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




ePharmacy

eLabs



Electronic Referrals

Current State

RangeHealth Network & Secure e-mail


Source: NZ Health Ministry

NJ

Access to Patient Health Demographics




Long Term Care Community Primary Care Secondary Care

Regional/National/

International










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.

collaborative healthcare dirk tombeur chief technology officer microsoft belgium & luxemburg

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