Collaborative Healthcare Dirk Tombeur Chief Technology Officer Microsoft Belgium & Luxemburg.
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Transcript of Collaborative Healthcare Dirk Tombeur Chief Technology Officer Microsoft Belgium & Luxemburg.
Collaborative HealthcareCollaborative Healthcare
Dirk TombeurDirk TombeurChief Technology OfficerChief Technology OfficerMicrosoft Belgium & LuxemburgMicrosoft Belgium & Luxemburg
Healthcare Challenges are risingHealthcare Challenges are rising
IncreasingIncreasingRegulatioRegulatio
nsns
Aging Aging PopulationPopulation
Expensive Expensive TechnologyTechnology
ReducedReducedReimbursemReimbursem
entsents
Labor Labor ShortagesShortages
Healthcare faces Healthcare faces myriad of myriad of regulationsregulations
Shortage of trained Shortage of trained nursesnurses
Rising expense of Rising expense of technology is technology is impacting costimpacting cost
Increased utilization of Increased utilization of healthcare serviceshealthcare services
HealthcaHealthcarere
IndustryIndustry
European countries are world leaders in European countries are world leaders in healthcare qualityhealthcare quality
CountryCountry RankRankFranceFrance 44SpainSpain 66JapanJapan 99
NetherlandsNetherlands 1919SwedenSweden 2121
United KingdomUnited Kingdom 2424SwitzerlandSwitzerland 2626
CanadaCanada 3535GermanyGermany 4141
United StatesUnited States 7272
*World Health Organization, 2002*World Health Organization, 2002
The Comparative Efficiency Of National Health Systems In The Comparative Efficiency Of National Health Systems In Producing Health – An Analysis Of 191 Countries*Producing Health – An Analysis Of 191 Countries*
The “EMR Adoption Gap”The “EMR Adoption Gap”The United States versus othersThe United States versus others
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Portugal
France
Spain
United States
Greece
Ireland
Luxembourg
Italy
Belgium
Germany
Austria
Finland
United Kingdom
Denmark
Netherlands
Sweden
Primary Care Physician Office Primary Care Physician Office CPR Use by Country, 2002CPR Use by Country, 2002
Source: "European Physicians Especially in Sweden, Netherlands, and Denmark, Lead U.S. in Use of Electronic Source: "European Physicians Especially in Sweden, Netherlands, and Denmark, Lead U.S. in Use of Electronic Medical Records." Medical Records." Harris Interactive Health Care NewsHarris Interactive Health Care News 2(16). 2(16).
The Microsoft Healthcare VisionThe Microsoft Healthcare Vision
Enable the transformation of Enable the transformation of healthcare delivery through healthcare delivery through
innovativeinnovative technologytechnology & & partnershipspartnerships that advance that advance public health programs by public health programs by enabling connected enabling connected citizen citizen
carecare, improving quality of care , improving quality of care & safety, and reducing the & safety, and reducing the
healthcare cost burdenhealthcare cost burden
Healthcare Challenges are risingHealthcare Challenges are risingWhere can Microsoft help?Where can Microsoft help?
