The LIRIS Blue Academy 2010-2011                                    Smarter Healthcare                           An initia...
LIRIS Blue Academy 2010-2011    Introduction speaker     My name: Nicky Hekster     Role: Industry Technical Leader Health...
LIRIS Blue Academy 2010-20115       Smarter Healthcare                                  © 2010-2011 IBM Corporation       ...
LIRIS Blue Academy 2010-2011    IBM Benelux      IBM Benelux was formed in July      2005      Over 7000 employees in 3   ...
LIRIS Blue Academy 2010-2011    nanoMRI (2009)    Magnetic Resonance Force Microscopy (MRFM)9          Smarter Healthcare ...
LIRIS Blue Academy 2010-2011    Eye lasering invented by IBM    Excimer laserInvention                                    ...
LIRIS Blue Academy 2010-2011IBM Journal of Research & DevelopmentIBM Systems Journal          Systems Biology             ...
LIRIS Blue Academy 2010-2011IBM’s Commitment to Healthcare & Life Sciences     Designated Life Sciences an IBM Emerging Bu...
LIRIS Blue Academy 2010-2011IBM Healthcare Knowledge Centers        La GaudeGlobal Healthcare Center of                   ...
LIRIS Blue Academy 2010-2011     So what in the world is happening with healthcare?19         Smarter Healthcare          ...
LIRIS Blue Academy 2010-2011 Globalization     Developed Countries                     Developing Countries               ...
LIRIS Blue Academy 2010-2011 Medical tourism is beginning to subject healthcare delivery to global competitive pressures  ...
LIRIS Blue Academy 2010-2011 Changing demographics and lifestyle     Graying baby boomers     More chronic patients     Ov...
LIRIS Blue Academy 2010-2011 Emerging diseases     1937 – Q-fever, Coxiella burnetii     1973 – Rotavirus     1977 – Ebola...
LIRIS Blue Academy 2010-2011             Technology advances at enormous speeds                                     Grid C...
LIRIS Blue Academy 2010-2011Confluence            Research                                   In silico modeling           ...
LIRIS Blue Academy 2010-2011 Healthcare Systems in Europe Funding is very different - increasing cost sharing among public...
LIRIS Blue Academy 2010-2011 Inability to access and share information      The Electronic Health Record (EHR)      Differ...
LIRIS Blue Academy 2010-2011 Electronic Health Records37      Smarter Healthcare                                  © 2010-2...
LIRIS Blue Academy 2010-2011 Watson – a future physician’s assistant?      Complex diagnoses      Better medication      P...
LIRIS Blue Academy 2010-2011 EHR adoption around the world (January 2006)41            Smarter Healthcare                 ...
LIRIS Blue Academy 2010-2011 The world-wide challenge Changing the cure and care stakeholder ecosystem – the Healthcare In...
LIRIS Blue Academy 2010-2011From supply-based to demand-driven healthcarePower to the patient – the patient as co-producer...
LIRIS Blue Academy 2010-2011Traditional healthcare delivery model                                       t                 ...
LIRIS Blue Academy 2010-2011        So what is happening in the world?49      Smarter Healthcare                          ...
LIRIS Blue Academy 2010-2011                                     ICT merging with                                     our ...
LIRIS Blue Academy 2010-2011 INTERCONNECTED                            People, systems and objects can communicate and    ...
LIRIS Blue Academy 2010-2011   The mandate for change is a mandate for smart.                  A smarter health system    ...
LIRIS Blue Academy 2010-2011 IBM’s strategy     Patient-centric Networks                              Achieve better quali...
LIRIS Blue Academy 2010-2011Clinician’s environmentToday          Find record and acquire useful                          ...
LIRIS Blue Academy 2010-2011 Change requires a strong governance model     Resistance to change      Changes in habits    ...
