A Special Presentation For - Medical Automation...monitoring, visualizing and analyzing...
Transcript of A Special Presentation For - Medical Automation...monitoring, visualizing and analyzing...
A Special Presentation For:A Special Presentation For:
October 29, 2007Leesburg, Virginia
The Future of Healthcare Delivery The Future of Healthcare Delivery
5 Trends5 TrendsThat Will Shake That Will Shake the the WorldWorld
Bill Crounse, MDBill Crounse, MDWorldwide Health DirectorWorldwide Health DirectorMicrosoft CorporationMicrosoft Corporation
Significant Healthcare Industry ChallengesSignificant Healthcare Industry Challenges
IncreasingIncreasingRegulationRegulation
ss
Aging PopulationAging Population
Expensive TechnologyExpensive Technology
ReducedReducedReimbursementsReimbursements
Labor ShortagesLabor Shortages
Healthcare industry faces Healthcare industry faces myriad of regulationsmyriad of regulations
There is a shortage of trained There is a shortage of trained nurses and pharmacistsnurses and pharmacists
Rising expense of Rising expense of technology is technology is impacting costimpacting cost
Increased utilization of Increased utilization of healthcare serviceshealthcare services
HealthcareHealthcareIndustryIndustry
EMR AdoptionEMR Adoption
JustJust 25%25% among practices with 10 or among practices with 10 or more physiciansmore physicians
JustJust 15%15% among practices with 5 or among practices with 5 or fewer physiciansfewer physicians
The highThe high--tech plumbertech plumber
The Perfect Storm Is BrewingThe Perfect Storm Is Brewing
5 Trends5 Trends
Trend #1Trend #1
Increasing personal responsibility for Increasing personal responsibility for healthcare costshealthcare costs
Government spending constraintsGovernment spending constraints
Health Savings AccountsHealth Savings Accounts
Consumer Directed PlansConsumer Directed Plans
High deductibles & coHigh deductibles & co--payspays
MarketMarket--drivendriven
Comparison of Spending on Health
USA Today 9USA Today 9--1515--20052005Employee Health Plan CostsEmployee Health Plan Costs
$14,000 / year per family$14,000 / year per family
StarbucksStarbucksWill spend more on health insurance for Will spend more on health insurance for their employees than on coffee beans.their employees than on coffee beans.
This isnThis isn’’t sustainable!t sustainable!
Concern About Health CostsPercent of American adults who cite rising cost of healthcare as 1 of top 3 personal concerns: 2006 Roper Report
Healthcare is becomingHealthcare is becoming
consumerconsumer --centriccentric
Trend #2Trend #2
Commoditization of Medical ServicesCommoditization of Medical ServicesFurther expansion of OTC marketFurther expansion of OTC market
Retail medicine: The $40 Retail medicine: The $40 ““officeoffice”” visitvisit
Patient selfPatient self--serviceservice
Continued growth in Continued growth in ““alternativealternative”” carecare
OnOn--line consultations, eline consultations, e--health serviceshealth services
Retail Clinic Price Transparency
Organized Medicine RespondsOrganized Medicine Responds
AAP ISSUES POLICY OPPOSED TO RETAIL-BASED CLINICS
The American Academy of Pediatrics (AAP) has issued a new policy statement opposing the use of Retail-Based Clinics (RBCs) as a source of medical care for infants, children and adolescents. These clinics offer limited, lower-cost services at walk-in facilities that are often located in supermarkets, pharmacies and large retail stores.
