Ehealth Informatics Industry Overview


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Ehealth Informatics Industry Overview

  1. 1. Innovations in Ehealth & Informatics Industry Overview Pharma IQ Sector Report & Resources: Interviews with Industry Experts June 2011 In Association With Innovations in Ehealth & Informatics Pharma IQ Resource Pack 2011
  2. 2. Contents Page 3 Healthcare IT: UK a European Leader of Investment Page 4 Creating a Blueprint for Healthcare Facility Planning, Construction, Commissioning and Management Page 6 NHS Reforms: How Do They Measure Up With Other Systems? Page 8 Tomorrows laboratories: Utilising Advanced Diagnostics and Information Management Technologies Page 10 Additional Resources Page 11 Innovations in Ehealth & Informatics Europe 2011Authors: Andrea Charles & Helen Winsor Pharma IQ 2010 - 2011 Innovations in Ehealth & Informatics Pharma IQ Resource Pack 2011
  3. 3. Healthcare IT: UK a European Leader of InvestmentOver the past few years, the UK healthcare IT market has grown exponentially to reach an estimated valueof almost $3 billion (£1.83 billion) in 2011, making it the second largest in Europe after Germany. And itseems the UK market is set to enjoy more growth than virtually every other region in years to come, thoughthe entire continent is experiencing a notable upsurge in investment.According to the latest Ovum forecast, spending on healthcare IT in the UK will have topped $5 billion in2016, representing cumulated annual growth (CAGR) of 13 per cent from 2010. Experts at the independenttechnology analyst identified Britains rapidly ageing population as the key driver behind increasedinvestment, as well as the desperate need to reduce costs across the healthcare sector. Cornelia Wels-Maug, healthcare technology analyst at Ovum, highlighted the fact that of all the regions examined, the UKwould account for the strongest growth over the five-year forecast period.She explained: "This is primarily because of the National Programme for IT in the NHS, a multi-billionpound government scheme to implement healthcare IT. A key driver of the investment is the urgent need todo more with less, due to the ever-increasing number of patients with chronic illnesses as the populationlives longer." Ms Wels-Maug went on to say that the cost of delivering a healthcare service that refuses tocompromise on quality was "spiralling out of control" and that further investment in IT would form a criticalpart of the solution.In Europe as a whole, the Ovum report suggested telehealth, where services such as condition monitoringare delivered through telecommunications technology, would see most growth, with a CAGR of 15.1 percent. This was closely followed by health information exchanges (HIE), with predicted annual growth of 13.2per cent over the next five years. The key investment areas for the UK, meanwhile, look set to be electronichealth records (EHR) and digital imaging solutions, not least the increasingly in-demand picture archivingsystem.Ms Wels-Maug commented: "Increasing access, accuracy, and availability of healthcare data are absolutelyfundamental to cutting costs. It reduces double testing of patients for various diseases and improves theoverall efficiency of hospitals and surgeries." Another emerging technology is software for mobile apps thatenables patients to monitor their own condition, as well as tools that can stop them from becoming unwell inthe first place. "This is an area where we will see more and more investment. While it is primarily a solutionthat younger people will engage with, there is potential for it to be a useful tool in the management andprevention of diseases," the Ovum analyst explained.While the UK was found to have the greatest potential for future investment in healthcare IT, all of theregions analysed in the study were said to be destined for an upsurge. In Germany, the growth rate isforecast to be 9.7 per cent from 2010 to 2016, while the French market is expected to increase by 9.1 percent in the same period. Outside of Europe, North America was found to be looking at a CAGR of 12.7 percent, while Australian investment will expand by 9.8 per cent in the same timeframe.Healthcare providers across the continent are increasingly seeing the future potential of EU-wide e-healthcollaboration, with the universal aim of boosting efficiency and improving patient outcomes. As healthcareIT professionals work toward these goals by carefully selecting, implementing and building upon existinginformatics, investment in the UK and throughout Europe will surely meet, if not exceed, expectations. Innovations in Ehealth & Informatics Pharma IQ Resource Pack 2011
  4. 4. Creating a Blueprint for Healthcare Facility Planning, Construction, Commissioning and ManagementSouth Africas healthcare industry is on the cusp of a revolution. The recently introduced National HealthInsurance (NHI) White Paper lays out a plan which would see the countrys under-developed healthcaresystem changed beyond recognition over a 14-year period.In a statement released in October 2010, the director general of South Africas National Department ofHealth, said: "NHI is one of the most ambitious reforms that our government has introduced andpreparatory work for the implementation of the NHI requires a comprehensive and systematic approach."A recent report from RNCOS, entitled South African Healthcare Market Analysis, noted the healthcareindustry in the country will see huge growth over the coming years, thanks in a large part to thesesupportive government policies.Yet for this growth to be sustainable a coherent plan must be put in place to