let’s build a smarter planet: ibm vision on smarter … · let’s build a smarter planet: ibm...
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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