Top 10 Canada Healthcare Game Changers

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Top 10 Canada Healthcare Game Changers

  1. 1. Insight Driven Health Top 10 Healthcare Game Changers Canada’s Emerging Health Innovations and TrendsCopyright ©© 2011 AccentureAll Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture. Copyright 2011 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture.
  2. 2. The time has come for healthcaretransformation in Canada… From health reform and skyrocketing costs to consumer expectations and technology advances, healthcare in Canada is undergoing significant transformation. The entire health community from private providers and public health organizations to patients themselves is feeling the impact and looking for new outcomes. What emerging trends and innovations are driving Canada’s healthcare transformation— from today and into tomorrow? And what organizations are leading the way to change? Accenture works across the global health community helping our healthcare clients achieve high performance by using knowledge in new ways to deliver more effective, efficient and affordable healthcare with Insight Driven Health. Our thought leaders have drawn on this experience—along with our work with health organizations in Canada—to provide our insights on the Top 10 Healthcare Game Changers to watch. Take a moment to explore our future vision for the nation’s healthcare landscape. Discover a range of technology-driven, information-powered trends—including organizational and structural reinvention, new options for providers and care delivery and innovative consumer empowerment tools and approaches. While each is unique, together, they will contribute to a new model of Insight Driven Health for Canada.Copyright © 2011 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture. 2
  3. 3. Canada’s Top 10 HealthcareGame Changers1 Healthcare Clouds Taking health records off the mainframe 6 Social Networking Patient-connected online communities2 Health Analytics Data insight into action 7 Point-of-Care Diagnostics De-centralizing the centralized lab3 New Payment Models Toward outcomes-based funding 8 Hospital at Home Home is where the care is4 Tablet Computing The key to health IT adoption 9 Regionalization 2.0 Aggregate then integrate5 mHealth The rise of the mobile health consumer 10 Exporting Health New pursuit of commercial opportunitiesCopyright © 2011 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture. 3
  4. 4. 1 Healthcare CloudsThe Internet and cloud computing will take health records off the mainframefor secure and unprecedented access to health stakeholders anywhere inthe world.Taking Health Records off the MainframeToday. Electronic health records today are most often housed onsiloed, institutional databases that do not facilitate easy informationaccess for cross-organizational data sharing and are not availableto patients and consumers.Tomorrow. Part of the utility computing trend, healthcare clouds willpush the trend away from large monolithic systems to point-of-caresystems. Clouds are secure Internet-based platforms used to link,access, store and manage health information. Healthcare cloudswill help providers access and store information in more efficient,flexible and secure ways while helping save money—driving thepush toward physician electronic medical records. For patients andconsumers, healthcare clouds will be a platform for personal healthrecords, offering new access, control, visibility and convenience.While clouds are focused on information, services may also bedelivered over these emerging health care platforms.Leading the Way. Microsoft HealthVault is an online healthinformation storage tool with services for consumers and providers.Copyright © 2011 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture. 4
  5. 5. 2 Health AnalyticsWith more health data at their fingertips, decision makers will rely onanalytical capabilities to evolve to the next level of healthcare delivery.Data Insight into ActionToday. Current systems typically measure healthcareas a series of transactions rather than a process thatmay or may not be executed as designed. To reach thenext level of quality and innovation in care delivery,practitioners require a comprehensive set of factsaround healthcare delivery including compliance with Visualizing andevery aspect of the protocol and care outcomes. comparing hospitalTomorrow. Canada’s growing network of electronic performancemedical records lays the groundwork for advanced Visualizing futureanalytics. Together, advanced analytics and new data chronic care costsvisualization techniques will help unlock the power of in the future bydata to drive more informed decision making and, New ways of geography presentingultimately, higher quality, lower cost care—from public Access to health lab datahealth monitoring and prevention to the treatment of information to deliverchronic illnesses. high quality careLeading the Way. GE is a leader with data visualizationprojects in its groundbreaking Healthymagination effort.NHS Evidence provides access to a wide range ofhealth information to deliver quality care.Copyright © 2011 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture. 5
