Smarter planet: Healthcare

© 2010 IBM Corporation

Let’s Build A Smarter Planet: Healthcare

George Mattathil -

4/15/2011


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.

The proportion of

developed countries

where people with higher

incomes have better

access to physicians than

those with lower incomes.5

50% Percent of diagnoses that

are inaccurate or

incomplete.3

15% People worldwide pushed

below the poverty line by

personal healthcare

expenditures each year.1

100 million

With poor urban

governance, life

expectancy within

developing countries

can be as low as

35 years.6

35 years The estimated number

of patients affected by

healthcare-related

infections in the EU.4

1 in 10 The average ratio of total

healthcare spending to

GDP growth in all OECD

countries, growing from

7.8% in 2000 to 9.0%

in 2008.2

9%



The opportunity for progress is clear.

Smarter healthcare:

Geisinger Health System

This leading, fully-integrated

provider in Pennsylvania

leveraged its ten years’

experience with advanced

EHR systems to build a

comprehensive repository

of clinical information, assist

doctors in providing best

practices patient care and

support medical research.

10 years experience

Smarter healthcare:

UPMC

This renowned academic

medical center projects a

US$104 million reduction

in capital and operating

costs and more than a

220% increase in

processing capacity,

to meet an ambitious

clinical agenda.

$104 million in cost savings

1 million individuals Smarter healthcare:

Extremadura Regional

Government of Spain

Deployed an electronic

prescription system in more

than 400 primary care

centers and 680 pharmacies,

providing the ability to

prescribe and dispense

prescription medications

electronically.



Healthcare leaders see change coming—and are challenged to use complexity to their advantage.

Feel prepared for expected complexity.

88%

59%

Feel prepared for expected complexity.

Full sample

CEOs expect high/very high level

of complexity over 5 years.

79%

49%

Source: 2010 IBM CEO Study: Capitalizing on Complexity

Healthcare

CEOs expect high/very high level

of complexity over 5 years.



For healthcare organizations, this means finding a way to lead in a new environment shaped by four key factors.

SUSTAINABILITY CONCERNS Healthcare’s share of country budgets continues to increase, threatening competitiveness and financial

stability. At the same time, stakeholders expect greater value, better outcomes and dramatic

improvements in efficiency.

PATIENT AND CONSUMER EXPECTATIONS More informed consumers are demanding greater value for their healthcare dollars—and governments

are demanding accountability for healthcare expenditures. Hospitals will be increasingly measured by

clinical performance and the cost of care.

NEW HEALTH AND CARE MODELS Increased use of technology is accelerating changes in how care is delivered and funded, how quality is

determined and how patients experience care. New health and care models aligned with personal values

and well-being are signaling a fundamental shift in how healthcare organizations will compete and

operate in the next decade.

RESOURCE SHORTAGES Healthcare organizations will experience shortages in care professionals in areas such as prevention,

prediction, early detection and treatment, evidence-based medicine and care coordination.




To prepare for the more dynamic world ahead, healthcare organizations are working to:

HEALTHCARE

ACHIEVE BETTER

QUALITY AND OUTCOMES

Applying integrated insights

to deliver high-quality, safe

care and services while

achieving better clinical

outcomes, proactively

managing chronic disease

and improving the cost-

effectiveness of care.

IMPROVE OPERATIONAL

EFFECTIVENESS

Building flexibility into

operations to support cost

reduction and excellence in

clinical and business

performance and practices.

COLLABORATE FOR PREVENTION

AND WELLNESS

Partnering to deliver comprehensive,

coordinated, integrated and personalized

care for better healthcare value.



An opportunity for health systems

to think and act in new ways.

Collaborate for

prevention and

wellness.

Achieve better

quality and

outcomes.

Improve

operational

effectiveness.

+ + =



Smart healthcare: Improve operational effectiveness.

SMART IS

Tracking equipment to improve patient

care and reduce costs, without slowing

down busy healthcare professionals. Saint Michael’s Medical Center:Used ultrasound

sensor tags on critical mobile assets to track equipment

location, generating automatic alerts when devices move

to an unauthorized area or inventories in a supply closet

are low, improving patient care, reducing costs and

increasing staff productivity and compliance with

regulatory requirements.

SMART IS

Using integrated asset management to

keep equipment in healthy condition.

BG Trauma Hospital Hamburg (BUKH):Implemented an

integrated asset management solution that provides a

holistic view of all technical, medical and facility assets

and automatically generates inspection or repair orders

according to defined schedules.



