integrated health system planning
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Integrated Health System Planning. An exclusive Executive Circle Briefing. Healthcare is undergoing a “Copernican Shift”. Microsoft Corporation Confidential and Privileged. The Traditional Healthcare Universe. - PowerPoint PPT PresentationTRANSCRIPT
Integrated Health System PlanningAn exclusive Executive Circle Briefing
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Healthcare is undergoing a
“Copernican Shift”
Microsoft CorporationConfidential and Privileged
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FACILITY
The Traditional Healthcare UniverseConsumers (C1 to C5) are forced to interact with facilities – focused around the needs of the provider, not the consumer
In 1543, Copernicus was the first to propose that the Earth rotated around the sun, while accepted scientific thought at the time believed that the Earth was the center of the universe. Copernicus effectively “changed the center of the universe”.
C2
C5
C4
C1
C3
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Healthcare’s “Copernican Shift”Healthcare is undergoing a “Copernican Shift” – with the consumer now placed at the center of the orbits of various healthcare strategies
Home Prevention• Knowledge (Search) • Fitness (PHR)• Wellness (PHR)
Home Chronic Care• Knowledge (Search) • MTM (PHR)• Senior Care (Devices)
Clinic• Convenience (PHR)• Access (PHR)
Home Outpatient• MTM (PHR)• Monitoring (PHR)
Hospital• Hospital ERP (Azyxxi)• Full Enterprise
CONSUMER
Implications of the “Copernican Shift”The Copernican Shift is being driven by cost & access to information
– consumer behavior and attitudes are changing as increasing numbers of consumers are being forced to take on more personal financial responsibility for their health
Importantly, the Copernican Shift displaces both providers and consumers. Both parties are now in new orbits, without necessarily having access to the tools they need to fulfill their new roles
This has created a “Healthcare Gap” between providers and consumers
How can Microsoft make a positive difference in this evolving healthcare industry?
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How Can Microsoft Help?Microsoft is unusually well positioned to help solve both
the enterprise and consumer challenges of the healthcare industry
Our strong enterprise footprint, products, and relationships put us in a unique position to aid the enterprise
Our excellent consumer trust and ubiquity put us in a position of responsibility with the consumer
Microsoft will be the company that helps providers and consumers span the healthcare gap
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Why Microsoft?• When Microsoft makes an investment, we take a long-term view
• Seven years ago we recognized the need to invest in the health industry
• Today it represents a $1 billion U.S. growth market for Microsoft
• History of innovation; We invest $7 billion every year in R&D – the largest R&D budget in the software industry
• A significant amount of R&D spending is now focused on healthcare
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2000 2001 2002 2003 2004 2005 2006 2007
63 employees, 115 customers$320 million in sales
600 dedicated employeesPervasive in health around the world$1 billion in sales
Microsoft CorporationConfidential and Privileged
Our Footprint• 600 million people around the world start the day with Windows when they turn on their computers
• MSN Health + Fitness is the number two portal in the U.S. – a strong foundation for future health offerings
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MSN Health & Fitness
What’s Next?
Microsoft can be a cornerstone for our long-term health strategy, transforming how healthcare is managed and delivered
Microsoft CorporationConfidential and Privileged
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Provider Challenges
Microsoft CorporationConfidential and Privileged
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Library
Search
Revenue Cycle
Scanned Charts
Labs
Radiology
Old Records
EKGs
Challenges in Enterprise Healthcare
Microsoft CorporationConfidential and Privileged
Medication Management
OR Management
AmbulatoryEmergency Department
Registration
CPOE
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What is Azyxxi?
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EMRSystems
LabOR
ManagementImaging
Medication Management
Ambulatory EmergencyRevenue
CycleCPOE
Azyxxi DB
Personalized ViewsPersonalized Views
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Configurable by User
Orthopaedic Unit Nurse Finance Quality
Resource Planning Cardiologist Regulatory
Configurable by User
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Orthopaedic Unit Nurse
Orthopaedic Unit Nurse
Customized for an orthopaedic nurse to view patients assigned to their unit, their surgical status and key labs.
Snapshot of pre- and post-op patients
Anticipated date of surgery
Quickly scan latest platelet count in post-op patients on blood thinners
Nurses just one click away from past medical history
Easily see admission diagnosis and attending physician
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Configurable by UserFinance
Finance
Views customized by finance users to integrate and collect data from across all information systems to improve co-pay collections at the time of service.
Track success at collecting co-pays
Track success at collecting co-pays
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Benefits of Azyxxi
What You HaveHard working, disparate
information systems that aren’t feeding you the best results
What You NeedA single version of the truthAzyxxi doesn’t replace, but sits
on top of existing information systems
It provides integrated and customized views + analysis of clinical, financial, and administrative data
Why You Need Azyxxi•Azyxxi aggregates and
analyzes all relevant data for one, nearly instantaneous view
•Health workers can maximize the value of information and make the most informed decisions
•Informed decisions save your business money and most importantly, save patient lives
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ConsumerChallenges
Microsoft CorporationConfidential and Privileged
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Health: Advances Require a “Shift Left”The “total-system healthcare win” is in the home
Lower cost (good for plans, employers)
Higher quality of life (good for consumers)
The key focus for all competitors will be on home-based, consumer-centric healthcare solutions
HOME CARE FOCUS:
PreventionKnowledgeFitnessWellnessDr Communications
Chronic Care and OutpatientMedicationsMonitoringCommunityMedical
Communications
Source: Intel.com Cost of Care per Day
$1 $10 $100 $1,000 $10,000
0%
Qu
alit
y o
f L
ife
COMMUNITY CARE
Healthy,Independent Living
ChronicDisease Management
CommunityClinic
Doctor’sOffice
100%
Assisted Living
Skilled Nursing Facility
Specialty Clinic
Community Hospital
ICU
HOME CARE
ACUTE CARE
Specialty Pharmacy
SHIFT LEFT
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“Walled” “Open”
VS
PHR Philosophies
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My Health Data
Consumer Health Platform
Devices
My Health Data
Platform Services• User authentication• User mapping / identity• Data storage and access• Personalized search• Branded data and tools• Community building• Incentive infrastructure • Integration with other devices and services• Advertising infrastructure
3rd Party ApplicationsMS Apps
Family Health Record (FHR)
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FHR
PHR PHR PHR PHR PHRSelf
FHM has FULL
ACCESS
SpouseFHM has PARTIALACCESS
SeniorFHM may have
FULL or PARTIALACCESS
MinorFHM has
FULLACCESS
MinorFHM has
FULLACCESS
The “Family Health Manager” or FHM runs the FHR
PHRPet
FHM has FULL
ACCESS
“Seventy percent of our users are women storing information about kids, spouses, aging parents and themselves,” says Fotsch, who runs Medem Inc., on online business that links the needs of patients and doctors through the Web at iHealthRecord.com Source: USA Today – Saturday, January 6, 2006
Bridging the Healthcare Gap
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Healthcare Gap ConsumersProviders
Keystone
Microsoft HealthQ&ADiscussion
28Microsoft CorporationConfidential and Privileged