Business white paper | HP in Healthcare

Enable providers, empower patients With simple, quick, more secure communication, collaboration, and access to data and healthcare services

Table of contents

3 Encouraging trends

3 Value-based medicine

3 Patient-centered care delivery

3 More informed patients

4 Persistent challenges

5 The HP healthcare story

5 Better care delivery everywhere

5 Informed, involved patients

5 Health for all

6 HP solutions for healthcare

8 Why HP?

8 Top global technology brand

8 A smarter approach to security

9 EfficientITmanagement

9 Expert,flexiblesupportandservicesforthelifecycle

10 Advancing the standards of care

Business white paper | HP in Healthcare

Global healthcare is moving in a new direction

Quick, easy, and secure access to the right information and applications—anytime, anywhere—can make all the differencetoprovidersandpatientsalike.Innovationsinmedicine and technology are enabling new care delivery modelsandtreatmentswithgreatpromise.Opportunitiesareexpanding for patients to become more educated and actively engagedintheircare.AtHP,wehelphealthcarecommunitiesturn promise into reality with solutions that simplify communication, collaboration, and access to relevant data and servicesforproviders,patients,andpopulations.

Encouraging trends

For patients, providers, and public health organizations around the world, changes in policy, attitudes, and technology are enabling new models of outcome-based and integrated care (Figure1).

Value-based medicine Governmentsareofferingincentivestocareprovidersandpayerstomoveawayfromvolume-basedmodelstowardsmeasuresofvalue,basedonoutcomes.AccordingtoIDCHealthInsights,“payers will implement newer reimbursement models for 35 percent of their payments to providers in North America and the European Union within the next 36 months, resulting in relatedinvestmentsinqualitymeasurement,payment,andbillingsystems.”1

Patient-centered care deliveryThe transition to electronic medical records (EMR), combined with emerging mobility, cloud, security, and data analytics technologies, has the potential to make the vision of patient- centered, coordinated care a reality—whether care is delivered in a hospital, at home, through a retailclinic,inlong-termcarefacilities,orremotelyviatelehealthtechnology.

More informed patientsA growing range of resources is available to patients who want to become more knowledgeable, activeparticipantsintheircare.Websites,includingsitesfromproviderssuchastheMayoClinicandClevelandClinic,WebMD.com,andothers,provideinformationonconditionsandtreatment,whileothersites,suchasPatientsLikeMe.com,provideforumsforpatientstoshareexperienceswitheachother.Patientdemandsforgreaterpriceandqualitytransparencyarebeing answered, in part, by reports and rankings in publications, such as US News & World Report and ConsumerReports,andsites,suchasVitals.com,RateMDs.com,andHealthgrades.com.PatientswithmobiledevicesandInternetaccessincreasinglyexpectonlineservicesandappsfromhealthsystemsthatalignwiththeirexperiencesasconsumers.

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1. idc.com/getdoc.jsp?containerId=prUS25262514,“IDCFutureScapeforHealthInsights”20Nov2014InternationalDataCorporation

Figure 1. The evolving patient-provider dynamic

Policy. Shifts toward value-based, integrated care

Technology. Advances in telemedicine, mobile access to patient data, and patient resources

Clinical. Emergence of new patient-centered care delivery models with patients as healchare partners

Persistent challenges

However, despite these positive trends, serious barriers remain to improving health outcomes acrosstheglobe.Persistentchallengesfallintothreemajorcategories:

1. Rising costs of care The cost of healthcare continues to skyrocket, and worse, the increased spending is not correlatingtobetterpatientorpublichealthoutcomes.IntheUnitedStates,spendingonhealthcarestandsat16.9%ofGDP,farmoreperpersonthananyotherdevelopedcountry.YethealthoutcomesintheU.S.fallshort,andaredescribedas“amongtheworst”comparedtootherdevelopedcountries.2 While EU countries spend considerably less on healthcare per capita, the cost of healthcare for six large member states (France, theNetherlands,Germany,Denmark,BelgiumandAustria)nowexceeds10%ofGDP,andthe European value of universal healthcare is increasingly being considered against a backgroundoffinancialinstability.3Anestimated80%ofEnglishhospitals,forexample,arerunningadeficit.4

Inconsistent quality of care Inconsistentandsuboptimalqualityofcareremainsadifficultchallenge,withsignificantdifferencesintimelinessofcare,diagnosis,andtreatmentexperiencedbydifferentpopulations.Again,qualityhasnotimprovedwiththelevelofinvestment.“Wecannotexplainhigherspendingintermsofhigherqualityhealthcare,”saysLucaLorenzoni,healtheconomistandheadofhealthaccountsattheOECDHealthDivision.“Thehighestexpendituresdonotnecessarilymeanresidentsarethehealthiest.”5IntheU.S.,440,000people die each year from preventable medical errors—the country’s third leading cause ofdeath.Theseerrorscostupto$1trillionannually,withmostattributabletolackofdataorinaccuratepatientinformation.6Infact,1in25hospitalpatientsintheU.S.contractatleast one hospital-acquired infection (HAI), 7lendingtothestaggering$235billionspentincatastrophic care attributable to chronic conditions2.