Liris blue academy 2010 2011 - smarter healthcare - nicky hekster
Liris blue academy 2010 2011 - smarter healthcare - nicky hekster
Liris blue academy 2010 2011 - smarter healthcare - nicky hekster
Liris blue academy 2010 2011 - smarter healthcare - nicky hekster
Liris blue academy 2010 2011 - smarter healthcare - nicky hekster
Liris blue academy 2010 2011 - smarter healthcare - nicky hekster
Liris blue academy 2010 2011 - smarter healthcare - nicky hekster
Liris blue academy 2010 2011 - smarter healthcare - nicky hekster
Liris blue academy 2010 2011 - smarter healthcare - nicky hekster
Liris blue academy 2010 2011 - smarter healthcare - nicky hekster
Liris blue academy 2010 2011 - smarter healthcare - nicky hekster
Liris blue academy 2010 2011 - smarter healthcare - nicky hekster
Liris blue academy 2010 2011 - smarter healthcare - nicky hekster
Liris blue academy 2010 2011 - smarter healthcare - nicky hekster
Liris blue academy 2010 2011 - smarter healthcare - nicky hekster
Liris blue academy 2010 2011 - smarter healthcare - nicky hekster
Liris blue academy 2010 2011 - smarter healthcare - nicky hekster
Liris blue academy 2010 2011 - smarter healthcare - nicky hekster
Liris blue academy 2010 2011 - smarter healthcare - nicky hekster
Liris blue academy 2010 2011 - smarter healthcare - nicky hekster
Liris blue academy 2010 2011 - smarter healthcare - nicky hekster
Liris blue academy 2010 2011 - smarter healthcare - nicky hekster
Liris blue academy 2010 2011 - smarter healthcare - nicky hekster
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Smarter Healthcare - lecture at the Univ. of Leuven, March 10th 2011

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Liris blue academy 2010 2011 - smarter healthcare - nicky hekster

  1. 1. The LIRIS Blue Academy 2010-2011 Smarter Healthcare An initiative from L.I.R.I.S. and IBM Belgium Dr N.S. Hekster IBM Nederland B.V. © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 LIRIS Program 2010-2011 SMARTER cities are the Future in ‘Beleidsinformatiesystemen’ (HIR, HIRB) Jacques De Kegel, Business Development Executive, IBM 17-Nov-2010 (11:00 – 13:00) (VHI - 02.29) BPM & Case Management (**) in ‘Analyse en ontwerp van informatiesystemen’ Te bepalen spreker (SAP) (Wim Verhelst ?) 25-Nov-2010 (14:00 – 16:00) (DV1 - 02.54) From Enterprise Architecture to ICT Architecture (**) in ‘Architecture & Modeling of MIS’ Steven Laurent, Enterprise Architect, AE 6-Dec-2010 or 29-Nov-2010 (11:00 – 13:00) (ILT - 00.176) Enterprise Content Management (**) in ‘Geavanceerd DB Management en Content Management’ Eric Michiels, Executive IT Architect, IBM 02-Dec-2010 (14:00 – 16:00) (HOGC - 02.22) Juridical aspects of ICT Solutions (**) in ‘Analyse en ontwerp van informatiesystemen’ Johan Vandendriessche (Bird & Bird) 13-Dec-2010 (15:00 – 17:00) (Aud. Monnet) Smarter Healthcare (*) in ‘Beleidsinformatiesystemen’ (Kortrijk) Nicky Hekster, Technical Leader Healthcare, IBM 10-Mar-2011 (11:00 – 13:00) (Aula lokaal C611) Mobile Banking (*) in ‘Beleidsinformatiesystemen’ (lic) Anton Wilsens, Client Solutions Manager Financial Services xx-yyy-2011 (16:00 – 18:00) (VHI - 01.29) ICT Sourcing Strategies (**) in ‘ICT Service Management’ Marnix Gillis, Distinguished Engineer,IBM 31-Mar-2011 (18u – 20u) (VHI - 00.10) Software development productivity (*) in ‘ICT Service Management’ Antoon Goderis & Jo Vanackere, KBC uu-vvv-2011 (18:00 – 20:00) (VHI - 00.10)2 Smarter Healthcare © 2010-2011 IBM Corporation 1
  2. 2. LIRIS Blue Academy 2010-2011 Introduction speaker My name: Nicky Hekster Role: Industry Technical Leader Healthcare & LifeSciences IBM Benelux Active in ICT since 1987 Vendor-chair IHE Netherlands n.s.hekster@nl.ibm.com You can find me also on LinkedIn and Twitter3 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 Agenda IBM in Healthcare Healthcare in State of Emergency Smarter World, Smarter Healthcare ======== B r e a k ======== Smarter Healthcare ICT Examples4 Smarter Healthcare © 2010-2011 IBM Corporation 2
  3. 3. LIRIS Blue Academy 2010-20115 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011Team IBM – 400,000 people worldwide 15,000 15k 160,000 sales people salespeople 9k 9,000 salespeople sales people 58,000 5k 5,000 salespeople sales people 42,000 Defense 10k 10,000 Healthcare salespeople sales people 102,0006 Smarter Healthcare © 2010-2011 IBM Corporation 3