IncreasingIncreasingRegulatioRegulatio
nsns
Aging Aging PopulationPopulation
Expensive Expensive TechnologyTechnology
ReducedReducedReimbursemReimbursem
entsents
Labor Labor ShortagesShortages
Healthcare faces Healthcare faces myriad of myriad of regulationsregulations
Shortage of trained Shortage of trained nursesnurses
Rising expense of Rising expense of technology is technology is impacting costimpacting cost
Increased utilization of Increased utilization of healthcare serviceshealthcare services
HealthcaHealthcarere
IndustryIndustry
IT Spending – Opposing ForcesIT Spending – Opposing Forces$ Billions$ Billions
Source: McKinseySource: McKinsey
Actual IT SpendActual IT Spend
15% CAGR Growth
15% CAGR Growth
Expected Total IT Expected Total IT Spend Growth Spend Growth During BubbleDuring Bubble
Desired Mix Desired Mix
Source: AccentureSource: Accenture
Improved Outcomes for Patients, Clinicians and GovernmentsImproved Outcomes for Patients, Clinicians and Governments
InfrastructureInfrastructure Systems Management, Directory, Security, Disaster Recovery, Business Continuity
Lifetime Clinical Record
Long Term Condition
Management
Outcome Based
Funding
IndependenceIndependence Mobility, Remote Access, Inclusion
EMR/E Prescribing
InformationInformation Messaging, Portals, Real-Time collaboration, Business Intelligence, ERP
Community EMR
MPI
Nati
onal –
Sta
te –
Loca
l -
Pati
ent
Nati
onal –
Sta
te –
Loca
l -
Pati
ent
Information Hub
IdentityIdentity Single Sign On, Role Based Access, Privacy, Federated Identity
Develo
ped –
Em
erg
ing –
DR
E H
ealt
hca
reD
evelo
ped –
Em
erg
ing –
DR
E H
ealt
hca
re
LCR
MicrosoftMicrosoftValueValue
ConnecteConnectedd
ProductivProductivee
Best Best EconomicEconomic
ss
DependabDependablele
ClinicalDecision Support
Healthcare Transformation through Healthcare Transformation through TechnologyTechnology
Service Delivery Reform
Integration Integration Interoperability and Orchestration
Industry Industry StandardsStandards
Respect for Respect for PrivacyPrivacy
Improve Improve adoptionadoption
Leverage Leverage legacy appslegacy apps
Scalable Scalable and robustand robust
Data Aggregato
r
BI Engine
Visualization and
Analysis
Disease Surveillanc
e
Real Time Data
Consolidation
Deployment System
MappingClinical Messaging
PACSClinical Coding
CommunityData
Collection
Electronic Referrals
TeleMedicine
Genomic Medicine
Health ID Cards
Call centre & online Triage
Microsoft’s value propositionMicrosoft’s value proposition
Connected – Interoperable by designConnected – Interoperable by design
Productive – Familiar tools to Productive – Familiar tools to automate the way you workautomate the way you work
Best Economics – Driving down the Best Economics – Driving down the cost of healthcare technology cost of healthcare technology
Dependable – Proven and RobustDependable – Proven and Robust
MK
Application Platform Application Platform and Integrationand Integration(e.g. Electronic Health Records)(e.g. Electronic Health Records)National Health Information National Health Information Network and Regional Health Network and Regional Health Information OrgsInformation Orgs
Business Business Solutions/ Solutions/ Microsoft Microsoft DynamicsDynamics
Business and Business and Patient Patient IntelligenceIntelligence
Portals and Portals and CollaborationCollaboration
Real-Time Real-Time CommunicationsCommunications
Mobility and Mobility and DevicesDevices
CollaborativeCollaborativeHealthcareHealthcare
www.w3c.org www.ieee.org www.ietf.org www.ws-i.org
Actively participating with standards bodies:Actively participating with standards bodies:
www.oasis-open.org
Computerized patient recordsComputerized patient records
Source: Modified from World Bank, McKinsey, IGES, IDC and Source: Modified from World Bank, McKinsey, IGES, IDC and GartnerGartner
HardwareHardware
SoftwareSoftware
Integrated CommunicationsIntegrated CommunicationsSimplification of the myriad of options is the key Simplification of the myriad of options is the key to valueto value
WWW
Anywhere Access Anywhere Access to Full Range of to Full Range of ServicesServices
Seamless Movement Across Seamless Movement Across ServicesServices
In ContextIn Context
““PresencPresence”e”
PC Telephony PC Telephony IntegrationIntegration
Audio/VideoAudio/Video
Rich presenceRich presence
Schedule integrationSchedule integration
Custom notesCustom notes
Instant messagingInstant messaging
Contacts searchContacts search
File transferFile transfer
LM integrationLM integration
Application sharingApplication sharing
Phone integrationPhone integration
Integrated CommunicationsIntegrated Communications
Improving organizations Improving organizations by providing business by providing business insights to insights to allall healthcare healthcare actors leading to better, actors leading to better, faster, more relevant faster, more relevant decisionsdecisions