2. Inadequate access to care Access to care varies widely by location, income, insurance coverage, and available technology.HealthoutcomesacrosstheEU,forexample,arestrikinglydifferent,accordingtowherepeoplelive,theirethnicity,sex,andsocioeconomicstatus.8Anestimated58.9millionpatientsinEnglandwaitedaweekormoreforaconsultationin2014.9 Emergency wait times are also increasing in many countries, including developed economies with establishedsingle-payersystemssuchasCanada,wherepatientsoftenwaitseveralhoursbeforetheyareseenbyemergencyroomphysicians.IntheU.S.,Washington,DCrankstheworst,withanaveragewaittimeof46minutes.10Issuesofaccessareprojectedtogetworse.Today most countries do not have an adequate number of skilled health professionals to servetheirpopulations.Infact,83countriesdonotmeettheminimumthresholdforbasichealthcaresetbytheWorldHealthOrganization(WHO),whichstatesthatthereshouldbeatleast22.8skilledhealthprofessionalsperpopulationof10,000.11IntheU.S.,issuesofaccessarebeingexacerbatedbytheinfluxofanestimated32millionpeoplenewlyinsuredundertheAffordableCareAct(ACA)intoanalreadyoverburdenedhealthcaresystem.What’smore,thegapiswidening,withthenumberofpracticingphysiciansdroppingaspopulationsgrow.Whole nations face an access crisis unless they can make available physicians and healthcare expertsmoreefficient.12By2025,it’sestimatedthattherewillbeashortageofmorethan130,000doctorsintheUnitedStates.13

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2. usatoday.com/story/money/business/2014/07/07/countries-spending-most-health-care/12282577/

3. ec.europa.eu/eurostat/statistics-explained/index.php/Healthcare_statistics

4. news.heartland.org/newspaper-article/2015/02/19/analysis-uks-national-health-service-continues-deteriorate

5. usatoday.com/story/money/business/2014/07/07/countries-spending-most-health-care/12282577/

6. consumerreports.org/cro/magazine/2014/05/survive-your-hospital-stay/index.htm

7. cdc.gov/HAI/surveillance/

8. ec.europa.eu/eurostat/statistics-explained/index.php/Healthcare_statistics

9. theguardian.com/society/2014/sep/26/patients-waiting-times-nhs-gps-uk

10.publichealthonline.gwu.edu/reducing-er-visits-dc/

11.who.int/workforcealliance/media/key_messages_2014.pdf

12.healthtechzone.com/topics/healthcare/articles/2015/01/29/397317-medweb-making-telemedicine-tangible.htm

13.aamc.org/download/158076/data/updated_projections_through_2025.pdf

The HP healthcare story

Tohelpovercomebarrierstotimely,affordable,andhigh-qualitycare,HPfocusesondeliveringhealthcaresolutionscenteredaroundthreeareas:caredelivery,populationhealth,andpatientengagement.

Better care delivery everywhereHPhelpsprovidersachievepatient-centeredcaredeliveryobjectivesbyimprovingcommunication, collaboration, and access to and the capture of data wherever the point of care maybe.Optimizedforhealthcare,HPtablets,PCs,thinclients,digitaldisplays,whiteboards,and print technologies—along with a full ecosystem of accessories, software, and options from HPandpartners—enableeveryoneonthehealthcareteamtoworkbetter,faster,andsmarter.

Caregiverscandeliverthebestpossiblecareandimprovepatientexperiences,whetherin acute,post-acute,long-term,orremotecare.HPfacilitatescollaborationacrosstime,organizationalboundaries,anddistancetostreamlineworkflowandimprovetheexperienceforeveryone involved, with solutions that extend from clinical workplace, clinician access, bioprint and wristband printing, point-of-care analytics, and medical image displays to telehealth deliveryandbeyond.

Informed, involved patientsHPhelpspatientsparticipateactivelyintheirhealthcarejourneysbyconnectingthemtothepeople, information, and tools they need to improve their health and make informed treatmentdecisions.