  4. 4. LIRIS Blue Academy 2010-2011 IBM Benelux IBM Benelux was formed in July 2005 Over 7000 employees in 3 countries7 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 Heart-Lung machine (IBM and Dr J.H. Gibbon, 1957)8 Smarter Healthcare © 2010-2011 IBM Corporation 4
  5. 5. LIRIS Blue Academy 2010-2011 nanoMRI (2009) Magnetic Resonance Force Microscopy (MRFM)9 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 The Scripps Research Institute Project Checkmate10 Smarter Healthcare © 2010-2011 IBM Corporation 5
  6. 6. LIRIS Blue Academy 2010-2011 Eye lasering invented by IBM Excimer laserInvention Innovation Using invention to create value, leads to innovation Collaboration Close-up of an IBM logo inscribed on Close-up of an eye surgery a human hair. The Excimer laser with the Excimer laser where surgical procedure is so precise it can the eye is repaired for sharper cut a clean pattern into a human hair visibility without burning the strand.11 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011Saving the chocolate industryThe cacoa genome project - a collaboration among MARS, USDA-ARS, IBM, NCGR,Clemson University, HudsonAlpha Institute for Biotechnology, Indiana University andWashington State University IBM and Mars, sequencing the Theobroma cocoa genome (done! Sept 2010) – http://www.youtube.com/watch?NR=1&gl=U S&hl=uk&v=ERu5TaqIvHs Sustainable crops, unraveling the cocoa genome – without engineering higher-yielding cacao trees, demand would outstrip supply within 50 years. Howard-Yana Shapiro of Mars Inc. was seeking IBMs help in analyzing the cacao genome to ensure the future of the plant, which is being wiped out.12 Smarter Healthcare © 2010-2011 IBM Corporation 6
  7. 7. LIRIS Blue Academy 2010-2011IBM Journal of Research & DevelopmentIBM Systems Journal Systems Biology Information-based Medicine Volume 50, Number 6, 2006 Volume 46, Number 1, 200713 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 www.ibm.com/genographic National IBM The Geographic + = Genographic Society Research Project IT Paleontology Infrastructure Phylogenetics Using DNA to Genetics unravel Computational the path followed Anthropology by our ancestors Biology14 Smarter Healthcare © 2010-2011 IBM Corporation 7
  8. 8. LIRIS Blue Academy 2010-2011IBM’s Commitment to Healthcare & Life Sciences Designated Life Sciences an IBM Emerging Business Opportunity Unit - Spring 2000 – $100M initial investment IBM Research – Computational Biology Center – Deep Computing Institute – Blue Gene Project IBM Business Consulting Services – PriceWaterhouseCoopers Consulting acquisition – Pharma 2010: The Threshold of Innovation – Healthcare 2015, Win-Win or Lose-Lose Strategic partnerships with industry leaders, e.g. Mayo Clinic Created IBM Healthcare & Life Sciences (1/04) – $250M Investment (2/04)15 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 IBM’s Commitment to Healthcare & Life Sciences Designated Information Based Medicine an IBM Emerging Business Oppty Unit (1/04) – Clinical Genomics and Biomedical Imaging (2004) – Expand to PGx, CDI and Pervasive in 2005 National Genographic Project – IBM and National Geographic jointly gathering one of the largest collections of DNA samples to map how humankind populated the planet. Setting new Health Record precedents – IBM offers U.S. Employees Electronic Records for Healthcare – IBM revises non-discrimination and equal opportunity policy – restricts genetic data Dedication to Standards – IBM allow royalty-free access to its patents for developers who wish to create new healthcare and education applications around open standards – IBMers from Research on the international boards of HL7 and IHE Acquisition of Acure (DK) Acquisition of HealthLink (5/05) Acquisition of Cognos (11/2007) Acquisition of Initiate Systems and SPSS (02/10)16 Smarter Healthcare © 2010-2011 IBM Corporation 8
  9. 9. LIRIS Blue Academy 2010-2011IBM Healthcare Knowledge Centers La GaudeGlobal Healthcare Center of Healthcare Barcelona Excellence Zürich Research Lab Center of Excellence MontpellierProducts & Solutions Support Center Beaverton Network Haifa Research Lab Transformation Center (NTC) Mayo Clinic Medical Imaging Mainz Technical Marketing Information Innovation Center Dallas Health Analytics (M3IC) Solution Center Competence Center (TMCC)17 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011Fact-based thought leadership helps clients realize businessvalue18 Smarter Healthcare © 2010-2011 IBM Corporation 9