  6. 6. 3 New Payment ModelsFuture payment models will be tied to quality and outcomes in a pay-for-performance model that will ultimately replace output-based funding.Toward Outcomes-Based Funding Hospital Funding in CanadaToday. Fee-for-service is the principal method of “Variable” case complexity adjustmentremuneration for more than 70 percent of physicians in “Variable” 100%Canada.1, 2 Only a minority are paid by salary, capitation or outcome-alternative payment plans. Hospital funding is based mainly linkedon global budgeting. None of these methods are linked to funding* 80%service quality or outcomes. Per-patientTomorrow. The convergence of health reform, new data funding 60%availability and access, and the push to lower healthcare Case “Fixed”costs will drive the shift toward outcomes-based funding in complexity blockCanada and globally. New funding models will be linked to 40% adjustment fundingmeeting specific targets, adjustments for patient case mixand other measures related to achieving quality outcomes. “Fixed” block 20% fundingLeading the Way. In Canada, there are new paymentmodel pilot projects underway. There are also initiativesfocused on intermediate steps such as “patient-based 0%payments.” While there are no clear leaders globally, Current Future?Sweden, Geisinger Health System and Blue Cross BlueShield of Massachusetts have value-based purchasingmechanisms in place.1) CIHI National Physician Database 2008-2009; 2) Canadian MedicalAssociationhttp://www.cma.ca/multimedia/CMA/Content_Images/Inside_cma/Statistics/39-Chart-DistRemun.pdf)Copyright © 2011 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture. 6
  7. 7. 4 Tablet ComputingEasy-to-use and portable, tablet computers will play a critical role in unlockingclinical adoption of technology like physician electronic medical records.The Key to Health IT AdoptionToday. Tablet computers have been well received by thepublic. The healthcare community has shown interest in usingtablet computing to transform healthcare. Tablet computersoffer the advantage of ease of use, portability and long batterylife and allow users to have “visual” conversations with patientsfor an engaging “user” experience.Tomorrow. More than 60 percent1,2 of physicians haveexpressed interest in using the iPad for healthcare purposes.The combination of consumer and provider interest could drivea preference for tablet computers over traditional computers.Tablets could become an educational tool at the point of careand a catalyst for increasing physician adoption of health careIT.Leading the Way. Stanford Medical School announced it willprovide all incoming students with an Apple iPad as part of atrial to improve and transform medical education.3 KaiserPermanente, among other organizations, announced plans totest the iPad for clinical use by physicians and nurses.1) Business Wire. http://www.businesswire.com/news/home/20100204006741/en/Physicians-Purchase-iPad-60-Percent-Intrigued-Device2) Morningstar;http://news.morningstar.com/all/business-wire/20110302005507/ipads-are-the-tablet-of-choice-among-us-physicians.aspx3) Stanford : http://med.stanford.edu/ism/2010/august/ipad.htmlCopyright © 2011 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture. 7
  8. 8. 5 mHealthHealth apps for mobile devices will empower healthcare consumers,change their behaviors and drive new clinical management andphysician-patient interactions.The Rise of the Mobile Health ConsumerToday. Mobile technology and mobile apps have become apart of everyday life for many people. Interest in health apps isexploding with new applications released weekly (100+ percentgrowth rate and 78 percent increase in total apps in sixmonths.1) Bant, developed in Canada, is one of the new classof apps simplifying diabetes management. Users can recordtheir glucose readings, links to popular health accounts andshare information.Tomorrow. More than 9 percent2 of Americans reported havingat least one health app on their smartphone in 2010. Thepopularity—and consumer appetite for—mobile health apps willcontinue to rise worldwide. These apps will become moresophisticated, empowering consumers to change theirbehaviours by making it easy to monitor health information.Mobile apps will become another channel for providers tointeract in real time with patients.Leading the Way. There are no clear leaders in the consumermobile app space, but Epocrates has been developing clinicalapplications for several years.1) MobiHealthNews: http://mobihealthnews.com/9396/number-of-smartphone-health-apps-up-78-percent/2) Pew Internet & American Life Project, Mobile Health 2010: http://www.pewinternet.org/Reports/2010/Mobile-Health-2010.aspxCopyright © 2011 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture. 8
  9. 9. 6 Social NetworkingSocial media/networking tools will make it easy for patients to connect andshare information, empowering them to take greater control of their health.Patient-Connected Online CommunitiesToday. Patients are using the Internet and socialnetworking tools to connect with one another and to shareinformation about their health and healthcareexperiences.Tomorrow. Moving beyond initial trends of connectingand information sharing, the next wave of opportunity willbe around patients managing and “curating” healthcareinformation via social networking sites. Consumers will beable to access trusted sources and reliable informationthat reflects patient needs. Social data on healthcare(perception of care, treatment regime, experience, etc.)will be a key part of this content.Leading the Way. PatientsLikeMe.com is one of severalleading Web sites that has created an online communityfor patients with similar diagnoses to help improve theirquality of life. Members can chart symptoms with toolsthat collect outcomes-based patient data and shareexperiences and resources with other patients andpartner healthcare stakeholders.Copyright © 2011 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture. 9