Knowledgeable patients who participate actively in their own care are more likely to understand andadheretotreatment—andthereforelesslikelytopresentforreadmission.HPpatientengagementsolutionsempowerpatientstoparticipateintheirownhealthcarejourneysthrough active engagement using user-friendly, enterprise-class devices and always-connected solutions that educate and involve them at every step along the way, including HP Sprout for healthcare,inpatientengagementsolutions,andpatientcheck-inkiosks.

Health for allNonprofitandpublichealthagenciesneedeffectiveandcost-efficientwaystodomorewithless when delivering health and wellness programs and services to underserved and remote communitieslargeandsmall.HPhelpswithmobilityonamassivescaleandalways-connectedsolutions that improve social and economic outcomes, locally and globally, across prevention, wellness,andchroniccare.HPservicessupportorganizationsaroundtheworld,helpingwithsetup,repair,replacement,usersupport,andeffectiveuseoftechnologies.

HP applies advanced mobility, connectivity, and cloud-based analytics in support of local, regional, and national healthcare programs by facilitating collaborative solutions such as eHealthcenter,Exstream,anddisease-managementandwellnessprograms.With innovations in healthcare technology, HP is helping make healthcare more accountable, inclusive,andresponsive.

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Figure 2. Transforming healthcare from care delivery to patient engagement to population health

Population health

Care delivery

Patientengagement

Business white paper | HP in Healthcare

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Did you know? HP is rated #1 in identifying security vulnerabilities and threats—helping to keeppatientdataandclinicalsystemssafe.14

HP solutions for healthcare

While healthcare organizations in many countries are making the transformation from paper- based medical records to EMR systems, it is not enough to overcome the barriers to widely accessible,high-quality,andcost-efficientcare.Clinicians,patients,healthcareadministrators,IT, executives, and policy-makers require secure access to the right data and services at the righttimeinordertoenableeffective,affordablecaredelivery,activepatientengagement,andimprovedhealthacrosspopulations.

HPishelpingtoacceleratethetransformationtoefficient,high-quality,patient-centeredcarewithbuilt-for-healthcaresolutions.Togetherwithleadinghealthcarepartners,HPhelpstosimplifysecurecommunication,collaboration,andaccesstorelevantdataandcareservices.TheHPportfoliocombinescomputing,software,andservicestoofferdistinctadvantagesintermsofcost,ease,performance,security,reliability,andeffectivenessatthepersonal,professional,team,andinstitutionallevels.

14.Ratedthetopsecurity-vulnerabilityresearchorganizationfouryearsinarowbyFrost&Sullivan(2011,2012,2013,and2014).

PCs,tablets,workstations, thin clients and accessories

Core technology

Printers and supplies

Healthcare Tablet

Optimized technology

Wristband/prescriptionprint

Completesolutions with partners

Complete solutions

Admissions/discharge workflowoptimization

Figure 3. The HP Healthcare portfolio—spanning core compute and print to complete healthcare solutions

OnlyHPcombines:

• Top-performing core technology platform Builtfromthegroundupforcommercialuse,HPPCs,tablets,workstations, thin clients, imaging and print solutions provide a broad portfolio and industry-leading technology platform to serve the diverse needsofhealthcareproviders,patients,andagencies.Advancedengineeringandintensiveproducttesting—upto100,000hoursonsome tablet designs—deliver the performance and reliability needed todeliverthebestpossiblehealthcareefficientlydayinanddayout,whether it be for acute or long-term care, in hospitals, at home, or in remoteregions.

• Tailor-made for healthcare solutions HP designs purpose-built solutions for the healthcare industry with inputfromhealthcareprofessionals.BuiltoncoreHPcomputing,imaging and printing technologies, HP solutions for healthcare are engineered to work in demanding clinical environments and to support thewaycaregiverswork.Fromruggeddurabilitytomobiledeviceswithlong-term battery life and integrated barcode readers to antimicrobial keyboards to laminated wristband production capabilities on printers, HPadaptscomputingandprintingsolutionstomeetspecifichealthcarerequirements.Providerscanimproveproductivitywithoutlosingmomentum, using a suite of HP solutions that reliably and seamlessly integrateintoacutecare,ambulatory,andfieldenvironments.

