IBM IBM ÇöÇözzüümler Zirvesimler Zirvesi 20112011Bart DE WITTEHealthcare Industry Leader, IBM CEE

LetLet’’s Build A Smarter Planet:s Build A Smarter Planet:

IBM IBM VVisionision on Smarter on Smarter HHealthealth

The world is smaller, flatter

and increasingly digital.

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

5O percent2 times

The 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

Industry challenges from a global perspective

globalizationHealth care is shifting

from local to national

and global contexts

chronic

diseasesIncidence and cost of

chronic and re-emerging

infectious diseases are

increasing

staff

shortageNursing and

specialist shortages

demand workforce

productivity and

efficiency

consumerism

Empowered consumers

expect better value,

quality, and outcomes

demographics

Changing demographics

and lifestyles drive

associated costs

cost

Growing costs for

new, revolutionary

technologies and

treatments

For healthcare organizations, this means leading in the face

of global challenges brought on by five key drivers while

overcoming five key inhibitors.

DRIVERS INHIBITORS

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

ORGANIZATIONAL REFORMS

investments in hospitals

ACCESS TO HEALTHCARE & CONSUMERISM

More knowledgeable, demanding citizens

CHANGING DEMOGRAPHICS AND LIFESTYLES

Aging and overweight populations

DISEASES THAT ARE MORE EXPENSIVE TO TREAT

Increased prevalence of chronic conditions around

the world

NEW TECHNOLOGIES

Advances revolutionizing risk assessment,

diagnosis, and treatments

FINANCIAL CONSTRAINTS

Pool of funds for healthcare is not limitless

SOCIETAL EXPECTATIONS AND NORMS

Is a service a “societal right” or market service?

LACK OF ALIGNED INCENTIVES

No or little incentives to collaborate, transform

INABILITY TO BALANCE SHORT- AND LONG-TERM PERSPECTIVES

Common focus on “urgent” short-term needs and wants

rather than long-term

INABILITY TO ACCESS AND SHARE INFORMATION

Non-digital/digital data is being generated at

unprecedented

A smarter health system

forges 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.

To meet expectations for improved outcomes, increased

value and more accountable, sustainable health systems,

healthcare organizations are working to …

HEALTHCARE

IMPROVE OPERATIONAL EFFECTIVENESS &

EFFICIENCYBuilding flexibility into

operations to support cost

reduction and excellence in

clinical and business

performance and practices.

DELIVER COLLABORATIVE CARE FOR PREVENTION AND WELLNESSCollaborating across care

settings to deliver integrated,

personalized care

experiences, prevent disease,

promote wellness and

manage care.

ACHIEVE BETTER QUALITYAND OUTCOMES

Applying insights to improve quality

of care, clinical outcomes and

services and deliver personalized

healthcare value, while reducing

medical costs.

Smarter healthcare organizations are doing so by becoming

instrumented, interconnected and intelligent.

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 as

integrated teams with the individual to make smarter decisions.

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.

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.

+ + =

Smart healthcare: Instrumented

lab-on-a-chip technology can perform instant point-

of-care tests for avian flu, swine flu, breast cancer,

prostate cancer, bacterial infections, poison, toxins

and more —even whether you have just experienced

a heart attack. Within two years this lab-on-a-chip

technology could become as commonplace as off-

the-shelf pregnancy tests, allowing anyone to

perform instant, inexpensive tests for medical

conditions that today take skilled personnel hours to

perform.

1. nanotechnology to detect diabetes by

measuring acetone levels in a person’s breath.

Instead of taking a blood test, just breathe.

2. smart contact lens with an embedded

microchip that is worn by the patient and

monitors intraocular pressure over a 24-hour

period

3. Inexpensive diagnostic tests made of paper

can be widely distributed, making early

detection accessible to vast numbers of people,

especially those in developing countries.

4. The Intelligence Toilet II bathroom enables

people to monitor their health at home

Smart healthcare:

Achieve better quality and outcomes.

SMART IS

Consolidating information to provide a

comprehensive patient view including

complete medical history Geisinger: Integrates real-time clinical, financial, operational,

claims, genomic and other medical information in a massive

clinical decision intelligence system, assisting doctors to

provide best practice care and supporting innovative medical

research and treatments.

SMART IS

Improving quality of care by the use of

decision support analytics in medical

business intelligence. Using powerful

algorithms to pinpoint potential

problem and flag images based on the

probability of abnormality.

VIDEO

Mayo Clinic: Worked with IBM to deploy an advanced image

processing capability and created new analytic algorithms,

integrating them seamlessly into its radiology workflow. The

automated system gives radiologists a powerful new diagnostic

tool and source of insight that helps them improve patient care

through better, earlier detection. A 50 time reduction in motion

correction processing enables radiologists to provide results in

minutes, not hours

Smart healthcare:

Improve operational effectiveness & efficiency.

