Digital hospitals opportunities-overview
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The healthcare industry has quietly shed the laggards tag and has quickly emerged as frontrunners in digitization. Hospitals are driving technology advancements by creating a digital framework for seamless integration of all aspects of patient care and administration. There are 5 major themes that are seen as critical in the hospital IT ecosystem – Smart Care, Patient Information Management, Remote Care, Medical Devices, and Intelligent Enterprise Systems. Large enterprises such as Microsoft and Accenture are collaborating with healthcare providers to address a variety of use cases such as chronic disease management, virtual care solutions, risk scoring, patient tracking and monitoring, precision medicine, and patient on/off-boarding. Accenture and Microsoft helped Spain’s Basque Country Health Centre build a remote elderly patient monitoring system. Athenahealth’s cloud-based network system helps Minnie Hamilton Health System identify bottlenecks and streamline the revenue cycle. Download the report as we provide an overview of the hospital IT landscape, understand digital transformation trends across these 5 major themes and the opportunities available for vendors and service providers.
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Digital hospitals opportunities-overview
- 1. TITLE OF PRESENTATION DIGITAL HOSPITALS Technology Focus & Related Opportunities 2019
- 2. 2 Digital Hospital Framework: Hospitals are driving technology advancement by creating a digital framework for seamless integration of all aspects of patient care and administration Note: Analysis is based on the DRAUP’s proprietary engineering database, updated in March 2019 Note: Primary and secondary research sources have been used to align the Digital themes and use-cases Digital Leaders Chief Digital Officer Chief Population Health Officer Chief Experience Officer Chief Clinical Transformation Officer Chief Strategy Officer Chief Executive Officer Technology Foundation Artificial Intelligence Robotics Internet of Things Big Data/Analytics Cloud Themes of Digitization Smart Care Patient Information Management Medical Devices • Safety & Security • Automation Systems • Infotainment Systems • Communications • Energy Management • Connectivity • Early Detection and Diagnosis • Clinical Decision Support • Wellness & Prevention • Therapeutics/ Chronic Disease Management • Virtual Care • Connected Home Health Remote Care • EMR/EHR • CRM/Billing Systems • Practice Management • Imaging • Non-Imaging • Surgical • Prosthetics • Therapeutics • Monitoring Devices Intelligent Enterprise Systems Digitization Assets New-age roles RPA Developer NLP Engineer ML Engineer Data Scientist Data Analyst Data Engineer Cloud Engineer Data Security Architect Database Administrator Platform Developers Applications Engineer Infrastructure Unified Communications (Gateways, Connectivity Protocols, Networks) Sensors SDN Storage: Cloud Infrastructure, Data lakes Medical devices, RFIDs, identification systems, wearables SecurityMedical Grade Network Surveillance Energy, Waste, & Water Management Use-cases Drug Management Patient Scheduling Tracking Staff, Patients and Inventory Patient on/offboarding Virtual Care in Remote Areas Precision Medicine Chronic Disease Management Risk Scoring for chronic diseases Networked Medical Devices Connected Clinical Systems Surveillance and Identifications Systems Data Management Hospital Operations Systems Networking EquipmentRemote Care SystemsInternal Communication
- 3. 3 Major Themes of Hospital Digitization Smart Care Hospitals are looking for technology solutions that use patient data to help the doctors fine-tune their administrative processes. • Early detection & diagnosis: Prevent clinical risk using algorithms on patient data • Clinical support decision: Using CDSS to increase accuracy & speed of decision making • Wellness & protection: Wellness apps and wearables for well being • Therapeutics/Chronic Disease management Medical Devices Medical devices collecting data about patient vital signs and medication intake, or monitoring life support machines, can lead to increased patient safety Intelligent Enterprise Systems Includes end-to-end smart systems that control various functions critical for the operation of hospitals. • Safety & Security: Safety and security of hospital and patients • Automation: Automating various processes to increase efficiency & performance • Communication: Integrated devices which communicate for information • Infotainment: Interactive infotainment systems & IPTV for patients • Energy Management: Solutions to improve operational efficiency of a hospital • Connectivity: Solutions that enable internal and external connectivity