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THE INTELLIGENT
ENTERPRISE IN
THE EXPERIENCE
ECONOMY FOR
THE HEALTHCARE
INDUSTRY
Delivering value-based,
patient-centered care in
the experience economy
SAP Industries White Paper | Healthcare
SAP Industries White Paper | Healthcare
© 2020 SAP SE or an SAP affiliate company. All rights reserved.
2
TABLE OF
CONTENTS
4 Executive Summary
5
6
Healthcare in a Digital World
Paving the Way for Business Model Innovation
7 Five Priorities for Success
8 Improve the Patient Experience
10 Subscribe to Patient Outcomes
12 Operate Smart and Efficiently
14 Enable Data-Driven Decisions
16 Empower the Workforce
18 Key Technologies
19 Getting There: A Phased Approach
20 Tackle Your Challenges and Become a Leader in
Your Industry
21 SAP’s Framework for the Intelligent
Enterprise in the Experience Economy
22 How to Plan Your Path to the Intelligent Enterprise
23 Comprehensive SAP Ecosystem Orchestrating
the World to Deliver Value Faster
24 SAP Is Committed to Innovation
25 Resources
SAP Industries White Paper | Healthcare
© 2020 SAP SE or an SAP affiliate company. All rights reserved.
3
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SAP Industries White Paper | Healthcare
© 2020 SAP SE or an SAP affiliate company. All rights reserved.
4
Thehealthcareindustryfacestremendous
change in every aspect of advancing
business and the provisioning of health-
care. Today, the patient journey begins
with prevention programs offered prior
to admission to secure the well-being
of patients while capturing and using
personal health data. The value and
importance of analyzing and using
patient data has increased significantly
in past years – and demand for
targetedanalysis of patient data will
expandin the future. In the experience
economy, patients not only require
transparent access to their healthcare
data, they also expect to be informed
about every step of their hospital visit
at any time.
Providersneedtogatherdataonpatient
experiences so they can continuously
improve care delivery and patient-
related processes. Enabling patients to
provide feedback will shape the future
of health services. Additionally, to build
and maintain patient loyalty, it is
important to focus on patient out-
comes far beyond the patients’ discharge.
More than ever, healthcare providers
are forced to act sustainably and be
economically viable. The overall aim is
to deliver state-of-the-art, best-quality
healthcare services that are accessible
to everyone – regardless of geographical
location or social conditions. Supporting
patients to engage with their healthcare
providers from anywhere at any time
byusing mobile devices andapplications
will lift the interaction in the healthcare
sector to the next level.
These continuous changes require
quick and ongoing adaptations by
healthcare providers. Implementing
transparent, end-to-end business
processes inspired by patient-focused
requirements will allow healthcare
providers to become intelligent
enterprises. Leaders will be motivated
to reevaluate processes and structures
tomeettheirstrategicpriorities,including:
 Improving the patient experience
 Subscribing to patient outcomes
 Operating smart and efficiently
 Enabling data-driven decisions
 Empowering the workforce
By 2025, we at SAP expect the
healthcare industry to be characterized
by value-based care that improves
patient outcomes and lowers costs for
all healthcare stakeholders. Healthcare
models will evolve from providing care
in hospitals and doctors’ offices to
offering care in patients’ homes. As
people become more aware of their
own health and how to influence it,
healthcare providers will continue to
focus on prevention programs. The
balance of power in healthcare will shift
from providers to consumers and to
those companies who can engage the
consumer. Thus, the most important
trigger for digital transformation is the
healthcare consumer.
Our expertise in digitalizing every
aspect of the customer value chain
aims to help healthcare stakeholders
provide the best value to their customers
at an affordable cost. SAP creates the
foundation and gateways to connect
the digital healthcare network to core
solutions for care and cure, healthcare
management, and healthcare data
insights.
This paper explores the trends in the
healthcare industry that await us and
how SAP will support healthcare
providers on their journey to becoming
intelligent enterprises.
EXECUTIVE
SUMMARY
Healthcare in a Digital World
© 2020 SAP SE or an SAP affiliate company. All rights reserved.
Patient expectations in today’s experience economy
along with available intelligent technologies are
creating new opportunities for healthcare providers
to take a leadership role in delivering value-creating,
affordable services.
Digitalizing every aspect of the healthcare value chain
and taking advantage of Big Data science will help
them shift focus from providing volume services
to improving the individual patient's quality of life.
In an environment continuously characterized by
staff shortages, automation – powered by artificial
intelligence and machine learning with the Internet of
Things (IoT) connectivity to the real world – will be key
to meeting the needs of a growing and aging population.
Innovative leaders need to encourage and enable their
workforce to turn digital innovation into outcomes for
the organization.
Trust, safety, and security are essential cornerstones
for the functioning of a modern society and play a
key role in relation to sensitive health and patient
information. Healthcare organizations need to be
equipped with the latest technologies and knowledge
so they can trust and rely on data assets from any
source and counteract cyberattacks.
Forward-looking healthcare organizations recognize
digitalization as an opportunitytorethinkthe fundamentals
of their business to build new capabilities rather than
be left behind.
5
f
Mini Cases: Data in Action
ParklandHealth & Hospital Systemis
optimizingemergencyroommanagement,
workflow, and patient care with a near-
real-time dashboard that provides
situational awareness of the total
number of recent arrivals, the number
of people in the waiting room, the
volume in each pod, and how many
people are pending discharge. The
dashboard is displayed on big-screen
televisions throughout the ER, giving
staff 24x7 live data.
Technical University Munich (TUM)
was able to revolutionize the speed
and depth of understanding of the
relationships between proteins and
how they interact with drugs, enabling
more-effective and targeted treatments
of cancer patients.
HarrisLogicLLC is consolidating and
transforming behavioral health data
into lifesaving analytics, demonstrating
that highly sensitive data, such as
mental health records, can be safely
anonymized while still producing
actionable data insights.
HEALTHCARE
IN A DIGITAL
WORLD
6
Paving the Way for Business Model Innovation
© 2020 SAP SE or an SAP affiliate company. All rights reserved.
PAVING THE
WAY FOR
BUSINESS
MODEL
INNOVATION
US$10 trillion
Combined healthcare spending in the
world‘s major regions by 20221
46%
Of hospital care can potentially be
moved to patient homes in the following
years (through 2026)2
78%
Of consumers are interested in having
a “menu” of care options offered
by multiple providers, allowing them
to choose care from local providers
or virtual care from specialists across
the country3
91%
Of nurses will access electronic health
record (EHR) data on mobile devices by
20224
90%
Of large enterprises will generate
revenue from data as a service by
2020 – from the sale of raw data,
derived metrics, insights, and
recommendations – up from nearly
50% in 20175
At SAP, we believe that as intelligent enterprises, healthcare
providers will become highly efficient at saving and improving
people’s lives, delivering a seamless patient experience and
value-based healthcare.
By 2025, we expect the healthcare sector will be characterized by a
significant portion of patient services delivered remotely. A stronger
health awareness of the population will lead to a growing focus on
prevention. New players with a deep understanding of how to engage
healthcare consumers will enter the healthcare market and give
patients more power to interact.
Just providing high-quality healthcare will no longer be good
enough. Healthcare organizations must redesign their service
offerings to involve and collaborate with patients and allow them to
impact their own care journey – and shape these services to their
greater benefit.
Unprecedented access to Big Data and advanced technologies that
let healthcare providers maximize their data assets and service
value will drive better business and patient outcomes.
Business models will be changing continuously and require a high
capability of agile adaption of healthcare organizations to new
structures and innovations in any direction. Successful business
model innovation, process optimization, and workforce productivity
are directly linked to delivering great customerand employee
experiences.
Five Priorities for Success
© 2020 SAP SE or an SAP affiliate company. All rights reserved.
7
FIVE PRIORITIES
FOR SUCCESS
We have identified five strategic priorities
necessary for healthcare organizations to
transform their business:
 Improve the patient experience
 Subscribe to patient outcomes
 Operate smart and efficiently
 Enable data-driven decisions
 Empower the workforce
8
Five Priorities for Success
© 2020 SAP SE or an SAP affiliate company. All rights reserved.
“
IMPROVE THE
PATIENT EXPERIENCE
By 2025, healthcare will have turned into a
competitive, consumer-focused business. In
the experience economy, patients will transfer their
consumer expectations into healthcare and new,
nontraditional players with a strong customer-
focused mind-set are pushing into the healthcare
space. Providing a positive, seamless patient
experience across digital and physical interaction
will be a key differentiator for healthcare providers.
That includes applying technologies that are
designed with an understanding of patients being
among the main users of the solutions and that are
aimed at making patient-provider interactions more
convenient for the patient. (See Figure 1.)
How can we meet the needs of patients evolving from passive
recipients to active consumers of health services?
