Upload
dominic-baldric-shepherd
View
218
Download
0
Tags:
Embed Size (px)
Citation preview
1
Karl-Jürgen SchmittSiemens Medical SolutionsJune 07, 2005
eHealth05
eHealth as a Driver to Optimise Healthcare Processes
2
Quality Cost
Through:• Innovation• Process optimization
of healthcare delivery
A common goal: Improve healthcare efficiency
Proven Outcomes
3
Sick,injured
Healed,fit for work
Patient InformationMedical Knowledge
Examination
DiagnosisTherapyCare
Improving efficiency with the patient in focus
4
Therapy
Diagnosis
HealthManagement
Mobile Care
HomeCare
AmbulatoryCare
StationaryCare
Care
IT is key in integrating and optimising work-flows throughout the healthcare continuum
Prevention /Early Detection
5
HealthManagement
Medmeets IT
Therapy
Diagnosis
Mobile Care
HomeCare
AmbulatoryCare
StationaryCare
Care
Prevention /Early Detection
IT is key in integrating and optimising work-flows throughout the healthcare continuum
6
Integrated IT platforms help improve efficiency
Dicom
Market-driven communication standards must be used
IHE
HL7
7
Cos
ts fo
r th
e in
sure
d
Earlyrecognition
Diagnosis Therapy Rehab.
‘Adverse Events’
Actual (w/o ‘Adverse Events‘)
Ideal
Significant potential to improve the quality of the healthcare system
90,000 Deaths1
1Source: Institute of Medicine, To Err is Human, 1999, p.26. American Hospital Association. Hospital Statistics. Chicago. 1999
8
Chart copy sent to pharmacy
Medication Errors in the USA
Ordering 50% - 55%
Transcription 6% - 12%
Dispensing 5% - 14%
Administration 33% - 38%
PhysicianOrder
Reviewby NurseTranscription
Order Entry(Rx System)
AdministrationDocumented
Verification byPharmacist
MedicationDispensed
Nurse confirms drug,dose, route, time,
and patient
MedicationAdministered
Optimising healthcare processes with IT
Source: Agency for Healthcare Research and Quality, 2001
Example: Conventional medication process
9
Chart copy sent to pharmacy
Medication Errors in the USA
Ordering 50% - 55%
Transcription 6% - 12%
Dispensing 5% - 14%
Administration 33% - 38%
PhysicianOrder
Reviewby NurseTranscription
Order Entry(Rx System)
AdministrationDocumented
Verification byPharmacist
MedicationDispensed
Nurse confirms drug,dose, route, time,
and patient
MedicationAdministered
Source: Agency for Healthcare Research and Quality, 2001
Deaths 7.000 (1999)
Savings Potential $1.6 ... 5.6 billion
* in US hospitals
Effects on Healthcare System *
Optimising healthcare processes with ITExample: Conventional medication process
10
Verification byPharmacist
AdministrationDocumented
Nurse confirms drug,dose, route, time,
and patient
MedicationDispensed
PhysicianOrder
Results• Process simplification to
reduce medication errors
• Includes software, barcodes, and
an automated dispenser system
• All data available for later evaluation
Optimising healthcare processes with ITExample: IT-supported medication process
11
73% decrease in erroneous and unclear prescription
Stockholm, Schweden
„Proven Outcomes“ in medication:Real results with IT-supported processes
Qu
alit
y
Co
sts
Preventing 118 potential medication errors monthly.Estimated annual savings: $944 k Virginia, USA
96% decrease in medication turnaround time
New York, USA
52% reduction of medication turnaround time, 35% reduction of medication errors Ohio, USA
Qu
alit
y
Co
sts
Qu
alit
y
Co
sts
Qu
alit
y
Co
sts
12
Project Outcome (2001 – 2002)
Participants
7,000 20% =1,400
Quantifying Vascular Risk Screening: A successful method of Telematic
• Internet-based prevention method to quantify vascular risks
• De-central examination, central and quality controlled reporting by experts
• Participant with higher risk can subscribe in a Disease Management Program
• Partner: University Erlangen-Nürnberg, Siemens Insurance Fund and Siemens Medical Solutions
Project
Higher Risk
Disease Management
Program
Continuation in larger cities with up to 50 000 participants/year
13
A promising project for disease management with IT in ScotlandDisease Management Diabetes, Diabetic Retinopathy (DR)
• Up to 10% of Europeans diabetic
• 60% of diabetics develop DR
• DR is leading cause of blindness
for individuals > 65 years of age
• Blindness can be avoided in 90%
of DR cases if detected early
Huge Potential
Quality
Compliance
Processes
Use of Resources
Outcomes
Improved ...
Implementationof an integrated,
IT-supportedDisease Management
NHS Scotland andSiemens Medical
MobileExamination
Inform Patient
Central Evaluation by Experts
Registration,Invitation
• 300.000 exam-inations / year planned
• 73 locations• 5 regional
evaluation centers
15
What do we need to do to realize the potential?
Patients / healthy individuals must be in focus Define which healthcare services should be
regulated and which aspects should be open to competition (more competition)
Define which healthcare services should be publicly financed and which services should be an individual’s responsibility (more individual responsibility)
Implement standardized quality metrics Performance needs to be recognized.
Healthcare must be attractive for the best and brightest minds
16
Healthcare is one of our most important infrastructure components
just as ... Power ... Transportation
... Communication ...
17
The EU Commission concluded:Good health is the basis for economic growth*
Increase of 10% of life expectancy leeds to 0.35% of GDP growth
50% of the growth differential between rich and poor countries
are due to bad health and lower life expectancy
People conclude:Health is the most valuable asset
Health is the lever for prosperity
*Macroeconomics and health: investing in health for economic development, Report on the Commission on Macro-economics and health, Jeffrey D. Sachs, WHO, 20 December 2001
Change of paradigm
18
How to draw attention to this possibility?1. Through contacts to and information of national health
authorities
2. Through a congress: “Improving Healthcare Infrastructure
in an Enlarged Europe”
• Organized by the “European Health Forum Gastein”
on October 04, 2005 in Bad Gastein, Austria
and at least two follow up congresses in 2006 and 2007
• Target Groups:
European Commission (showing the potential)
Health Authorities of new Member States
(proposing projects)
• Sponsor: COCIR