in hospitals Patient Information Management ICT solutions that enable availability of patient information in all stages - from entry to exit – and the optimization of admission, scheduling and other processes around it that can result in seamless patient flow. • EMR/EHR: Electronic patient data collection & storage • CRM/Billing Systems: Financial accounting systems for hospitals • Practice Management: Manage appointments, claims and statements, prescriptions and reporting Remote Care Introducing IoT devices with the patients’ to extend the hospital borders and provide remote medical care. • Virtual Care: Usage of digital platforms for interaction between physicians and patients • Connected Home Health: Constant home monitoring and tracking patient’s progress • Monitoring Devices • Non Imaging Devices • Prosthetics • Imaging Devices • Surgical Devices • Other Therapeutics Digitization Themes : DRAUP has identified 5 digital themes that play a crucial role in the technological advancement of a hospital Note: Analysis is based on the DRAUP’s proprietary engineering database, updated in March 2019 Note: Primary and secondary research sources have been used to align the Digital themes and use-cases
- 4. 4 Case study: Therapeutics Novartis has entered into a collaboration with Pear Therapeutics to develop novel prescription digital therapeutics for Schizophrenia • Developing new treatments for patients with schizophrenia and multiple sclerosis to better address the full burden of their illnesses. • Novartis will work with Pear to advance clinical development of their THRIVE(TM) digital therapeutic for patients with schizophrenia. • Design and develop a new therapeutic application to address underserved mental health burden in patients with multiple sclerosis. Vendor Landscape Predictive Analytics Wellness & Prevention Therapeutics Segments of Smart Care Early Detection and Diagnosis Patient data can be used to predict clinical risk, enabling providers to target resources where they are needed most and target problems that would benefit from early intervention. Computer-based algorithms, drawing on patients’ clinical and demographic data, can generate risk scores identifying those at higher risk of avoidable readmissions. Key use cases include: • Predictive Analytics • Medical Imaging insights • Drug discovery Clinical Decision Support Technologies which aid clinical decision making and workflow offer substantial opportunities to reduce variation in care while improving the accuracy and speed of decision making. Creating an entire workflow from diagnosis to the laboratory to the diet to the physical therapy and medication. Clinical Decision Support System (CDSS) ranges from very passive electronic aids, such as hyperlinks to guidelines, to extremely pro-active one-click flow mechanisms. • Silent Health deterioration alerts • Patient Risk assessment and recommendation • Fatigue alerts Therapeutics/ Chronic Disease Management Digital health solutions empower chronic disease patients to manage their health on their own by introducing relevant lifestyle improvements and changing behavioral patterns, as well as enabling healthcare professionals to adjust treatment and monitor their at-risk population. Wellness and Prevention Digital health and wellness mainly refers to psycho-social and physical well-being in a technological world, or else the increased use of technologies by people for their wellbeing. Wellness apps and wearables, for example, might make vague claims about what they can help you do, such as increase energy, lose weight, get fit, or sleep better. Note: Analysis is based on the DRAUP’s proprietary engineering database, updated in March 2019 Smart Care: Advances in medical devices, coupled with improvements in cloud and analytics, have hastened the penetration of precision medicine and decision support solutions Smart Care Digitization Assets Data Management • Patient Health Data • Financial, organisational and other hospital data Interconnected Clinical Information Systems • Hospital Information Systems • PACS Networking Equipment • IOT Equipment
