Healthcare 2.0 - The State of Healthcare, Trends and Future Developments

Healthcare 2.0
The State of Healthcare, Trends and Future Developments
Nick van Terheyden, MDChief Medical Officer

Agenda
Healthcare Problems
Current Proposals
Meaningful Use and Healthcare Reform
Healthcare 2.0 and Social Networking
Healthcare Future

Hospital Problems

4
Current Problems Facing Clinicians in Healthcare
According to an American College of Physician Executives survey, 6 in 10 physicians have considered leaving the profession due to
burnout
low morale/depression
loss of autonomy
low reimbursement rates
patient overload
bureaucratic red tape
loss of respect, and
medical liability environment
“It's getting worse. It's almost like a snowball rolling downhill. No one ever taught us this in medical school. No one ever said, 'Folks, the world is going to change professionally for you, not only technologically, but also in the way that business is done.‘
Complexity and workload is crippling Physicians and hindering their ability to deliver High Quality Care

Total Health Care Expenditure as % of GDP

Or Put Another Way

Compare Healthcare to Other Industries
Buy a shirt inTysons Corner
This triggers an automatic order to producer in Hong Kong
Producer aggregates orders and ships depending on real time demand
Order Arrives in Store with little or no human intervention
Doctor sees patient
Hand writes a prescription
Multiple stops for the patient before departing with piece of paper
Arrive at pharmacy and find script is incorrect or uncovered or not in stock

Foodservices
Lab
$3,233
About that Bill
Administration
Pharmacy
$1,433
Plant
Radiology$1,290
Cardiology$3,943
Billing
Intensive Care
$17,664
Operating
Room
$36,127
Meet Gerard Donovan….
... and his 150 medical staff...

Electronic Health Record Universe
Critical to the success of electronic health records is to reconcile two opposing needs
Enterprise need for structured and coded information capture
Physician’s practical need for a fast and easy method for creating clinical notes.

Reading to Keep up – Information Overload
Today's experienced clinician needs close to 2 million pieces of information to practice medicine
Doctors subscribe to an average of seven journals representing over 2,500 new articles each year, making it literally impossible to keep up-to-date with the latest information about diagnosis, prognosis and therapy
Comparison of the time required for reading (for general medicine, enough to examine 19 articles per day, 365 days per year ) with the time available (well under an hour per week by British medical consultants, even on self-reports ).
Furthermore, the interpretation of patient data is difficult and complicated, mainly because the required expert knowledge in each of the many different medical fields is enormous and the information available for the individual patient is multi-disciplinary, imprecise and very often incomplete.

General Risks
Odds of being an astronaut: 13,200,000 to 1
Odds of being struck by lightning: 576,000 to 1
Odds of becoming a pro athlete: 22,000 to 1
Odds of injury from fireworks: 19,556 to 1
Odds of being murdered: 18,000 to 1
Odds of injury from shaving: 6,585 to 1
Odds of injury from using a chain saw: 4,464 to 1
Odds of injury from mowing the lawn: 3,623 to 1
Odds of fatally slipping in bath or shower: 2,232 to 1
Odds of finding out your child is a genius: 250 to 1
Odds of getting away with murder: 2 to 1

Think about this…...
A. The number of gun owners in the US is 80,000,000
B. The number of accidental gun deaths per year (all age groups) is 1,500
C. The number of accidental deaths per gun owner is .0000188 **
**Statistics courtesy of the FBI
A. The number of physicians in the US is 700,000
B. Accidental deaths caused by physicians per year is 120,000
C. Accidental deaths per physician is 0.171 *
*Statistics courtesy of the US Dept. of Health & Human Services
Statistically, doctors are approximately 9,000 times more dangerous than guns
p < 0.0000000001

Healthcare Risks
Chance of dying from SARS in the United States: 1 in 100,000,000
Chance of contracting the human version of mad cow disease: 1 in 40,000,000
Chance of developing schizophrenia: 1 in 100
Chance of getting colon / rectal cancer: 1 in 26
Chance of getting the flu this year: 1 in 10
Chance of getting breast cancer: 1 in 9
Chance of getting arthritis: 1 in 7
Chance of suffering from asthma or allergy diseases: 1 in 6
Chance of getting prostate cancer: 1 in 6
Chance of having a stroke: 1 in 6
Chance of an American woman developing cancer in her lifetime: 1 in 3
Chance of dying from heart disease: 1 in 3
Chance of American man developing cancer in his lifetime: 1 in 2

© Gartner Hypecycle for Healthcare Provider Technologies 2006
15

Healthcare 2.0
Takes 17 years for Medical Facts to reach routing practice
Publication system is flawed
Web 2.0/Social Media represents a new way of working – we must all interact
Science 2.0 – consumers share more observational data real time
Medical Record Banking
Patients Like me

time
ViewForum MRcardio
anatomy
function
perfusion
flow
viability

Fused Visualizations
Hemodyn

Blood-Flow Simulations
Hemodyn
Flow velocity on a cut plane
along the centerline
Flow velocity profile
Flow velocity visualized with particles

Perceptive Pixels - Multitouch

Where are we Headed in Healthcare

Nick van Terheyden, MD, CMO, M*Modal
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Where You Can Find Me

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M*Modal Speech Understanding:
Nick van Terheyden, MDChief Medical OfficerM*Modal

Healthcare 2.0 - The State of Healthcare, Trends and Future Developments

by Nick van Terheyden on Jul 28, 2009

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