Figure 1: Improve the Patient Experience
67%
Of the patients will book, change, or cancel appointments online, with this trend rising
in the following years6
Onboarding
experience
Hotel services
Time to recoverySelf-service options
Prevention programs
Patient loyalty
programs
Quality of care
9
IMPROVE THE PATIENT EXPERIENCE
Health Engagement to Experience
Vitality Group provides motivation and incentives that help 7.8 million people
live healthier lives. “We were looking for greater connectivity with our members,
both in terms of marketing and micro interactions. You can do that only if you're
on an intelligent, consolidated system that understands all the touch points.
SAP Customer Experience solutions helped us create a real connection.”
Steve Mitchley, Chief Strategy Officer, Vitality Group7
Five Priorities for Success
© 2020 SAP SE or an SAP affiliate company. All rights reserved.
TRADITIONAL SCENARIO
NEW-WORLD SCENARIO
POTENTIAL BENEFITS
Patients have little to
no involvement in the
treatment process.
Patient consumerism with
hyperconnectivity of sensors and
devices increases, but patients
are not involved and don’t have an
overall picture.
Inefficient care delivery
and low cross-organization
communication result in
duplicate tests and no
consideration of the impact
on the patient.
Low patient satisfaction
results in low adherence to
patient-care plans.
Educate patients about their
conditions.
Follow up to ensure positive
outcomes.
Continually optimize patient
experience.
Engage patients throughout their
care plan.
 Education and
engagement about the
state of patients’ diseases
 Clinician education and
engagement
 Patient segmentation
using approved patient
and third-party data to
drive proactive patient
visits and care
 Ongoing patient marketing
throughout the care plan
 Patient case management for a
“golden record” of engagement
 Expand beyond traditional care
models
 Automated, proactive
notification of care plans
to help ensure compliance
and improved outcomes
 Automated patient surveys
that trigger next actions for
clinicians based on patient
feedback
 Integration with patient
database to measure
compliance to care plans; AI-
assisted proactive patient
communication
 Real-world evidence tracking
for use in population health
outcome research and
optimization
Increased patient satisfaction by involving patients
in the process and decision-making, hugely influencing
their satisfaction about the treatment and outcome
Improved care efficiency by empowering the patient to
be responsible for different parts of the treatment journey
10
Five Priorities for Success
© 2020 SAP SE or an SAP affiliate company. All rights reserved.
SUBSCRIBE TO
PATIENT OUTCOMES
Patients will be able to see value from the options
they have for their specific health issues, based on
key performance indicators and assessments of
other patients facing similar circumstances. Future
self-management options that empower patients to
affect the result of the treatment will positively
influence the patient outcomes. Pure statistics are
not meaningful in this context. The demonstrated
outcomes must be specifically relevant to individual
patients and their particular context. (See Figure 2.)
How do we provide healthcare services with optimized outcomes for
each individual patient?
Figure 2: How to Subscribe to and Measure Better Patient Outcomes
 Mortality
 Readmission
 Time to recovery
 Safety of care
 Effectiveness of care
 Efficient use of medical imaging
Realize better patient outcomes
11
SUBSCRIBE TO PATIENT OUTCOMES
Diagnosis to Recovery
TRADITIONAL SCENARIO
NEW-WORLD SCENARIO
POTENTIAL BENEFITS
All data is permanently
available for everyone
involved in the process.
The doctor checks the
patient’s electronic
record and orders
services.
Patient waits for further
information about the
diagnostic results and
receives notification on
their mobile device or
through the WTM.
Once diagnostic results
are available, the doctor
calls the patient, and
results are transparently
displayed for the patient
to discuss further
procedures.
Patient schedules a
surgery appointment and
receives all relevant
information electronically.
Patient has already
completed the self-
check-in. The triage
nurse performs triage
and adds information to
the patient’s electronic
record. While waiting for
the doctor, the patient
can check the waiting
time monitor (WTM) and
app for information
regarding the schedule.
Once diagnostic results
are available, the doctor
calls the patient, discusses
the results, and prescribes
medication.
Administrative staff
schedules an appointment
for surgery and hands
over printouts with all
relevant information.
Patient signs in with the
admission desk staff,
registers relevant details,
and fills in and submits
forms.
Triage nurse performs
triage and records some
notes. The doctor
carries out the initial
examination, ordering
several services and
orders diagnostics.
Patient goes to the
waiting room with hand-
filled forms and waits to
be called by the doctor.
Improve patient experience and compliance
by informing and reminding the patient about
things to bring and procedures to follow before
a visit
Reduce reimbursement delays through
accurate data provided by patient
Improve resource use by reducing no-shows
Five Priorities for Success
© 2020 SAP SE or an SAP affiliate company. All rights reserved.
12
Five Priorities for Success
© 2020 SAP SE or an SAP affiliate company. All rights reserved.
OPERATE SMART
AND EFFICIENTLY
Providers are under constant cost pressures and
resource constraints. In upcoming years, the next-
generation digital core will be the foundation for a
smarter business – leveraging IoT and machine
learning for higher automation and offering cockpits
with embedded analytics, prediction, and
simulation to ensure a more agile nervous system
for the entire organization. With that in place,
healthcare providers can excel in terms of
operational efficiency – for example, by reducing
variations in clinical care to standardize best
practices, by using resources and supplies more
effectively, or through more-precise claims.
(See Figure 3.)
How do we remove unnecessary costs and waste and free resources
for innovation and better patient care?
Figure 3: Operate Smart and Efficiently
The automation of processes through intelligent technologies can free up staff and resources
as well as reduce operational cost while increasing the quality of delivered work.
“We simply couldn’t find a better enterprise solution – once we saw
the flexibility with the SAP Qualtrics® Core XM platform, we were sold.
We are getting tremendous value for our money. For the same cost as
having multiple survey subscriptions, we have standardized on a
superior survey platform.”
Tom Summerfelt, Vice President of Research, Advocate Health Care8
Cost
Automation
Quality
13
Five Priorities for Success
© 2020 SAP SE or an SAP affiliate company. All rights reserved.
OPERATE SMART AND EFFICIENTLY
Admission to Cash
TRADITIONAL SCENARIO
NEW-WORLD SCENARIO
POTENTIAL BENEFITS
Process spanning across systems; data typically displays on two
screens in parallel and involves multiple transactions
Receiving patient files and checking
billing context, material consumption,
anesthesia type, performed diagnostics,
and referral information step-by-step
Time-consuming
manual editing of
billing items
Sending every
case to billing
Output or
dispatch of bill
Errors occurring due to
incorrect manual input
of data
Standard
billing
rules
Cases ready
to be billed
Invoice
drafts
“Revenue optimizer”
(machine learning)
Payed invoices
(historic data)
Unstructured data
(medical record,
surgery protocol,
and so on)
InvoicesPatient
accountant to
confirm proposal
(configurable)
Payer invoices
Automatic
optimizing
Manual
optimizing
Highly automated end-to-end process
with machine learning; fully automated
billing with no user interface; exception
handlingintegratingclinicaldocumentation
and billing details on a single screen
Streamlined insurance claims to
enable clean claims submission for
faster reimbursement
Increased accuracy between front-end
and back-end processes
Reduced revenue leakage by reducing
insurance claim denials and speeding up
point-of-service billing
Improved productivity by reducing
manual work in billing and claims process
14
Five Priorities for Success
© 2020 SAP SE or an SAP affiliate company. All rights reserved.
ENABLE DATA-DRIVEN
DECISIONS
The most dramatic change in the digital economy
will be driven by hyperconnectivity and Big Data
science. Electronic medical records, data from
apps, wearables, mobile devices, sensors, and
clinical innovations will create a vast zettabyte of
data and an ocean of information. By 2025, the
healthcare value chain will be changed massively
through the ability to monitor patients, collect
health and outcome information from structured
as well as diverse raw and unorganized sources,
analyze information in real time to react early,
and use predictions to act beforehand. Big Data
technologies, analytics, artificial intelligence, and
machine learning will help unlock valuable insights
in data lakes and enable an insight-driven health-
care business. (See Figure 4.)
How can we move from a mainly experience-based healthcare model
to delivering care based on real-world evidence?
Figure 4: Set the Patient in the Center of Care by Applying Data-Driven Insights
Embed intelligent
technologies such as
machine learning, AI, and
the IoT in the business
process and applications
Data
integration
Embedded
intelligence
Healthcare
analytics
Predictive
services
Use an in-memory data
platform and advanced
analytics to gain critical
insights on health outcomes
and operational efficiency
Make use of high-
performance predictive
models that can be fine-
tuned easily to act
beforehand
15
Five Priorities for Success
© 2020 SAP SE or an SAP affiliate company. All rights reserved.
ENABLE DATA-DRIVEN DECISIONS
Data to Insights
TRADITIONAL SCENARIO
NEW-WORLD SCENARIO
POTENTIAL BENEFITS
Analyzing only parts of
information; various
sources of the truth;
time-consuming and
incoherent analysis
Data
warehouse Retroactive
decision-making
Structured data
 Structured data
 Unstructured data
 Wearables, sensors
 Social media and
marketing data
 Patient and employee
feedback
Data warehouse plus
experience data (X-data)
and operational data
(O-data) in a data lake,
combined with
SAP HANA® software
Active decision-
making; taking
early measures
Reduce data integration costs by orchestrating
and harmonizing organized and unorganized data
from various sources
Unstructured data
Unlocking full potential of
data analysis; using
machine learning in
analytics; creating and
training predictive
models; visualizing
contexts; gaining insights
for everyone with
one analytics suite
Various clinical analytics
databases
Reduce IT spend by enabling data visualization
across your healthcare organization using a single,
trusted platform
Improve quality of care by getting real-time access to
Big Data for structured and unstructured information,
including social media and personal experience data
Cleansing and
harmonization
X + O
Social media and marketing data
Data
governance
Data governance
and orchestration
Source: SAP Performance Benchmarking
16
Five Priorities for Success
© 2020 SAP SE or an SAP affiliate company. All rights reserved.
EMPOWER THE
WORKFORCE
Complexity is the enemy of workforce empowerment.
It can drive up costs and slow down progress. New
digital tools enable the workforce of the future to
reevaluate how they work and help them get the
most out of their professional training – freeing
them from paperwork to focus on patient care. The
aim is to provide clinical staff with mobile devices to
allow faster communication, just-in-time delivery of
information and results, and flexibility in their work
environment. (See Figure 5.)
How can we restructure and empower our workforces to allow them
to perform at their best?
Figure 5: Addressing Your HR Challenges to Empower the Workforce
From
operational . . .
. . . to strategic
Inclusion and
visibility
 Contingent profile
 Visibility in
organizational chart
 Directory and search
Insight
 Contingent
workforce metrics
 Analyzing the total
workforce
Optimization
 Planning the total
workforce
 Acclimating, socializing,
and developing contingent
workers
 Harmonized talent
processes
17
Five Priorities for Success
© 2020 SAP SE or an SAP affiliate company. All rights reserved.
EMPOWER THE WORKFORCE
Total Workforce Management
TRADITIONAL SCENARIO
NEW-WORLD SCENARIO
POTENTIAL BENEFITS
Disconnected processes
in all departments in the
organization
No single access point
to manage the workforce –
leading to missing
engagement and alignment
Siloed systems for
planning, resource
management, and recruiting
– resulting in higher labor
costs and compliance risks
Operational inconsistencies
and inefficiencies due to
missed opportunities as well
as slow adoption and
execution
Plan workforce and
projects
Generating a plan by
modeling the demand
for talent (performed
by the organization)
and identified needs
Onboarding
Completion of
paperwork,
receiving
equipment,
conducting training,
and meeting team
members
Identify
internal talent
Searching for
existing
resources with
required skills
Recruit new hires
and contingent
workers
Opening
requisitions,
finding
candidates, and
making offers
Working
Delivery of ongoing
training and
development
Paying and closing
Paying employees using
payroll software,
submitting project
expenses, and
offboarding resources
Source: SAP Performance Benchmarking
1 platform
for talent management, learning
management, and data insights
24x7
access using any mobile device
KEY
TECHNOLOGIES
Each of these priorities will be enabled by emerging intelligent technologies.
Artificial Intelligence and Machine Learning
Implementing machine learning in clinical routines and hospital workflows promises
improved patient outcomes through better and faster diagnoses. It helps improve
decisions around prevention, treatment plans, medication management, and precision
medicine. Augmenting healthcare manpower with machine learning can also be an
essential building block in addressing the constantly growing demand for healthcare
services. Machine learning enables algorithms to “learn” from existing data. Once the
algorithm is trained, it can then predict future outcomes based on new data.
The Internet of Things
Every patient, healthcare organization, and machine can be connected – changing all
the established rules for healthcare channels. Connectivity drives the collaboration of
patients, providers, and supporting businesses and assets in the digital healthcare
network.
Data Platform to Manage Experience
Leaders are interlocking the operational performance data from hospitals’ business
systems (what is happening) with the experience data coming from patients and
employees (why it is happening).
Advanced Analytics
Empowered users can get real-time visibility into their changing environment, simulate
the impact of business decisions, mitigate risk, and achieve better patient outcomes.
Blockchain
The ability to share healthcare data and collaborate in a secure, trusted, and transparent
manner between different healthcare stakeholders forms the underlying principle of the
health network. Blockchain technology has the potential to be a game changer in the
healthcare industry, promising improved data flow between disparate systems and
heightened security.
Virtual and Augmented Reality
Virtual reality (VR) uses digital technology to create immersive simulations. Augmented
reality (AR) lets users interact with digital content that’s overlaid on the real world. Both
technologies have great potential to overcome physical constraints in healthcare – for
example, through remote surgeries or by precisely locating concealed tumors.
Conversational AI
Voice interfaces will be the go-to technology for the next generation of applications,
allowing for greater simplicity, mobility, and efficiency while increasing productivity and
reducing the need for training.
Robotic Process Automation
Robotic process automation streamlines repetitive, rule-based processes and tasks in a
hospital and reduces costs through the use of software robots that replicate specific tasks.
Key Technologies
© 2020 SAP SE or an SAP affiliate company. All rights reserved.
18
At a Glance
~50%
Of new mobile apps use voice as a primary
interface, and 50% of the consumer-facing
G2000 use biometric sensors to personalize
experiences by 20209
US$1.2 trillion
Will be the amount of IoT spending in
202210
45%of patients
surveyed
Do not use wearables (for example, smart
watches) today, but they aim to use them in
the near future and would allow storing data
for their digital twin11
10
Key use cases will drive IoT growth across
all industries through 2020, including
remote patient monitoring in healthcare12
93%
Of cloud decision-makers believe it’s
important that the software for their
business processes integrates across an
end-to-end value chain in an industry
cloud13
Getting There: A Phased Approach
© 2020 SAP SE or an SAP affiliate company. All rights reserved.
19
GETTING THERE
A PHASED APPROACH
Healthcare organizations will become intelligent enterprises on three
distinct tracks as they evolve their strategic priorities to match their
organization’s vision. They will:
 Optimize what they already do by implementing a stable and scalable
digital core to make processes more transparent and integrated
 Extend their current processes by connecting them to the real world
using IoT technologies
 Transform their business using a constant stream of data, enabling
new service-driven business models (See Figure 6.)
Figure 6: Strategic Priorities Across the Maturity Framework
Empowered
workforce
Patient outcomes
Data-driven
decisions
Set up efficient clinical
guidelines and
standard operating
procedures
Track and trace
products to ensure
highest clinical
outcome quality
Align incentives and
reimbursement with
value-based care
delivery models
 Delivery of data-driven care
 Services based on real-world evidence
 Focus on value and individual patient
outcomes
Create prevention
programs based on
population health
analytics
Optimize treatment
with integrated health
data from various
devices
Manage chronic
diseases by using
predictive analytics
and risk scoring
 Collection of patient data for analytics
and prediction
 Hyperconnectivity and transparency
in the healthcare network
Introduce hands-free
documentation for
clinicians
Automate clinical
orders from
documentation
Augment clinical
decision-making with
technology
 Reevaluation and higher automation of
processes
 Increase of workforce efficiency
through a focus on higher-value tasks
Optimize Extend Transform Deliver value-based, patient-
centered care through the
intelligent enterprise for
healthcare
Patient
experience
Offer patients online
preregistration and
self-check-in services
Augment on-site care
with remote patient
services
Deliver patient-centric,
interdisciplinary
prevention, treatment,
and care
 Seamless patient experience across
digital and physical interactions
 More-convenient patient-provider
interactions
 Individualization of patient handling
Operational
efficiency
Automate end-to-end
patient billing process
Automate patient data
capture through
connected devices and
machine-to-machine
communication
 Integrated patient services along the
patient journey
 Higher automation in business
processes
 Real-time decision-making
Obtain 360-degree,
real-time insights into
performance and
financial data
Getting There: A Phased Approach
© 2020 SAP SE or an SAP affiliate company. All rights reserved.
20
What are the challenges you must tackle?
According to the study by Porter Research that was commissioned by SAP, which
gathered input from health system executives from acute care hospitals and integrated
delivery networks, the two issues to be top of mind for health systems in the coming
three years are, first, addressing the cost pressures that have resulted from declining
reimbursements; and second, improving the patient experience. These are followed by
upgrading IT and cybersecurity. (See Figure 7.)
62%
53%
48%
46%
46%
42%
34%
31%
27%
20%
17%
16%
Declining reimbursement
Patient experience
IT maintenance
Cybersecurity
Qualified new hires
Compliance with government mandates
Implementing alternative payment models
Consolidation across players
Digital patient engagement
Increasing drug cost
Price transparency
Opioid crisis
Figure 7: Top Challenges to Tackle on the Way to Becoming an Intelligent Enterprise in the
Healthcare Industry14
TACKLE YOUR
CHALLENGES
AND BECOME A LEADER
IN YOUR INDUSTRY
SAP’s Framework for the Intelligent Enterprise
© 2020 SAP SE or an SAP affiliate company. All rights reserved.
21
Y
Figure 8: SAP Intelligent Enterprise Framework
SAP’S FRAMEWORK
FOR THE INTELLIGENT
ENTERPRISE IN THE
EXPERIENCE ECONOMY
Most organizations understand what is happening in their business but may not always know why.
They know what’s happening because they have systems that capture operational data ( O-data) –
about their customer transactions, supply chain, manufacturing, spending, and the activities of their
workforce. They can see that data through reports and dashboards. They can see trends and predict
what will happen next.
But to influence what happens next, companies need data about the interactions that people have with
their products and their business. Experience data (X-data) captures beliefs, emotions, opinions, and
perceptions – the “why” something is happening. And when companies know why something is
happening, they can make an informed decision about the best way to respond.
To win in this experience economy, intelligent enterprises connect experiences with operations. They use
both experience and operational data to guide their business decisions. Intelligent enterprises collect
insights from customers, employees, products, and brands at every touch point. They use powerful
technologies to automate and integrate their data, processes, and applications, enabling them to sense
risks, trends, and opportunities. And they act on this intelligence across every part of their business.
(See Figure 8.)
Only SAP has the strategy, expertise, and solutions to deliver on this vision, enabling intelligent
enterprises to turn insight into action.
Application Development
& Integration
Database &
Data Management
Intelligent
Technologies
Analytics
O
Data
O
Data
Experience Intelligence
X
Data Customer Finance
Procurement
Supply Chain
Manufacturing
HR
Customer
Employee
Product
Brand
Operations
SAP’s Framework for the Intelligent Enterprise
© 2020 SAP SE or an SAP affiliate company. All rights reserved.
22
In the digital economy, intelligent technologies and integrated business
processes are now driving digital transformation.
To do this effectively requires an end-to-end plan for becoming an intelligent enterprise. (See Figure 9.) This includes
creating an intelligent enterprise road map and implementation plan with proven best practices and deployment
options that optimize for continuous innovation with a focus on intelligent outcomes.
Figure 9: The End-to-End Journey to Becoming an Intelligent Enterprise
Standardize and innovate
 Model-company
approach to accelerate
adoption with model
industry solutions
 Design thinking and
rapid, tangible prototypes
 Coengineered industry
innovations delivered
with agility
Simplify and innovate
 Reimagined business
models, business
processes, and work
 SAP® Intelligent
Enterprise Framework
methodology as
a guide for digital
transformation
 Value-based innovation
road maps
Run with one global
support
 One global, consistent
experience
 End-to-end support –
on premise, in the
cloud, or with a hybrid
approach
Optimize to realize value
Continuously captured and
realized benefits of digital
transformation
Build and launch
with proven best
practices
Plan
well to manage
expectations
Run
all deployment
models
Optimize
for continuous
innovation
To move forward with speed and agility, it helps to focus on live digital data and combine solution know-how
and industry-specific process expertise with data analytics so that the right digital reference architecture is
defined and delivered. In that context, a model-company approach is aimed at simplifying and increasing the
speed of the digital transformation journey. Model companies represent the ideal form of standardization for
a specific line of business or industry. They are built on preconfigured SAP solutions based on best practices
supported by SAP, along with the business content that encompasses our experience and expertise relevant
for the industry. They provide a comprehensive baseline and come with the accelerators to jump-start digital
transformation projects.
Read more on how to achieve a successful transformation to an intelligent enterprise with SAP Digital
Business Services.
HOW TO PLAN
YOUR PATH TO
THE INTELLIGENT
ENTERPRISE
COMPREHENSIVE
SAP ECOSYSTEM
ORCHESTRATING THE
WORLD TO DELIVER
VALUE FASTER
 Open architecture with a choice of hardware
and software
 Complementary and innovative third-party
solutions
 Broad reach through partners to serve your
business of any size anywhere in the world
 Forum for influence and knowledge
 Large skill sets and industry expertise
Our comprehensive healthcare ecosystem offers integration into:
SAP’s Framework for the Intelligent Enterprise
© 2020 SAP SE or an SAP affiliate company. All rights reserved. 23
Our partner ecosystem includes, among others:
24
SAP’s Framework for the Intelligent Enterprise
© 2020 SAP SE or an SAP affiliate company. All rights reserved.
 SAP.comfor Healthcare
 SAP Digital Business Services
Learn more
SAP IS COMMITTED
TO INNOVATION
SAP supports healthcare organizations in becoming intelligent
enterprises – providing integrated business applications that use
intelligent technologies and can be extended on SAP Cloud
Platform to deliver breakthrough business value.
10-Year Innovation Vision
SAP delivers fully intelligent
business solutions and networks
that span across company
boundaries and promote purpose-
driven businesses. These solutions
will be the most empathic symbiosis
between machine intelligence and
human ingenuity.
Comprehensive Industry
Coverage
SAP enables comprehensive
coverage of the complete
hospital value chain across the
enterprise. With its clear
industry road map, SAP is
the partner of choice for the
healthcare industry.
Proven Services Offering
By bringing together world-
class innovators, industry
and emerging technology
expertise, proven use cases,
and design thinking methods,
we help healthcare
organizations develop
innovations that deliver
impact at scale.
 Self-running enterprise
systems
 Self-organizing business
ecosystems
 New markets and business
models
 More than 7,900 healthcare
providers in 94 countries
innovating with SAP solutions
 7 of the 10 best hospitals in
the world running SAP
solutions
 Support for all lines of
business on a single platform
 Proven methodologies
to drive innovation, from
reimagining customer
experiences to enhancing
operations
 Innovation that is fueled
through a managed
innovation ecosystem
from SAP
 Ability to build your own
innovation capability and
culture
1. “2019 Global Health Care Outlook: Shaping the
Future,” Deloitte, 2019.
2. “No Place Like Home: An Analysis of the Growing
Movement Away From Hospitals Towards Providing
Medical Care to Patients in Their Own Homes,”
Gupta Strategists, 2016.
3. “Provider Systems of the Future: What Happens
When the Hospital Is No Longer the Center of the
Health Universe?,” PWC Health Research Institute,
2018.
4. “The Future of Healthcare: 2022 Hospital Vision
Study,” Zebra Technologies, 2017.
5. “IDC FutureScape: Worldwide IT Industry 2018
Predictions,” Doc. #US43171317, IDC, October 2017.
6. “Accenture 2019 Digital Health Consumer
Survey: Today’s Consumers Reveal the Future of
Healthcare,” Accenture, 2019.
7. “Vitality Group: How Does a Leading Health and
Wellness Program Revolutionize Customer
Engagement?,” SAP, 2019.
8. Advocate Health Care Qualtrics Research Suite
Case Study, 2013.
9. “IDC FutureScape: Worldwide IT Industry 2018
Predictions,” Doc. #US43171317, IDC, October 2017.
10. “IDC Forecasts Worldwide Technology
Spending on the Internet of Things to Reach $1.2
Trillion in 2022,” IDC, June 2018.
11. “Der digitale Zwilling – Erwartungen und
Einschätzungen der deutschen Bevölkerung mit
besinderem Fokus auf Diabeteserkrankungen,”
PWC, November 2018.
12. BCG Perspectives, “Winning in IoT: It’s All About
the Business Processes,” The Boston Consulting
Group, 2017.
13. “Emerging Opportunities to Deploy Industry
Processes in the Cloud,” a Forrester Consulting
thought leadership paper commissioned by SAP,
July 2018.
14. “Rising to Meet Healthcare Industry Challenges
– Health System Executives Seek New Ways to
Reduce Costs and Tackle the Patient Experience,”
a study supported by Porter Research, 2019.
Note: All sources cited as “SAP” or “SAP
Performance Benchmarking” are based on
our research with customers through our
benchmarking program and other direct
interactions with customers.
Outlined below is external research that was used as supporting material for this paper.
Resources
© 2020 SAP SE or an SAP affiliate company. All rights reserved.
25
RESOURCES
Studio SAP | 53157enUS (20/01)
© 2020 SAP SE or an SAP affiliate company. All rights reserved.
No part of this publication may be reproduced or transmitted in any form
or for any purpose without the express permission of SAP SE or an SAP affiliate
company.
The information contained herein may be changed without prior notice. Some
software products marketed by SAP SE and its distributors contain proprietary
software components of other software vendors. National product specifications
may vary.
These materials are provided by SAP SE or an SAP affiliate company for
informational purposes only, without representation or warranty of any kind, and
SAP or its affiliated companiesshall not be liable for errors or omissions with
respect to the materials. The only warranties for SAP or SAP affiliate company
products and services are those that are set forth in the express warranty
statements accompanyingsuch products and services, if any. Nothing herein
should be construed as constitutingan additional warranty.
In particular, SAP SE or its affiliated companies have no obligation to pursue any
course of business outlined in this document or any related presentation, or to
develop or release any functionality mentioned therein. This document, or any
related presentation, and SAP SE’s or its affiliated companies’ strategy and
possible future developments, products, and/or platforms, directions, and
functionality are all subjectto change and may be changed by SAP SE or its
affiliated companies at any time for any reason without notice. The information in
this document is not a commitment, promise, or legal obligationto deliver any
material, code, or functionality. All forward-looking statements are subject to
various risks and uncertainties that could cause actual results to differ materially
from expectations. Readers are cautioned not to place undue reliance on these
forward-looking statements, and they should not be relied upon in making
purchasing decisions.
SAP and other SAP products and services mentioned herein as well as their
respective logos are trademarks or registered trademarks of SAP SE (or an SAP
affiliate company) in Germany and other countries. All other product and service
names mentioned are the trademarks of their respective companies.
See www.sap.com/copyright for additional trademark information and notices.
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The intelligent enterprise in the experience economy for the healthcare industry

  • 1. THE INTELLIGENT ENTERPRISE IN THE EXPERIENCE ECONOMY FOR THE HEALTHCARE INDUSTRY Delivering value-based, patient-centered care in the experience economy SAP Industries White Paper | Healthcare
  • 2. SAP Industries White Paper | Healthcare © 2020 SAP SE or an SAP affiliate company. All rights reserved. 2
  • 3. TABLE OF CONTENTS 4 Executive Summary 5 6 Healthcare in a Digital World Paving the Way for Business Model Innovation 7 Five Priorities for Success 8 Improve the Patient Experience 10 Subscribe to Patient Outcomes 12 Operate Smart and Efficiently 14 Enable Data-Driven Decisions 16 Empower the Workforce 18 Key Technologies 19 Getting There: A Phased Approach 20 Tackle Your Challenges and Become a Leader in Your Industry 21 SAP’s Framework for the Intelligent Enterprise in the Experience Economy 22 How to Plan Your Path to the Intelligent Enterprise 23 Comprehensive SAP Ecosystem Orchestrating the World to Deliver Value Faster 24 SAP Is Committed to Innovation 25 Resources SAP Industries White Paper | Healthcare © 2020 SAP SE or an SAP affiliate company. All rights reserved. 3 YOUR FEEDBACK MATTERS TO US! Please let us know how you rate this document. Click here
  • 4. SAP Industries White Paper | Healthcare © 2020 SAP SE or an SAP affiliate company. All rights reserved. 4 Thehealthcareindustryfacestremendous change in every aspect of advancing business and the provisioning of health- care. Today, the patient journey begins with prevention programs offered prior to admission to secure the well-being of patients while capturing and using personal health data. The value and importance of analyzing and using patient data has increased significantly in past years – and demand for targetedanalysis of patient data will expandin the future. In the experience economy, patients not only require transparent access to their healthcare data, they also expect to be informed about every step of their hospital visit at any time. Providersneedtogatherdataonpatient experiences so they can continuously improve care delivery and patient- related processes. Enabling patients to provide feedback will shape the future of health services. Additionally, to build and maintain patient loyalty, it is important to focus on patient out- comes far beyond the patients’ discharge. More than ever, healthcare providers are forced to act sustainably and be economically viable. The overall aim is to deliver state-of-the-art, best-quality healthcare services that are accessible to everyone – regardless of geographical location or social conditions. Supporting patients to engage with their healthcare providers from anywhere at any time byusing mobile devices andapplications will lift the interaction in the healthcare sector to the next level. These continuous changes require quick and ongoing adaptations by healthcare providers. Implementing transparent, end-to-end business processes inspired by patient-focused requirements will allow healthcare providers to become intelligent enterprises. Leaders will be motivated to reevaluate processes and structures tomeettheirstrategicpriorities,including:  Improving the patient experience  Subscribing to patient outcomes  Operating smart and efficiently  Enabling data-driven decisions  Empowering the workforce By 2025, we at SAP expect the healthcare industry to be characterized by value-based care that improves patient outcomes and lowers costs for all healthcare stakeholders. Healthcare models will evolve from providing care in hospitals and doctors’ offices to offering care in patients’ homes. As people become more aware of their own health and how to influence it, healthcare providers will continue to focus on prevention programs. The balance of power in healthcare will shift from providers to consumers and to those companies who can engage the consumer. Thus, the most important trigger for digital transformation is the healthcare consumer. Our expertise in digitalizing every aspect of the customer value chain aims to help healthcare stakeholders provide the best value to their customers at an affordable cost. SAP creates the foundation and gateways to connect the digital healthcare network to core solutions for care and cure, healthcare management, and healthcare data insights. This paper explores the trends in the healthcare industry that await us and how SAP will support healthcare providers on their journey to becoming intelligent enterprises. EXECUTIVE SUMMARY
  • 5. Healthcare in a Digital World © 2020 SAP SE or an SAP affiliate company. All rights reserved. Patient expectations in today’s experience economy along with available intelligent technologies are creating new opportunities for healthcare providers to take a leadership role in delivering value-creating, affordable services. Digitalizing every aspect of the healthcare value chain and taking advantage of Big Data science will help them shift focus from providing volume services to improving the individual patient's quality of life. In an environment continuously characterized by staff shortages, automation – powered by artificial intelligence and machine learning with the Internet of Things (IoT) connectivity to the real world – will be key to meeting the needs of a growing and aging population. Innovative leaders need to encourage and enable their workforce to turn digital innovation into outcomes for the organization. Trust, safety, and security are essential cornerstones for the functioning of a modern society and play a key role in relation to sensitive health and patient information. Healthcare organizations need to be equipped with the latest technologies and knowledge so they can trust and rely on data assets from any source and counteract cyberattacks. Forward-looking healthcare organizations recognize digitalization as an opportunitytorethinkthe fundamentals of their business to build new capabilities rather than be left behind. 5 f Mini Cases: Data in Action ParklandHealth & Hospital Systemis optimizingemergencyroommanagement, workflow, and patient care with a near- real-time dashboard that provides situational awareness of the total number of recent arrivals, the number of people in the waiting room, the volume in each pod, and how many people are pending discharge. The dashboard is displayed on big-screen televisions throughout the ER, giving staff 24x7 live data. Technical University Munich (TUM) was able to revolutionize the speed and depth of understanding of the relationships between proteins and how they interact with drugs, enabling more-effective and targeted treatments of cancer patients. HarrisLogicLLC is consolidating and transforming behavioral health data into lifesaving analytics, demonstrating that highly sensitive data, such as mental health records, can be safely anonymized while still producing actionable data insights. HEALTHCARE IN A DIGITAL WORLD
  • 6. 6 Paving the Way for Business Model Innovation © 2020 SAP SE or an SAP affiliate company. All rights reserved. PAVING THE WAY FOR BUSINESS MODEL INNOVATION US$10 trillion Combined healthcare spending in the world‘s major regions by 20221 46% Of hospital care can potentially be moved to patient homes in the following years (through 2026)2 78% Of consumers are interested in having a “menu” of care options offered by multiple providers, allowing them to choose care from local providers or virtual care from specialists across the country3 91% Of nurses will access electronic health record (EHR) data on mobile devices by 20224 90% Of large enterprises will generate revenue from data as a service by 2020 – from the sale of raw data, derived metrics, insights, and recommendations – up from nearly 50% in 20175 At SAP, we believe that as intelligent enterprises, healthcare providers will become highly efficient at saving and improving people’s lives, delivering a seamless patient experience and value-based healthcare. By 2025, we expect the healthcare sector will be characterized by a significant portion of patient services delivered remotely. A stronger health awareness of the population will lead to a growing focus on prevention. New players with a deep understanding of how to engage healthcare consumers will enter the healthcare market and give patients more power to interact. Just providing high-quality healthcare will no longer be good enough. Healthcare organizations must redesign their service offerings to involve and collaborate with patients and allow them to impact their own care journey – and shape these services to their greater benefit. Unprecedented access to Big Data and advanced technologies that let healthcare providers maximize their data assets and service value will drive better business and patient outcomes. Business models will be changing continuously and require a high capability of agile adaption of healthcare organizations to new structures and innovations in any direction. Successful business model innovation, process optimization, and workforce productivity are directly linked to delivering great customerand employee experiences.
  • 7. Five Priorities for Success © 2020 SAP SE or an SAP affiliate company. All rights reserved. 7 FIVE PRIORITIES FOR SUCCESS We have identified five strategic priorities necessary for healthcare organizations to transform their business:  Improve the patient experience  Subscribe to patient outcomes  Operate smart and efficiently  Enable data-driven decisions  Empower the workforce
  • 8. 8 Five Priorities for Success © 2020 SAP SE or an SAP affiliate company. All rights reserved. “ IMPROVE THE PATIENT EXPERIENCE By 2025, healthcare will have turned into a competitive, consumer-focused business. In the experience economy, patients will transfer their consumer expectations into healthcare and new, nontraditional players with a strong customer- focused mind-set are pushing into the healthcare space. Providing a positive, seamless patient experience across digital and physical interaction will be a key differentiator for healthcare providers. That includes applying technologies that are designed with an understanding of patients being among the main users of the solutions and that are aimed at making patient-provider interactions more convenient for the patient. (See Figure 1.) How can we meet the needs of patients evolving from passive recipients to active consumers of health services? Figure 1: Improve the Patient Experience 67% Of the patients will book, change, or cancel appointments online, with this trend rising in the following years6 Onboarding experience Hotel services Time to recoverySelf-service options Prevention programs Patient loyalty programs Quality of care
  • 9. 9 IMPROVE THE PATIENT EXPERIENCE Health Engagement to Experience Vitality Group provides motivation and incentives that help 7.8 million people live healthier lives. “We were looking for greater connectivity with our members, both in terms of marketing and micro interactions. You can do that only if you're on an intelligent, consolidated system that understands all the touch points. SAP Customer Experience solutions helped us create a real connection.” Steve Mitchley, Chief Strategy Officer, Vitality Group7 Five Priorities for Success © 2020 SAP SE or an SAP affiliate company. All rights reserved. TRADITIONAL SCENARIO NEW-WORLD SCENARIO POTENTIAL BENEFITS Patients have little to no involvement in the treatment process. Patient consumerism with hyperconnectivity of sensors and devices increases, but patients are not involved and don’t have an overall picture. Inefficient care delivery and low cross-organization communication result in duplicate tests and no consideration of the impact on the patient. Low patient satisfaction results in low adherence to patient-care plans. Educate patients about their conditions. Follow up to ensure positive outcomes. Continually optimize patient experience. Engage patients throughout their care plan.  Education and engagement about the state of patients’ diseases  Clinician education and engagement  Patient segmentation using approved patient and third-party data to drive proactive patient visits and care  Ongoing patient marketing throughout the care plan  Patient case management for a “golden record” of engagement  Expand beyond traditional care models  Automated, proactive notification of care plans to help ensure compliance and improved outcomes  Automated patient surveys that trigger next actions for clinicians based on patient feedback  Integration with patient database to measure compliance to care plans; AI- assisted proactive patient communication  Real-world evidence tracking for use in population health outcome research and optimization Increased patient satisfaction by involving patients in the process and decision-making, hugely influencing their satisfaction about the treatment and outcome Improved care efficiency by empowering the patient to be responsible for different parts of the treatment journey
  • 10. 10 Five Priorities for Success © 2020 SAP SE or an SAP affiliate company. All rights reserved. SUBSCRIBE TO PATIENT OUTCOMES Patients will be able to see value from the options they have for their specific health issues, based on key performance indicators and assessments of other patients facing similar circumstances. Future self-management options that empower patients to affect the result of the treatment will positively influence the patient outcomes. Pure statistics are not meaningful in this context. The demonstrated outcomes must be specifically relevant to individual patients and their particular context. (See Figure 2.) How do we provide healthcare services with optimized outcomes for each individual patient? Figure 2: How to Subscribe to and Measure Better Patient Outcomes  Mortality  Readmission  Time to recovery  Safety of care  Effectiveness of care  Efficient use of medical imaging Realize better patient outcomes
  • 11. 11 SUBSCRIBE TO PATIENT OUTCOMES Diagnosis to Recovery TRADITIONAL SCENARIO NEW-WORLD SCENARIO POTENTIAL BENEFITS All data is permanently available for everyone involved in the process. The doctor checks the patient’s electronic record and orders services. Patient waits for further information about the diagnostic results and receives notification on their mobile device or through the WTM. Once diagnostic results are available, the doctor calls the patient, and results are transparently displayed for the patient to discuss further procedures. Patient schedules a surgery appointment and receives all relevant information electronically. Patient has already completed the self- check-in. The triage nurse performs triage and adds information to the patient’s electronic record. While waiting for the doctor, the patient can check the waiting time monitor (WTM) and app for information regarding the schedule. Once diagnostic results are available, the doctor calls the patient, discusses the results, and prescribes medication. Administrative staff schedules an appointment for surgery and hands over printouts with all relevant information. Patient signs in with the admission desk staff, registers relevant details, and fills in and submits forms. Triage nurse performs triage and records some notes. The doctor carries out the initial examination, ordering several services and orders diagnostics. Patient goes to the waiting room with hand- filled forms and waits to be called by the doctor. Improve patient experience and compliance by informing and reminding the patient about things to bring and procedures to follow before a visit Reduce reimbursement delays through accurate data provided by patient Improve resource use by reducing no-shows Five Priorities for Success © 2020 SAP SE or an SAP affiliate company. All rights reserved.
  • 12. 12 Five Priorities for Success © 2020 SAP SE or an SAP affiliate company. All rights reserved. OPERATE SMART AND EFFICIENTLY Providers are under constant cost pressures and resource constraints. In upcoming years, the next- generation digital core will be the foundation for a smarter business – leveraging IoT and machine learning for higher automation and offering cockpits with embedded analytics, prediction, and simulation to ensure a more agile nervous system for the entire organization. With that in place, healthcare providers can excel in terms of operational efficiency – for example, by reducing variations in clinical care to standardize best practices, by using resources and supplies more effectively, or through more-precise claims. (See Figure 3.) How do we remove unnecessary costs and waste and free resources for innovation and better patient care? Figure 3: Operate Smart and Efficiently The automation of processes through intelligent technologies can free up staff and resources as well as reduce operational cost while increasing the quality of delivered work. “We simply couldn’t find a better enterprise solution – once we saw the flexibility with the SAP Qualtrics® Core XM platform, we were sold. We are getting tremendous value for our money. For the same cost as having multiple survey subscriptions, we have standardized on a superior survey platform.” Tom Summerfelt, Vice President of Research, Advocate Health Care8 Cost Automation Quality
  • 13. 13 Five Priorities for Success © 2020 SAP SE or an SAP affiliate company. All rights reserved. OPERATE SMART AND EFFICIENTLY Admission to Cash TRADITIONAL SCENARIO NEW-WORLD SCENARIO POTENTIAL BENEFITS Process spanning across systems; data typically displays on two screens in parallel and involves multiple transactions Receiving patient files and checking billing context, material consumption, anesthesia type, performed diagnostics, and referral information step-by-step Time-consuming manual editing of billing items Sending every case to billing Output or dispatch of bill Errors occurring due to incorrect manual input of data Standard billing rules Cases ready to be billed Invoice drafts “Revenue optimizer” (machine learning) Payed invoices (historic data) Unstructured data (medical record, surgery protocol, and so on) InvoicesPatient accountant to confirm proposal (configurable) Payer invoices Automatic optimizing Manual optimizing Highly automated end-to-end process with machine learning; fully automated billing with no user interface; exception handlingintegratingclinicaldocumentation and billing details on a single screen Streamlined insurance claims to enable clean claims submission for faster reimbursement Increased accuracy between front-end and back-end processes Reduced revenue leakage by reducing insurance claim denials and speeding up point-of-service billing Improved productivity by reducing manual work in billing and claims process
  • 14. 14 Five Priorities for Success © 2020 SAP SE or an SAP affiliate company. All rights reserved. ENABLE DATA-DRIVEN DECISIONS The most dramatic change in the digital economy will be driven by hyperconnectivity and Big Data science. Electronic medical records, data from apps, wearables, mobile devices, sensors, and clinical innovations will create a vast zettabyte of data and an ocean of information. By 2025, the healthcare value chain will be changed massively through the ability to monitor patients, collect health and outcome information from structured as well as diverse raw and unorganized sources, analyze information in real time to react early, and use predictions to act beforehand. Big Data technologies, analytics, artificial intelligence, and machine learning will help unlock valuable insights in data lakes and enable an insight-driven health- care business. (See Figure 4.) How can we move from a mainly experience-based healthcare model to delivering care based on real-world evidence? Figure 4: Set the Patient in the Center of Care by Applying Data-Driven Insights Embed intelligent technologies such as machine learning, AI, and the IoT in the business process and applications Data integration Embedded intelligence Healthcare analytics Predictive services Use an in-memory data platform and advanced analytics to gain critical insights on health outcomes and operational efficiency Make use of high- performance predictive models that can be fine- tuned easily to act beforehand
  • 15. 15 Five Priorities for Success © 2020 SAP SE or an SAP affiliate company. All rights reserved. ENABLE DATA-DRIVEN DECISIONS Data to Insights TRADITIONAL SCENARIO NEW-WORLD SCENARIO POTENTIAL BENEFITS Analyzing only parts of information; various sources of the truth; time-consuming and incoherent analysis Data warehouse Retroactive decision-making Structured data  Structured data  Unstructured data  Wearables, sensors  Social media and marketing data  Patient and employee feedback Data warehouse plus experience data (X-data) and operational data (O-data) in a data lake, combined with SAP HANA® software Active decision- making; taking early measures Reduce data integration costs by orchestrating and harmonizing organized and unorganized data from various sources Unstructured data Unlocking full potential of data analysis; using machine learning in analytics; creating and training predictive models; visualizing contexts; gaining insights for everyone with one analytics suite Various clinical analytics databases Reduce IT spend by enabling data visualization across your healthcare organization using a single, trusted platform Improve quality of care by getting real-time access to Big Data for structured and unstructured information, including social media and personal experience data Cleansing and harmonization X + O Social media and marketing data Data governance Data governance and orchestration Source: SAP Performance Benchmarking
  • 16. 16 Five Priorities for Success © 2020 SAP SE or an SAP affiliate company. All rights reserved. EMPOWER THE WORKFORCE Complexity is the enemy of workforce empowerment. It can drive up costs and slow down progress. New digital tools enable the workforce of the future to reevaluate how they work and help them get the most out of their professional training – freeing them from paperwork to focus on patient care. The aim is to provide clinical staff with mobile devices to allow faster communication, just-in-time delivery of information and results, and flexibility in their work environment. (See Figure 5.) How can we restructure and empower our workforces to allow them to perform at their best? Figure 5: Addressing Your HR Challenges to Empower the Workforce From operational . . . . . . to strategic Inclusion and visibility  Contingent profile  Visibility in organizational chart  Directory and search Insight  Contingent workforce metrics  Analyzing the total workforce Optimization  Planning the total workforce  Acclimating, socializing, and developing contingent workers  Harmonized talent processes
  • 17. 17 Five Priorities for Success © 2020 SAP SE or an SAP affiliate company. All rights reserved. EMPOWER THE WORKFORCE Total Workforce Management TRADITIONAL SCENARIO NEW-WORLD SCENARIO POTENTIAL BENEFITS Disconnected processes in all departments in the organization No single access point to manage the workforce – leading to missing engagement and alignment Siloed systems for planning, resource management, and recruiting – resulting in higher labor costs and compliance risks Operational inconsistencies and inefficiencies due to missed opportunities as well as slow adoption and execution Plan workforce and projects Generating a plan by modeling the demand for talent (performed by the organization) and identified needs Onboarding Completion of paperwork, receiving equipment, conducting training, and meeting team members Identify internal talent Searching for existing resources with required skills Recruit new hires and contingent workers Opening requisitions, finding candidates, and making offers Working Delivery of ongoing training and development Paying and closing Paying employees using payroll software, submitting project expenses, and offboarding resources Source: SAP Performance Benchmarking 1 platform for talent management, learning management, and data insights 24x7 access using any mobile device
  • 18. KEY TECHNOLOGIES Each of these priorities will be enabled by emerging intelligent technologies. Artificial Intelligence and Machine Learning Implementing machine learning in clinical routines and hospital workflows promises improved patient outcomes through better and faster diagnoses. It helps improve decisions around prevention, treatment plans, medication management, and precision medicine. Augmenting healthcare manpower with machine learning can also be an essential building block in addressing the constantly growing demand for healthcare services. Machine learning enables algorithms to “learn” from existing data. Once the algorithm is trained, it can then predict future outcomes based on new data. The Internet of Things Every patient, healthcare organization, and machine can be connected – changing all the established rules for healthcare channels. Connectivity drives the collaboration of patients, providers, and supporting businesses and assets in the digital healthcare network. Data Platform to Manage Experience Leaders are interlocking the operational performance data from hospitals’ business systems (what is happening) with the experience data coming from patients and employees (why it is happening). Advanced Analytics Empowered users can get real-time visibility into their changing environment, simulate the impact of business decisions, mitigate risk, and achieve better patient outcomes. Blockchain The ability to share healthcare data and collaborate in a secure, trusted, and transparent manner between different healthcare stakeholders forms the underlying principle of the health network. Blockchain technology has the potential to be a game changer in the healthcare industry, promising improved data flow between disparate systems and heightened security. Virtual and Augmented Reality Virtual reality (VR) uses digital technology to create immersive simulations. Augmented reality (AR) lets users interact with digital content that’s overlaid on the real world. Both technologies have great potential to overcome physical constraints in healthcare – for example, through remote surgeries or by precisely locating concealed tumors. Conversational AI Voice interfaces will be the go-to technology for the next generation of applications, allowing for greater simplicity, mobility, and efficiency while increasing productivity and reducing the need for training. Robotic Process Automation Robotic process automation streamlines repetitive, rule-based processes and tasks in a hospital and reduces costs through the use of software robots that replicate specific tasks. Key Technologies © 2020 SAP SE or an SAP affiliate company. All rights reserved. 18 At a Glance ~50% Of new mobile apps use voice as a primary interface, and 50% of the consumer-facing G2000 use biometric sensors to personalize experiences by 20209 US$1.2 trillion Will be the amount of IoT spending in 202210 45%of patients surveyed Do not use wearables (for example, smart watches) today, but they aim to use them in the near future and would allow storing data for their digital twin11 10 Key use cases will drive IoT growth across all industries through 2020, including remote patient monitoring in healthcare12 93% Of cloud decision-makers believe it’s important that the software for their business processes integrates across an end-to-end value chain in an industry cloud13
  • 19. Getting There: A Phased Approach © 2020 SAP SE or an SAP affiliate company. All rights reserved. 19 GETTING THERE A PHASED APPROACH Healthcare organizations will become intelligent enterprises on three distinct tracks as they evolve their strategic priorities to match their organization’s vision. They will:  Optimize what they already do by implementing a stable and scalable digital core to make processes more transparent and integrated  Extend their current processes by connecting them to the real world using IoT technologies  Transform their business using a constant stream of data, enabling new service-driven business models (See Figure 6.) Figure 6: Strategic Priorities Across the Maturity Framework Empowered workforce Patient outcomes Data-driven decisions Set up efficient clinical guidelines and standard operating procedures Track and trace products to ensure highest clinical outcome quality Align incentives and reimbursement with value-based care delivery models  Delivery of data-driven care  Services based on real-world evidence  Focus on value and individual patient outcomes Create prevention programs based on population health analytics Optimize treatment with integrated health data from various devices Manage chronic diseases by using predictive analytics and risk scoring  Collection of patient data for analytics and prediction  Hyperconnectivity and transparency in the healthcare network Introduce hands-free documentation for clinicians Automate clinical orders from documentation Augment clinical decision-making with technology  Reevaluation and higher automation of processes  Increase of workforce efficiency through a focus on higher-value tasks Optimize Extend Transform Deliver value-based, patient- centered care through the intelligent enterprise for healthcare Patient experience Offer patients online preregistration and self-check-in services Augment on-site care with remote patient services Deliver patient-centric, interdisciplinary prevention, treatment, and care  Seamless patient experience across digital and physical interactions  More-convenient patient-provider interactions  Individualization of patient handling Operational efficiency Automate end-to-end patient billing process Automate patient data capture through connected devices and machine-to-machine communication  Integrated patient services along the patient journey  Higher automation in business processes  Real-time decision-making Obtain 360-degree, real-time insights into performance and financial data
  • 20. Getting There: A Phased Approach © 2020 SAP SE or an SAP affiliate company. All rights reserved. 20 What are the challenges you must tackle? According to the study by Porter Research that was commissioned by SAP, which gathered input from health system executives from acute care hospitals and integrated delivery networks, the two issues to be top of mind for health systems in the coming three years are, first, addressing the cost pressures that have resulted from declining reimbursements; and second, improving the patient experience. These are followed by upgrading IT and cybersecurity. (See Figure 7.) 62% 53% 48% 46% 46% 42% 34% 31% 27% 20% 17% 16% Declining reimbursement Patient experience IT maintenance Cybersecurity Qualified new hires Compliance with government mandates Implementing alternative payment models Consolidation across players Digital patient engagement Increasing drug cost Price transparency Opioid crisis Figure 7: Top Challenges to Tackle on the Way to Becoming an Intelligent Enterprise in the Healthcare Industry14 TACKLE YOUR CHALLENGES AND BECOME A LEADER IN YOUR INDUSTRY
