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「新科技 vs. 醫療產業」 - 由雲端運算及 App 浪潮談起

Transcript of 20131031...

  • 1. vs. - App (Raymond)

2. 1999(University of Southern California)M.S. Degree in Computer Science US. Interactive Inc.Sierra Systems 2005 Windows Azure Windows 8/Phone AppsKinect 3. : A Better Pencil: Readers, Writers, and the Digital Revolution Dennis Baron, professor of English and linguistics at the University of Illinois at Urbana-Champaign. 4. 4Agenda + App 5. 5 Cloud Computing 6. 6? 7. 7!Sample footer on all content slides. 8. 8New Business Model () 9. 9: Capital expenseNew Business Model vs. Cost Saving Operating expense 10. 10New Business Model is a Big Deal! Performance, Load Balance, Computing/Networking/Storage usage,etc Productivity, Architecure re- design Scalability, High Availability Dynamic, Flexibility & Automation Management, Security, Marketing,etc 11. 11 12. 12 13. 13New Business Model in Healthcare? 14. Consumers are forced to interact with individual healthcare-related facilities C C4 4Facility C1C5 C2 C3 C3 15. Copernican Shift ( ) New Business Model Provider Education Encounter ManagementC4 Payer Disease Management Cost ContainmentConsumerEmployer Benefits Management Corporate WellnessC5 C3 Supplier Consumer Safety Lifestyle ManagementConsumer Services Diest and Fitness Wellness In 1543,, , Copernican shift , 180 16. 16New Business Model ()EMRPHR 17. 17New Business Model is a Big Deal! 18. 18PHR : HealthVault 19. 19App ? 20. Most things:(&http://blogs.cisco.com/news/the-internet-of-things-infographic/) 21. 21Future Vision in Healthcare 22. PC Sample footer on all content slides. 23. 23Sample footer on all content slides. 24. App IT ? $37.4 Billion85 Million9.2%1/3rd* IDC, Worldwide and U.S. Custom Application Development Services 20122016 Forecast, doc #234645, May 2012. **IDC Predictions 2012: Competing for 2020, doc #231720, December 2011. ***Gartner, IT Metrics: IT Spending and Staffing Report, Jan. 2012 25. ? Apps vs. Webhttp://gigaom.com/2012/12/05/us-spends-35-percent-more-time-using-apps-in-2012-while-web-usage-drops/2012 26. 26? App ? ! 27. 27Hype Cycle (): -! 28. 29 29. 30? 30. 2001/9/11 31. 32Dr. Mark Smith (left) and Dr. Craig Feied (right), MedStar Healths Washington Hospital CenterInstant access to patient information is key to lifesaving care, especially in the emergency room and intensive-care unit, where delays may mean the difference between life and death. Dr. Mark Smith The reality is that most hospitals have islands of data that cant easily be shared with other systems because of disparate data types. Dr. Craig Feied 32. 33 IHI Triggers PHR Integration Quality Scorecard Ambulatory vs. Inpatient Infection TrackingCore Measures Charge & Payment Analysis Rapid Response Care Quality Analysis Throughput TrackingFinancial SystemLabor and DeliveryTime and AttendanceAmbulatory EMRIntegrated Clinical Information SystemLab Anatomic PathologyDictationEMPIPatient Monitoring SystemAdvanced VisualizationHospiceAmbulatory SpecialtyLaboratory Blood BankPACSCTInterface EnginesAnesthesiaUltrasoundVentilatorsBudgetingOther Medical DevicesFetal Monitors 33. : Dr. AllenDr. Allen . 34. Recent X-Rays and readingsRecent labsNo. of ER visitsChief ComplaintRecent CT scanRecent medicationsNo. of dictationsDays since last visitArrival timeAge and sexER Workflow: Dr. Allen(Excel-like: , etc.) Dr. Allen , etc. 35. ER WorkflowPast complaintsRange of agesOld CT scans and EKGs are available for comparison: Dr. Allen CT Scan 36. ER WorkflowPast Medical HistoryDiagnoses of Heart Disease back to 1994: Dr. Allen 37. ER Workflow2004: Heart Attack2005: No Heart Attack 2007: Todays Visit: Dr. Allen 38. ER WorkflowTools allow manipulation for more precise asessment: Dr. Allen PACS X 39. 60% of Clinician time is spent searching or waiting for patient information Only 16% of time is available for direct patient care. Seeking Data Patient Care Source: MedStar Health Washington Hospital CenterClinician LandscapeDoctors are frustrated 40. 41 (Big Deal!) 41. 42. Health ExamplePatient Admin Anti Malware EmailElec. Health Rec. Personal Health Information Pandemic/Disaster ERPPatient Admin ! 43. Health Example Patient Admin Anti MalwareAnti Malware EmailElec. Health Rec. Personal Health Information Pandemic/Disaster ERPEmail Email 44. Health Example Electronic Health Records Patient Admin Anti Malware EmailMUMPS HER! Electronic Health Records Personal Health Information Pandemic/Disaster ERP 45. Health Example Electronic Health RecordsPatient Admin Anti Malware EmailPersonal Health Information Pandemic/Disaster ERP Pandemic/Disaster 46. Health ExamplePatient Admin Anti Malware EmailPersonal Health Information Pandemic/Disaster ERPERP 47. Health Example Electronic Health RecordsPatient Admin Anti Malware EmailPersonal Health InformationERP Pandemic/DisasterHealthVault 48. 49 + App : New Business Model-> C C 4 4C 1C C 3 3Facility C 2C5 C 5Hype Cycle: ()! 49. ??3 50. (Imagine Cup) (Imagine Cup)2003100 35 2003 2006 62007 Circle 2008 2009 3 100 4 2009 62010 2010 113 325 2020 2011 165 352 12 51. 2013 52. + App ! (Omni-Hearing Solution) 53. 2013/07 (Omni-Hearing Solution) (World Citizenship)(Womens Empowerment Award-UN Women)! 54. DreamSpark Microsoft : 55. 56 + App : New Business Model-> C C 4 4C 1C C 3 3Facility C 2C5 C 5Hype Cycle: ()! 56. ? !?3 57. 58 (Imagine Cup): http://www.imaginecup.com (DreamSpark): http://www.dreamspart.com 58. 59 2011 Microsoft Corporation. All rights reserved. This material is provided for informational purposes only. Microsoft makes no warranties, express or implied.