"Addressing Prevention & Health Promotion in the HyperConnected Patient Era”

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Taking on the Burden of Chronic Disease Management in the Hyper-Connected Patient EraThis session will focus on how the growing burden of chronic diseases is posing extraordinary challenges to healthcare organizations & information systems in Europe.

Speakers

• Silvia PiaiEMEA Research Manager, IDC Health Insights

• Michael Graetz VP of EMEA Healthcare Sales, Information Intelligence Group, EMC

Taking-On the Chronic Disease Burden in the Hyper-Connected Patient Era

22nd October 2014IDC Health Insights

70-80% of healthcare costs in EU member states are caused by NCDs

Chronic diseases are making healthcare unaffordable

© IDC Visit us at IDC.com and follow us on Twitter: @IDC 5

60% of deaths worldwide are due to NCDs

Over 40% of loss of healthy life years worldwide are due to NCDs

Source: WHO 2011 estimates of Non-Comunicable Diseases (NCD) and European Union estimates on NCD related expenditure

Europe is at

90%

Top 5 risk factors for disability-adjusted life years

in Western Europe

Prevention: benefits...


Dietary risks

Smoking

High blood-pressure

High body-mass-index

Physical inactivity

Source: Institute for Health Metrics and Evaluation (IHME), University of Washington, 2013.

Source: "Rethinking health: ICT-enabled services to empower people to manage their health" study published in the Biomedical Engineering, IEEE Reviews 2011

1) Healthy diet2) Regular exercise

3) Control of weight, smoking, sleep and stress

management 4) Moderate use of alcohol

Could prevent: 90% of type 2 diabetes

80% of coronary heart disease70% of stroke

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Expenditure on prevention and public health as a % of total healthcare expenditure for selected EMEA coun-

tries

...and challenges: current public health policies are falling short


Source: OECD, 2014

Expenditure on prevention is still

anemic!

It’s time to put patient engagement at the center of integrated care


The hyper-connected patient has arrived


Device-centric view today versus a patient-centric interconnected ecosystem

Converged devices that combine mobile, social, telemedicine, wearable, implantable/ingestible and other sensors

Proliferation of consumer-generated data across diverse data sources

INTERNET of

THINGS

Omnichannel: the new patient front desk, the new physician office

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31%Q. How important is a mobile application to manage your relationship with your healthcare organization? N = 1226; Source: IDC Insights Cross Industry Consumer Experience Survey, 2014

Patients looking for a mobile enabled relationship

Total= organizations investing in mobile apps for patients.Correlation between providers investing in native mobile health apps and telemedicine: Pearson Chi Square test, Asymp. Sig. (2-sided)= 0.57 % N = 179; Source: IDC Insights Health Insights Survey, 2013/2014

69%HC organizations investing in mobile apps for patients and telemedicine

Embedded

Accurate

Closer

Left on their own, consumers may not realize the full benefits of hyper-connectivity


Are you currently using a Fitness and Activity Tracker?

Why did you stop using it?

40.9%

that stopped using the device did so because they lost interest in tracking their activity level

N = 1226Source: IDC Insights Cross Industry Consumer Experience Survey, 2014

ICT-enabled behavioral interventions can make the difference

Engagement

InterventionMaintenance and follow-

up


Personalized, real-time communication and feedback for better informed engagement

Interaction to influence health knowledge, attitudes and practices; plus support for self-management of health conditions

Regular interactions to convey strategies for long-term motivation and sustainable impact

Well designed financial incentives can reinforce the cycle

Patient information as the connective tissue


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It’s more than devices, it’s an ecosystem relying on end-to-end information management


Real-time Events

Deep Insights

ON-DEMAND

PUSH

EMBEDDED

Patient information: ensuring liquidity and security

Creation

Sharing & Access

Analysis

Archival, Recovery

& Retrieval

Disposal

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Data format and organization

Agile data management

Improved patient experience

Addressing the fragmentation

Separating data and applications

Data liquidity

Focusing on patient information lifecycle

Gear-up for the hyper-connected patient: align governance and policy


•Get buy-in from senior executives

•Involve health and social care professional in organizational change

•Adopt an action-learning approach that allows to pilot, adjust course of action and then scale

•Ask for advice to reduce the costs and risks of regulatory compliance

Healthcare Provider ExecutivesImplementing programs

•Promote changes in data protection laws and information assurance guidelines to keep pace with technology innovation

•Experiment with funding models that provide stakeholders the right incentives to collaborate across the health value-chain

•Support dissemination of good practices regarding the usage of wearable health and wellness devices

eHealth Policy-makersPromoting innovation

Gear-up for the hyper-connected patient: engage with them


•Offer support to patients and their informal caregivers along the entire prevention-care-management pathway

•Personalize actions and programs to the needs of specific patient profiles

•Make participation cool through social, interactive and entertaining participation


•Collaborate with health behavior scientists to incorporate effective behavioral change techniques in health and wellness programs.

