Скачать презентацию John Crawford Healthcare Solutions IBM Europe 25 Скачать презентацию John Crawford Healthcare Solutions IBM Europe 25

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John Crawford – Healthcare Solutions, IBM Europe 25 May 2010 e. Health and Europe John Crawford – Healthcare Solutions, IBM Europe 25 May 2010 e. Health and Europe – Why we need Smarter Healthcare © 2010 IBM Corporation

Citizens are largely dissatisfied with their healthcare systems and spending more money does not Citizens are largely dissatisfied with their healthcare systems and spending more money does not appear to be the answer Healthcare spend as a percent of GDP, 2004/5 (%) Citizens’ views of healthcare systems and healthcare expenditures United States 15% Germany Netherlands Canada 10% Australia United Kingdom 5% 50% 60% 70% New Zealand 80% % of citizens who believe their healthcare system requires either fundamental change or complete rebuilding, 2007 (%) Source: OECD, “OCED Health Data” (2007); Commonwealth Fund, “ 2007 Commonwealth Fund International Health Policy Survey” (2007) © 2010 IBM Corporation

Healthcare as a global priority and IBM’s role Global Environment Market Response • Economic Healthcare as a global priority and IBM’s role Global Environment Market Response • Economic and societal demands for improved value and outcomes • National efforts to improve health system efficiency and effectiveness • Healthcare costs outpacing GDP growth • Public health improvement programmes / legislation • Aging populations • Educating and activating the citizen • Increasing rates of chronic conditions • Improving access to services • Concerns for patient safety 3 • Healthcare IT as a key enabler: – EHR / Interoperability – Business Intelligence – Telemedicine – Health 2. 0 IBM’s Role • Deliver innovative solutions – Integrate information – Optimise workflows – Improve flexibility • Promote collaboration – Among stakeholders – Policies and standards – New care delivery models • Lead as a best practice employer – Promote patient-centric care – Reward healthy work-life balance © 2010 IBM Corporation

Challenges for European Health Systems – Citizens’ expectations for high-quality care – Demographic changes Challenges for European Health Systems – Citizens’ expectations for high-quality care – Demographic changes How to offer high-quality & affordable care? – Increased prevalence of chronic diseases – Increased mobility of citizens and patients – Staff shortages, unequal territorial distribution – Reactive model of healthcare delivery – Rising healthcare costs 4 © 2010 IBM Corporation

e. Health Deployment in the European Union Over 22 countries have explicit e. Health e. Health Deployment in the European Union Over 22 countries have explicit e. Health strategies, but: 18 17 16 16 14 Priority (wish) Reality No. of EU 12 Member 10 States 8 6 3 4 0 2 0 Complete EHR / interoperability e. Prescription Source: www. ehealth-era. org 5 © 2010 IBM Corporation

The European Commission view on e. Health is a Lead Market (of ‘strategic societal The European Commission view on e. Health is a Lead Market (of ‘strategic societal and economic interest’) European Commission – “Communication on a lead market initiative for Europe’ - COM(2007) 860 final * § e. Health can help to deliver better care for less money within citizencentred health delivery systems. Nevertheless, the ICT investments in this area have stayed behind that of other service sectors. The take-up of technical and organisational solutions is often hindered by a strong fragmentation of the market, e. g. due to different social security systems and a lack of interoperability. This prevents economies of scale. This is aggravated by a lack of legal certainty as regards reimbursement, liability and a lack of awareness on the correct application of the legal provisions on the protection of personal data. This hampers both the product takeup and business investments. * http: //eur-lex. europa. eu/Lex. Uri. Serv/site/en/com/2007/com 2007_0860 en 01. pdf 6 © 2010 IBM Corporation

European e. Health market size and growth § High potential for growth and jobs European e. Health market size and growth § High potential for growth and jobs in the EU e. Health market 2008 € 14. 3 billion Est. annual Growth Rate 2. 3% e. Health market 2012 € 15. 6 billion Source: EU e-Health Business Models, Capgemini Consulting, Rand Europe, 2009 (Ongoing study funded by the EC) 7 © 2010 IBM Corporation

The EU Roadmap for e. Health in 2010 (direction of travel) 3 2 1 The EU Roadmap for e. Health in 2010 (direction of travel) 3 2 1 1990 s 8 Towards the full picture of the individual’s health status Connecting individuals with Health Information Networks Linking all the points of care Today © 2010 IBM Corporation