  10. 10. 7 Point-of-Care Diagnostics“Point-of-care” and “lab on a chip” testing technologies will transformdiagnostic services and de-centralize the lab.De-centralizing the Centralized LabToday. The at-home pregnancy test was one of the firstmass market point-of-care tests (PoCTs). The test gavewomen new control over their health information. Today,newer and more accurate tests for other diagnoses andmonitoring of chronic conditions are available, bringingnew convenience, control and ease-of-use to consumers.Recent advances toward “lab on a chip” allow for Total PoCT Spending in Canada, 2003-2013thousands of tests to be run on just a few drops of blood. $400Tomorrow. PoCTs will continue to simultaneously drive $350consumer empowerment and improve care with the ability $300to provide reliable and “instantaneous” results without the Millions $250need for a large centralized lab. This transformation can $200also play a role in lowering healthcare costs. $150 $100Leading the Way. There is no clear leader in this areatoday, but pharmaceutical companies are already making $50significant investments in new PoCTs. $0 2003 2005 2007 2009 2011 2013 2015 2017 2019 POCT spending in Canada estimated based on 1) Point of Care Diagnostic Testing Sector Trends http://trimarkpublications.ecnext.com/coms2/summary_0230-4082_ITM?referid=3470&gclid=CLKh-IjWkZsCFSAhDQodGFEZpg and 2) Point of Care testing established world-wide: Tran NK, Kost GJ. Worldwide point-of-care testing: compendiums of POCT for mobile, emergency, critical, and primary care and of infectious diseases tests. Point of Care: The Journal of Near-Patient Testing & Technology 2006;5:84-92. using official US/Canada exchange rates and OECD health expenditure reportsCopyright © 2011 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture. 10
  11. 11. 8 Hospital at HomeAdvances in remote-monitoring technologies will transform healthcaredelivery, driving the rise of at-home care options for eligible patients.Home is Where the Care isToday. Looking to control healthcare costs and providequality, effective care, there is a push to deliver moreservices within the home for patients whose diagnosesmeet certain eligibility requirements. Advances intechnology allow for remote monitoring and delivery ofservices without the need to stay in an acute care facility.Tomorrow. Technology advances will continue to enablemore hospital at home options for diagnostics, the care ofchronic conditions and post-surgical recovery. This trendis key in lowering hospital admissions and costs,eliminating hospital-acquired infections and supportingthe patient’s comfort and the physical and mental wellbeing so essential to recovery.Leading the Way. Kaiser Permanente is emphasizing the“home hospital” as a method of providing flexible, patient-centered and cost-effective care. Ontario TelemedicineNetwork is one of the world’s largest telemedicinenetworks.Copyright © 2011 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture. 11
  12. 12. 9 Regionalization 2.0The push to deliver better, more cost-effective healthcare will lead to theemergence of “super regions” in order to truly integrate care and services.Aggregate then IntegrateToday. The clear need to lower healthcare costs in thewake of an unprecedented global health reform mandateshas sparked moves toward the regionalization ofhealthcare. The overall aim is to achieve true integration.Already, regional integrated care networks are emergingto drive new efficiencies and economies of scale.Tomorrow. The emergence of these larger regionalsystems along a centralized governance model andstable funding will continue to enable better integration.Key benefits will include the consolidation of systems,standardization of care protocols and the development ofshared service models or managed services contracts.Leading the Way. In Canada, Alberta Health Services isan example of this trend. And in the United States,Geisinger Health System is a regional integrated network.Copyright © 2011 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture. 12
  13. 13. 10 Exporting HealthTo pay for rising healthcare costs, public health organizations will becomemore entrepreneurial and pursue and export commercialization opportunities.New Pursuit of Commercial Opportunities Health Expenditures in Canada, 1975-20101 $200Today. Healthcare organizations outside of Canada areentering new markets—foreign markets in particular—in $180an attempt to generate new revenue. Opportunities $160include partnerships, licensing deals, expansion into newmarkets and commercialization of IP. $140 $120Tomorrow. While the need to generate new revenue willcontinue to drive this trend, other factors such as the $100 Billionsneed to develop new skills, maximize existing resources $80and build a healthcare brand will come into play. $60Leading the Way. The Swedish government has $40announced plans to export its model of healthcare andwill partner with private sector firms to pursue $20opportunities aggressively. $0The University Health Network and the Cleveland Clinic 1975 1985 1995 2005are both exploring private, for-profit initiatives to generatenew revenue sources. Private Spending Public Spending1 Figures for 1975 through 2005 taken from National Health Expenditure Trends 1975-2005 (NHET), published by the Canadian Institute for Health Information (CIHI).Copyright © 2011 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture. 13
  14. 14. What Do You Think?• Today. Which trends do you see influencing your organization today?• Tomorrow. Which trends do you think will have the most impact on your organization in the next two years?• Business. What trends do you think best align with your short and long term business objectives?• Environment. What other healthcare trends are you tracking today?• Challenges. Do you have any concerns about how these trends will impact your organization and its stakeholders?Copyright © 2011 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture. 14
  15. 15. For more informationTo learn more about these healthcare game changers—and how theymight impact your organization, please contact:Sanjay CherianHealth Industry Lead, CanadaSanjay.Cherian@accenture.com416-641-3718http://www.accenture.com/insightdrivenhealthCopyright © 2011 Accenture All Rights Reserved. Accenture, its logo, and High Performance Delivered are trademarks of Accenture. 15

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