Impact of IT on health outcomes


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  • Note to presenter:Show how the government has implemented reform initiatives, or similar, to address these challenges. Look to Appendix A for common initiatives that can be cut and pasted into this slide.Talking Points: Provide detail on regionally relevant initiatives and priorities, including citations if available.
  • Note to presenter:Show how the government has implemented reform initiatives, or similar, to address these challenges. Look to Appendix A for common initiatives that can be cut and pasted into this slide.Talking Points: Provide detail on regionally relevant initiatives and priorities, including citations if available.
  • In every area of the Health ecosystem, organizations that develop, deliver, and pay for Health services are increasingly challenged to accomplish what we call the triple aim of effective healthcare (Customize challenges to audience as necessary):Better Care for IndividualsVariation in services: pervasive regional variations and small-area variations in health care practice suggest that the evolving science of health care is not uniformly recognized and practiced across the healthcare system.Underuse of services: Millions of people do not receive necessary care and suffer needless complications that add to costs and reduce productivity.Timeliness of care: Many organizations want to find a way to reduce waits and sometimes harmful delays for both those who receive and give care.Providing patient-centered services: With new medical information available to patients, organizations may struggle to offer care that is both respectful of and responsive to individual patient preferences, needs, and values while also ensuring that patient values guide clinical decisions.Better Health for PopulationsEnsuring equitable care: A number of factors contribute to disparities in the quality of care that affect certain populations (based on gender, ethnicity, geographic location, and/or socioeconomic status) more than others.Lower Per Capita Costs(while maintaining high quality, and better access). Overuse of services: Each year, millions of patients receive health care services that are unnecessary, increase costs (higher than rates of inflation), and may even endanger their health.Inefficiency of care, uneven outcomes: countless organizations struggle to avoid waste, such as waste of equipment, supplies, people and energy.    
  • Providing coordinated, high-quality care is both facilitated and in some ways complicated by a number of technological trends that are changing the ways many healthcare organizations operate, including:An Explosion of Data: When I said earlier that most organizations don’t have a clear picture of their patients, it’s not for a lack of information. Today, healthcare organizations are awash with data. What’s worse, it comes wrapped in layers of complex regulations and stringent federal and state regulations (Ex: HIPAA, HITECH Act (US), EU Model Clauses (Europe)). Collecting data is not the problem; it's the ability to process, store and interpret significant amounts of information that is one of today's most important technological drivers in health.Cloud Computing: Cloud computing is the delivery of IT infrastructure assets over the Internet on a utility basis. Increasing numbers of health organizations are investing in on-premise, cloud, or hybrid solutions to help address their current computing needs, while providing a sustainable path to the future.Bring your own device: Doctors generally prefer to use the technology with which they are most comfortable. The Bring Your Device trend–in which employees use unsupported, personally owned technology in the workplace—makes this tendency particularly significant for healthcare IT. Healthcare providers are now faced with balancing security in a non-homogenous information technology environment while supporting the different communication needs of workers across an organization. Tablets and new mobility scenarios are now possible in healthcare.In response to recent healthcare reform initiatives, organizations are leveraging one or more of these trends for data coding, the transmission of data, improved security, quality measurement, safety reporting, electronic health record implementation, meaningful use, accountability, and transparency. In countries like the United States, major facets of the healthcare industry are being reshapedand new financial incentives favor organizations that practice a more integrated approach to patient care.
  • The health industry's broad scale and information-intensive nature make IT an important issue for the public and private sector alike. E-health has the potential to improve health services delivery at all levels.To see that potential fulfilled, Microsoft developed a guideline for e-Health software solutions called "The Connected Health Framework Architecture and Design Blueprint." A system implemented according to Microsoft's guidelines would employ a common architecture -- based on industry best practices and modern design techniques -- to link patients, citizens, health care professionals, application developers, independent software providers (ISVs), and government agencies.What makes this architecture and design blueprint unique is that it is presented in a platform-agnostic way based on a service-oriented architecture (SOA). We believe that this is an essential approach because most healthcare systems use hardware and software platforms acquired from multiple vendors over a long period of time. Since wholesale platform change is not an option for most healthcare providers, interoperability and integration of these systems is vital to the improvement of patient care.The Microsoft Connected Health Framework solutions are:Integrated.Security-enhanced.Flexible and scalable.Support the full continuum of care to meet the needs of patients and citizens, health professionals, and organizations.Many organizations work with Microsoft to deploy the Microsoft Connected Health Platform, which is based on the extensible and agile principles of the Microsoft Connected Health Framework and provides offerings for optimizing health ICT infrastructures.
