Colin Truesdale on Bringing everyone together for efficient, better healthcare
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Healthcare is moving at a massive pace. We need technologies that bring clinicians, their patients and their information together for more efficient , better quality care. With progress in mobility, communications and information management the tipping point for "Virtual Medicine" has now arrived.
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Colin Truesdale on Bringing everyone together for efficient, better healthcare
- 1. Issued commercial in confidence © Kainos Evolve Limited 2014 – no reproduction without prior consent. Colin Truesdale, Evolve Product Marketing Manager 7th November 2015 BRINGING EVERYONE TOGETHER FOR BETTER PATIENT CARE
- 2. Who are Kainos Evolve? 2 Mobile Enabled Healthcare Platform 50,000 Users 1 Billion Documents 80+ Hospitals 10 Million Patient Records 70% of UK NHS EMR Market
- 3. Making healthcare delivery easier through technology The Evolve Mobile-Enabled Healthcare platform solves a range of healthcare delivery challenges and is being used today across hundreds of hospitals by thousands of clinicians to support the care of millions of patients. Kainos Evolve 3
- 5. 5 The reality is….. Healthcare 2.0
- 6. Evolution vs demand for healthcare 6 • Dramatic shifts in healthcare demand: • Aging populations • Different disease demographics • Increasingly urbanized populations combined with unequal healthcare access for rural citizens • Even greater clinician shortages especially: • Nurses • Primary care physicians • Increasingly connected and sophisticated healthcare consumers • The increasing digitization of healthcare
- 8. • VirtMed : The “Tipping Point” has arrived • VirtMed : Disrupting health care delivery by lowering costs, improving outcomes, and promoting greater access and consumer convenience • VirtMed : A consumer engagement, care management and cost containment solution that as a part of the health care delivery fabric is creating new health care delivery models for the first time in decades. Virtual Medicine (VirtMed) 8
- 9. • VirtMed will grow from a $250 million US market today to over $20 billion during the next decade with the potential to top $50 billion when Population Health applications of the technology are realized. • VirtMed can: • Generate cost savings to the health care system of over 95% relative to unnecessary ER visits, 75% on hospital ambulatory visits and even 25% on low acuity retail clinic visits. • Replace almost two-thirds of unnecessary ER visits, generating savings of over $40 billion annually. • Replace one-third of all ambulatory physician visits at a cost savings of almost $20 billion. • Function as the remote patient monitoring system under emerging PopHealth delivery models, generating over $20 billion in annual revenue. Healthcare 2.0 9Source : RBC VirtMed Report, July 2015
- 10. Big potential savings and rewards 10Source : RBC Capital Markets estimates
- 11. 4 fundamental reasons for VirtMed 11 • Consumer convenience • Clinical outcome benefits • Making care widely accessible for everyone • Cost benefits of care at the point of need ECONOMICS ACCESS CONVENIENCEOUTCOMES
- 12. The drive towards virtual / remote care 12 Estimated Care Distribution 2015 Estimated Care Distribution 2020 Source : Gartner Symposium October 2015
- 13. How do we transition at light speed to VirtMed? 13 1. We need a bi-modal healthcare IT delivery model 2. We need to be able to rapidly re-engineer and innovate new care processes with efficient mobile capture 3. We need access to joined-up, comprehensive patient data 4. We need all stakeholders in care provision to collaborate
- 14. WE NEED A BIMODAL HEALTHCARE IT DELIVERY MODEL
- 15. BiModal healthcare technology stack 15 Wearables Stakeholder access Telemedicine Mobility Virtual med EPR EDM EHR PACS PORTAL PATH/RAD MODE 1 : Record MODE 2 : Engagement
- 16. WE NEED TO BE ABLE TO RAPIDLY RE-ENGINEER AND INNOVATE NEW CARE PROCESSES WITH EFFICIENT MOBILE CAPTURE
- 17. We need mobility 17Source : Gartner Symposium October 2015
- 18. Virtual medicine in practice 18 I had to show him where it hurt and how flexible my foot was - Lindsay, Boston 70% of U.S. patients are comfortable communicating with doctors via txt, email, video
- 19. 19 By 2020, 60% of all business processes will be optimised for mobile Source : Gartner Symposium October 2015
- 20. WE NEED ACCESS TO JOINED-UP, COMPREHENSIVE PATIENT DATA
- 21. 21 The world is being re-invented. 100% of industry processes will be reimagined. In an API Economy, pipeline of data are reassembled through Cloud Services. - Marc Dupaquier General Manager, Global Business Partners, IBM October 2015
- 22. WE NEED ALL STAKEHOLDERS IN CARE PROVISION TO COLLABORATE
- 23. Collaborating across stakeholder groups 23 3rd sector Care comissioners Family Patient Primary Care Patient record & careplans
- 24. VirtMed is on the brink of revolutionizing an inefficient health care market
- 25. Significant cost savings per encounter 25Source: CDC, Company reports, RBC Capital Markets
- 26. Now, or the future??? 26 ✘ ✔
- 27. Case study 1: Elderly Care 27 • Monitored by remote clinician • Trend analysis • Intervention alerting • Targetted programs for heart failure, heart disease, COPD and gestational diabetes Home measurements • 26% fewer ER visits • 28% reduction hospital days • 88% patient satisfaction • More than 85,000 virtual visits every month • Average age : 79 Virtual visits • 70% of patients said that their quality of life has improved • Savings of 30% to 60% in travel time and costs