ensure future needs are metand the NHI reaches its admirable objectives.Public and private collaborationsHealthcare in South Africa is currently delivered through both public hospitals and private facilities, acollaboration which is intended to continue as the NHI develops.In the preface to the White Paper on the Transformation of the Health System in South Africa, DrNkosazana C Dlamini Zuma, minister for health, noted the pressing need to decentralise the managementof the healthcare system towards a district network to facilitate better planning.Provincial and district departments will be needed to assist this.Alongside the development of the NHI will be the National Health Information System, which "will facilitatehealth planning and management, and strengthen disease prevention and health promotion in areas suchas HIV/AIDS, STDs and maternal, child and womens health."In establishing its blueprint for a national health service, South Africa is keen to continue the complimentaryfunctions of the public and private health care sectors, which it claims is key to "promote equity in serviceprovision."However, criticism has previously been levelled against the private sector for what some claim is itsoverarching values, which could be of serious detriment to the preparations.Health Minister Aaron Motsoaledi said currently medical aid was only focussing on curing, rather thanpreventing, health problems.Dr. Humphrey Zokufa, managing director at BHF [Board of Healthcare Funders of South Africa], told TheNew Age: "Private healthcare is unsustainable in South Africa. The structure of the system definitely needsto be reviewed. "He said the system should include "preventative, curative, chronic, catastrophic and quaternary" care. Innovations in Ehealth & Informatics Pharma IQ Resource Pack 2011
  5. 5. Creating a Blueprint for Healthcare Facility Planning, Construction, Commissioning and Management Creating a plan South Africa realises if it is to overcome these challenges it must look beyond its borders and learn the lessons from international efforts. The director general of the National Department of Health said the United Kingdoms National Health Service showed how a healthcare system can overcome challenges relating to quality of care, as well as collaborating with outside bodies, such as the National Institute for Clinical Excellence and the Care Quality Commission. An international consultative workshop was convened to seek out any gaps in service offered by public healthcare facilities. This leads on to the other objective the authorities are very clear on; the need to get to the heart of the inequalities which currently exist within the countrys healthcare system if the NHI is to ever truly function correctly. Working alongside the NHI will be a strengthening plan, "starting with a detailed inventory of both public and private facilities, including infrastructure, human resources and technology", the African National Congress explained. "The inventory will serve to assess the current capacity of the healthcare system to provide services at different levels, and where this capacity is located. Secondly, it will identify gaps for expansion and facilities that require refurbishment," it said in a media briefing. Assessments are also to be made with regard to the financing of district health systems, as well as efforts to boost access to primary healthcare services – a particular problem in underserved rural areas, which will be the first to benefit from the scheme. Managers of public healthcare facilities are also to be given greater autonomy. Only once this has been done can the commissioning and construction of the new healthcare infrastructure really begin. Innovations in Ehealth & Informatics Pharma IQ Resource Pack 2011
  6. 6. NHS Reforms: How Do They Measure Up With Other Systems?UK health secretary Andrew Lansley recently announced radical reforms to the countrys National HealthService (NHS) aimed at both cutting costs and improving patient care – which some might consider to betwo contradictory claims.The Health and Social Care Bill 2011 could essentially be said to be reducing layers and bureaucracy in theNHS through "bring commissioning closer to patients by giving responsibility to GP-led groups","streamlining arms length bodies" and "supporting all trusts to become foundation trusts and establishingindependent regulation."Concentrating on the first point, the bill puts greater responsibility in the hands of GPs by allowing them tomake decisions about which services to provide based on the needs of their local patients, according to thegovernment.ReactionReactions to the proposals, which were hailed by the UK government as creating a "more patient centricNHS", have been mixed.Dr. Michael Dixon, chairman of the NHS Alliance, a body independent of both government and politicalparties, said: "Many GPs have been fighting for these reforms for a number of years and after a few falsestarts, it is good to see the government is listening and taking the appropriate measures."Dr. Clare Gerada, from the Royal College of General Practitioners, said "it makes sense" for the power tocommission services to be placed with GPs, however she expressed concerns surrounding the governmentwas planning on implementing the proposals. Dr. Gerada said efforts must be made to"guard againstfragmentation and unnecessary duplication" and any subsequent negative patient outcomes."The British Medical Association, meanwhile, expressed similar concerns about fragmentation, and alsoraised the issue of price competition which may arise from "forcing commissioners of care to tendercontracts