EC funding instruments (summary) EU has supported over 500 e. Health projects with > EC funding instruments (summary) EU has supported over 500 e. Health projects with > € 1 Billion since 1989 Current support (~ € 100 Million a year) Stand alone systems EU R&D Programmes Research (EHR, messaging, healthcards, VPH, PS PHS) Larger pilots with online services Research & Technology Development Pilots validation Innovation (e. g. Home-based Monitoring) Large scale deployment, support to policies 1990 9 Large scale validation Member States + EU e. Ten & CIP programmes 1994 1998 (EU wide services interoperability, mobility) 2002 2006 2010 © 2010 IBM Corporation

Large Scale Pilot on cross-border e. Health interoperability ep. SOS (European Patient Smart Online Large Scale Pilot on cross-border e. Health interoperability ep. SOS (European Patient Smart Online Services) § Involves 12 member states: AT, CZ, DE, DK, EL, ES, FR, IT, NL, SK, SE, UK and is running from 2008 to 2011 § To deploy concrete cross border services ensuring safe, secure and efficient medical treatment for citizens travelling across Europe: § Patient Summary for EU Citizens § e. Prescribing for EU Citizens § To build on existing National e. Health Projects and use experiences and knowledge from all Member States http: //www. epsos. eu/ 10 © 2010 IBM Corporation

Large Scale Pilot on telehealth Renewing Health § Nine regional healthcare authorities directly responsible Large Scale Pilot on telehealth Renewing Health § Nine regional healthcare authorities directly responsible for the deployment of existing or planned telemedicine services. § To build up the largest multi-centre clinical trial ever deployed in Europe to measure the effectiveness and cost effectiveness of Telemedicine solutions for chronic disease management (COPD, CVD, diabetes). § Operation started in February 2010, for an expected duration of three years. http: //www. renewinghealth. eu/ 11 © 2010 IBM Corporation

“A Digital Agenda for Europe” published 19 May 2010 (COM (2010) 245)* § The “A Digital Agenda for Europe” published 19 May 2010 (COM (2010) 245)* § The Commission will work with Member States competent authorities and all interested stakeholders to: – Undertake pilot actions to equip Europeans with secure online access to their medical health data by 2015 and to achieve by 2020 widespread deployment of telemedicine services – Propose a recommendation defining a minimum common set of patient data for interoperability of patient records to be accessed or exchanged electronically across Member States by 2012 – Foster EU-wide standards, interoperability testing and certification of e. Health systems by 2015 through stakeholder dialogue – Reinforce the Ambient Assisted Living (AAL) Joint Programme to allow older people and persons with disabilities to live independently and be active in society * http: //ec. europa. eu/information_society/digital-agenda/index_en. htm 12 © 2010 IBM Corporation

“A Digital Agenda for Europe” published 19 May 2010 (COM (2010) 245)* § The “A Digital Agenda for Europe” published 19 May 2010 (COM (2010) 245)* § The Commission will work with Member States competent authorities and all interested stakeholders to: – Make proposals to reform of rules on implementation of ICT standards in Europe to allow use of certain ICT fora and consortia standards – Promote interoperability by adopting in 2010 a European Interoperability Strategy and European Interoperability Framework – Issue a Communication in 2011 to provide guidance on the link between ICT standardisation and public procurement to help public authorities to use standards to promote efficiency and reduce lock-in – Adopt in 2010 a Broadband Communication that lays out a common framework for actions at EU and Member State to meet the Europe 2020 broadband targets (basic broadband to all Europeans by 2013 and, by 2020, (i) all Europeans have access to internet speeds of above 30 Mbps and (ii) 50% or more of European households subscribe to internet connections above 100 Mbps) – Review the EU data protection regulatory framework with a view to enhancing individuals' confidence and strengthening their rights, by the end of 2010 * http: //ec. europa. eu/information_society/digital-agenda/index_en. htm 13 © 2010 IBM Corporation

Smarter Healthcare A smarter health system forges partnerships in order to deliver better care, Smarter Healthcare A smarter health system forges partnerships in order to deliver better care, predict and prevent disease and empower individuals to make smarter choices. + Instrumented Improve operational effectiveness 14 + Interconnected = Intelligent Deliver collaborative care for prevention and wellness Achieve better quality and outcomes © 2010 IBM Corporation

