000.000 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Present value of total annual costs Present value of annual benefits *Source: EHRImpact Analysis, Empirica 2010
  11. 11. Contents• The value of IT in healthcare – what is eHealth all about?• Oracle in eHealth – Learning by Examples• Conclusions and Final Remarks 12
  12. 12. Conclusions• eHealth is part of healthcare strategy – two arms of the same body• eHealth can help in... • Better understanding the needs of population – decision support, segmentation • Optimization of current processes (both care and administrative processes) • Faster deployment of new processes • Detection of errors and fraud management• For a successful eHealth project, you should always (try to): • Involve all necessary stakeholders, and secure political support • Consult and align your strategy with best practices, standards and interoperability guidelines • Benchmark the progress with quality indicators
  13. 13. What do you get with Oracle?• Clear market leader with 50- 80% market share in Technology across EMEA• Involved in and providing important components of eHealth projects Stockholms läns landsting• Strong supporter and contributor to international eHealth best practice and standards development CURIA BETICA *IDC Worldwide SW Market (2009-10)
  14. 14. Thank You for Your Attention! Email: