This slide deck summarizes the key takeaways from the first Pan European Healthcare Executive Event. Focused on the three themes of the Summit ( Personalization,Integration and Industrialization), the Summit has explored the different dimensions in which ICT is an enabler of a new business model for sustainable healthcare in Europe

1. Powered by
IDC Pan-European Healthcare Executive
Summit
Personalization, Integration and Industrialization
The Three Forces of Healthcare Change

2. Healthcare Systems In Transition

3. Achieving Efficiency Targets
12%
12%
65%
11%
IT budget allocation
Growth
Innovation
Maintain/Run
Compliance to regulatory requirements
Source: IDC Health Insights and IDC Vertical Markets Western European Survey, September ‘12

4. How can volatility be addressed?
Input Output
Episode
Patient
Healthcare Systems Transformation: 3 Dimensions Maturity
Model

5. The three pillars of the new business model
Industrialization
Personalization
Healthcare Transformation: Three Forces of Change

6. The three pillars of the new business model
Industrialization
Personalization
Integration

7. Where is ICT in the equation?
3 Forces of Change

8. Chronic Disease Management
EMR-Mobility and telehealth
EHR and patient-centric decision support
Embedded computing for assisted living
Genomics
Today2020

9. Optimized technology deployment
Back office shared services
Strategic sourcing
Core system consolidation and virtualization
Cloud computing
Today2020

10. 49%
34%
48% 46%
0%
20%
40%
60%
EMR HIE
Investments in EMR and HIE
Hospital
Other Health Providers
Patient information sharing patterns
Source: IDC Health Insights and IDC Vertical Markets Western European Survey, September ‘12

11. Readiness for the third generation platform
57%
45%
Hospitals Other healthcare provider
Cloud investment plans for HIE
27%
29%
19%
25%
EHR mobile access
Currently access
Planned in the next 12 months
Planned in the next 24 months
No plans
65% 65% 68%
Manage
relationships with
patients
Gather
ideas/feedback for
care services
Increase
awareness about
the organization
and its services
Reasons to adopt social media
30%
43%
18%
8%
How do you think the growth in data
will affect you?
We need to re-assess our current
information management process
We can deal with it by expanding
our storage capacity
It will have limited or no effect
Don’t know
Source: IDC Health Insights and IDC Vertical Markets Western European Survey, September ‘12

13. Day One Agenda Highlights

14. Day Two: Agenda Highlights

15. What are your organization's top business
priorities for the next 12-18 months?
0% 10% 20% 30% 40% 50% 60% 70%
Patient information privacy
Regulatory compliance
Pay for performance
Industrialization of Healthcare
Chronic disease management
Cultural readiness and change management
Retooling core clinical processes
Customer service
Personalization of Healthcare
Integration of the healthcare value chain
Patient safety
Operation efficiency
Number of respondents: 30
Source: Pre-summit delegate survey, September 2013

16. What are your organization's top technology
priorities for the next 12-18 months?
0% 10% 20% 30% 40% 50% 60% 70%
Departmental systems
Cloud
IT Security
Enterprise architecture
Program and project management
IT infrastructure
End-User devices and mobile
Clinical information systems
Business intelligence/analytics/big data
Number of respondents: 30
Source: Pre-summit delegate survey, September 2013

17. What is the future hospital going to look like? Fewer beds, fewer
doctors, faster turnaround... Patient Safety will remain the key goal
Key Takeaways from the Summit
Systemic changes to a century old healthcare system will drive
double-digit benefits in care coordination
It is not about designing higher quality inpatient care pathways, it is
about preventing patients to have to go through those
Mobility is shifting the center of gravity outside the hospital... And
consumerization is tipping the balance in favor of patient centricity
Decision support algorithms and pay for performance can be part of
the puzzle, but they require cultural and organizational changes .... not
to drop the hammer on your toes
It is increasingly important not to neglect investments in primary and
community care professional capabilities if care coordination is to happen

18.  The variety of options is broad ranging from disconnected databases to all inclusive big
suite, to portal with integrated best-of-breed or layered approach with a Central Data
Warehouse as the foundation
 Data is key -- users need to be able to access, manipulate, extract the data
 A standardized data model is essential to eliminate data ambiguity -- all best-of- breed
applications have their own data model, not always easy to integrate -- lack of
interoperability is a big problem
 In many cases, using a suite and vendor designed care pathways/processes is an
interim option and is used to impose a discipline that previously did not exist -- avoids
user anarchy
 No absolute right answer -- depends on your goals and what your starting point is
Executive Workshop – Apps and Applications: Big
Package vs Best of Breed - Key Takeaways

19.  Payers are pushing for new reimbursement models, such as „volume requirements‟ in
the Netherlands. Minimum volumes for each procedures can increase efficiency and
safety, but also means hospitals and out-patient clinics will specialize further and will
need to collaborate to offer a comprehensive service to patients. That will increase
the need for sharing electronic health records, both for reimbursement and clinical
purposes.
 The vast majority of patients are healthy and cost little, it‟s the minority that have
multiple chronic conditions that cost a lot to national healthcare services and private
insurers. So it is more important to figure out ways to prevent the healthy patients to
get sick, than to design overly complicated care pathways and related ICT solutions.
Instead many clinicians still tend to “build temples”
Executive Workshop – ICT and the Changing
Healthcare Delivery Ecosystem - Key Takeaways 1/2

20.  Patients are increasingly empowered. They want to know more about their conditions
to make conscious choices and, sometimes, they want to own their medical records.
At the same time, hospitals, particularly university hospitals are making available
more and more specialized information through specialty portals. These two trends
(consumerization of patient data and specialization of clinical insights) will require an
orchestrated approach.
 Sharing information (among clinicians and with patients), either through
orchestration, or through consolidation of solutions for multiple hospitals and
outpatient services (e.g. Assistance Publique-Hôpitaux de Paris has moved towards
consolidated systems for laboratories and PACS) require agreeing on
standards, otherwise quality of data could suffer. Commoditization and
consumerization of ICT are both a blessing (lower costs of integration) and a curse
(more rapid obsolescence and proliferation of solutions).
 Increasingly, huge volumes of research data will be made available to improve clinical
decisions through evidence-based medicine and vice-versa.
Executive Workshop – ICT and the Changing
Healthcare Delivery Ecosystem - Key Takeaways 2/2

21.  No killer application at the horizon. All government led project simposing more than a
common set of interoperability rules and common infrastructural elements have
proved failure. The main reason is that EHR and HIE projects are too often a political
battle ground. Time of politics are not aligned with the timings of these projets.
Moreover there has been also wrong expectations around these projects.
 Vendor community is in many cases very far from the language of healthcare
organization: “operational efficiency” is a concept that can interest the management
but not the clinicians community, while they should focus on the aspect of “patient
safety”. These should be clinically led projects, based on the concept of
 The value that these systems can bring is based on
– the quality of patient information provided : complete and relevant picture of the patient. It is important to
determine the use cases: which type of information is mostly needed by who
– The reuse of patient information in new contexts ( research, planning, management) . The core is to achieve
interoperable and accessible patient information – building a platform.
 Some form of incentives based on usage of EHR and HIE like the meaningful use can
be applied also to Europe.
Executive Workshop – The Value of Electronic
Patient Health Records and Health Information
Exchanges - Key Takeaways

22.  Gradual move from reactive to predictive to prescriptive systems will increase the
benefits and value of healthcare transformation
 Success in transformation and reform is based on achieving a balance between
cost, population health and patient experience
 Evidence-based medicine pendulum continues to swing, but much depends on the
culture, who is driving the move forward and who the players are
 Value-based healthcare depends on cost elimination, e.g., closing beds as they
become empty, thus reducing all costs associated with keeping them active
 The patient's own bed is the best value bed, but systems must be in place to support
the patient who is in his/her own bed
 Little is being done to change the education healthcare professionals receive or to
proactively change the mix of professionals that make up the healthcare team that
will be needed to deliver successful healthcare reform
Executive Workshop – How Will the Role of ICT in
Healthcare Differ in 2020 and Beyond? - Key
Takeaways

23. Driving toward healthcare systems reform

24.  The mobility is a multifaced phenomenon.
– Device: BYOD building an infrastructure able to serve multiople devices
– Applications BYOA using an approach that take into cosideration that with the BYOD
– Patient „s participation to the process of care ( delivering information to his/her device and to his/her applications)
– Further contribution to the big data phenomenon in the healthcare. Extension of the point of care, additing new
data . New visualization and integration required.
 The diversity produced cannot be tamed with some top-down rules. The key is to
deliver “unity without uniformity” and “diversity without fragmentation”. Probably the best
way to overcome the convergence challenge is to enable an “ordered divergence”
where the key strategy is “build one -deploy many “
 To this end, separating data from information is key. It is important treating data in the
most vendor neutral way, allowing a greater flexibility in the various use cases ( where
inforation is produced).
 Analyzing workflow and use cases is key
– Finding common foundation elements on which developing an integration approach
– In this strategy , however it is important to not focusing to much on enabling a single peculiar vertical
application, or functionality that can jeopardize the overall strategy. Focus on most common use case s, and
used functionallities
 The same approach should be used both for clinical mobility ( healthcare professional)
and the broader aspects of mobile health (actively involving the patient)
Executive Workshop – Overcoming the Healthcare
Technology Convergence Challenge - Key
Takeaways

25.  Mobile apps are making healthcare more personalized by default
 Mobility is shifting the center of gravity outside the hospital
 Mobile phones are becoming the health platform for many individuals, especially in the developing
world
 It is a challenge to integrate mobile apps with core systems -- many apps still have read-only
capabilities
 It is challenging to organize and manage mobile apps -- many cease to be used a few days after
download and safety and privacy is not accredited if they are consumer apps – however
consumer-like mechanisms (e.g. rating, crowdsourcing upgrades) might help with selecting the
“right” app
 Patients are not willing to wait ten years for the perfect EHR, they are looking for responsiveness
and safety, so good enough data might be sufficient -- Some healthcare providers might choose to
assemble an electronic health record by joining up mobile apps that provide access to siloed
applications, instead of buying a suite or bolting every best-of-breed module
 Multiple complementary solutions are likely to emerge: native apps, HTML5, portals – IT and
business decision makers will have to choose based on use cases, technical competencies, etc.
 Wearable devices are not just the next frontier, they are already here!
Executive Workshop – Apps and Applications: Better
Together - Key Takeaways

26. Join our Discussions
IDC
Health Insights
LinkedIn Group
IDC
Health Insights
Community

27. Contact Details
Scott Lundstrom
Group Vice President and General Manager
IDC Health Insights and IDC Financial Insights
slundstrom@idc.com
Massimiliano Claps
Research Director
IDC EMEA Government Insights and IDC
Health Insights
mclaps@idc.com
Silvia Piai
Research Manager
IDC EMEA Health Insights
spiai@idc.comwww.idc-hi.com