  10. 10. LIRIS Blue Academy 2010-2011 So what in the world is happening with healthcare?19 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 Five drivers make healthcare fundamentally different from the past Globalization Consumerism Changing demographics and lifestyle Diseases that are more expensive to treat New medical technologies and treatments20 Smarter Healthcare © 2010-2011 IBM Corporation 10
  11. 11. LIRIS Blue Academy 2010-2011 Globalization Developed Countries Developing Countries Least Developed CountriesA majority of adults in ten of The increasing prevalence of There is a strong need tothe 30 OECD countries are and costs to treat chronic address basic public healthoverweight diseases, as well as the issues such as clean water, associated lost productivity, good sewage systems, andAs life expectancy has are impacting systems vaccinationsincreased (68.5 years in1960 to 77.8 years in 2003), – The loss of income to Countries are beginning tothere has been a China over the next ten experience the rise of chronicconcomitant rise in the years as a result of heart diseases but are lessincidence of chronic diseases disease, stroke, and capable to manage them diabetes is estimated atTotal healthcare – By 2015, chronic US$550 billionexpenditures are increasing diseases will be a leading2.0 times more rapidly than Countries are still fighting cause of death in Nigeriaeconomic growth infectious diseases – not only Population expansion is existing ones, but also new higher than in developed or diseases and new strains developing countries * Definitions of “developed,” “developing,” and “least developed” countries are presented in the Appendix.21 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 Consumerism The patient becomes co-producer/co-director of his own care Patient emancipation and empowerment Wants to make better health and wellness choices Growing expectations for value from increasingly costly health systems Broad global awareness of quality and safety challenges New clinical pathways, retail clinics Life-style management Medical tourism22 Smarter Healthcare © 2010-2011 IBM Corporation 11
  12. 12. LIRIS Blue Academy 2010-2011 Medical tourism is beginning to subject healthcare delivery to global competitive pressures Procedure United States Mexico Costa Rica India Thailand Singapore Angioplasty $33,000 $13,125 $14,500 $7,800 $9,200 $12,500 Heart bypass $37,000 $14,400 $13,600 $6,650 $11,000 $13,500 Hip replacement $45,000 $9,400 $13,000 $6,500 $8,000 $9,000 Knee replacement $21,000 $10,500 $9,500 $6,500 $8,500 $10,000 Laparoscopic $19,000 $4,275 $6,500 $2,238 $4,500 $4,500 hysterectomy Laparoscopic $27,500 $16,800 $11,500 $5,900 $9,500 $16,000 prostatectomy23 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 Medical tourism in practice24 Smarter Healthcare © 2010-2011 IBM Corporation 12
  13. 13. LIRIS Blue Academy 2010-2011 Changing demographics and lifestyle Graying baby boomers More chronic patients Overweight Population growth Mobility Pandemics Lack of resources25 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 Diseases that are more expensive to treat Diseases are more expensive to treat Drug development costs go up26 Smarter Healthcare © 2010-2011 IBM Corporation 13
  14. 14. LIRIS Blue Academy 2010-2011 Emerging diseases 1937 – Q-fever, Coxiella burnetii 1973 – Rotavirus 1977 – Ebola virus 1981 – Toxic shock syndrome 1982 – Lyme disease 1983 – HIV/AIDS 1991 – Multidrug-resistant tuberculosis 1993 – Cholera caused by strain 0139 1994 – Cryptosporidium infection (large outbreak in Wisconsin, USA) 1998 – Avian flu 1999 – West Nile Virus (first appearance in USA) 2003 – SARS (severe acute respiratory syndrome) 2004 – Marburg virus (largest outbreak in Angola) 2009 – April Swine/Mexican Flu H1N1 strain27 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 New medical technologies and treatments Less invasive therapies Improved diagnostics Confluence of biotech and healthcare28 Smarter Healthcare © 2010-2011 IBM Corporation 14
  15. 15. LIRIS Blue Academy 2010-2011 Technology advances at enormous speeds Grid Computing29 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 Transformation of Medicine accelerated by a combination of revolutionary technologies and evolutionary practices Automated Personalized Health CareRevolutionary Technology Systems Lifetime Treatment Throughput Analytics Pre-symptomatic Treatment CA Diagnosis Information Correlation Translational Molecular Medicine Medicine Genetic Predisposition Testing Clinical Genomics 1st Generation Health Care Diagnosis Today Digital Imaging Episodic Treatment Electronic Health Records Artificial Expert Systems Data and Systems Integration Non-specific Organized Personalized (Treat Symptoms) (Error Reduction) (Disease Prevention) Evolutionary Practices30 Smarter Healthcare © 2010-2011 IBM Corporation 15
