COCIR session
                       eHealth Market?
     Present and Prospects, A View from Industrial Players


  What i...
Five ways eHealth enables
                                    long-term healthcare sustainability
                        ...
But where are we now in hospitals across
       Europe?

                                       •60+% of hospitals have Cl...
Maturity levels of HIT in EU hospitals

  Installed base in % (2009)
                        D           F            UK  ...
Imaging IT – UK example



                                          • England – NPfIT PACS/RIS
                          ...
Maturity levels of HIT in EU hospitals

  Installed base in % (2009)                                       • UK example of...
Clinical Adoption - critical for success

          Paper-based                                             Computer
     ...
What next ? Clinical Information Systems
       the next challenge for Europe
                                            ...
Expanding to eHealth and TeleHealth

                                                                                     ...
Upcoming SlideShare
Loading in …5
×

What IT Systems are really being Implemented and used in Hospitals across Europe, and How Prevalent are Hospital Electronic Patient Records (EPR)?

2,153 views
1,948 views

Published on

What IT Systems are really being Implemented and used in Hospitals across Europe, and How Prevalent are Hospital Electronic Patient Records (EPR)?. Maurincomme E. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

Published in: Health & Medicine
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
2,153
On SlideShare
0
From Embeds
0
Number of Embeds
10
Actions
Shares
0
Downloads
62
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

What IT Systems are really being Implemented and used in Hospitals across Europe, and How Prevalent are Hospital Electronic Patient Records (EPR)?

  1. 1. COCIR session eHealth Market? Present and Prospects, A View from Industrial Players What is really being implemented and used in hospitals across Europe? What are the steps to follow moving from basic infrastructure towards advanced clinical applications? Eric Maurincomme COCIR Healthcare IT Committee Chair
  2. 2. Five ways eHealth enables long-term healthcare sustainability • Generation 5: High impact of The Gartner Generational model chronic diseases necessitates better population and disease National & preventive 100 eHealth infrastructure management Generation 5: • Generation 4: Workflows and The Mentor inter-professional collaboration 80 Regional Health driving evolution towards Regional Reduction of Preventable Errors Generation 4: electronic patient records The Colleague • Generation 3: New imperatives – 60 Enterprise RIS/PACS/IDC Enterprise HIS/CIS costs, quality & safety – driving Generation 3: demand for enterprise-wide The Helper solutions 40 PACS & RIS & Image Distribution • Generation 2: Integrated imaging Generation 2: The Documentor and data reporting expanding to 20 PACS, RIS other clinicals Generation 1: 48 • Generation 1: Image collection at The Collector departmental level 1995 2005 2010 2015 … year Source: Freely adapted from Gartner
  3. 3. But where are we now in hospitals across Europe? •60+% of hospitals have Clinical Information Systems (CIS) in place •BUT 60+% still rely on paper as their Clinical IS main media to manage patient records •Even when available, effective use of CIS lagging behind •100% of hospitals have an administrative information system in place Administrative IS •Slow on-going replacement cycle to modernize & extract intelligence •Significant progress in Europe •BUT very fragmented Shared Infrastructure •Very often locally driven/procured, hence not shared Source: COCIR (2008, 2009)
  4. 4. Maturity levels of HIT in EU hospitals Installed base in % (2009) D F UK IT SP Admin. IS 99% 90% 100% 90% 99% Radiology 70% 30% 95% 60% 60% IS Laboratory 80% 100% 100% 90% 80% IS Operating 70% 35% 85% 20% 40% theater IS CPOE 10% 5% 45% 10% 10% EPR 80% 35% 5% 70% 60% Decision <1% <1% <1% <1% <1% Support IS Source: COCIR (2008, 2009) based on dii (2008)
  5. 5. Imaging IT – UK example • England – NPfIT PACS/RIS program launched in 2005 with first NHS in * Devolved installation from 2006 onwards, now Scotland* responsibility completed • Wales – National RIS programme completed with hospitals free to DHSS* deploy their preferred PACS completed – on going • Scotland – “Delivering for Health” NHS NHS in England RIS/PACS program awarded • Northern Ireland – National in Wales* PACS/RIS awarded • Private sectors – Contracts signed
  6. 6. Maturity levels of HIT in EU hospitals Installed base in % (2009) • UK example of radiology D F UK IT SP transformation: from films to IT Admin. IS 99% 90% 100% 90% 99% Screen & hardcopy film market (in GBP) 60,000,000 Radiology 70% 30% 95% 60% 60% 50,000,000 40,000,000 IS 30,000,000 20,000,000 Laboratory 80% 100% 100% 90% 80% 10,000,000 IS 0 2001 2002 2003 2004 2005 2006 2007 2008E Operating 70% 35% 85% 20% 40% theater IS COCIR Radiology IT Orders (in M€) 160 140 CPOE 10% 5% 45% 10% 10% 120 100 80 60 EPR 80% 35% 5% 70% 60% 40 20 0 2001 2002 2003 2004 2005 2006 2007 2008 Decision <1% <1% <1% <1% <1% Support IS Source: COCIR (2008, 2009) based on dii (2008)
  7. 7. Clinical Adoption - critical for success Paper-based Computer as main media as main media for patient record Microfiche Scanned/Digitized for patient record Western 63%  5%  13%  19% EU-8 France 70%  6%  12%  12% Spain 60%  1%  15%  24% Italy 72%  2%  9%  17% Netherlands 43%  5%  21%  31% Germany 53%  8%  14%  25% Denmark 38%  0%  25%  37% Norway 42%  3%  18%  37% Sweden 28%  1%  28%  44%
  8. 8. What next ? Clinical Information Systems the next challenge for Europe Market size (revenues-based) in million€ • Hospital IT market of 2.4B€ - Market CAGR offering a 4% growth prospect. size'08 (08-12) Hospital IT 2400 4% • CIS market* of 735M€ in 2008 - contained 5% growth prospect Admin. IS 900 2% • Investment in Clinical Information Clinical IS 735 5% Systems (CIS) extremely low - in comparison to Hospital Administrative Information Laboratory IS 220 3% Systems – with high complexity Imaging IT 550 4% * Clinical Information Systems exclude « service » departments such as Radiology and Laboratory Current level of availability combined with limited investment in CIS: NOT enough to enable “clinical” transformation Source: COCIR (2008, 2009)
  9. 9. Expanding to eHealth and TeleHealth • Generation 5: High impact of The Gartner Generational model chronic diseases necessitates better population and disease National & preventive 100 eHealth infrastructure management Generation 5: The Mentor • Generation 4: Workflows and inter-professional collaboration Reduction of Preventable Errors 80 Regional Health driving evolution towards Regional Generation 4: The Colleague electronic patient records 60 Enterprise RIS/PACS/IDC • Generation 3: New imperatives – Enterprise HIS/CIS Generation 3: costs, quality & safety – driving 40 The Helper demand for enterprise-wide PACS & RIS & Image Distribution solutions Generation 2: The Documentor • Generation 2: Integrated imaging 20 PACS, RIS and data reporting expanding to Generation 1: 48 other clinicals The Collector • Generation 1: Image collection at 1995 2005 2010 2015 … departmental level year eHealth mainstream adoption will not happen overnight but policy makers to shorten the implementation of “eHealth” vision and common goals. Time to act NOW! Source: Freely adapted from Gartner

×