to any willing provider."CanadaWhile there are those concerned about the state of the NHS in the UK, internationally there are those whobelieve the right steps are being taken.In Canada the debate is currently raging about the countrys universal healthcare system, which accordingto research by McCleans magazine now ranks bottom in the world, based on the time it takes patients toget treatment and the quality of care they receive.Ken McQueen from the magazine said in comparison with the UK, the Canadian system, doesnt "fare thatwell."Key issues for reform centre around the delivery of primary care services, which are offered by familyphysicians and general practitioners. Calls are now being made for these professionals to form primaryhealth teams, which are able to provide more comprehensive care and a better coordinated service. Innovations in Ehealth & Informatics Pharma IQ Resource Pack 2011
  7. 7. Predicting Physical Stability of Amorphous Solid Dispersions NHS Reforms: How Do They Measure Up With Other Systems? The separated nature of the territories means each is implementing its own series of reforms, although the creation of accountable teams providing healthcare services is a central theme. The changes are being supported by the Primary Healthcare Transfer Fund. Robin Osborn, vice-president and director of The Commonwealth Funds international programme, told the Montreal Gazette that the reforms being proposed in the UK were positive in that they gave more control to doctors, but again expressed concerns it could adversely damage the service. "The UK is on many levels a real success story," she said Australia The subject of making smaller, more localised groups accountable for healthcare was also raised in reforms suggested by Australias former prime minister Kevin Rudd. Under the plans, Rudd suggested four hospitals should group together into trusts and take on responsibility for care in their regions, as they are likely to have better localised knowledge. Stephen Leeder, director of the Menzies Centre for Health Policy at the University of Sydney, writing in the Australian, suggested in fact these networks should include GPs and other care providers to offer a greater picture of the situation. "Network health boards should be composed with great care, preferably being depoliticised, and avoiding deeply vested and conflicting interests," he added. Canada and Australias healthcare systems do differ from the NHS in many ways, one of which being that they are less well established. However, the proposed reforms in all three systems suggest providing care for local populations through groups led by local GPs is an emerging trend, which many believe if managed properly could improve patient care Innovations in Ehealth & Informatics Pharma IQ Resource Pack 2011
  8. 8. Tomorrows Laboratories: Utilising Advanced Diagnostic and Information Management TechnologiesAs increasing value is placed on laboratory data due to cost pressures and the need for tangible results, itis becoming key concern of healthcare organisations to ensure that this information is stored in a safe andeasy-to-access environment.Both public and private sector organisations are searching for the best ways to ensure their lab isoptimising the business value of lab data and information to accelerate innovation, reduce risk and improveoperational efficiencies.As with any industry, the need for constant innovation in this field is great, and the future of laboratory dataand information management was recently spelled out in a report by healthcare market research publisherKalorama Information entitled Laboratory Information Systems (LIS / LIMS) Markets.The report focuses on the market for LIS for clinical healthcare labs and pharmaceutical drug discoverylaboratories and provides market size and forecast data, as well as analysis of suppliers competing in theLIMS market, and an overview of the industry and important trends.According the report, tomorrows laboratories will utilise advanced diagnostic and information managementtechnologies, such as digital pathology and molecular studies. They will require sophisticated, fast, easy-to-use and most importantly interoperable laboratory information systems to handle the resulting morecomplex and high volume data.The analyst predicts that the market for LIS in the clinical laboratory will grow in the six per cent rangeannually in the next few years from $800 million (£492 million) in 2010.Also, as labour accounts for more than 60 per cent of the cost of producing test results, the organisationsestimate that automation and better information management systems can reduce the number of hands-onprocedures in a lab and optimise efficiency.Many operations are still using manual processes for tasks such as collecting, analysing and reporting data,and it is estimated that more than two-thirds of laboratories operate with less than half of their instrumentsinterfacing with an LIS.However, with growing pressures to cut costs, increase efficiencies and quality of care, and report testresults in real time, Kalorama says that labs need to plan for more sophisticated LIS if they want to remaincompetitive.Bruce Carlson, publisher of Kalorama Information, explained: "The vendors with a long-term view aredeveloping a next-generation of LIS that will meet the needs that even many of todays systems cannotprovide."Hospitals are rapidly automating, and clinical lab information systems will need to offer features such as aninterface with electronic charting, electronic medical records (EMRs), real-time data integration, reporting,analytics and data visualisation, and insurance billing software." Innovations in Ehealth & Informatics Pharma IQ Resource Pack 2011