Trend #3Trend #3
Commoditizing ProvidersCommoditizing Providers
More More parapara--professionalsprofessionals
Physician shortages Physician shortages
Concierge servicesConcierge services
MachineMachine--aided diagnosis aided diagnosis
The Next Crisis in CareThe Next Crisis in Care
Machine-Aided Diagnosis
Trend #4Trend #4
Information EverywhereInformation EverywhereConsumer empowermentConsumer empowerment
Cost & quality transparencyCost & quality transparency
Intelligent systems & toolsIntelligent systems & tools
Personalized medicinePersonalized medicine
Trends in e-Healthcare Services• On-line appointment scheduling
• Web messaging with physician and support staff
• Access to lab and radiology reports
• Prescription refills
• Reminders and “information therapy”
• Access to personal medical record
• Outcomes & disease management tools
• Ability to manage benefits on-line
Patient SelfPatient Self--ServiceService
CheckCheck--InIn
CoCo--PayPay
Consent FormsConsent Forms
Way FindingWay Finding
Physician Referral TrackingPhysician Referral Tracking
GlucoPhoneGlucoPhoneHealthPiaHealthPia / Verizon Cell Phone / / Verizon Cell Phone / GlucometerGlucometer
HealthGear Sleep Apnea MonitorHealthGear is a real-time wearable system for monitoring, visualizing and analyzing physiological signals. HealthGear consists of a set of non-invasive physiological sensors wirelessly connected via Bluetooth to a cell phone which stores, transmits and analyzes the physiological data, and presents it to the user in an intelligible way.
Trend #5Trend #5
Globalization of Healthcare ServicesGlobalization of Healthcare Services““The Healthcare World is FlatThe Healthcare World is Flat””
If it can be done virtually, it willIf it can be done virtually, it will
The rise of medical tourismThe rise of medical tourism
The Healthcare World is Flat TooThe Healthcare World is Flat Too
Medical TourismMedical Tourism
150,000 Americans sought elective medical care outside the US in 2006
1.5 Million people sought care in other countries in 2006
Launch a Video ConversationLaunch a Video Conversation
Hey Dr. Jordan!
Have time for a video chat?
5 Trends Summary5 Trends Summary
Increasing personal responsibilityIncreasing personal responsibility
““RetailizationRetailization””
Commoditization of providersCommoditization of providers
Information everywhereInformation everywhere
Globalization of healthcareGlobalization of healthcare
Health Future VisionHealth Future Vision
Remote Monitoring
Virtual Visit with Case Manager
Hospital Rounding
Medication Management
Locating Equipment
In-Patient Visit
Virtual Consultation
Retail Clinic Services
49Microsoft CorporationConfidential and Privileged 49
50Microsoft CorporationConfidential and Privileged
HealthVault is a way for individuals to collect, store, and share their health information
It is a shared data platform that allows multiple applications to work with a person’s health data to improve health management and outcomes
HealthVault is NOT a PHR
PHR
PHR Jr.
Fitness
Wellness
BMI
Chronic Condition
HealthVault Account
51Microsoft CorporationConfidential and Privileged
Design Principles of HealthVault
Free for Users and Developers
Inclusive of Industry
Standards
Privacy and Security Focused
HealthVault Connection Center
53Microsoft CorporationConfidential and Privileged
HealthVault Search
55Microsoft CorporationConfidential and Privileged 55Microsoft CorporationConfidential and Privileged
SAVETool that allows users to save and organize articles from various searches in one place (accessed via user name/password).
SAVETool that allows users to save and organize articles from various searches in one place (accessed via user name/password).
ACTAdvertising is served up based on the relevancy of the search, plus a desired call to action in the ad.
ACTAdvertising is served up based on the relevancy of the search, plus a desired call to action in the ad.
