Himss e collaboration forum closing session (kuraitis, shah) finalPresentation Transcript
The Future of Platforms in Health Care Shahid N. Shah M.Sc. CEO, Netspective Vince Kuraitis JD, MBA Principal and Founder, Better Health Technologies February 23, 2012DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.
The Future of Platforms in Health CareI. NECESSARY: Platforms are a Must Have, Not Just a Nice to HaveII. COMPLEX: Key CharacteristicsIII.OPPORTUNISTIC: Unlocking Patient Value and Competitive AdvantageIV. ACTION ITEMS: Preparing for the Future
I. NECESSARY:PLATFORMS ARE A “MUST HAVE”, NOT JUSTA “NICE TO HAVE”
“Gang of Four”
What’s wrong with today’s EHRs?Designed for transaction Designed for patient / processing and Today Tomorrow provider engagement documentation
The New World of EHRs Traditional Focus PATIENT/ HEALTHCARE CONSUMER PROVIDER Reality FAMILYCAREGIVER HOSPITAL EMPLOYER, GOV’T ALTERNATE & PRIVATE PAYORS SITE OF CARE
Is HIT “Productization” Sustainable? Here’s What You’d Have to Believe1. One company can develop all needed functionality, and2. That HIT will become a winner-take-all market3. Optimal collaboration can be achieved by phone, paper, faxOur conclusion: Interoperableplatforms are a “Must Have”.
Implications?• Care providers: recognize inevitable migration beyond an Enterprise EMR• Health plans: – Evolving business strategies dependent upon availability of clinical data and analytics – Achievable without platform architecture?• Investors: anticipate inevitable disruption of current HIT architecture; issue is when, not whether
II. COMPLEX:KEY CHARACTERISTICS OF PLATFORMS
HIT & Platforms: A Mosaic of Options
Platform Characteristics: Many Permutations• How many?• Geography?• Migration Path?• Functionality?• Walled Gardens vs. Open?• Sponsors?• Products inside platforms or adjacent?• Dynamic?
Potential for Winner-Take-All (or most)? Facebook Has 95% Share• SureScripts in Minutes of Use—Social Networking Sites eRX?• IDN in a regional market?• 2net in consumer device connectivity?
Geography?Healthcare will evolve differently than otherconsumer firms like Facebook and eBay,especially across various localities:• International• National• Regional
Where will platforms emerge from?• EMR/EHR • HIE• Existing medical • ACO management • Mobile workflow SW • Payer/MultiPayer• Social networks • other?
Platforms contain multiple functionalities… PatientSecure Social Patient Meaningful Use EHR Patient Education, Communications, Relationship Modules Ready for Calculators, Widgets, SMS, IM, E-mail,Management (PRM) Certification Content Management Voice, and Telehealth Blue Button, HL7, Accountable Care, E-commerce, Ads, Patient Family andX.12, HIEs, EHR, and Patient Care Subscriptions, and Community HealthVault Continuity and Activity-based Billing Engagement Integration Coordination Patient Consent, Permissions, and Disclosure Management
…but will evolve as hierarchiesNwHIN Mobile Remote Monitoring Chronic Diseases CHF, Diabetes, etc.
Other important characteristics• Walled Garden vs. Open? Both• Sponsors? 1 company 2+ companies Consortia Open source• Products inside platforms Both with preference to or adjacent? inside.• Dynamic? Yes
III. OPPORTUNISTICUNLOCKING PATIENT VALUE ANDCOMPETITIVE ADVANTAGE
Is this you?
IV. ACTION ITEMS:PREPARING FOR THE FUTURE
Accountable Care Requires Platforms Accountable Care Coordinated Care Connected Care Integrated Care Independent Care Choosing a single EHR vendor as your platform for connected care won’t work beyond integrated care scenarios.
Tech is required to solve big problems Increase in cost per Increase in medical patient per procedure errors due to lack of / treatment and visibility of entire variability across patient record localities Inability to compare treatment effectiveness and drug efficacy across patient populations
Open platforms help us solve big problemsLast and past decades This and future decades Digitize Digitize Digitize Digitize individual literature biology chemistry behavior Digitize Predict Predict Digitize social human fundamental physics behavior behavior behaviors Gigabytes and petabytes Petabytes and exabytes
Action Items and Next Steps Promote Improve Review Improve Invest in Platform DataContracts Procurement Storage Neutrality Liquidity
Immediate Governance Action ItemsReview Contracts Improve ProcurementHow many differentproducts do you run and Promote Platform Neutralitymanage? Add language into your RFIs, RFPs, and other documentsHow owns the data in each to: Encourage best of breedof those products? product selection (not single - Require clear data vendor)What different platforms are ownershipthe products running on? Encourage product - Ensure tools are in place connectivity * coordination for data liquidity (ETL) from the start Promote data over functionality
After Governance, focus on StorageStorage isn’t just about hard drives. It’s really about all the different kinds of data and how you will collect, store, extract, interface, retain, and manage it. Store Extract / StoreDefine Collect Validate Interface Retain? Online Transform Offline Semi- Structured Unstructured Electronic Coded data structured data data images data Scanned Faxes Audio Video Chat logs images E-mail logs Audit logs
Err on side of storing everything• Whether it’s structured, unstructured, an image, or a document plan to collect everything now in an aggregated and retrievable fashion now.• Worry about filtering data, deduplicating it, and working with it later (all machine-solvable problems).• Once you have the data, you have lots of choices; without data you don’t have options.
Concluding remarksKEY TAKEAWAYS
Key TakeawaysI. NECESSARY: Platforms are a Must Have, Not Just a Nice to HaveII. COMPLEX: Key CharacteristicsIII.OPPORTUNISTIC: Unlocking Patient Value and Competitive AdvantageIV. ACTION ITEMS: Preparing for the Future