  9. 9. Tomorrows Laboratories: Utilising Advanced Diagnostic and Information Management TechnologiesHe noted that LIS will need to reach into multiple systems to gather data, for example in a clinic or ahospital which does not have a complex laboratory, but has small POC analysers throughout the facility.In this case, the important challenge would be to move the results from the analysers to a patients EMR,which will become more easily achievable as more disciplines come online.Additionally, as both pathology and molecular biology are becoming increasingly automated and digitisedas products become more economically viable due to rising volumes, this is helping to fuel the growth ofLIS.At the moment, few LIS vendors currently offer products that are specifically designed to handle moleculardiagnostics and pathology, and this is another issue which needs addressing in the months and yearsahead.It is clear that there is some way to go before there is widespread use of LIS, but once the platform beginsto expand the global storing and sharing of data is likely to be a far smoother and more effective process. Innovations in Ehealth & Informatics Pharma IQ Resource Pack 2011
  10. 10. Additional ResourcesINTERVIEW The Peaks and Troughs of Applying New Healthcare TechnologyWith Simon Mortimore, Head of Information Services, University College London HospitalsNHS Foundation Trust In this podcast, Simon Mortimore explains exactly what management information strategy is and why it’s necessary. He reflects on the slight resistance from hospital personnel to new technology usage, but on the general willingness by patients to take this on board…INTERVIEW EU: RENEWING HEALTH Update 2011With Claus Duedal Pedersen, Head of Centre for Clinical Innovation Odense UniversityHospital Claus Duedal Pedersen, Head of Centre for Clinical Innovation Odense University Hospital speaks about effectively utilising telemedicine and increasing pan- European patient-provider cooperation through RENEWING HEALTH (REgioNs of Europe WorkINg together for HEALTH).INTERVIEW Some Secrets to Success of iPad Application in E-HealthWith Neal Mullen, Group Deputy Director of ICT, St. Vincent’s Healthcare Group "The successes we’ve encountered, we certainly have a new client base that we didn’t really have before. We have a whole new range of clinical personnel that would have been maybe considered siloed end users. They wouldn’t have been heavily involved in the IT roadmap,"INTERVIEW The Potential for EMR to Reduce Medical Errors Needs More ExplorationWith Neal Mullen, Group Deputy Director of ICT, St. Vincent’s Healthcare Group In this podcast Uwe Buddrus Managing Director of HIMSS Analytics Europe, talks to Andrea Charles from Pharma IQ, about the need for KPI-based benchmarking for healthcare providers and shares his advice for organisations working with limited IT capabilities, or those who aren’t very far along in terms of EHR adoption. Innovations in Ehealth & Informatics Pharma IQ Resource Pack 2011
  11. 11. Innovations in E-Health & Informatics Europe conference is the latest in IQPCs global series of healthcaretechnology events!Healthcare providers across the continent are looking forward to the day when EU-wide e-health collaboration isa reality, when data can flow freely yet securely across institutional and international boundaries, thusincreasing efficiency and improving patient outcomes-and healthcare IT and informatics personnel are workingtoward this goal by the careful selection, implementation and improvement of informatics.At Innovations in E-Health & Informatics Europe, our pan-European expert speaker faculty will show youhow to:-Practice advanced interoperability and seamless information management by aligning your ICT toexisting and emerging standards with Bernd Blobel of the eHealth Competence Center, University HospitalRegensburg- Implement the latest innovations: hear about pilot projects run by Claus Duedal Pedersen at OdenseUniversity Hospital, Alberto Sanna at Scientific Institute San Raffaele, Otto Larsen at NSI and more in 5 best-of-breed case studies-Institute the best techniques for information security, disaster management, data recovery and patientprivacy: Catherine Chronaki of HL7 and FORTH and Neal Mullen of St.Vincent’s Healthcare Group show youhow- Effectively align your informatics with your EHR: benchmark your deployment with Uwe Buddrus ofHIMSS Analytics Europe- Get the budget and support you need for your informatics deployment from both upper managementand clinicians with the help of University College London Hospitals NHS Foundation Trust’s Simon Mortimore.Registration are now open! To reserve your place simply go online at ,call +44 (0)207 368 9300 or email Register today and save up to £300 per person! Click Here The Expert Speaker Faculty includes: •Bernd Blobel, Head, eHealth Competence Center, University Hospital Regensburg (Germany) •Sally Stansfield, Executive Director, Health Metrics Network, World Health Organization (Switzerland) •Otto Larsen, Director, NSI (National Sundheds-IT) (Denmark) •Uwe Buddrus, Managing Director, HIMSS Analytics Europe (Germany) •Alberto Sanna, e-Services for Life & Health Director, Scientific Institute San Raffaele (Italy) •Simon Mortimore, Head of Information Services, University College London Hospitals NHS Foundation Trust (England) •Claus Duedal Pedersen, Head of Centre for Clinical Innovation, Odense University Hospital (Denmark) Innovations in Ehealth & Informatics View the full Module List Click Here Resource Pack 2011 Pharma IQ