Summary Trends And Directions For Healthcare IT

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  • With the possible exception of the turn of the last century, following the publication of the Flexner report (calling for more standardization of medical education based on the fundamentals of science), healthcare has never been more poised for significant change than in the current decade. Governments have recognized that the current situation of ever-escalating healthcare costs and demands, along with questionable quality, is untenable, as is one likely alternative — rationing. Instead, we are seeing greater demands for cost control, but with the added feature of demonstrable improvements in quality. This fundamental shift includes a focus on increasing transparency of value — what benefits we're getting and we should be getting for the money spent. Furthermore, healthcare providers and, to a lesser extent, healthcare consumers are increasingly being asked to participate in risk sharing. Isolated, episodic, generalized and reactive care is changing to become care that is more coordinated, predictive, proactive and personalized. This requires much greater use of clinical IT and more-collaborative care across all care venues. The train is coming, and HDOs and clinicians must be prepared to be onboard with the concept, rather than getting run over.
  • Summary Trends And Directions For Healthcare IT

    1. 1. SUMMARY: Trends and Directions for Healthcare IT Thomas Handler, MDThis presentation, including any supporting materials, is owned by Gartner, Inc. and/or its affiliates and is for the sole use of the intended Gartner audience or otherauthorized recipients. This presentation may contain information that is confidential, proprietary or otherwise legally protected, and it may not be further copied,distributed or publicly displayed without the express written permission of Gartner, Inc. or its affiliates.© 2010 Gartner, Inc. and/or its affiliates. All rights reserved.
    2. 2. Key Long-Term Healthcare Issues:Access, Cost and Quality• Global Economic Crisis increasing focus on cost of healthcare• Burgeoning older populations - Chronic diseases: diabetes, hypertension, heart failure - Cancer - Orthopedic issues• Concern over quality issues• Clinical shortages
    3. 3. The practice of medicine and deliveryof healthcare services will undergoprofound transformation during thecoming decade. Principles, operatingmodels, and process will be changedto resulting in a trust-but-verifyecosystem.The transformation is triggered asmuch by information as by reform.
    4. 4. Topics1. What are the most-significant forces driving change for health systems?2. What are the key characteristics of the "real-time health system“ and how will IT change as a result?3. What is collaborative care, and what are the IT requirements?4. What is the future of electronic healthcare record systems?5. What is the current and future stake of healthcare technologies and applications?
    5. 5. Agenda1. What are the most-significant forces driving change for health systems?2. What are the key characteristics of the "real-time health system“ and how will IT change as a result?3. What is collaborative care, and what are the IT requirements?4. What is the future of electronic healthcare record systems?5. What is the current and future stake of healthcare technologies and applications?
    6. 6. Healthcare Reform:The Preferred Model of Care Is Revealed Value-based Centered Care Continuous Care "Net present value of health … "The doctor is in … locally." you." Physically Present Virtual Activity-based Herky-Jerky Care Convenient Care "When illness "Your e-doctor will overcomes inconvenience." see you now."
    7. 7. Agenda1. What are the most-significant forces driving change for health systems?2. What are the key characteristics of the "real-time health system“ and how will IT change as a result?3. What is collaborative care, and what are the IT requirements?4. What is the future of electronic healthcare record systems?5. What is the current and future stake of healthcare technologies and applications?
    8. 8. The RTHS Provides Visibility toCritical Events Alerts Sensors & Notifications Administrative Systems Event-Handling Systems Business Processes Filtering Correlation Business Aggregation Activity Dissemination Monitoring Building Systems Process & Outcomes Point-of-Care Analysis Systems Communications BI/Data Systems Warehouse
    9. 9. Agenda1. What are the most-significant forces driving change for health systems?2. What are the key characteristics of the "real-time health system“ and how will IT change as a result?3. What is collaborative care, and what are the IT requirements?4. What is the future of electronic healthcare record systems?5. What is the current and future stake of healthcare technologies and applications?
    10. 10. Changing Clinical Arena• Greater pressure to control costs and improve quality• Increased transparency of value• A risk-sharing payment model distributed across the entire delivery system and tied to value• Reconfiguration of the delivery system to a more patient-centric model that includes prevention, wellness and disease management• Increased meaningful use of technology• Demand for coordinated care across all venues• Greater emphasis on personalized medicine
    11. 11. Agenda1. What are the most-significant forces driving change for health systems?2. What are the key characteristics of the "real-time health system“ and how will IT change as a result?3. What is collaborative care, and what are the IT requirements?4. What is the future of electronic healthcare record systems?5. What is the current and future stake of healthcare technologies and applications?
    12. 12. Clinical Content Management andAnalytics Are the Keys for Success FullyConnected Wellness EHRs Future Integration and Automation Coordinated Predictive Proactive Presymptomatic Personalized Treatment Today Isolated Episodic Reactive Isolated Generalized Mounds of Paper Analytics Data Information
    13. 13. Powerful Clinical Decision Support isRequired and is Not Only for Physicians Workflows need to encompass a team approach and may eventually need to cross organizational boundaries. Scientific Discovery Order Sets Alerts, Reminders Guidelines Intelligent Templates Analytics EHR
    14. 14. Agenda1. What are the most-significant forces driving change for health systems?2. What are the key characteristics of the "real-time health system“ and how will IT change as a result?3. What is collaborative care, and what are the IT requirements?4. What is the future of electronic healthcare record systems?5. What is the current and future stake of healthcare technologies and applications?

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