  • 21. SAP’s Framework for the Intelligent Enterprise © 2020 SAP SE or an SAP affiliate company. All rights reserved. 21 Y Figure 8: SAP Intelligent Enterprise Framework SAP’S FRAMEWORK FOR THE INTELLIGENT ENTERPRISE IN THE EXPERIENCE ECONOMY Most organizations understand what is happening in their business but may not always know why. They know what’s happening because they have systems that capture operational data ( O-data) – about their customer transactions, supply chain, manufacturing, spending, and the activities of their workforce. They can see that data through reports and dashboards. They can see trends and predict what will happen next. But to influence what happens next, companies need data about the interactions that people have with their products and their business. Experience data (X-data) captures beliefs, emotions, opinions, and perceptions – the “why” something is happening. And when companies know why something is happening, they can make an informed decision about the best way to respond. To win in this experience economy, intelligent enterprises connect experiences with operations. They use both experience and operational data to guide their business decisions. Intelligent enterprises collect insights from customers, employees, products, and brands at every touch point. They use powerful technologies to automate and integrate their data, processes, and applications, enabling them to sense risks, trends, and opportunities. And they act on this intelligence across every part of their business. (See Figure 8.) Only SAP has the strategy, expertise, and solutions to deliver on this vision, enabling intelligent enterprises to turn insight into action. Application Development & Integration Database & Data Management Intelligent Technologies Analytics O Data O Data Experience Intelligence X Data Customer Finance Procurement Supply Chain Manufacturing HR Customer Employee Product Brand Operations
  • 22. SAP’s Framework for the Intelligent Enterprise © 2020 SAP SE or an SAP affiliate company. All rights reserved. 22 In the digital economy, intelligent technologies and integrated business processes are now driving digital transformation. To do this effectively requires an end-to-end plan for becoming an intelligent enterprise. (See Figure 9.) This includes creating an intelligent enterprise road map and implementation plan with proven best practices and deployment options that optimize for continuous innovation with a focus on intelligent outcomes. Figure 9: The End-to-End Journey to Becoming an Intelligent Enterprise Standardize and innovate  Model-company approach to accelerate adoption with model industry solutions  Design thinking and rapid, tangible prototypes  Coengineered industry innovations delivered with agility Simplify and innovate  Reimagined business models, business processes, and work  SAP® Intelligent Enterprise Framework methodology as a guide for digital transformation  Value-based innovation road maps Run with one global support  One global, consistent experience  End-to-end support – on premise, in the cloud, or with a hybrid approach Optimize to realize value Continuously captured and realized benefits of digital transformation Build and launch with proven best practices Plan well to manage expectations Run all deployment models Optimize for continuous innovation To move forward with speed and agility, it helps to focus on live digital data and combine solution know-how and industry-specific process expertise with data analytics so that the right digital reference architecture is defined and delivered. In that context, a model-company approach is aimed at simplifying and increasing the speed of the digital transformation journey. Model companies represent the ideal form of standardization for a specific line of business or industry. They are built on preconfigured SAP solutions based on best practices supported by SAP, along with the business content that encompasses our experience and expertise relevant for the industry. They provide a comprehensive baseline and come with the accelerators to jump-start digital transformation projects. Read more on how to achieve a successful transformation to an intelligent enterprise with SAP Digital Business Services. HOW TO PLAN YOUR PATH TO THE INTELLIGENT ENTERPRISE
  • 23. COMPREHENSIVE SAP ECOSYSTEM ORCHESTRATING THE WORLD TO DELIVER VALUE FASTER  Open architecture with a choice of hardware and software  Complementary and innovative third-party solutions  Broad reach through partners to serve your business of any size anywhere in the world  Forum for influence and knowledge  Large skill sets and industry expertise Our comprehensive healthcare ecosystem offers integration into: SAP’s Framework for the Intelligent Enterprise © 2020 SAP SE or an SAP affiliate company. All rights reserved. 23 Our partner ecosystem includes, among others:
  • 24. 24 SAP’s Framework for the Intelligent Enterprise © 2020 SAP SE or an SAP affiliate company. All rights reserved.  SAP.comfor Healthcare  SAP Digital Business Services Learn more SAP IS COMMITTED TO INNOVATION SAP supports healthcare organizations in becoming intelligent enterprises – providing integrated business applications that use intelligent technologies and can be extended on SAP Cloud Platform to deliver breakthrough business value. 10-Year Innovation Vision SAP delivers fully intelligent business solutions and networks that span across company boundaries and promote purpose- driven businesses. These solutions will be the most empathic symbiosis between machine intelligence and human ingenuity. Comprehensive Industry Coverage SAP enables comprehensive coverage of the complete hospital value chain across the enterprise. With its clear industry road map, SAP is the partner of choice for the healthcare industry. Proven Services Offering By bringing together world- class innovators, industry and emerging technology expertise, proven use cases, and design thinking methods, we help healthcare organizations develop innovations that deliver impact at scale.  Self-running enterprise systems  Self-organizing business ecosystems  New markets and business models  More than 7,900 healthcare providers in 94 countries innovating with SAP solutions  7 of the 10 best hospitals in the world running SAP solutions  Support for all lines of business on a single platform  Proven methodologies to drive innovation, from reimagining customer experiences to enhancing operations  Innovation that is fueled through a managed innovation ecosystem from SAP  Ability to build your own innovation capability and culture
  • 25. 1. “2019 Global Health Care Outlook: Shaping the Future,” Deloitte, 2019. 2. “No Place Like Home: An Analysis of the Growing Movement Away From Hospitals Towards Providing Medical Care to Patients in Their Own Homes,” Gupta Strategists, 2016. 3. “Provider Systems of the Future: What Happens When the Hospital Is No Longer the Center of the Health Universe?,” PWC Health Research Institute, 2018. 4. “The Future of Healthcare: 2022 Hospital Vision Study,” Zebra Technologies, 2017. 5. “IDC FutureScape: Worldwide IT Industry 2018 Predictions,” Doc. #US43171317, IDC, October 2017. 6. “Accenture 2019 Digital Health Consumer Survey: Today’s Consumers Reveal the Future of Healthcare,” Accenture, 2019. 7. “Vitality Group: How Does a Leading Health and Wellness Program Revolutionize Customer Engagement?,” SAP, 2019. 8. Advocate Health Care Qualtrics Research Suite Case Study, 2013. 9. “IDC FutureScape: Worldwide IT Industry 2018 Predictions,” Doc. #US43171317, IDC, October 2017. 10. “IDC Forecasts Worldwide Technology Spending on the Internet of Things to Reach $1.2 Trillion in 2022,” IDC, June 2018. 11. “Der digitale Zwilling – Erwartungen und Einschätzungen der deutschen Bevölkerung mit besinderem Fokus auf Diabeteserkrankungen,” PWC, November 2018. 12. BCG Perspectives, “Winning in IoT: It’s All About the Business Processes,” The Boston Consulting Group, 2017. 13. “Emerging Opportunities to Deploy Industry Processes in the Cloud,” a Forrester Consulting thought leadership paper commissioned by SAP, July 2018. 14. “Rising to Meet Healthcare Industry Challenges – Health System Executives Seek New Ways to Reduce Costs and Tackle the Patient Experience,” a study supported by Porter Research, 2019. Note: All sources cited as “SAP” or “SAP Performance Benchmarking” are based on our research with customers through our benchmarking program and other direct interactions with customers. Outlined below is external research that was used as supporting material for this paper. Resources © 2020 SAP SE or an SAP affiliate company. All rights reserved. 25 RESOURCES
  • 26. Studio SAP | 53157enUS (20/01) © 2020 SAP SE or an SAP affiliate company. All rights reserved. No part of this publication may be reproduced or transmitted in any form or for any purpose without the express permission of SAP SE or an SAP affiliate company. The information contained herein may be changed without prior notice. Some software products marketed by SAP SE and its distributors contain proprietary software components of other software vendors. National product specifications may vary. These materials are provided by SAP SE or an SAP affiliate company for informational purposes only, without representation or warranty of any kind, and SAP or its affiliated companiesshall not be liable for errors or omissions with respect to the materials. The only warranties for SAP or SAP affiliate company products and services are those that are set forth in the express warranty statements accompanyingsuch products and services, if any. Nothing herein should be construed as constitutingan additional warranty. In particular, SAP SE or its affiliated companies have no obligation to pursue any course of business outlined in this document or any related presentation, or to develop or release any functionality mentioned therein. This document, or any related presentation, and SAP SE’s or its affiliated companies’ strategy and possible future developments, products, and/or platforms, directions, and functionality are all subjectto change and may be changed by SAP SE or its affiliated companies at any time for any reason without notice. The information in this document is not a commitment, promise, or legal obligationto deliver any material, code, or functionality. All forward-looking statements are subject to various risks and uncertainties that could cause actual results to differ materially from expectations. Readers are cautioned not to place undue reliance on these forward-looking statements, and they should not be relied upon in making purchasing decisions. SAP and other SAP products and services mentioned herein as well as their respective logos are trademarks or registered trademarks of SAP SE (or an SAP affiliate company) in Germany and other countries. All other product and service names mentioned are the trademarks of their respective companies. See www.sap.com/copyright for additional trademark information and notices. www.sap.com/contactsap Follow us YOUR FEEDBACK MATTERS TO US! Please let us know how you rate this document. Click here