Download - © 2010 IBM Corporation Lets Build A Smarter Planet: Healthcare Dr. Ulrich Pluta - IBM Global Healthcare.

© 2010 IBM Corporation

Let’s Build A Smarter Planet:Healthcare

Dr. Ulrich Pluta - IBM Global Healthcare


Let’s build a smarter planet: Healthcare

Forces at work across healthcare systems are impacting us all.

Growing expectations for value from increasingly costly health systems.

Broad global awareness of quality and patient safety challenges.

Increasing need for citizens to make better health and wellness choices.

Emerging approaches to promoting health and delivering care such as e-health and medical tourism.

Expanding resource challenges.

Increasing cost sharing among public and private health insurers and individuals.

The world is connected:economically, socially and technically.

Source: “Healthcare 2015 Series,” IBM Global Business Services and IBM Institute for Business Value



The need for progress is clear.

People worldwide pushed below the poverty line by personal healthcare expenditures each year.¹

100million

In many parts of the world, healthcare costs are rising two times faster than economic growth.²

1.5millionErrors in the way medications are prescribed, delivered and taken harm 1.5 million U.S. citizens every year.³

The number of developed countries where people with higher incomes have better access to physicians than those with lower incomes.5

50 percent

2 timesThe estimated number of patients affected by healthcare-related infections in the EU.4

1 in 10With poor urban governance, life expectancy within developing countries can be as low as 35 years.6

35 years



The demand for change is strong.

Gap between envisioned change and past success at managing it.

8 in 10Healthcare leaders anticipate substantial change ahead.

29%

HEALTHCARE CEO’S GLOBAL CEO’S

Source: IBM Global CEO Study 2008



Healthcare faces global challenges brought on by five key drivers, and the need to overcome five key inhibitors

GlobalisationHealthcare costs are affecting the competitiveness of companies, regions and countries

ConsumerismMore knowledgeable, demanding citizens

Changing demographics and lifestylesAging and overweight populations

Diseases that are more expensive to treatIncreased prevalence of chronic conditions – especially diseases of affluence

New technologies and treatmentsAdvances revolutionizing risk assessment, diagnosis, and treatment

Financial constraintsPool of funds for healthcare is not limitless

Societal expectations and norms Is healthcare a societal right or a market service?

Lack of aligned incentivesFew incentives to encourage the behaviour of collaboration and service transformation

Inability to balance short and long-term perspectivesCommon focus on urgent short-term needs, rather than long-term sustainability

Inability to access and share informationClinical data is being generated at unprecedented rates, but information sharing remains elusive

DRIVERS (increase cost of care) INHIBITORS (limit effectiveness of care)




A smarter health systemforges collaborative partnerships

to deliver better acute, chronic and preventive care, while activating individuals to make smarter choices.

This mandate for change is a mandate for smart.



Individuals will be served by collaborative, coordinatedhealth systems.

GOVERNMENTS

Address the current lack of sustainability by providing leadership and political

willpower, removing obstacles, encouraging innovation and guiding

countries to sustainable solutions.

DOCTORS, NURSES AND OTHER CAREGIVERS

Develop partnerships with individuals, payers/health plans and other stakeholders, collaborating to promote and deliver more evidence-based and more personalized healthcare.

CARE DELIVERY ORGANIZATIONS

Expand the current focus on episodic, acute care to encompass the enhanced management of chronic diseases and the life-long prediction and prevention of illness.

PAYERS AND HEALTH PLANS

Help individuals remain healthy and get more value from the healthcare system while assisting care delivery organizations and clinicians in delivering higher-value healthcare.

PHARMACEUTICALS AND DEVICE MANUFACTURERS

Work collaboratively with care delivery organizations, clinicians and individuals to

create products that improve outcomesand lower costs.

COMMUNITIES

Make realistic, rational decisions regarding lifestyle expectations,

acceptable behaviors, andhealthcare rights and economies.