- 28. • 600 wards across 46 hospitals • 5 million+ sets of observations taken per month • Capture of observations, alerting to deterioration, workflowing for interventions Case Study 2: Vital Signs Measurement 28 • 15% mortality rate drop • 750 deaths per year across 2 hospitals • 10% length of stay reduction • 70% reduction cardiac arrest rates • 50% reduction unplanned ITU transfers • 90% reduction Norovirus outbreaks
- 29. • Connected vs monolothic • Separate Pathology systems connected using HL7 / FIHR etc • Desktop vs mobility • Mobile interfaces for point-of-care access and capture of Pathology information • Everyone active vs pass-the-parcel • Pathology part of the wider team • Better communication between parties = faster response, less wasted resource • Need flexible workflow and orchestration Summary : VirtMed for Pathology is now 29
- 30. 30
Editor's Notes
- Technology changes slow National programme UK slowed everything down Traditional EPR-style systems slow to innovate and hard to get changes out of
- Rapidly changing population demographics Lots of healthcare innovation spending Changing healthcare consumer landscape – switched on, more educated on rights and medical conditions Changing regulatory requirements for treatment, information governance
- How do you do the above with traditional, siloed sources of information, often on paper with physical information management practices???
- This is doctors. As the shortfall continues, the pressure then moves “downstream” to nursing staff etc to plug those work task gaps, exacerbating the pressure across the health care system. Shortages of in-hospital and GP staff lead to pressure on Emergency Departments, the most expensive care delivery model.
- TOP BOX IS HOW MUCH VIRTUAL MEDICINE WILL ESSENTIALLY COST, THE MARKET OPPORTUNITY FOR SUPPLIERS BOTTOM BOX IS HOW MUCH VIRTUAL MEDICINE WILL SAVE THE HEALTHCARE ECONOMY IN COSTS
- The information needs to be stored in systems that can talk to each other. Not good enough to have Pathology / Radiology as its own island, requiring a separate login and user experience friction. HOW THE INFORMATION IS ACCESSED AND ADDED TO INCREASINGLY IMPORTANT, ACROSS ALL STAKEHOLDERS
- Not good enough to have “hard coded” inflexible systems. Requirements changing too rapidly. Toolset must allow for incremental changes, agile working practices. Desk-bound working is no longer acceptable in most scenarios, even a clinic setting. Soft-skills around sitting beside the patient etc.
- NATURE Moving from rigid, specific algorithms (PROCEDURES) to systems being able to present findings in a more intelligent way and spot trends (COGNITIVE), through to the system being able to actively suggest and manage treatment strategies (AUTOMATED) CLINICIAN LOCATION Moving from physically with the patient, through to occaisional connected (e.g. telephone), to remote clinics through to not involved at all because the healthcare management system is able to manage the healthcare. PATIENT LOCATION From always having to come to hospital to occaisional clinic visits (e.g. clinic hubs for remote treatment in rural areas) to telehealth in home through to wherever they are via virtual medicine. FOR PATHOLOGY : increasing intelligence to help support reporting and decision making. Less unnecessary requests.
- Consumers increasingly capable with remote working. Rise of Skype, email, instant messaging. Rise of apps that are helping manage long-term conditions, monitoring and tracking via manual input or wearables.
- High level of the other 40% will also be performed on mobile, just not necessarily specifically optimised for it.
- Need all the information to be accessed in one place. Not necessarily in the one system, but all systems must talk together. National Programme in UK now more about standards and interoperability. Pathology systems need to be able to talk with the common interfaces. FIHR will help this greatly, as it simplifies the integration process.
- Everything moving towards a connected way of working. If you don’t have an API, automatically relegated to “silo” status. Freedom for the information consumer to use the data in a way that makes most sense to them. The solutions that will ultimately win are the ones who can communicate, but also have compelling, useful, interfaces that make the best use of their own and everyone else’s data.
- Virtual Medicine only works when we actually do work as a team. Patients constantly frustrated at level of non-collaboration and information flow between their care teams. Too many cases of things falling between the cracks. The healthcare organisations that will ultimately succeed are the ones who can orchestrate and manage the patient care from initial visit, diagnosis, treatment, follow-up through to discharge, which will involve several teams and organisations.
- Record and careplan central to it all, but must be appropriately shared to all to ensure care quality and safety.
- Given physician shortage, ER visits are going up rapidly – UK a prime example. Shortage of GPs causes the same effect.
- Communications networks, infrastructure now in place. Social acceptance of online communications growing. Main blocker is politics between organisations (and central government lack of momentum)