  16. 16. LIRIS Blue Academy 2010-2011Confluence Research In silico modeling Drug discovery Bioinformatics Diagnostics Biomarkers Computational Proteomics, Chemistry Transcriptomics, MicroArrays and Information- Metabonomics based medicine Very large databases Medical Visualization Clinical and Regulatory Process Management Analytics31 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 Counterbalancing the drivers for change are key inhibitors that threaten to maintain the healthcare status quo32 Smarter Healthcare © 2010-2011 IBM Corporation 16
  17. 17. LIRIS Blue Academy 2010-2011 Healthcare Systems in Europe Funding is very different - increasing cost sharing among public and private health insurers and individuals. Access to Healthcare Social Insurance National Health Service Reimbursement Benefits in kind Centralized Decentralized Belgium Netherlands Cyprus Greece France Italy Luxembourg Portugal Spain33 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 Financial constraints Health expenditure as a share of GDP, 2004 16 15,4 14 12 11,5 10,6 10,5 10 9,7 9,2 8 8 % of GDP 6 4 2 0 USA CH D F B NL L34 Smarter Healthcare © 2010-2011 IBM Corporation 17
  18. 18. LIRIS Blue Academy 2010-2011 Inability to access and share information The Electronic Health Record (EHR) Different definitions – Electronic Medical Record (EMR) – Personal Health record (PHR) Unstructured efforts Semantic non-interoperability Retentions laws Regulatory compliance35 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 Where is the relevant information?36 Smarter Healthcare © 2010-2011 IBM Corporation 18
  19. 19. LIRIS Blue Academy 2010-2011 Electronic Health Records37 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 EHR – potential inputs38 Smarter Healthcare © 2010-2011 IBM Corporation 19
  20. 20. LIRIS Blue Academy 2010-2011 Watson – a future physician’s assistant? Complex diagnoses Better medication Prevent medical errors YouTube, Perspectives on Watson: Healthcare39 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 Healthcare systems must address major issues and questions in the search for an value-based, affordable, sustainable system Many healthcare systems are being pushed to a crisis stage because of unrelenting pressures related to cost, quality, and access/choice Concurrently, factors such as new treatments and increasing demand for services and value are converging to increase the pressures Without major changes, many countries will “hit the wall” (i.e., not be able to continue on the current path) in the next decade New levels of accountability, tough decisions, and collaborative hard work on the part of all stakeholders will be required to transform healthcare systems into a national asset Countries that successfully transform will focus on value, develop better consumers and create better options to promote health and provide care40 Smarter Healthcare © 2010-2011 IBM Corporation 20
  21. 21. LIRIS Blue Academy 2010-2011 EHR adoption around the world (January 2006)41 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011Realizing the importance of information in healthcaretransformation, there has been a surge of investment worldwidedirected to Health IT Europe Europe UK– ₤20.4B UK– ₤20.4B Asia North America North America Asia US ARRA – $20.4B China – $4.2B China – $4.2B US ARRA – $20.4B Singapore – $1.1B SIN Canada –$3.1B CDN (InfoWay) Canada –$3.1B CDN (InfoWay) Singapore – $1.1B SIN Worldwide Worldwide Middle East EMR – $10B in 2010 Middle East EMR – $10B in 2010 $30B in 2019 ** $30B in 2019 Saudi Arabia – $14B**** Saudi Arabia – $14B**** EMR Adoption EMR Adoption US – 10% US – 10% AUS – 25% AUS – 25% UK – 59% UK – 59% CAN – 14% CAN – 14% NZ – 52% NZ – 52% Additional Opportunities Additional Opportunities Clinical Decision Intelligence: $75M (2010), $3.1B (2019)** Clinical Decision Intelligence: $75M (2010), $3.1B (2019)** Health Analytics: Health analytics: $2.3B, $3.29B (2014)** Health Analytics: Health analytics: $2.3B, $3.29B (2014)** Cloud Computing for HCLS: $1.04B (2010), $6.2B (2014)*** Cloud Computing for HCLS: $1.04B (2010), $6.2B (2014)*** * assuming current growth rates ** source – HCLS *** Medical Imaging and Collaborative Care Cloud sizing **** a large percentage of that spending is on eHealth Large spending and digitization will not improve outcomes without proper healthcare system Large spending and digitization will not improve outcomes without proper healthcare system design. We need to instrument the point of care and have consumable, knowledge enhanced EMRs design. We need to instrument the point of care and have consumable, knowledge enhanced EMRs42 Smarter Healthcare © 2010-2011 IBM Corporation Healthcare Transformation 21
