oracle’s vison for the nhs
TRANSCRIPT
The power to transform
A vision for the NHS
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C o n t e n t s
Executive summary 3
Delivering patient-centred care through multi-channel health 5
Empowering the NHS workforce 7
Unlocking value in big data to deliver data-intensive care 8
A Strong Partnership 10
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Executive summary
Current trends impacting the NHS
The NHS is facing a perfect storm: caught between huge increases in demand and the prospect of continued budgetary constraint, it’s clear that revolutionary change is needed.
In response, the NHS has created the “Five Year Forward View” which sets out a new direction for the NHS – tackling demand, efficiency and funding with a vision for different care models, innovation and patient empowerment. Together with better use of data and technology, the NHS has the power to improve health while reducing the cost of services.
Constraints on resources
Rising expectations
Escalating demand
Technological breakthroughs create new ways to deliver care
Legacy systems, culture and data-privacy concerns have hindered cloud adoption
THE IT CHALLENGE
• Work with more suppliers, innovators and social entrepreneurs to create personalised services that connect to national systems
• Improve operational resilience
SERVICES
Meet national and local needs
Break down barriers and ‘dissolve the divide’ between patients and across healthcare services – e.g. new care models through Vanguards
• Allow records to flow freely to patients and across care settings
• Ensure timely information to ease administrative burdens
• Introduce standards that support multiple points of access (including smartphones and tablets)
ARCHITECTURE
Create a shared architecture that encourages
interoper ability and digital services
Accelerate useful healthcare innovation – e.g. health apps, paperless processes, ‘combinational innovations’ that connect technology, data and staff
• Enable better decisions, support policymakers, facilitate better healthcare commissioning and research
INFORMATION
Enable information-sharing and make
better use of data and insights
Exploit the ‘information revolution’ with a focus on transparency and central systems which provide the ‘electronic glue’ that helps services work together
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Three key strategic themes where Oracle can make a difference
Patient-centred care through multi-channel health
Big data and analytics –
‘data-intensive care’
Empowered workforce
However, the scale of the transformation required cannot be delivered by the NHS alone. This is where Oracle’s vision for the NHS comes in.
• Empower patients by helping them manage their health and care plans, including the adoption of telehealth, telecare and e-consultations.
• ‘Dissolve the divide’ between patients and healthcare services.
• Help employees deliver services safely and more efficiently; remove administrative burdens and retain talent.
Oracle’s Vision for the NHS
Working in partnership with the NHS, Oracle is ready to help the NHS embrace innovation to realise its strategic ambitions.
• Exploit the ‘information revolution’ with a focus on transparency and central systems which provide the ‘electronic glue’ that helps services work together.
• Accelerate useful healthcare innovation – e.g. health apps, paperless processes, ‘combinational innovations’ that connect technology, data and staff.
• Close the funding and efficiency gap and transform IT economics with the option to move to an as-a-service delivery model.
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Putting patients at the centre of care delivery is fundamental
to the NHS’ positive transformation. By connecting
professionals and patients, the NHS can create a
personalised care experience which:
Facilitates efficient long-term care management while
avoiding unnecessary hospitalisation
Establishes cost-effective ways to actively monitor the
health of people with long-term conditions
Delivering patient-centred care through multi-channel health
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Care Networkingshift from solo to team-based care across organisations and IT systems
Care Anywhereshift from institutions to mobile, home-based, and community
Care Customisationshift from population-based to person-based treatment
Advanced technologies replace the traditional
siloed approach to clinical information exchange,
allowing communication to be connected
between all providers connected with the
patient – including CCGs, private practices and
secondary care providers.
Front- and back-end business processes are
connected to create greater collaboration and
deliver the right information at the right time,
to the right person. This encourages greater
cooperation between CCGs, and personalised
pathways thanks to a connected understanding
of care histories.
Unified services capture data electronically, to
make information available immediately and flag
issues as they arise. Real-time capture enables
tracking of adverse health events for damage
limitation.