Smart healthcare: Improve operational effectiveness. (continued)

SMART IS

Automatically discovering anomalies

in the process of analyzing claims and

invoices to catch fraudulent activity. Zorg en Zekerheid:Deployed a predictive analytics

software solution that catches potential anomalies in

claims and accelerating the analysis process from

weeks to days, doubling financial results each year.

SMART IS

Leveraging predictive analytics to help

hospitals optimize the efficiency of

payment collections. MedeAnalytics:Developed a solution that analyzes

massive volumes of patient data and identifies patients

more likely to pay, helping hospitals to reduce write-offs,

increase collections and reduce collections staff.




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

Protecting your patients and staff

through immediate connection and

visibility to their physical location. Toronto East General Hospital:In response to a growing

number of security incidents, implemented a wireless

communications system that allows immediate

communication throughout the one-million-sq-foot facility. Two

taps to a wireless communication badge opens a connection

to the hospital’s entire security force. Security response

times were reduced by an estimated 61 percent.




SMART IS

Creating a more effective IT foundation

for transformational clinical initiatives.

Swedish Medical Center:Designed and brought a

world-class data center online in less than 12 months to

support its transition to a major clinical information

system, enhancing quality and speed of medical services

and providing noticeable financial savings 24x7.

SMART IS

Automating and streamlining how benefit

plans are created to accelerate the ability

to respond to government mandates NASCO:Worked with IBM Research to build a tool

thatanalyzes benefit rules and codes in a more

automated way, easing benefits personalization,

improving accuracy and lowering the cost of benefit

plan customization.



Groupe Mutuel:Built an SOA-based infrastructure

across all units that reduced operational costs, the

time and cost of integrating new acquisitions and the

time to market for new insurance products.

SMART IS

Building more flexibility into back office

processes to more quickly launch new

products and services.


SMART IS

Modernizing legacy processes and

applications to gain the flexibility needed

to compete in a consumer-driven health

insurance market. Highmark:Established initiatives to realize more value

from SOA investments by fostering new ideas to

accelerate adoption, improving ability to differentiate

based on personalized insurance offerings and enabling

faster, lower-cost integration of acquired companies.




SMART IS

Automatically tracking and recording the

position of each patient or device to

improve patient care and optimize

asset utilization. Hannover Medical School (Medizinische Hochschule

Hannover, MHH):Created a comprehensive patient and

asset tracking solution to improve patient experience and

optimize treatment processes, increase patient security

and reduce costs. The scalable, adaptable solution

enables the hospital to add other tracking capabilities.

SMART IS

Streamlining insurance and

medical processes with accessible,

real-time data. Health Insurance Institute of Slovenia:IBM joined with

the Institute to deploy an electronic health insurance

card system that creates a centralized store for medical

insurance data. Medical facilities, patients and insurers

can now access and update patient records in real-time.

And patient insurance cards now only bear a digital

certificate to support authentication.



Trillium Health Centre:Teamed with IBM to launch a

centralized health information system offering real-time

insight into hospital operations and patient status. Advanced

analytics tools help to better direct multi-department patient

treatment efforts. Patients have increased visibility into their

medical information through a public information portal.

Smart healthcare: Achieve better quality and outcomes.

SMART IS

Establishing a strategic governance

structure and health analytics environment

to speed the development of disease

treatments.

University of North Carolina:Defined a governance

structure and developed a health analytics

environment that enables researchers to analyze vast

amounts of patient data, providing clearer insights

leading to faster diagnoses and treatment decisions

SMART IS

Improving patient care with unified treatment

plans and more accessible records.



Smart healthcare: Achieve better quality and outcomes. (continued)

SMART IS

Accurately simulating interactions of HIV

treatment drugs within a human body

EuResist Network GEIE:Partnered with IBM Research to

develop the world’s largest database and prediction engine

focused on HIV resistance and treatment response. The

prediction tool and repository are accessible to medical staff

across Europe, helping to improve treatment for HIV

patients across Europe.

SMART IS

Driving improvements in patient care

by opening up access to research data BioGrid Australia:Melbourne Health created a research

initiative and virtual repository of roughly 25 million medical

records for users from various hospital systems. The cross-

organization initiative has yielded greater insight from

research studies by expanding average sample size and

equipping physicians with complex analysis tools that help

them choose more effective treatment plans for patients.




SMART IS

Having access to a person’s full

medical and familial history and

coaching them on care provider

selection and health.

Geisinger Health System:Integrates real-time clinical,

financial, operational, claims 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

Using powerful algorithms to

pinpoint potential problem areas

within medical images and flag

them based on the probability of

abnormality.

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 IS

Speeding the discovery of compounds to

combat disease outbreaks through

applying the power of grid technology. University of Texas Medical Branch:Accelerated

research to discover cures for deadly, untreatable

disease by performing the equivalent of thousands

of years of comprehensive calculations in less than

one year, using the World Community Grid.

