IT Trends in US Healthcare

-Ujjwal Anand, PGDM EBiz, Welingkar Institute of Management

Presentation to Team Nous Infosystem Team

US Healthcare Eco-system

Pharma

PayerProvider

US Healthcare System(Where??)

Claim ManagementRisk ManagementReimbursement Management

Patient CareImaging InformaticsICD 9-10 Transition Solutions

Pharmacy AutomationPharmacy Benefit Management

Incentives for Change in Healthcare(Why??)

• The pressure to cut healthcare costs

• Demand to integrate healthcare systems

• Higher rate of return on investment in healthcare systems

• Financial support and incentives from the U.S. government

• Government initiatives, the rise in the aging population

20102011

20122013

20142015

20162017

54 57 60 64 68 72 76 80

Spending on IT(USD billion)

4

2.7 2.9 3.0 3.2 3.43.6

3.84.0

USD trillion

Considering 2% of the spending on IT

US healthcare spending at an average growth rate of 5.8%

Source: www.triple-tree.com

20102011

20122013

20142015

20162017

2729303234363840

Spending on IT Software

(USD billion)

Considering 50 % of the spending on Software

Spending (How much??)

Healthcare IT Spend by Vendor

Application DevelopmentConsulting servicesInfrastructure servicesIntegration services

PWC Report

PWC Report contd…

8

SMAC

Social Media

Latest Technology(SMAC)

Mobility

Cloud

Analytics

9

Framework

People

Process

Technology

Windows XP

Windows 7

Windows 8

Software

Testing

CoE

Virtual Lab

Cloud

Agile

Latest Technology

10

Framework

People

Process

Technology

Windows XP

Windows 7

Windows 8

Servers

Cloud

Software

Testing

CoE

Virtual Lab

Cloud

Agile

Latest Technology

Key Trends

Mobile healthcare- The Rising Star

mHealth applications include the use of mobile devices in collecting community and clinical health data, delivery of healthcare information to practitioners, researchers, and patients, real-time monitoring of patient vital signs, and direct provision of care

2013 201805

10152025

CAGR 25.5%

Medical m-devicesCardiac monitors, Diabetes management devices, Wearable fitness tracking devices Healthcare applications

Bring Your Own Device(BYOD)

Traditional approach to record treatment data

Manual Data HIS system data entry HIS System

WIFI

Mobile approach to recording and updating new plans

HIS System

Benefits:Simplified and Streamlined approachTime to conduct rounds reduced by 30%Instant updates of medical infoZero error rate, reduced from 10%

Big data SolutionsBIG DATAFuture of Healthcare

A doctor could diagnose problem in 3 different ways

The Problem with Healthcare

TraditionDoctor’s limited medical KnowledgePatient's known history

40,000 patients die in ICU each year due to misdiagnosis

The solution= BIG DATA

Current Tech Smart Devices

By combining the data from many devices and tech they can have a greater insights about medicines.

Computers are better than doctors at:Organizing and recalling dataIntegrating patient’s symptoms, history, environmental factorsHaving much lower error rates.

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This technology will generate 1000’s of data points about a persons’ health which will lead to cheaper and faster diagnoses.

Interoperable IT environment

HIE Integration makes your data sharing flexible with other hospitals, healthcare providers and public health centres.

The purpose of HIE integration is to secure clinical data efficiently and more effectively enabling seamless data exchange in different EHR communities saving both time and cost.

Time and Attendance

General Ledger

Prescription

Electronic Health Record

Health Information Exchange

Department of Health

Emergency RoomPharmacy

Primary Care

Interoperable IT environment contd..

IMPROVE -The value of EHR adoption Relationship with your patients and community Management of networks Relationship among and between healthcare providers

Organizational Benefits -Patient summary and demographics Physician to physician and physician to hospital communication Improve coordinationReduce healthcare costImprove outcomes To achieve meaningful use Implement data changes quickly

Clinical Decision Support Systems

•It provides clinicians, staff, patients or other individuals with knowledge and person-specific information, intelligently filtered or presented at appropriate times, to enhance health and health care.

•It encompasses a variety of tools to enhance decision-making in the clinical workflow.

Benefits:Increased quality of care and enhanced health outcomesAvoidance of errors and adverse eventsImproved efficiency, cost-benefit, and provider and patient satisfaction

Patient’s Symptoms (Ex Cough)

Highlights body system to examine

(Respiratory system)

Final diagnosis (Pneumonia treatment suggested)

Patient’s Lab test results entered

Lab tests suggested(Chest X-Ray)

Different diagnosis given (TB, Pneumonia)

Physical exam procedures outlined(Chest exam)

Healthcare News

• ICD 9 to 10• ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a

medical classification list by the World Health Organization (WHO). It codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases.

• Deadline: October 1, 2015 delayed by a year (2014)

• HL7

• Health Level Seven (HL7), is a non-profit organization involved in the development of international healthcare informatics interoperability standards.HL7 and its members provide a framework (and related standards) for the exchange, integration, sharing, and retrieval of electronic health information.

• Healthcare organizations are looking forward to implement HL7 to increase interoperability and quality standards.

• MU2 – (Meaningful Use – 2)Meaningful use is using certified electronic health record (EHR) technology to: Improve quality, safety, efficiency, and reduce health disparities Engage patients and family Improve care coordination, and population and public health Maintain privacy and security of patient health information

Stage 1 - Data capture and sharingStage 2 - Advance clinical processesStage 3 - Improved outcomes

Key Findings

• Healthcare companies are increasingly borrowing technology specialists from other industries.

• They must bring business and technology closer together to take advantage of the wealth of data being generated to improve health outcomes and constrain rising costs.

Provider• 75% are currently hiring new employees to support their IT priorities as clinical

informatics will be the most important skill for achieving their IT priorities.

Payer• Insurers ranked systems and data integration skills as most important to meeting HIT

priorities and 89% think it is very important to have employees trained to integrate and analyze data from various sources.

Pharma• Companies need a new set of tech skills to support emerging methods of conducting

research and the need to prove the value of drugs to all purchasers. 39% believe it is important for new hires to be skilled in health economics outcomes research.

• PWC Report• 2014 Outlook on Health Care Providers - Deloitte Report• blog.harbinger-systems.com• getreferralmd.com/2013/12/byod-issues-healthcare/• www.intelichart.com/integration-engine-overview• www.healthcare.zigron.com/hie-integration• www.healthit.gov/providers-professionals/meaningful-use-definition-

objectives• nousinfosystems.com/ind_hc.aspx• www.triple-tree.com• www.wikipedia.com• www.google.com

Bibliography

Thanks