By integrating these diverse processes, Oracle delivers the
tools the NHS needs to put patients at the heart of everyday
operations, and deliver joined-up healthcare. This seamless,
integrated approach will result in better resource utilisation
and greater patient choice, supporting the NHS’ forward
view of encouraging patients to make healthy lifestyle
choices – promoting wellness and the prevention of disease.
Putting patients at the heart of the NHS
With a range of applications that support a cross-channel experience, Oracle can unify patients and professionals by enabling
the seamless, continuous flow of relevant information using three integrated solutions:
Gives access to impartial, evidence-based advice on health
and treatment options
Encourages healthy lifestyle choices in the effort to
prevent illness and promote wellbeing
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What multi-channel healthcare could do for the NHSMaternity Assist
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The Proposition More time to spend with those who have greater needs Automated routine care pathway tasks Knowledge sharing with the extended midwifery community Users stay informed at every stage of their pregnancy Users can keep in touch with your team of dedicated midwives
The Value Services accessed at a time that suits the patient Knowledge base of information provided by experienced midwives Encouraging self care with support of family and friends Educate, inform, engage everyone involved Patient empowerment to engage with the most suitable care
Maternity Assist
The communication channel
Close friends
Close family
Woman
Close friends
Close family
Woman
Midwife
USING TECHNOLOGY TO IMPROVE HEALTHCARE OUTCOMES FOR MOTHERS AND BABIES
The proposition
• More time to spend with those who have greater needs
• Automated routine care pathway tasks
• Knowledge sharing with the extended midwifery community
• Users stay informed at every stage of their pregnancy
• Users can keep in touch with your team of dedicated midwives
The value
• Services accessed at a time that suits the patient
• Knowledge base of information provided by experienced midwives
• Encouraging self-care with support of family and friends
• Educate, inform, engage everyone involved
• Patient empowerment to engage with the most suitable care
Basque country delivers patient-centred care with Oracle
• Regional public healthcare system covering
2.1M inhabitants with 20 hospitals and more
than 23K healthcare professionals.
• 80% of patient interactions with the public
health system are related to chronic
diseases driving 77% of the total health
expenditure.
• Health expenditure on current trends if
nothing is done differently will need to double
by 2020.
• Oracle Health Management Platform is being
implemented to support a call centre-based
approach to citizen engagement and
patient empowerment.
Results with Oracle
Citizen access to personal health data – enabling
informed choice and empowering the citizen.
Active monitoring of health status for people with
long term conditions.
The “expert patient” – providing the individual with
the necessary knowledge and decision-making
authority to take control of their life.
Health and drug advisory service – providing citizens
with impartial and evidence-based advice.
Healthy lifestyles promotion – advice, guidance and
active support for individuals who wish to improve
their health.
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Empowering the NHS workforce
Staff costs in NHS trusts account for between 65% and 85% of budgets. Major pressure to meet staffing level requirements has led to the highly publicised situation whereby agency staff are brought in at high cost.
Staff retention is a major problem in the NHS, with the average tenure of an NHS foundation trust CEO being less than two years. It’s a problem not just limited to the CEO, spanning many different types of roles and levels.
The bottom line: the NHS needs to improve how it recruits, develops and retains staff.
New official figures show
that in the first three
months of 2015 over 20,000
operations were cancelled
at the last minute for
nonclinical reasons – a rise
of 15% on 2014 and the
largest number in a decade.
Power to your people Technology can play a vital support role for senior executives who are actively trying to manage staff retention. With Oracle, managers have the tools they need to be more effective, such as:
Better forecast workforce demands and use real-time data to make proactive decisions on the best use of available resources
Get up-to-the-minute insights on people, skills and performance
View at-a-glance team dashboards – with performance goals, headcount targets and development needs
Improve job satisfaction levels with modern HR tools that help people take charge of their careers
Give people easier, direct access to HR services across all devices
Oracle transforms HR for Baxter Healthcare “[Oracle HCM Cloud] helped us deliver a lot of the benefits we were seeking, such as more simplified processes; more consolidated, transparent data; a better user experience – a lot of great benefits...”
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Health challenges and the potential of data
Unlocking value in big data to deliver data-intensive care
The NHS healthcare budget cannot continue to meet the demands of an ageing population. Embracing innovation to become more data driven is key to addressing this challenge. Treating data as a strategic asset and putting processes and systems in place that allow the NHS to access and analyse the right data will better inform decision-making and drive actionable results.
Management cost of chronic diseases is out of control
Increase in real-world data, both structured and unstructured
Provider Pharma Payer
Shift to value-based medicine from volume-based medicine
Cloud technologies are enhancing R&D collaboration
Patient stratification to identify population subsets which are most likely to respond to a therapy
Aggregation and analysis of big data
70% 61% 54%Will you use secondary health data within the next 2 years?
It is estimated that the average hospital generates
Oracle’s strategy for data-intensive care
PATIENT-CENTRED OUTCOMES
• Access to care for the underserved
• Enabling early intervention and prevention
• Encouraging patient empowerment
• Better quality of care and health outcomes from care designed for the individual
Targeted Medication
Patient self help
Real time Diagnosis
Predictive analytics
Operational analytics
Clinical Analytics
Scan Images
Sensor data
Clinical Data
Home monitoring
Ingestible Devices
Wearable Devices
Data
Servers Storage Network
Applications
Analytic Tools and utilities
Big Data Platform
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Wednesday, 28 October 15
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Medical image archives are increasing by
20-40% annually.
X-RAY 30MB Mammograms
120MB
3D CT Scan 1GB
425K Telehealth
Health care analytics
80% Unstructured data: images, video and email.
3D MRI 150MB
PACS
Hospital, pharmacy and clinic records
665TB of data annually
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‘Precision medicine enables population health’ – with Oracle’s Big Data capabilities, the NHS can get an integrated view of ALL healthcare-related data: simplifying patient stratification across care settings and providing visibility into operational and financial drivers for better planning. Ultimately, helping senior executives make informed decisions around aligning resources with both clinical and management needs.
What big data solutions could do for the NHS
The power to predict and prevent
Every 30 seconds, somewhere in the
world, a leg is lost to diabetes. 1 in
3 people with type 2 diabetes are
unaware of it
Source: Daily Mail, 14th August 2015
Predictive analytics could help predict
and prevent the disease
Design and development of whole-population person-level linked datasets for:
• Health and care service evaluation – estimate relative impact of different integrated care initiatives
• A different method of commissioning – the capitated funding model – to prevent rehospitalisation and to support independent living
• A different method of payment for services which is not cost per activity but is outcomes based
• Design personal health and social care budgets to support integrated personalisation
The implications of the above leading to a move towards an integrated patient-level costing system paid on outcome.
Steps to becoming data-drivenData is the new ‘currency’ and Oracle can help the NHS extract new value from data with end-to-end big data solutions. By pooling together structured and unstructured data sources (e.g. social or clinical notes) the NHS can gain a comprehensive view across multiple domains and multiple data formats. Oracle offers leading-edge analytics that can identify patterns in patient data to predict events and trigger alerts if anomalies occur. This means the NHS can build predictive models using thousands of input variables, e.g. demographic data, transactional data, spatial data, web and social footprint.
An example: the power to know that a ward or sector of specialist operating theatres is currently on course to run out of beds, time or space for operations five weeks down the line – based on current demand, anticipated weather patterns and the situation last year when the usual winter crises started to kick in – allows proper analysis and demand management to reveal this information.
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A Strong Partnership
Laurence McNamara Key Account Director
Jeremy Nettle Global Client Advisor
With its vision for the NHS, Oracle is ready to help tackle the challenges ahead and enable the NHS to deliver patient-centric care at reduced cost.
Through a strategic engagement, supported by the key account programme, your dedicated Oracle team will collaborate closely with you to ensure the NHS has the best solutions in place to deliver on its care delivery strategy long term.
Meet your team