SMART IS

Engaging computational resources to

reduce a complex AIDS research work

project from five years to six months. The Scripps Research Institute:With the aid of

World Community Grid, researchers on the

FightAIDS@Home project, virtually screened 2,000

drug candidates against 270 wild type and mutant HIV

proteases, discovering potential leads to new

medications.




SMART IS

Removing inhibitors that are slowing

progress on cancer research.

The Cancer Institute of New Jersey, Rutgers University

and UMDNJ-Robert Wood Johnson Medical

School:Using World Community Grid, created a Web-

based, robotics prototype for automatically imaging,

analyzing, archiving and sharing digitized tissue

microarrays. New levels of speed and sophistication can

enable advances in cancer biology, drug discovery and

therapy planning.

SMART IS

Analyzing large-scale population data to

identify trends and member values.

A major health insurance company:Created a first-of-

its-kind aggregation of healthcare data that yields trends

and insights to users nationwide, delivering information

on how people receive medical treatments that is

protected by exceptional security features.




SMART IS

Taking a holistic approach to healthcare

management with IBM and SAP.

Institut Català de la Salut (ICS):With IBM, implemented a

suite of SAP ERP applications. The combination of SAP

ERP for general business management and SAP for

Healthcare provides a comprehensive range of integrated

systems for ICS, where it is possible to control all

operational processes from within a single environment.

SMART IS

Using business intelligence to boost

nonprofit hospital efficiency. Federação das Santas Casas e Hospitais Beneficentes

do Estado de São Paulo (Fehosp):Implemented a business

intelligence solution that evaluates key performance

indicators of 22 member hospitals. Organizations can now

analyze and monitor key hospital performance indicators

covering operational, medical and human resources metrics,

helping to improve decision-making processes.




SMART IS

Speeding the discovery of treatment of

childhood cancer with the World

Community Grid.

SMART IS

Accelerating genomic research by tapping

into a computing environment that can

accurately compare genes from multiple

genomes. Oswaldo Cruz Foundation (Fiocruz):By teaming with World

Community Grid (Fiocruz Genome Comparison Project),

performed a complete pair-wise comparison between all

predicted protein sequences, creating a reference repository

for biologists and a head start on understanding how to

develop drugs to combat a disease tied to a particular protein.

Chiba Cancer Center Research Institute

(CCRI):Worked with World Community Grid to perform

experiments to test the fit between cancer proteins and

each of three million drug candidates. Nine million

experiments can be run in parallel, reducing the project

time to just over two years.



Smart healthcare: Collaborate for prevention and wellness.

SMART IS

Proactively engaging with patients to

personalize care, enabled by powerful

healthcare analytics. Duke University Health System:Teamed with IBM

to create the HealthView Portal, a one-stop source of

healthcare information and services for its patients.

Predictive analytics help identify high-risk scenarios and

create new insight, improving caregiver training and

patient safety, increasing patient engagement and

satisfaction and improving outcomes.

SMART IS

Developing a care management system

to effectively manage treatment of

patients with chronic disease. Precedence Health Care:Worked with IBM to develop

the Chronic Disease Management Network, allowing all

care givers to track and share information, ensuring the

effective delivery of collaborative treatment plans, and

more importantly a better quality of life for the patient.



Smart healthcare: Collaborate for prevention and wellness.(continued)

SMART IS

Sharing information across locations and

directly with patients to better coordinate

treatment efforts and deliver a higher

quality of service. Institute for Applied Telemedicine at the Heart and

Diabetes Center NRW:With IBM Business Partner

SVA Competence Center Health Care, deployed an

integrated telemedicine portal that captures patient

health data from in-home monitoring equipment and

publishes this data to the Web. The solution

integrates with existing medical systems, providing

users with a unified, roles-based view of a patient’s

complete medical history. It ensures correct and

proven treatments according to established insurance

guidelines with defined telemedical pathways.



Smart healthcare: Collaborate for prevention and wellness. (continued)

SMART IS

Creating a shared electronic health

record system among community

hospitals and healthcare centers to

provide more responsive, proactive care

to patients with chronic conditions.

Peking University People’s Hospital:Teamed with IBM

Research to implement a community-wide electronic healthcare

record system based on SOA and international medical

information standards. In addition, PKUPH is building into the

platform telemedicine functionality that leverages mobile

telecommunications and real-time messaging alert services.