  • We all strive to achieve better care and better outcomes for more people. It’s a shared goal, and Microsoft works every day with health organizations, communities, and partners around the world to help realize it. We assist by bringing together people, processes, and information to support better-informed decisions and greater collaboration. Our solutions—some designed specifically for health and others well-known to people everywhere—are intuitive and powerful, delivering excellent value. They work well with customers’ current systems and approaches, and they also provide new capabilities to help people advance research, management, and care.Currently we are focused with our partners on these areas:Flexible WorkstyleProductivityAnalyticsInnovation 
  • CLOUD CASE STUDY Organization Size: 30,000 employeesOrganization Profile: Advocate Health Care is the largest healthcare provider in Illinois, with 10 hospitals and 250 sites of care. Advocate is a not-for-profit health system with 30,000 employees.Business Situation: To better connect its geographically dispersed employees, Advocate had a strategic objective to modernize communications technology, but could not build new capabilities atop its 10-year-old messaging system.Solution: Advocate stopped using its on-premises email infrastructure and moved 29,000 computers to Microsoft Exchange Online, which provided modern, extendable email functionality in the cloud. Benefits: Created a foundation for new capabilitiesReduced costs by US$4 millionHalved email management timeEnhanced business continuity
  • Think back to what we said about the Bring Your Own Device trend: nobody else on the market today has a deep experience with both consumer and enterprise technologies and understanding of both what consumers want and what enterprises need as Microsoft. Flexible Workstyle solutions provide the experiences and devices that yourusers love and demand while delivering enterprise-grade solutions for healthcare, including:A great tabletfor healthcare. We hear from healthcare users today that they have to choose between convenience and productivity. With Windows 8 tablet, users can have a “no compromise” experience; Windows 8 delivers a touch first experiencealong with full support for mouse and keyboard – a “no compromise” experience where users can have the convenience and mobility of a tablet, power and familiar experience of the full PC and ease to effortlessly move between activities.New possibilities in mobile productivity. Windows 8 enables additional ultra-mobile workstyles through a bootable USB that turns almost any PC into a secure Windows 8 corporate PC—IT can provide a managed corporate image on a bootable USB drive, and users can get their applications, data and personalized Windows environment the same way as a standard PC. *Any compatible Host PC capable of running Win 8 (Vista or higher).Enhanced end to end security. With the proliferation of social networking and consumer devices, controlling security threats are a top of mind challenge and priority for today’s organizations and users. Microsoft invests in security as a top priority, and the client security is a key investment area for Windows 8. Windows 8 delivers exciting new capabilities that enhance Microsoft’s end to end security offerings. This means securing the clients the resources that client communicates with and connects to, and being able to manage it all.
  • FLEXIBLE WORKSTYLE SCENARIO CASE STUDY Size: 7,800 employeesOrganization Profile:Barts and The London NHS Trust is a healthcare provider under the National Health Service (NHS) in the United Kingdom. The organization serves more than 2 million patients in Britain.Third-Party Software: NHS CUI GuidanceSoftware and Services:Windows® 7 EnterpriseMicrosoft® Services and SupportMicrosoft® System Center Configuration Manager 2007Microsoft ServicesMicrosoft® Application Compatibility ToolkitMicrosoft® Deployment Toolkit 2010Microsoft® BitLocker To Go®Vertical Industries: Healthcare IndustryCountry/Region: United Kingdom
  • Effective and timely communication and collaboration among members of a care team is of vital importance to the quality of patient care. Care team members need an integrated communication and information environment in which they can quickly, easily, and securely access up-to-date patient information - and each other - from a variety of locations using tools that are familiar, economical, and easy to use.Microsoft Office 365, our cloud productivity platform, provides virtually anywhere access to your familiar Office applications, email, calendar, video conferencing, and most up-to-date documents, across your devices – from PCs to smartphones to tablets.Best Experience: You need to be able to access information no matter where you are or what device you are using. Office 365 delivers your Office applications anywhere, all optimized for the best experience across your devices, and with the up-to-date Office applications streamed directly to your PC, you’ll always have access to the most up-to-date features and functionality.Stay Connected: Office 365 helps you stay connected to your business, your data and to each other. Host and participate in more effective online meetings with multiparty HD video conferencing, real-time note taking, and screen sharing. Keep team communications in sync with Site Mailboxes that provide access to the latest version of documents and email. Benefit from smarter Office applications that will recommend the most appropriate charts, tables and graphs. Get answers in real time with activity feeds that provide notifications and updates based on sites, documents and discussions you are following.Security without compromise: You need tools that help your business be productive without compromising your security. Office 365 gives you enterprise-grade tools to help you keep your data safe and secure. It helps monitor and protect confidential information with automatic, centrally managed compliance and data loss prevention tools. And helps protect your business communications with built-in, industry leading anti-virus, spam and phishing filters.Run it the way you want: Office 365 gives you the ability to run it the way you want. It delivers flexible deployment options, and powerful migration and management tools to help you adopt Office more quickly. The new Office applications can work side by side with previous versions, eliminating the need to uninstall them. You can get updated features and functionality streamed directly to computers, when you want them. And you can choose to run it on-premises, as a hosted service or as a hybrid of both.
