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DigitalTransformationinHealth
PaulSmolkeSeniorDirector,ProductivityWorldwideHealth
TheNewPatientParadigm
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2billionpeopleaged60 andoverin2050(WorldHealthOrganization)
$475billion USDWWcostofpatients nottakingtheirmedications(Prescriber)
14millionprojectedWWshortageofhealthcareworkersin2030(WorldHealthOrganization)
10.5%WWhealthcarespendingasapercentageofGDPin2020(TheEconomistIntelligenceUnit)
15%securitybreachesWWin2017 involvinghealthcareorganizations(VerizonData)
$4 trillion USDWWhealthcarespendonthethreeleadingcausesofdeathin2020- half ofthetotal(WorldHealthOrganization)
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•
Cost• Lower the per
capita cost of care
Access• Improve the
wellness of populations
Quality• Improve the
patient experience
Berwick,D."TheTripleAim"Care,Health,Cost".HealthAff,May2008vol.27no.3759-769
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Productivity• Improve the
clinician experience
Cost• Lower the per
capita cost of care
Access• Improve the
wellness of populations
Quality• Improve the
patient experience
Bodenheimer,T.&Sinsky,C."FromTripletoQuadrupleAim:Careofthepatientrequirescareoftheprovider"AnnFamMedNov/Dec2014,vol.12no.6673-576
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0
20
40
60
80
100
120
140
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Inpatie
ntadm
issionsper1,000peo
ple
Outpatientvisitsper1,000people
Inpatientadmissionsper1,000people
Outpatientvisitsper1,000people1,937
120
Changes in Hospital Inpatient & Outpatient Utilization
Care Within Walls
2,200
2,100
1,900
1,800
Estimatedprojectionsofutilizationchange
1900
92
Source:PwCHealthResearchInsights
96
2,171
DigitalTransformationInpatientcarevolumeonarapiddecline
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Virtual HealthCareTeamCollaboration,Videoconsultations,Securemessaging,Booking
Population Health CareCoordination,Remotepatientmonitoring,ClinicalAnalytics
CurrentHealthITMarket
ExpansionofHealthITMarket
Precision MedicineGenomics,ClinicalAnalytics,Customer&ProductAnalysis
NextGenSystemsofInsight&Engagement
Fragmentedsystemsofrecord(EMR,Imaging,CaseManagement)
GlobalHealthSoftwarePlatformMarket
DigitalTransformationInpatientcarevolumeonarapiddecline
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Evolutionofhealthsolutions
SYSTEMSOFENGAGEMENT
SYSTEMSOFINSIGHT
SYSTEMSOFRECORD
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Reactive
CyclicalDisconnected
Receivetreatment
Giveinformation
Seedoctor
Feelsymptoms
Recover
Gotohospital
Theoldpatientparadigm
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Thenewpatientparadigm
Connecteddevices
Proactivewellnessplan
Connectedcarepartners
Personalizedtreatments
Remotemonitoring
Connectedconsumers
Preventative
ContinuousConnected
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HealthAgentsfortriageandinquiries…CanIntegrate
•Worldknowledge• Location• Calendar• Travel
ABotframework….
• Naturallanguageprocessing•Multi-turnconversations• Anyendpoint• AnyAPI
• Personalhealthrecords• Prescriptions•Wearabledata
…andwithThirdpartydata&CustomerData
• Authoritativemedicalprotocols• Serviceproviderlookupandscheduling
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AdvancedAnalyticsinHealth
REAL-TIME & PREDICTIVE ANALYTICS
toshapeoutcomes
SELF-SERVICE ANALYTICS
toprovideresearchon-demand
INTERNET OF THINGS
toconnectdevicestodatabases
CLOUD ANALYTICStoerasehistoricalboundariesfordata
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Patients
ClinicalTeams&Practitioners
Diagnostic
Why did it happen?
Careteamsperformtests
[InteractiveDashboards]
ActionableInsight
Prescriptive
What shouldIdo?
Datascientistsuseknowledgetomakerecommendations
[Recommendations&Automation]
What will happen?
Predictive
Clinicianscompareresultswithacohortofpatients
[MachineLearning]
Descriptive
What happened?
Patientspresenttheirhealthcondition(s)
[Reports]
Data&
Technology
Outcomes&
EfficiencyDataInteroperabilityStandards/Clinical&ProfessionalStandards
Predict&RespondProactively
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