Smarter healthcare organizations are doing so by becoming instrumented, interconnected and intelligent.



INSTRUMENTED

We now have the ability to measure, sense and see the exact condition of everything.

Today, there are 1 billion transistors for each person on the planet.7

By 2010, 30 billion RFID tags will be embedded into our world and across entire ecosystems.7

There is a 60% reduction in hospital readmissions for patients who use remote physiological monitoring, compared with those who receive standard care.8

Typically, hospitals over-procure mobile assets by 20-30% while critical staff spend 10-30% of their time searching for them.9

Smarter health systems automatically capture and exchange information through diverse channels to proactively manage and deliver preventive and therapeutic care.



INTERCONNECTED

People, systems and objects can communicate and interact with each other in entirely new ways.

The Internet of people is 1 billion strong. Almost one third of the world’s population will be on the Web by 2011.10

There will be nearly 4 billion mobile phone subscribers worldwide by the end of 2008.10

The number of health-related Web sites in the U.S. has increased from 35 four years ago to nearly 500 today.11

While only 6% of European Union general practitioners use electronic prescriptions, 97% in Denmark, 81% in Sweden and 71% of general practitioners in the Netherlands use e-prescriptions.12

Smarter health systems remove information barriers and work asintegrated teams with the individual to make smarter decisions.



INTELLIGENT

We can respond to changes quickly and accurately, and get better results by predicting and optimizing for future events.

Every day, 15 petabytes of new information are being generated. This is 8 times more than the information in all U.S. libraries.13

More than 3,600 statistical articles are published each year on the topic of coronary heart disease alone.14

The average individual health care record, including digital x-rays and scan information, contains as many bits of data as 12 million novels.15

Increasing digitization and medical imaging will lead to a 41% annual increase in storage requirements between 2008 and 2012.16

Smarter health systems continually analyze information to meet the changing needs of the organization, optimize performance, integrate predictive models, and deliver greater value to the individual.



An opportunity for health systems to think and act in new ways.

Improve operational effectiveness.

Deliver collaborative care for preventionand wellness.

Achieve better quality and outcomes.

+ + =



Achieve better quality and outcomes

Deliver collaborative carefor prevention and wellness

EMRs, Images, Records, Forms Lifecycle Management

Information compliance, availability and security

Retrospective to Prospective to Predictive

Care Management

PersonalizedHealthcare

Value

Integration /Interoperability

Collaboration and Automation

Health Integration Framework

Improve operational effectiveness

Our healthcare solutions focus and investments



Smart healthcare: Deliver collaborative care for prevention and wellness.

SMART IS

Standardizing clinical practices across health systems, informed by integrated information.

Servicio Extremeño de Salud: Implemented a regionally integrated system that enables patients to go to any health center in the region knowing the doctor will be able to view their complete, up-to-date records for faster clinical decision-making.

SMART IS

Speeding diagnoses and treatments by making it easier for doctors to navigate complex patient information. Thy-Mors Hospital: Developed a first-of-a-kind patient

records system that uses a three-dimensional model of human anatomy to easily navigate patient records, simplifying access to electronic health information and helping to deliver and explain treatments to patients easier and faster by focusing solely on medical data relevant to current diagnostic efforts.



Smart healthcare: Deliver collaborative care for prevention and wellness.

SMART IS

Being able to access an individual’s full medical history with a single trusted view.

Shanghai First People’s Hospital: Developed a reliable, large-scale identity repository that aggregates a patient’s historical care information while eliminating duplicate and erroneous data, improving care through the sharing of trusted patient information and reducing costs through efficiency improvements.

SMART IS

Proactively driving the integration of technology, process and people changes back into the organization. American Hospital Dubai: Deployed an integrated

healthcare information system for the community of Dubai and surrounding Gulf States, providing secure, real time access to patient information and changing the way medical, nursing and healthcare staffs perform their jobs when utilizing technology.



Thank you for your time today.

For more information:

Dr. Ulrich Pluta

Contact:

[email protected]