Integrated platform and applicationsIntegrated platform and applications Secure and personalizedSecure and personalized CollaborativeCollaborative Cost effective and comprehensiveCost effective and comprehensive
Business Intelligence VisionBusiness Intelligence VisionBusiness Intelligence VisionBusiness Intelligence VisionBetterHealth
Knowledge Discovery and Insight Knowledge Discovery and Insight Analyze data and display key performance indicators Analyze data and display key performance indicators
Prototype onlyPrototype only
Track Track performance performance
with KPIswith KPIs
See trends on the See trends on the server that flow server that flow through Excelthrough Excel
Well@Home Patient MonitorWell@Home Patient MonitorPowered by Microsoft Windows CEPowered by Microsoft Windows CE
Blood PressureBlood Pressure Blood Oxygen Blood Oxygen
SaturationSaturation TemperatureTemperature Heart RateHeart Rate ECGECG Respiratory RateRespiratory Rate
Short to mid-term challengesShort to mid-term challenges
Chronic Care needs will grow because of Chronic Care needs will grow because of pathologies related to pathologies related to agingaging and and lifestylelifestyle
We have to We have to rationalizerationalize our healthcare our healthcare technology, infrastructure, and delivery technology, infrastructure, and delivery systems systems
We need We need simple solutionssimple solutions based on familiar based on familiar componentscomponents
We need to move from We need to move from cost-shiftingcost-shifting between between Medical Specialisms to Medical Specialisms to Intelligent Patient Intelligent Patient ManagementManagement
We need to focus on We need to focus on PreventionPrevention
Here’s the transformation Here’s the transformation cookbook-cookbook-Step by StepStep by Step
Electronic Record Keeping incl. patients
Health Network & Secure e-mail
Access to Key Event Summaries
ePharmacy
eLabs
Hospital Discharge Summaries
National Network Strategy
Chronic Care & Disease Manage
National System Access
Electronic ReferralsNational Outpatient Collection
Healthcare Analytics
Health Network & Secure e-mail
Health Network & Secure e-mail
Health Network & Secure e-mail
ePharmacy
eLabs
Hospital Discharge Summaries
Chronic Care & Disease Manage
Electronic Referrals
Current State
RangeHealth Network & Secure e-mail
Electronic Record Keeping incl. patients
Source: NZ Health Ministry
NJ
Access to Patient Health Demographics
Access to Key Event Summaries
Hospital Discharge Summaries
Access to Patient Health Demographics
Long Term Care Community Primary Care Secondary Care
Regional/National/
International
Access to Key Event Summaries
Access to Patient Health Demographics
Chronic Care & Disease Manage
Chronic Care & Disease Manage
Access to Key Event Summaries
Access to Patient Health Demographics
Electronic Record Keeping incl. patients
Access to Key Event Summaries
Access to Patient Health Demographics
Who is going to enable this?Who is going to enable this?Chief Medical Information Officer RoleChief Medical Information Officer Role
IT Champion for clinical communityIT Champion for clinical community Provides direction and leadership for physician aspects Provides direction and leadership for physician aspects
of clinical information system design and useof clinical information system design and use Conduit of communication to and from medical staff to ITConduit of communication to and from medical staff to IT
Responsible for linking IT strategy to overall Responsible for linking IT strategy to overall qualityquality Responsible for the integration of clinical quality and care Responsible for the integration of clinical quality and care
management with information technologymanagement with information technology
Represent best interests of medical staff Represent best interests of medical staff Works with the chief information officer’s team with Works with the chief information officer’s team with
responsibilities for representing physicians and responsibilities for representing physicians and clinicians in information technology strategic planning, clinicians in information technology strategic planning, project implementations, training programs and service project implementations, training programs and service deliverydelivery
© 2003 Microsoft Corporation. All rights reserved.© 2003 Microsoft Corporation. All rights reserved.This presentation is for informational purposes only. This presentation is for informational purposes only. MICROSOFT MAKES NO WARRANTIES, EXPRESS OR IMPLIED, IN THIS SUMMARY.MICROSOFT MAKES NO WARRANTIES, EXPRESS OR IMPLIED, IN THIS SUMMARY.