• Industry-leading security As the industry benchmark for security products,15 HP has the expertise, solutions, and services to help healthcare organizations meet regulatory requirementsandprotectdata,devices,andidentities.Multilayersecurityatthedata,device,andidentitylevelssimplifiesandspeedsaccessatthepointofcare,whilehelpingassistinmeetingHIPAAregulations.Capabilitiesspanhardware-basedencryption,multiplemethodsofuser authentication; and centralized user authentication, and device management—including the ability to monitor, manage, lock, and wipe devicesremotely.Tohelpprotectdataintransitandhard-copyform,HPofferssecureend-to-endprintingsolutionsthatleverageencryption,authentication,andcentralsecuritymonitoringandcontrol.HPalsooffers“pullprinting,”whichrequiresuserauthenticationatthephysicalprinterforajobtoprint.Forprescriptionprinting,HPincorporatesextralayersofsecurity, including EMR system-generated protections; anti-counterfeiting warnings that validate originals; a copy-void pantograph, which reveals theword“COPY”whenphotocopied;andacustomizablemicro-printfont,whichcanbeusedforadditionalauthentication.

• Complete solutions HP works with global and regional healthcare and technology leaders, including independent solution vendors (ISVs) with specialized and regional experience in the healthcare industry, to provide integrated end-to-endsolutionsthatoptimizeworkflowandpatientexperience,whilereducingcost,complexity,andtimetoimplementation.HPpurpose-built healthcare solutions are proven to work with the industry-leadingclinicalapplicationsincludingEMR,PACS,patientmanagement, bed management, patient engagement, patient check-in, telehealth,remotepatientmonitoring,andmore.

• Low cost-of-ownership HP leverages innovation, advanced engineering, services, and support to help healthcare organizations reduce the cost of information technology, operations, and management—from making the most of existing assets and tools to support for Windows and Android user environments across theproductlinetoefficientweb-basedcontrolofcomputing,imaging,andprintingdevicesfromHPandothervendors.HPinnovationsinjetprinttechnologyarejustanexample,offeringdoublethespeed,16 half the cost per page17oftraditionallaserprinting,andupto84%lessenergyconsumptionwhenprintingthancompetingprinters.18

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15.HPSecurityproductsarerankedasleadersintheApplication Security Testing and Security Information and Event Management categories of the Gartner Magic Quadrant.

16.Comparisonbasedonmanufacturers’publishedspecificationsoffastest-availablecolormode(asofDecember2013)andincludescolorlaserMFPs≤$3,000USD,basedonmarketshareasreportedbyIDCasofQ32013andHPinternaltestingofprinterinfastest-availablecolormode(sample4-pagecategorydocumentstestedfromISO24734).Formoreinformation,seehp.com/go/printerspeeds.

17.Cost-per-page(CPP)claimisbasedonthemajorityofcolorlaserMFPs≤$3,000USDasofDecember2013,basedonmarketshareasreportedbyIDCasofQ32013.ISOyieldisbasedoncontinuousprintingindefaultmode.CPPcomparisons for laser supplies are based on published specificationsofthemanufacturers’highest-capacitycartridges.Fordetails,seehp.com/go/officejet.CPPbasedonHP980inkcartridges’estimatedstreetprice.Formoreinformation,seehp.com/go/learnaboutsupplies.

18.Basedoninternalresearch:HPOfficejetEnterpriseseriesrequiresupto80wattsduringprinting.Theweightedaverageforcompetingdevicesis508watts.Actualenergyusagemayvary.

Pull printing from HP helps prevent data breaches by requiring user authentication.

Why HP?

HPenablesefficientcaredeliveryatpointofcare,activepatientengagement,andimprovedpopulation health through proven devices that leverage the power of software, services, and partnersolutions.

Formorethan50years,HPhasbeenhelpingtomakehealthcaremoreaccountable,inclusive,andresponsive.Today,HPleveragesthelatestadvancesinmobility,cloud,andsecuritytohelpenableproviders and empower patients with intuitive solutions that make it easy to quickly and securely accessrelevantdata,applications,andservicestodeliverbettercareandpatientexperiences.

ThedepthandbreadthoftheHPhealthcareportfolio,backedbyafullsuiteofflexibleHPsupport services with global reach, make it easy for both small practices and big health systemstogeteverythingtheyneedfromasinglesource.Healthcare-optimizedHPproducts,combined with software, services, and accessories from global leaders in healthcare speed implementationandresultsandenablecaregiverstofocusonpatientsinsteadoftechnology.

Top global technology brandHP is a recognized leader in computing, imaging and printing technology and services around theworld.Theinnovation,quality,andreliabilityofHPproductsarewellknownandHPservicesleverage experience gained in decades of supporting healthcare organizations and other customers worldwide, including the delivery of managed services for millions of users across theglobe.

A smarter approach to securityThe world relies on HP for a smarter, proactive, and multilayered approach to security, which is critical for healthcare organizations seeking to manage risks that arise from a growing number ofdevicesandapplicationsaccessedovertheirnetworksandfromthecloud.

Answeringthedireshortageofsecuritypersonnelinmosthealthcarefaciltiestoday,HPoffersa wide range of tracking and recovery services, defective-media retention services, and security solutions that include comprehensive security products, services, and research publications suchastheHPCyberRiskReport.