Some IBM solution focus areas for Smarter Healthcare 1. Disease Management / Collaborative Care Some IBM solution focus areas for Smarter Healthcare 1. Disease Management / Collaborative Care (Instrumented) 2. Electronic Health Records (Interconnected) 3. Healthcare Analytics (Intelligent) 15 15 3/19/2018 © 2010 IBM Corporation

Disease Management / Collaborative Care PAN WAN x. HR 16 © 2010 IBM Corporation Disease Management / Collaborative Care PAN WAN x. HR 16 © 2010 IBM Corporation

Disease Management / Collaborative Care Telemedicine on the island of Tristan da Cunha What’s Disease Management / Collaborative Care Telemedicine on the island of Tristan da Cunha What’s smart? • Using telemedicine to provide access to clinicians in University of Pittsburgh Medical Center • Provision of teleradiology, telepathology, doctor-to doctor, and doctor-to-patient consultations, all via satellite link Fact: Accessing quality medical care in remote locations is difficult and time-consuming (in this case no airstrip so 7 days travel by sea to Capetown) 17 Smarter Business Outcomes • Immediate referrals and 2 nd opinions • Improves quality of patient care • Eliminates need to travel (a very long way!) for specialist consultations http: //www-03. ibm. com/press/us/en/pressrelease/22576. wss © 2010 IBM Corporation

Electronic Health Records • What is the problem? • Patient records exist in many Electronic Health Records • What is the problem? • Patient records exist in many places and in multiple formats • Care information tends to be episodic - not continuous • Standards have not been agreed until quite recently • Technical standards (format, message structures etc) • Semantic standards (terminology, meaning) • Concerns about security, patient privacy and consent 18 18 3/19/2018 © 2010 IBM Corporation

Electronic Health Records Thy-Mors Hospital (Denmark) uses visual patient records * What’s smart? • Electronic Health Records Thy-Mors Hospital (Denmark) uses visual patient records * What’s smart? • Visual representation of the health status using a 3 D avatar linked to SNOMED-CT clinical terms • Combination of visualisation and medical record data Fact: Reviewing electronic patient records can be complex and time-consuming – a simpler approach is needed. Smarter Business Outcomes • Allows faster assimilation of relevant medical information by clinicians • Improves doctor/patient dialogue • Supports move to ‘paperless hospitals’ * IBM Research project - now available through Nhumi Technologies - http: //nhumi. com/ 19 © 2010 IBM Corporation

Healthcare Analytics • Comprehensive use of data • Statistical and quantitative analysis • Explanatory Healthcare Analytics • Comprehensive use of data • Statistical and quantitative analysis • Explanatory and predictive models • Fact based management to drive decisions and actions • A subset of Business Intelligence A set of technologies and processes that use data to understand analyse business performance Source: Copyright 2007 - Competing on Analytics The New Science of Winning Thomas H. Davenport and Jeanne G. Harris 20 20 3/19/2018 © 2010 IBM Corporation

Healthcare Analytics Geisinger Health uses a Clinical Decision Intelligence System What’s smart? • Standards-based Healthcare Analytics Geisinger Health uses a Clinical Decision Intelligence System What’s smart? • Standards-based Clinical Decision Intelligence System (CDIS) enables analysis and reporting of vital insights from millions of patient encounters • System incorporates Geisinger's clinical, financial, operational, claims, genomic and other medical data Fact: Geisinger Health System wanted to extract more value from its vast array of medical information 21 Smarter Business Outcomes • Provides a massive store of clinical information, procedure and research to help doctors provide the best care http: //www. ibm. com/smarterplanet/global/files/us__en_us__healthcare__sc_ny_r_paulus_v 03 rp. pdf © 2010 IBM Corporation

We’ve only just begun to uncover what is possible on a smarter planet. The We’ve only just begun to uncover what is possible on a smarter planet. The world will continue to become smaller, flatter and smarter. We are moving into the age of the globally integrated and intelligent economy, society and planet. To thrive in a Smarter Planet, we need a Smarter Health System that supports a healthier and more productive citizens. There’s no better time to start building a smarter health system. And there’s no better time to invest in creating the kind of society we all desire. Let’s work together to drive real progress in our world. 22 © 2010 IBM Corporation

23 © 2010 IBM Corporation 23 © 2010 IBM Corporation