  22. 22. LIRIS Blue Academy 2010-2011 The world-wide challenge Changing the cure and care stakeholder ecosystem – the Healthcare Information Exchange (HIE) Government General Practitioner Insurance Pharmacy Payors eHealth Primary Platform Portal Rehabilitation Social card Hospital Patient, citizen Secondary 43 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 Example: eHealth Platform (Frank Robben, 6/2009) Patiënten, zorgverleners Patië nten, en zorginstellingen Software PortaHealth zorgverlener DTW DTW DTW DTW DTW DTW Software DTW DTW Site RIZIV zorginstelling DTW DTW Portal MyCareNet DTW DTW DTW DTW DTW DTW eHealth DTW DTW DTW DTWGebruikers Basisdiensten Netwerk eHealth-platform eHealth- GAB GAB GAB GAB GAB GABLeveranciers 44 Smarter Healthcare © 2010-2011 IBM Corporation 22
  23. 23. LIRIS Blue Academy 2010-2011From supply-based to demand-driven healthcarePower to the patient – the patient as co-producer of care Physiotherapist Water and air Laboratory Alzheimer Ambulances quality bracelet From Specialist treatment Hospital Pharmacy to prevention Beds Patient groups From acute Home to Food chronic Doctor delivery diseases citizen patient Medical devices From Social services passive to pro-active Radiology Nurse patients Coordination calendar Nurse center Insurance 45 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 The continuum of cure and care 46 Smarter Healthcare © 2010-2011 IBM Corporation 23
  24. 24. LIRIS Blue Academy 2010-2011Traditional healthcare delivery model t ien University Medical Centers pat he ft to en Top Clinical Hospitals Tertiary care em ov lm ica Regional Hospitals Secondary care ys Ph General Practitioners Primary care The patient community- bottom of the pile! Unchanged for 6000 years - circa 4000 BC!47 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 Future health system transformationiPad The always connected and informed citizen community iPhone Web 2.0 Acute Trauma Home Care Maternity TV Retail Health Centers Health Kiosks Daycare Surgery Diagnostic Centers Allied health professionals Community HospitalsCommunity Hospitals non-acute care acute care Primary Healthcare The Super Primary Care Physician Primary teleradiology e-Health telepathology telemedicine telediagnostics Clusters of specialists, Patient/citizen-centric care globally spread and universal >Direct access to specialists< accessible48 Smarter Healthcare © 2010-2011 IBM Corporation 24
  25. 25. LIRIS Blue Academy 2010-2011 So what is happening in the world?49 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011The world isSMALLERThe world isFLATTERThe world is about to get increasinglySMARTER50 Smarter Healthcare © 2010-2011 IBM Corporation 25
  26. 26. LIRIS Blue Academy 2010-2011 ICT merging with our physical world51 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 INSTRUMENTED We now have the ability to measure, sense and see the exact condition of everything. Today, there are 1 billion transistors for each person on the planet. By 2010, 30 billion RFID tags will be embedded into our world and across entire ecosystems. Remote patient monitoring devices that track the vital signs of patients with chronic diseases could reduce U.S. healthcare spending up to $197 billion over 25 years. Typically, hospitals over-procure mobile assets by 20-30% while critical staff spend 10-30% of their time searching for them. Smarter health systems automatically capture and exchange information through diverse channels to proactively manage and deliver preventive and therapeutic care.52 Smarter Healthcare © 2010-2011 IBM Corporation 26