DISCOVERQuick links to refine results without doing a new search
DISCOVERQuick links to refine results without doing a new search
LEARNArticles from leading industry resources that are related to the user’s query
LEARNArticles from leading industry resources that are related to the user’s query
www.mscui.net
Commodity HIS SolutionsCommodity HIS Solutions
Hospital de São Sebastião
Labs Cardiology Procedure Documentation
Medication Administration
Hemodynamics CPOEPharmacy Dictation Medication Dispensing
PACS
Mobile Data ICU/Critical Care
Advanced Analytics
Contract Management
Claims Management
Revenue Management
Bed Management
Financial/ERP Enterprise Scheduling
Business Decision Support
Inventory
Registration Staff/Nurse Scheduling
Outcomes Management
Transcription
Electronic Medical Record
OR Management
Emergency Department
Image Distribution
Purchasing Access Management
Lots of different systems that don’t talk to each o therLegacy systems from 30 years ago attempting to comm unicate with newer systems that have been just installedA multitude of vendors
Nursing Workflow/
Documentation
Charting Clinical Notes
Pathology
Document Imaging
Medical Records Coding
Orders
Call Management
Physician Practice
Imaging
RIS
Labs Cardiology Procedure Documentation
Medication Administration
Hemodynamics CPOEPharmacy Dictation Medication Dispensing
PACS
Mobile Data ICU/Critical Care
Advanced Analytics
Contract Management
Claims Management
Revenue Management
Bed Management
Financial/ERP Enterprise Scheduling
Business Decision Support
Inventory
Registration Staff/Nurse Scheduling
Outcomes Management
Transcription
VIEWERS
Electronic Medical Record
OR Management
Emergency Department
Image Distribution
Purchasing Access Management
Azyxxi focuses on the key issue in medicine – instant access to dataAzyxxi adds a layer of extra value and intelligence to existing clinical and non-clinical systems by aggregating and unifying disparate data for comp rehensive management and analysisIt does not replace the EMR and other interactive s ystems because we currently do not support writing capabilities required for complex workflows and processes
Nursing Workflow/
Documentation
Charting Clinical Notes
Pathology
Document Imaging
Medical Records Coding
Orders
Call Management
Physician Practice
Imaging
RIS
FUNCTIONSDATA CORE
Azyxxi Client ViewerNavigation and function buttons
Filter
Sort
Timeframe
Data Scope
Info
Input
Forms
Details and values displayed in colmns
Name
Age/Sex
Date/Time In
Chief Complaint
Vital Signs
Past Medical History
Lab Results
Radiology Results
Medications Ordered
X-Ray Images
Dictations
CT Scan Images
A
B
C
D
E
F
G
1
2
3
4
5
6
7
8
9
10
11
12
Displays current patient count
Displays title of view
Details and values displayed in columns
Patients displayed in rows
Navigation and function buttons
A B
C D E F G
1 2 3 4 5 6 7 8 9 10 11 12
5 Trends Summary5 Trends Summary
Increasing personal responsibilityIncreasing personal responsibility
““RetailizationRetailization””
Commoditization of providersCommoditization of providers
Information everywhereInformation everywhere
Globalization of healthcareGlobalization of healthcare
5 Trends Impact5 Trends Impact�� Rising consumerism, and responseRising consumerism, and response
�� Cost and quality transparencyCost and quality transparency
�� New service locations, delivery modelsNew service locations, delivery models
�� Leaner operationsLeaner operations
�� Enabling technologiesEnabling technologies
�� KnowledgeKnowledge--driven insight to informationdriven insight to information
�� Advanced communication, collaborationAdvanced communication, collaboration
�� Global competition, eGlobal competition, e--health, selfhealth, self--serviceservice
Will Will You You Be Ready?Be Ready?
ResourcesResources
www.microsoft.com/healthcarewww.microsoft.com/healthcare
http://blogs/msdn.com/healthbloghttp://blogs/msdn.com/healthblog
www.mscui.netwww.mscui.net
www.azyxxi.comwww.azyxxi.com
www.live.health.comwww.live.health.com
www.healthvault.comwww.healthvault.com
© 2007 MICROSOFT CORPORATION. ALL RIGHTS RESERVED.THIS PRESENTATION IS FOR INFORMATIONAL PURPOSES ONL Y. MICROSOFT MAKES NO WARRANTIES, EXPRESS OR IMPLIE D, IN THIS SUMMARY.