HEALTH INFORMATION SYSTEMS - THE IMPACT OF DISRUPTIVE
TECHNOLOGIES Presented by: Reg Magennis, Hubert Wentzel EOH
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"That it will ever come into general use, notwithstanding its
value, is extremely doubtful because its beneficial application
requires much time and gives a good bit of trouble. The Times,
London, 1834 Disruptors...
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Medical scheme product life cycle Time Declining beneficiaries
Escalating costs Inefficiency Waste Innovation SuccessSuccess
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Healthcare is moving from its perpetual IT laggard status to
becoming one of the most vibrant, dynamic and complex IT sectors
Gartner: Hype Cycle for Healthcare Provider Applications, Analytics
and Systems, 20 July 2015
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Source: Frost & Sullivan
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Framework: for discussing the impact of disruptive technologies
on the medical scheme sector Patients/ beneficiaries Distribution
channel Partners Professional Practitioners & Service Providers
Payers Disruptive Technology Innovative service models
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Healthcare Provider IT is increasingly recognized as crucial to
operational efficiency, effectiveness and competitive
differentiation. It is also an essential ingredient of industry
transformation. Gartner: Business Drivers of Technology Decisions
for Healthcare Providers, January 2015
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The space between doctor and patient is filling with
technologies that will improve preventive, diagnostic, therapeutic,
follow up and outcome medical care.
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Digital technologies predicted to disrupt healthcare Source:
The 7 Biggest Innovations in Health Care Technology by Brian
HonigmanThe 7 Biggest Innovations in Health Care Technology Brian
Honigman Wearable Tech- like Google Glass 3D Printed Biological
Materials Hybrid Operating Rooms Digestible Sensors Nanobots in
Blood Fingertip Surgery 3D Printed Biologicals
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Examples of adopted innovative Provider technologies
Enlightened/ Productive Remote ICU E Visits (pre-existing
relationships) Patient portals (with EHR) Interactive patient care
systems Advanced clinical research information systems Source:
Gartner 2015
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Framework: for discussing the impact of disruptive technologies
on the medical scheme sector Patients/ beneficiaries Distribution
channel Partners Professional Practitioners & Service Providers
Payers Disruptive Technology Innovative service models
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To remain competitive and efficient in a changing digital
world: Payers need to transform their foundation IT architecture.
By (for example): Replace legacy administration platforms; Increase
digitization of inbound & outbound communication; Business
process automation; Process and product standardisation Source: 15
June 2015 Saraswati Pramudi, Wipro BAS Architecture Practice
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Innovation/ disruption in payment processing:
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Examples of innovative adopted PAYER technologies Enlightened/
Productive Enterprise Patient Financial Systems (linked to EHR)
Integrated Clinical/Business Enterprise Data Warehouse Patient/
beneficiary portals Home health monitoring Source: Gartner
2015
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Social media platforms: Data can be used for sentiment
analysis, cross selling, up selling, fraud detection and more.
Mobile apps: Consumers are increasingly demanding mobile apps on
various devices to enable an always on relationship with health
insurers. Telematics & wearable technology: e.g. to gather
real-time information on driving behaviours, health metrics for use
in underwriting, risk assessment, premium calculation: Requiring
big data analytics to unlock value/ insights. Technologies
disrupting payers & their distribution/ broker partners
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Is the medical schemes sector innovating in the emerging
landscape of digital technologies?
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Required: services built on transformed IT architecture
Embracing the changing landscape of digital and medical
technologies Big Data: Smart, scientific, predictive Innovative
service models: responsive to digitally enabled patients &
practitioners Technology: Connected / Digital Health Success
Time
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Required: knowledge of how health services are connecting
digitally The medical scheme sector is already experiencing
technology enabled disruption Source:
http://lifesciences.ieee.org/articles/487-a-survey-on-ambient-intelligence-in-healthcare
IoT: 2015: 18,2bn 2020: 50bn
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Real time claims payment processing Based on- Source:
http://smartamerica.org/teams/closed-loop-healthcare/
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Gartner Hype cycle for healthcare
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Components of a full ICT capability / architectural building
blocks Managed Services Big Data and Digital Data centres and
Virtualisation Private/public/ hybrid cloud Security, governance
and compliance Performance Management & Optimisation Mobile and
end-user computing Networks and Unified Communication Source Data
And Database Management Customised Application Development
Enterprise Resource Planning Systems BI & Analytics IT
Management and Optimisation Other Factors: Legislation POPI
Federation
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Innovative ICT roadmap Areas for attention: Technology
assessment Data regulation Benefit design DSP regulation ARM
standards Quality measurement Scheme reporting
