HEALTHCARE
TRENDS IN
NORTH
AMERICA
ANDY TIPPET
SR. MARKETING MANAGER
HEALTHCARE , AMERICAS
ScanSource Smart VAR Conference
August 21, 2014
GOALS
• Discuss trends that are driving healthcare today
–
–
–
–
Advent of the EHR
Care across the continuum
Advent of Analytics
Issues around staff productivity
• Where AIDC fits
• What it takes to succeed
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HEALTHCARE IN THE PAST
Injury
Acute disease
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Population Disease
NEW ORDER - WORLD HEALTH DRIVERS
Aging Population –
Worldwide Population>65
2,500
1,966
Millions
2,000
Hypertension
Coronary…
1,187
1,000
Cancer
606
205
Diabetes
349
Stroke
0
1950 1975 2000 2025 2050
Lifestyle Diseases
•
•
•
•
•
•
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Prevalence of
Chronic Disease
Arthritis
1,500
500
Decreasing Population
Fitness
Asthma
Cancer
Cirrhosis
COPD
Type 2 Diabetes
Heart Disease
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• Metabolic
Disease
• Osteoporosis
• Renal Failure
• Stroke
• Depression
• Obesity
• STD
0%
Increasing Patient Complexity
50%
Increased Cost of Care
100%
WHAT DO THESE CHANGES MEAN?
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•
It is important to treat the history of the person –
enabled by the Electronic Health Record (EHR)
•
Treatment is conducted throughout the life cycle –
called the healthcare continuum
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EHRS
• Enabler that support macro trends – Movement from acute (injury) to chronic care (hypertension, diabetes)
– Movement from Population to Individual care and back again
– Function across continuum in acute and other areas
• Implementation in US supported by the HITECH ACT of 2009
• Over $10 billion has been distributed
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U.S. EMR ADOPTION STATUS - HIMSS
Stage
Stage 7
Stage 6
Stage 5
Stage 4
Stage 3
Stage 2
Stage 1
Stage 0
Cumulative Capabilities
Complete EMR; CCD transactions to share
data; Data warehousing; Data continuity
with ED, ambulatory, OP
Physician documentation (structured
templates), full CDSS (variance &
compliance), full R-PACS
Closed loop medication administration
2011
Q4
Number of
Hospitals
1.2%
64
5.2%
278
8.4%
448
CPOE (Computerized Provider Order
13.2%
Entry) Clinical Decision Support (clinical
protocols)
Nursing/clinical documentation (flow
44.9%
sheets), CDSS (error checking), PACS
available outside Radiology
CDR, Controlled Medical Vocabulary, CDS,
12.4%
may have Document Imaging; HIE capable
Ancillaries - Lab, Radiology, Pharmacy - All
5.7%
Installed
All three ancillaries not installed
9.0%
705
2,396
662
304
480
N=5337
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U.S. EMR ADOPTION STATUS - HIMSS
Stage
Stage 7
Stage 6
Stage 5
Stage 4
Stage 3
Stage 2
Stage 1
Stage 0
Cumulative Capabilities
Complete EMR; CCD transactions to share
data; Data warehousing; Data continuity
with ED, ambulatory, OP
Physician documentation (structured
templates), full CDSS (variance &
compliance), full R-PACS
Closed loop medication administration
2011
Q4
Number of
Hospitals
2013
Q3
Number of
Hospitals
1.2%
64
2.2%
120
5.2%
278
11.1%
604
8.4%
448
20.9%
1,136
705
15.1%
821
2,396
31.9%
1,734
662
8.4%
457
304
3.5%
190
480
6.9%
375
CPOE (Computerized Provider Order
13.2%
Entry) Clinical Decision Support (clinical
protocols)
Nursing/clinical documentation (flow
44.9%
sheets), CDSS (error checking), PACS
available outside Radiology
CDR, Controlled Medical Vocabulary, CDS,
12.4%
may have Document Imaging; HIE capable
Ancillaries - Lab, Radiology, Pharmacy - All
5.7%
Installed
All three ancillaries not installed
9.0%
N=5337
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N=5437
WHERE ZEBRA FITS:
THE BRIDGE TO THE EHR AND PATIENT SAFETY
Patient Information
Zebra Solutions
Patient, Specimen, Medication, Clinician, Asset
Identity
Electronic Health Record
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ANALYTICS IN HEALTH CARE
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ISSUES WITH ANALYTICS IN HEALTHCARE
Source: IBM Global Business Report
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ANALYTICS ECOSYSTEM
Data
Capture
Data
Measurements
Data
Applications
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Data
Aggregation
Data
Verification
STAFFING
•
The need to do more with
less
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•
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Shortage of Nurses
Shortage of Doctors
This will be one of the most
critical healthcare issues of
the next ten years
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DECISION MAKERS & INFLUENCERS IN
HEALTHCARE
• Chief Information Officer – See profile
• Chief Technology Officer
• IT Directors (seamless integration, budgets,
business value)
• Chief Nursing Officer (employee morale, enhance
patient experience and reduce cost) – See Profile
• Clinical Informatics Director / Chief Nursing
Information Officer
• Chief Medical Information Officer – See Profile
• Laboratory Director: Influencer (Performance) –
See Profile
• Pharmacy Director: Influencer (Performance)
• Registration/Admitting Director: Influencer
(Performance) and User (Efficiency)
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Patient Safety
Committee
Members
WHAT IT TAKES
• Focused sales team
– This does not work by sending the retail rep to a hospitals
• Focused Subject Matter Expert
– Not a sales rep, a workflow and HC consultant
• Software expertise – both Zebra’s but really knowledge
of the hospital operating systems and EHRs
– Focusing on different areas of the hospital, with different ISVs
• Patience
– Healthcare sales take a LONG time to come to fruition
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