SMART IS

Designing safety into the process

of handling dangerous medicines,

anticipating potential threats to

patients and staff.Masarykuv Onkologicky Ustav (MMCI): Built a first-of-its-

kind solution that integrates MMCI’s pharmacy system with

hospital information systems and deploys an innovative

RFID solution to significantly improve the accuracy and

efficiency with which it traces drug agents, enhancing

patient and staff safety as well as reducing administrative

time and costs.

SMART IS

Automating Admission processes

using Patient Kiosk Systems and

Web-check-In Scenario’s. University Hospital Switzerland*: In response to a growing shortage of Staff, one of the largest university hospitals in

Zurich introduced a Patient Self Services concept. Admission

costs for out-patient visits could be reduced by 65%. As the

Kiosk systems can offer additional services such as way

finding, patient satisfaction increased significantly.

*reference on request

IDC Report – October 2010

Business Analytics: EMR's Booster Shot

• Three year benefit of reduced healthcare costs, reduced data management Costs

• Geisinger will enjoy $9.5 million in benefits over the 2006–2010 time period and• will recognize nearly $4 for every $1 invested in the IBM solution.• In a three-year analysis, Geisinger is enjoying an ROI of 286% and CDIS

• offers a payback period of 8.5 months.

Medical Records Text Analytics ComponentsCCA-LanguageWare Workbench / Health Language

Smart healthcare:

Achieve better quality and outcomes.

Massachusetts General Hospital: Established a safe

model for the medication administration process that

decreases the number of medication errors, Improves

workflow and operational efficiencies. The overall

efficiency gains in Pharmacy were 33%. Decrease

unnecessary nursing medication administration

involvement in non-value add steps by an overall 54%

SMART IS

improving efficiency, accuracy and safety by

implementing an integrated, streamlined

medication administration process

-62 Steps

=

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.

VIDEO (youtube)

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.

Smarter healthcare organizations will look beyond the current financial

crisis and ask how they can thrive in the world ahead.

FOCUS ON VALUE

Do more with less

� Cash/capital focus

� Flexibility

Focus on the core

� Streamline clinical and

business processes

� Optimize core operations

Collaborate

� Clinicians, caregivers,

patients, insurers

1EXPLOIT OPPORTUNITIES

Improve quality and safety

� Aggregate and analyze

information

Grow stakeholder collaboration

� Bold moves

� New partnerships

Build future capabilities

� Explore new care models and

build competencies

2ACT WITH SPEED

Manage change

� Establish change management

� Seek and leverage experience

Leadership

� Set the agenda

� Get the information to act

Risk and transparency

� Performance management and

analytics

� Risk management

3To realize the potential of a smarter planet, organizations need to:

IBM’s solution portfolio supports the needs and successes of

healthcare organizations

Delivering collaborative carefor preventionand wellness

Achieving better quality and outcomes

Improving operationaleffectiveness

• Health information exchanges

• Portals for countries, care teams,

patients, members and consumers

• Medical Home

• Analytics for quality, wellness,

chronic disease, operational

efficiency, incentives and patients

• Medical records text analytics

• Administrative & Clinical

optimization (HIS & EHR)

• Real time location services

• Supply chain optimization

• Healthcare asset management

• Business process management

• Enterprise medical image archival

• Privacy, security and resilience

• Integrated service management

• Virtualization

• Converged communications

and collaboration

• Enterprise mobility

• Connected home health

• Business intelligence and

performance management

• Disease surveillance and

modeling

• Fraud & abuse management

• Benefits analysis

• Health clouds

• Data center optimization

• Application management and

hosting

IBM IS DELIVERING …HEALTHCARE ORGANIZATIONS

ARE FOCUSED ON …

We are aggressively investing in four foundational

capabilities

22

HEALTH INTEGRATION FRAMEWORK

HEALTH ANALYTICS POLICYECOSYSTEM

COLLABORATION

Government Programs

� Strong business partner ecosystem: 20 partners and growing

XDS Integration profile

Healthcare reference implementations

Architectural blueprints

Pre-built healthcare accelerators

Open standards

Healthcare reference implementations

Architectural blueprints

Pre-built healthcare accelerators

Open standards

IBM Global

Pandemic Initiative

“Pedigree” Family Health History standard

Dedicated Business Analytics & Optimization services practice

Analytics

solution

centers

IBM Research projects

Medical Imaging Informatics Innovation Center

Let’s work together to drive

real progress in our world.

We’ve only just begun

to uncover what is possible on

a smarter planet.

• The world will continue to become smaller, flatter

and smarter. We are moving into the age of the

globally integrated and intelligent economy,

society and planet.

• To thrive in a smarter planet, we need smarter

health systems that support a healthier and more

productive citizenry. There’s no better time to

start building smarter health systems. And

there’s no better time to invest in creating the

kind of society we all desire.

Thank you for your attention