SMART IS

Operating and better managing

healthcare services for a fast-growing

population and cutting cost at the same

time. Chinese Provincial Health Bureau:Worked with IBM to

establish an integrated healthcare platform to standardize

public health data, create electronic health records for

citizens, and serve as a database of medical experts and

emergency resources, improving disease prevention,

emergency response and utilization of medical resources.




SMART IS

Developing a first-of-a-kind pedigree

analytics platform to gain new insights

into how we can treat hereditary

diseases.

Rizzoli Orthopaedic

Institute:Engaged IBM Research

to develop a first-of-a-kind pedigree

analytics platform that integrates

clinical and genomic data, medical

images and family history into a

SOA-based medical imaging

repository to which new analytical

services, content sources and

research partners can be easily and

cost-effectively connected.

SMART IS

Enabling electronic prescription

management, making it easier for patients

and doctors to monitor and control

treatment and to improve quality of care. Extremadura Regional Government of

Spain:Deployed an electronic prescription system in

more than 400 primary care centers and 680

pharmacies, providing the ability to prescribe and

dispense prescription medications electronically.




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 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.




SMART IS

Delivering a unified healthcare

management system using a single,

comprehensive electronic medical record

to share information and resources

among over 500 medical institutions.

Xicheng District Health Bureau:Leveraged a SOA

strategy to create a flexible infrastructure for exchanging

patient information, enabling users to access symptom

descriptions, search for local medical resources and refer

patients to doctors or specialists for treatment. Requests

for prescriptions are sent automatically to the patient's

local pharmacy for pick-up.

SMART IS

Upgrading its paper-based medical

records system to provide faster, more

secure patient care to thousands of

patients.

Genesys Health System:Implemented an electronic

health record system from BlueWare and IBM, using a

SOA strategy, making digitized information for all of its

outpatient services available to over 1,000 physicians

across six counties.




SMART IS

Gaining real-time line of sight and

responses to individualized health

information. Western North Carolina Health Network:Implemented

an electronic health record exchange that enables

patient data to be securely shared across hospitals,

improving patient care through reduced medical errors

and unnecessary treatments, lowering overall costs and

speeding patient records retrieval.

SMART IS

Engaging patients in new product design

and manufacturing processes to build the

right products. Implanet:This supplier of hospital surgical implants

leveraged RFID technology and a customer portal to gain

visibility to customer demand and automated

warehousing and inventory operations, growing customer

satisfaction through richer pre-purchase support.



At the center of smarter healthcare is an increasingly more personalized experience, focused on the wellness of the individual.

ENROLLING in healthcare programs

SHARING individual health information

UNDERSTANDING health risks

ACTIVATING preventive and value-conscious behavior

ENGAGING in a self-directed

system of care

BENEFITING from an interconnected

care-giving team

MEASURING your progress

and plan

IMPROVING your long-term health

and everyday experience

COMPLYING fulfilling your part of

the patient-doctor covenant

One result is higher satisfaction for consumers and service providers.



Individuals will be served by collaborative, coordinated health 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 care.

PHARMACEUTICALS AND

DEVICE MANUFACTURERS

Work collaboratively with care delivery

organizations, clinicians and individuals

to create products that improve

outcomes and lower costs.

COMMUNITIES

Make realistic, rational decisions

regarding lifestyle expectations,

acceptable behaviors, and

healthcare rights and economies.




Achieving better quality and outcomes

to deliver high-quality, safe care and

services while achieving better clinical

outcomes, proactively managing

chronic disease and improving the

cost-effectiveness of care.

Business transformation

Health data integration

Health information

exchanges

Communications and

collaboration

EXAMPLE IBM INVESTMENT AREAS FOR A FOCUS ON…

Improving operational effectiveness

to build flexibility and resilience into

operations to support cost reduction

and excellence in clinical and

business performance and practices.

IBM’s solution strategy is aligned with the needs of the healthcare industry

Performance management

Portals for care teams, patients,

providers, members and

citizens/consumers

IBM solution for collaborative

care

Collaborating for prevention and

wellness to deliver comprehensive,

coordinated, integrated and

personalized care for better

healthcare value.

Clinical performance

Chronic disease

management

Data governance, data

integration and data quality

Medical records text

analytics

Business intelligence and

performance management

Patient / member analytics

Disease surveillance and

modeling

Business process

transformation

Enterprise mobility

Patient and equipment

tracking

Enterprise asset

management

Revenue cycle

management

Privacy, security and

resilience

Business transformation

Performance management

Core systems modernization

ICD-10 compliance

Fraud & abuse analytics

Data center optimization

Smart hospitals

Integrated service management

Virtualization

Cloud delivery models



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.

There’s no better time to start building

a smarter healthcare system—for

greater individual healthcare value and

sustainability.



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