  • PRODUCTIVITY CASE STUDY Size: 7000 employeesOrganization ProfileTampa General Hospital (TGH) is one of the most comprehensive medical facilities in West Central Florida, with 1,004 beds and with approximately 7,000 employees. It serves a population of more than 4 million people.Business SituationTGH wanted to avoid maintaining messaging infrastructure and focus its IT staff on implementing new ideas that would improve patient care and make staff more productive.SolutionTGH eliminated its IBM Lotus Notes messaging system and switched to cloud-based communications and collaboration services provided through the Microsoft Business Productivity Online Standard Suite.BenefitsFoundation for new healthcare initiativesStaff freed to develop ideasPotential for increased productivityPredictable costs
  • Solutions from Microsoft and partners are shifting the paradigm in how BI is delivered and used in healthcare organizations today. Key trends include access to real-time data, the ability to break down data silos and provide true insights for improving care and a shift towards providing tools that allow more staff to complete self-service BI when ensuring that IT retains control of data management. Our integrated BI help enable:Managed Self-Service Business IntelligenceEmpower users to create and share rich, powerful business intelligence solutions through familiar applications in Microsoft Office while you empower IT to efficiently monitor the BI infrastructure using Microsoft SQL Server and Microsoft SharePoint Server.Breakthrough insightPlow through mounds of structured, unstructured and cloud data sources in a familiar way in Excel with the award winning PowerPivot add-in, including new advanced analytic capabilities. Discover and share insight across all levels of the organization by offering highly interactive web-based drag-and-drop data querying and visualizations for insights at the speed of thought.Deliver BI on your termsCreate and Scale BI Solutions Fast, On Your Terms Across Server, Private or Public Cloud. Scale on demand with flexible deployment options on your terms server to cloud, offload IT tasks and accelerate time to solution with self-service provisioning through appliance and private or public cloud offerings, and extend the reach of data anywhere across server and/or cloud with expansive developer technologies.
  • BUSINESS INTELLIGENCE SCENARIO CASE STUDY Organization Size: 600 employeesOrganization Profile: NHS Nottinghamshire County Primary Care Trust (PCT) commissions healthcare and supports social services for 650,000 county residents.Business Situation:After a merger, and facing increasing financial challenges, the PCT sought better information access and analysis to improve strategic decision making.Solution: With the help of 21C, the trust adopted an end-to-end solution based on Microsoft Business Intelligence.Benefits:Integrates disparate data sourcesExpands information access and insightsImproves productivityFacilitates informed decision makingVertical Industries: Healthcare IndustryCountry/Region: United KingdomBusiness Need: Business Intelligence and ReportingPartner: 21C
  • Real impact can only be delivered through real innovation. From the advances in Bring Your Own Device through to cloud platforms for the enterprise, we have the most comprehensive set of tools that embraces both the consumer and the business arena to maximize on the technological paradigm shifts we discussed earlier.Our ongoing commitment to the consumer market helps us deliver a better technology experience for your users by understanding how they want to use technology and evolving how they interact with computing:Natural User Interface. Kinect for Xbox 360 is revolutionizing gaming today and has huge possibilities to revolutionize computing for health organizations, and we’re already seeing innovative uses in health. While touch-based interfaces are all the rage today, we believe that gesture-based and speech-based computing are the future.Big Data. We talked earlier about the explosion of digital information. Our consumer experience with web search is helping us dramatically improve enterprise search capabilities as well, which organizations can use toward collecting and analyzing population health information and disaster response.Devices. We’ve made a deep investment to re-enter the smartphone market with a phone that delivers an experience that your users will love and the business capabilities they need. Windows® Phone 8 makes it easy to do everything from managing personal and professional contacts, calendar, and email, to interacting with friends and peers over social networks, to accessing and editing documents stored on Microsoft SharePoint® sites. We are seeing an emergence of tele-medicine using Windows Phone 8 and other telecommunication devices.Research. Microsoft invests over US$9M per year in research. Our smart technologies have opened the door for numerous health applications, ranging from Cyberchondria analysis, Bayesian Triage, computer-aided diagnostics (Twitter analysis for depression), ER wait-time predictor (or readmissions manager) to home monitoring and sensing.Our approach is fundamentally unique. We’re not just workplace or consumer, we’re not just on-premises or cloud, and we’re not just the data center, the PC, or the phone. We’re all of it.
  • Impact of IT on health outcomes

    1. 1. Impact of IT on Health Outcomes Vikas Aggarwal Head - Industry Solutions & Market Development Public Sector, Microsoft India
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    4. 4. Connected health platform Shared services Connected health solutions
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    6. 6. Enterprise-Grade Solutions