  27. 27. LIRIS Blue Academy 2010-2011 INTERCONNECTED People, systems and objects can communicate and interact with each other in entirely new ways. The Internet of people is 1 billion strong. Almost one third of the world’s population will be on the Web by 2011. There are more than 4 billion mobile phone subscribers worldwide. In 2007, 56% of American adults sought information about a personal health concern on the Internet—up from 38% in 2001. Smarter health systems remove information barriers and work as integrated teams with the individual to make smarter decisions.5353 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 INTELLIGENT We can respond to changes quickly and accurately, and get better results by predicting and optimizing for future events. Every day, 15 Petabytes (1015) of new information are being generated. This is 8x more than the information in all U.S. libraries. More than 3,600 statistical articles are published each year on the topic of coronary heart disease alone. Increasing digitization and medical imaging will lead to a 41% annual increase in storage requirements between 2008 and 2012. Smarter health systems continually analyze information to meet the changing needs of the organization, optimize performance, integrate predictive models, and deliver greater value to the individual.5454 Smarter Healthcare © 2010-2011 IBM Corporation 27
  28. 28. LIRIS Blue Academy 2010-2011 The mandate for change is a mandate for smart. A smarter health system forges collaborative partnerships to deliver better acute, chronic and preventive care, while activating individuals to make smarter choices. 55 55 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 To meet expectations for improved outcomes, increased value and more accountable, sustainable health systems, healthcare organizations are working to … IMPROVE OPERATIONAL DELIVER COLLABORATIVE EFFECTIVENESS CARE FOR PREVENTION ANDBuilding flexibility into operations WELLNESS to support cost reduction and Collaborating across care settings excellence in clinical and HEALTHCARE to deliver integrated, personalized business performance and care experiences, prevent practices. disease, promote wellness and manage care. ACHIEVE BETTER QUALITY AND OUTCOMES Applying insights to improve quality of care, clinical outcomes and services and deliver personalized healthcare value, while improving financial results. 56 56 Smarter Healthcare © 2010-2011 IBM Corporation 28
  29. 29. LIRIS Blue Academy 2010-2011 IBM’s strategy Patient-centric Networks Achieve better quality and – The availability of information at the outcomes. right time, at the right place, and in the right context Clinical and Business Optimization Improve operational effectiveness. – Increasing productivity and efficiency Health and Wellness Management Deliver collaborative care for prevention and wellness. – Lowering costs en improving quality in the long term + +57 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 Smarter Healthcare ICT58 Smarter Healthcare © 2010-2011 IBM Corporation 29
  30. 30. LIRIS Blue Academy 2010-2011Clinician’s environmentToday Find record and acquire useful Diagnose Treat Document & process records patient information Anywhere, Anywhere, Any Time Any Time Any Device Any Device Automatic document generation Relevant Patient Information Increase Cognitive Window Impact Clinician’s use systems Clinician’s use systems Horizontal platform for knowledge workers Horizontal platform for knowledge workers59 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 The hospital tension triangle “De techniek interesseert me niet, ik ben alleen geinteresseerd in de Poor governance Board of cost/benefit van de business case en het No transparency Directors risicoprofiel” Low risk, no risk J.Th. Kedzierski, ex- Not business-like voorzitter raad van ICT as a cost bestuur MCA Old boys network ICT Forcing power Ultimate patient responsibility ICT as a tool No enforcing power Technology shifts the entire approach Ad hoc application that physicians have to medicine management and deployment dictated by Learning new technologies consumes too physicians much time Busy managing day-to-day Clinical New technologies changes existing procedures too much operations Practice60 Smarter Healthcare © 2010-2011 IBM Corporation 30
  31. 31. LIRIS Blue Academy 2010-2011 Change requires a strong governance model Resistance to change Changes in habits Skeptics of the system Becoming transparent Privacy Complexity of the issue Changes on legislation are often needed Lack of confidence in the system Funding Who is going to fund it? What is required to obtain it?61 Smarter Healthcare © 2010-2011 IBM Corporation LIRIS Blue Academy 2010-2011 Transformation of healthcare Clinical process management Information management Changes of roles Collaboration Culture and attitude Education62 Smarter Healthcare © 2010-2011 IBM Corporation 31

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