HP helps healthcare organizations take a holistic approach via a security practice that includes compliance and audit, policy, risk and threat, training and awareness, and a technical architecture to providetherightvisibilityintothreatsbothfromtheoutsideaswellasfromwithin.

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Business white paper | HP in Healthcare

in the U.S. contract with HP for the processing and management of their Medicaid claims.

23states

Efficient IT managementHPleveragescloud-basedITmanagementcapabilitiesandend-to-endworkflowandprocessanalysis services to help healthcare providers reduce cost, risk, and complexity and to help healthcareorganizationsgetthemostvaluefromtheirITinvestments.

With HP’s web-based IT management solutions, healthcare organizations can manage all of theirclientdevices—PCs,tablets,andsmartphonesfromvariousmanufacturers,runningAndroid,iOS,andWindowsoperatingsystems—usingonesoftwaretool.Capabilitiesincludethe ability to centrally monitor devices and support users remotely with proactive alerts that enableITtoanticipateandquicklysolveissues.

HPManagedPrintServicescanhelpprovidersrealizesignificantsavingsbydramaticallycuttingenterprise-widemedical-documentlife-cyclecosts.Remotedeviceservices,suchastheabilitytomonitor,manage,lock,andwipedevicesremotelycansignificantlyreducetheregulatoryandeconomic impact of lost or stolen personal systems, which studies have estimated averages $6.4millionperorganization.20

Expert, flexible support and services for the life cycle HPofferscomprehensivehardware,software,financialservices,andsupportservicestomeettheneedsoflargeandsmallhealthcareorganizationsaroundtheworld.Thebroadrangeofservices and support across the life cycle and available globally from HP, combined with HP partnershipsandscalabletechnologiesmakeHPapartnerthathealthcarecannotoutgrow.

Healthcare organizations can hit the ground running, enhance workforce productivity, and delivertheuptimeonwhichhealthcaredepends,with:

• HPlifecycleservicesofferingflexiblesupportoptionsthatextendacrosscomplexheterogeneous environments inclusive of multiple vendors and legacy applications

• Aglobalnetworkofexpertiseincludingmorethan10,000HPhealthcareITspecialists,hundredsofon-staffclinicians,andhealthcare-focusedservicepartnersextendingacross160countries

• An expansive portfolio including security, compliance and connectivity services, mobility, and device-management services, such as image and application loading and installation services, aswellason-andoff-sitesupportfortechnologyandusers

• HP ePrint Enterprise services to help healthcare organizations protect information security with print tracking and management capabilities

• Customizedservicestohelphealthcareorganizationsmeetnewdemands,makethemostofcurrentassets,upgradeormakethetransitiontonewtechnologies,andaugmentcurrentstaffwithskillsandresourcestomeetaggressivetimelines.HPhasdemonstratedtheabilitytoshipmorethanonemillionunitstohelpjustonecustomermeetatightdeadlineinIndia.

Business white paper | HP in Healthcare

20.Averageannualcostperenterpriseofstolenlaptops, PonemonInstitutestudy,2010.

healthcare IT specialists work for HP.

10thousand

Did you know? HP has been serving the healthcareindustryforover50yearsand employshundredsofcliniciansworldwide.

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Advancing the standards of careHP Labs, one of the world’s elite research facilities, invests in innovation to fuel next-generation products, services, and solutions critical to healthcare, including cloud, security, information mobility,contentandprinting,sustainability,andfuturecomputingtechnologies.Examplesof recent HP innovations in healthcare include the application of powerful visualization and 3Dimmersivetechnologiesforthedevelopmentandpresentationofhigh-impactpatienteducation and advanced digital dispenser bioprinting technology, now at work in medical researchlabs,whichpromisestoenablenewtypesofcustomizedprescriptionfilling.InadditiontoitsowninvestmentsinR&D,HPleveragesrelationshipswithpartnerstodevelopanddelivernewcapabilitiestohealthcare.

Going forward, HP remains committed to continued investment in innovations, solutions, and services that will help healthcare accelerate the transition to a future in which clinicians areempowered,connected,andcoordinated;patientsareengaged,educated,andsatisfied;hospitalsandhealthsystemsareefficientandusethelatestinsecuritytohelpprotectpatientinformation; and public health organizations are leading with evidence-based policies that improveliveseverywhere.

Learn more about HP Healthcare solutions at:hp.com/go/healthcare

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“At HP, We’re leveraging 75 years of technology leadership to helpdrivethehealthcareindustryforward.” —MegWhitman,CEO,HP