The Enterprise vs the Consumer Patient July 2013
-
Upload
martin-sumner-smith -
Category
Business
-
view
563 -
download
0
description
Transcript of The Enterprise vs the Consumer Patient July 2013
![Page 1: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/1.jpg)
The Enterprise vs. the Consumer Patient
Martin Sumner-Smith, PhD17 July 2013
Event: BYOD – Bring You Own DoctorToronto
![Page 2: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/2.jpg)
About me
Martin Sumner-Smith, PhD
Academic – Biotechnology – Bioinformatics – Enterprise – Advisory
1970’s 1980’s 1990’s 2000’s 2010’s
![Page 3: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/3.jpg)
“One of the key drivers for the future lies in using information to create more
personalised care and standardisation at the same time. We are witnessing the ‘industrial revolution’ of healthcare,
enabled by IT”
– PA Consulting
![Page 4: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/4.jpg)
Your interface to healthcare…
![Page 5: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/5.jpg)
Then: Patients completely dependent on doctor
![Page 6: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/6.jpg)
Now: Patients access information
![Page 7: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/7.jpg)
Soon: Patients generate data
![Page 8: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/8.jpg)
Patients gain expert interpretation of data
![Page 9: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/9.jpg)
![Page 10: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/10.jpg)
Doctor-tech in 2012
“Just under one-third of doctors reported emailing with patients in 2012, up from 27% five
years earlier, according to annual studies of more than 3,000 doctors conducted by
Manhattan Research, a health-care market-research firm.
Those texting rose from 12% in 2010 to 18% in 2012.”http://online.wsj.com/article/SB10001424127887324373204578376863506224702.html
![Page 11: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/11.jpg)
Physicians resist patient access to data
• “The ultimate one was when the American Medical Association lobbied to deny patients access to their genomic data without a doctor.
• But the AMA also conducted a survey of their own people – US doctors, 10,000 of them – and 90 percent said they have no comfort whatsoever in dealing with genomic data.”
Eric Topol, 2012http://www.theatlantic.com/health/archive/2012/03/destroying-medicine-to-rebuild-it-eric-topol-on-patients-using-data/254215/
![Page 12: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/12.jpg)
Thought experiment:How much data does your doctor have
about you (in GB)?
![Page 14: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/14.jpg)
What other organizations have health records?
![Page 15: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/15.jpg)
http://www.philblock.info/hitkb/e/elements_of_a_typical_EHR_system.html
![Page 16: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/16.jpg)
http://braintertainment.blogspot.ca/2009/04/implementing-security-and-iam-for-ehrs.html
![Page 17: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/17.jpg)
EHRs are examples of enterprise software sold by complex systems
vendors
![Page 18: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/18.jpg)
Enterprise software characteristics
• Large scale• Highly complex• Slow and expensive to implement• Customized in almost every instance• Extremely hard to replace/displace• Often co-existing with
comparable/competitive systems in large organizations
![Page 19: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/19.jpg)
![Page 20: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/20.jpg)
Slide 20
Complex-Systems vs. Volume Operations
ComplexSystems
VolumeOperations
SweetSpot
SweetSpot
Complexity Volume
Eff
ect
iven
ess
SmallBusiness
SocietalProjects
SocietalEntitlements
Enterprise Consumer
![Page 21: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/21.jpg)
Slide 21
Complex Systems vs. Volume Operations
ComplexSystems
VolumeOperations
SweetSpot
SweetSpot
Complexity Volume
Eff
ect
iven
ess
SmallBusiness
SocietalProjects
SocietalEntitlements
Enterprise Consumer
Polarization
The middle ground is hard to occupy
![Page 22: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/22.jpg)
Enterprise organizational behaviour
![Page 23: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/23.jpg)
Slide 23
People Silos
![Page 24: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/24.jpg)
Slide 24
Content Silos
![Page 25: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/25.jpg)
Slide 25
Process Silos
![Page 26: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/26.jpg)
Other Silos
• Semantic• Technology
etc.
![Page 27: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/27.jpg)
The information is about the patient,not for the patient
![Page 28: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/28.jpg)
Patient supplied data are conspicuously absent in these designs and
implementations
![Page 29: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/29.jpg)
Where do patient data go?
![Page 30: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/30.jpg)
• Portals for each device or app
• EHR
• Consolidated vaults
• Or consumer-managed X?
![Page 31: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/31.jpg)
Benefits of data consolidation: Synergy
“At 8:03am you used your asthma puffer while entering the MaRS concourse,
walking at a moderate pace towards the Tim Horton’s after an unusually long
subway ride. Your pulse was 110, blood pressure 135/80, temperature 37.2, blood
glucose…”
![Page 32: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/32.jpg)
“Based on data collected to date I estimate that there is 78.9% probability of an allergen to
which you react present at the following locations…”
![Page 33: The Enterprise vs the Consumer Patient July 2013](https://reader035.fdocuments.in/reader035/viewer/2022081518/54513852af7959b32f8b5654/html5/thumbnails/33.jpg)
Established Healthcare InstitutionsPatient/Consumer ?