•Work with ministries of finance, environment and culture to promote a social environment that supports long-term commitment to healthy behaviors, for instance by implementing financial incentives for employers and citizens


Gear-up for the hyper-connected patient: align strategy and architecture


•Favor open architectures that make data liquid

•Leverage existing business and IT capabilities, and favor ease of use and management

•Prompt interested and skilled staff to participate in national and international standard committees


•Promote collaboration between patient groups, academics, industry and healthcare professionals to improve technology functionality and usability

•Promote national and international committees that move forward data interoperability standards and define rigorous device data quality guidelines


BUSINESS STRATEGYOUTCOMES/ GOALS

USAGE SCOPE

Supporting and supervising patient daily routines to help with prevention

WearablesHealth portal

Social Media

Telecare devices

Smartphones and tablets

Facilitate access to healthcare services

National or regional

Community Patient GPPatient and

informal caregivers

INFORMATION GOVERNANCEPATIENT DATA OWNERSHIP AND MANAGEMENT

SCOPE OF PATIENT DATA REPOSITORY

Proprietary, device-specific Open –standard based

National/Regional department of

health

Individual healthcare

providers (e.g. GP)Patient Third-party

Clinical indicators Wellbeing indicators

ENTERPRISE INFORMATION ARCHITECTUREPATIENT DATA MODEL

BUSINESS LOGIC FUNCTIONAL CAPABILITIES

USER ACCESS INTERFACECHANNEL

HYPER-CONNECTED DEVICE SOURCING APPROACH

INFORMATION INTEGRATION APPROACH

Devices provisioned/ reimbursed by provider,

payers, governmentConsumer devices

Consumer devices approved by government

Data capture, archival, retention, access, and

reportingReal-time monitoring

Dashboard of key indicators to help manage exceptions

Centralized repository were all analysis takes placeIntelligence at the network edge to make analysis

consumable by the patient

Thank you!

Contact information:

19

Taking-On the Chronic Disease Burden in the Hyper-Connected Patient Era

Follow IDC on:

Follow IDC Health Insights analysts on:

Max Claps EMEA Head of Research

[email protected]

Silvia PiaiEMEA Research Manager

[email protected]

Nino GiguashviliEMEA Senior Research Analyst

[email protected]

mailto:[email protected]



http://www.emc.com/collateral/analyst-reports/h13423-idc-taking-on-chronic-disease-burden-connected-patient-era.pdf

http://www.linkedin.com/shareArticle?mini=true&url=http://bit.ly/lgYe5e&title=Check+out+FierceMobileHealthcare,+a+good+source+of+news+on+the+latest+developments+in+mobile+health.+Sign+up+for+free+now!&source=FierceMobileHealthcare

Chronic Disease Alliance

• NCDs in Europe :– 100 M effected/ 86 % of deaths

• Cardiovascular :– 192B € per annum / 10% of EU HC cost

• COPD : 20% of WW deaths

• Type 2 diabetes :– 10% of EU population / 160B € per

annum

– By 2030, 35M people affected in EU, 350M Worldwide with a cost of 548.5 dollars.

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© Copyright 2013 EMC Corporation. All rights reserved.

EMC Mission• Emergence of better informed and empowered patients

• Emphasis on preventive care rather than just acute care and treatment

• Shift in alternative care models to reduce costs

• Increase in shared IT services for clinics and hospitals

OUR APPROACHIntegrated Patient Record

AGGREGATE OPTIMIZESHARE

Exchange data within an IHE community using

standards in healthcare to share records outside the

provider organization

Maintain content in its natural form to facilitate

search, analysis, data mining and business

policy enforcement, such as disposition.

Optimize data through the creation of an IPR that also

accesses the EMPI for PIX/PQD, and can also

connect to imaging sources through DICOM.

EMC Integrates Hospital Care to Enable the Continuity of Care

Patient Engagement via MoHealth Mobile Care App

Enhancing the Integrated Patient Record

• A Vitex and EMC solution

• With real time lifestyle data

• Which is easy to understand

• And integrated into the patient medical record

Gathers Wearables Data

• Connects to various vendors wearable devices

• Collects an array of measurements

– Activity– Pulse– Temperature– Blood Oxygen– Sleep Log– Calorie Intake– Hydration

• Converts their data to the Vitex index

Real-time Feedback and Reminders

• Changes dynamically in the response to your actions

• Providing personalized suggestions

• With feedback and activity reminders based on your actions

– Drink 2 glasses of water– Take a 40 minute run

How is Your Vitex Today?

Integrated Patient Record

Health Prevention Dataflow

Wearable

User Portal

EMC Integrated

Patient Record

Process

XDS

Multi-Channel Communitcatio

n

Reports & Dashboard

s

Wellness Program

http://www.angelsensor.com/

EMC IPR Infrastructure Serves Lifestyle & Chronic Patients Monitoring

EMC Integrated Patient Record

xCP BPM IHE Content Sharing

Documentum XDS.bRepository Services

Web Services Layer (DFS/DFC)

DocumentumContent Server

Database

XDS.bRegistry Services

XCARegistry Services

EHR Repository

J4Care HealthCare Connector

DocumentumContent Server

Database

TCS

ILM

RPS

Documentum xDB

Process Engine

Process Integrator

KPI

Desi

gner

Insu

rance

U

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DFC/DFS

Visit www.emc.com/integratedcare

Access the IDC WP “Taking on Chronic Disease Burden in the Hyper Connected Patient Era”

Watch the video www.getvitex.com

email: [email protected]

Read the recent interview on HealthTechWire

http://www.healthtechwire.com/emc-corporation/healthy-lifestyle-with-proper-motivation-will-cure-healthcare-3821/

Interested in Knowing More?

http://www.emc.com/integratedcare

http://www.getvitex.com/




Thank You For Your Time

"Addressing Prevention & Health Promotion in the HyperConnected Patient Era”

Technology

Transcript of "Addressing Prevention & Health Promotion in the HyperConnected Patient Era”