- 5. 5 Segments of Remote Care Vendor Landscape Virtual Care Telemedicine/health Wearables Monitoring devices Case study: The TEKI project How Accenture and Microsoft helped Spain’s Basque Country Health centre build a remote elderly patient monitoring system known as TEKI. • The TEKI system in Spain’s Basque Country keeps patients connected to their care team via an internet-linked Microsoft Kinect unit • Patients communicate regularly with their physician using video, voice or text messages via an interface on their TV screen. • They can also complete symptom-related questionnaires by gesture control, perform prescribed rehabilitative exercises and check vitals. Virtual care Virtual care is a term that encompasses all the ways hospitals/physicians interact with their patients using digital platforms like live video, audio, or instant messaging etc. Telemedicine is one major virtual care segment, but it specifically refers to the medicinal aspect of healthcare. Offering medical advice and prescriptions, physiotherapy, at-home exercises and continuous monitoring of chronic patients through smart phones, web or hospital based platforms are key aspects of telemedicine • Driving real-time communication between providers, specialists, and patients. • Enabling smaller and/or rural hospitals to leverage specialists from other facilities. • Reducing ambulance time spent by providers, specialists and patients. • Allowing patients to participate in their healthcare from any device, anywhere, and at any time • Enhancing patient engagement, overall satisfaction and outcomes Connected Home Health • Connected health monitoring in the home involves individual ‘piecemeal’ smart health gadgets that provide an ongoing wellbeing assessment to the user. • Developing everyday appliances to specifically help the patient and therefore fit into the connected home is the next immediate step for the medical industry. . • Electronics and mobile companies are launching independent devices and smartphone applications , to track heart rate, activity and even sleep patterns • The connected home will be a major enabler in helping the NHS to replace certain healthcare services, freeing up beds for just the most serious cases and easing the pressure on GP surgeries and A&E departments • Home health technology will continuously check for vital signs and everyday non-invasive health checks will be possible without the need for a doctor Note: Analysis is based on the DRAUP’s proprietary engineering database, updated in March 2019 Remote Care: Remote care initiatives will enable capacity-constrained healthcare systems to steer patients away from hospitals and deliver medical treatment at home Remote Care Digitization Assets Data Management • Patient Health Data Networked Medical devices • Devices for tele-diagnosis & tele- monitoring • Automated dosing equipment Networking Systems • IoT Gateways Remote Care Systems • Implantable devices such as pacemakers • Wearable external devices-insulin pumps
- 6. 6 Practice Management Practice Management manages different administrative and clinical aspects such as Patient Portal, Scheduling and e-Prescribing using desktop software, client-server software and Internet-based software. EMR/EHR Electronic Health Records (EHR) and Electronic Medical Record (EMR) deliver advantages to healthcare providers and patients by enabling better collection, storage and sharing of health information for the purpose of coordinated care delivery. Electronic data storage and retrieval reduces the risk of lost patient records and test results and offers more secure access over their paper predecessors. Key functions of EHR/EMR that help physicians offer better care include: • Identify and maintain a patient record • Manage patient demographics • Manage problem lists • Manage medication lists • Manage patient history • Manage clinical documents and notes • Capture external clinical documents • Present care plans, guidelines, and protocols CRM/Billing Systems Financial systems is aided by accounting software for healthcare organizations, healthcare billing systems, healthcare policy and contract management software and interactive and intuitive inventory control systems. Segments of Patient Information Management Vendor Landscape EMR/EHR Practice ManagementCRM/Billing Systems Case study: Minnie Hamilton Health System • Athenahealth’s cloud-based network system helps Minnie Hamilton Health System to identify bottlenecks and streamline the revenue cycle. • Athena’s dashboards provide quality measures that helps in highly efficient data capture and reporting. • This helped the health centre increase operational efficiencies, and reduced the number of days in accounts receivable by 10 days, and 90 percent of providers are completing their charts in the same day Note: Analysis is based on the DRAUP’s proprietary engineering database, updated in March 2019 Patient Information Management: Advances in software solutions and a deeper understanding of patient data storage and computing are key drivers of EHR/EMR evolution Patient Information Management Digitization Assets Data Management • Patient Health Data • Inventory Data Networking Systems • IoT Gateways Interconnected Connected Communication Systems • Hospital Information Systems • Laboratory Information Systems • Pharmacy Information System • Blood Bank System
- 7. 7 Segments of Medical Devices Imaging Medical imaging seeks to reveal internal structures hidden by the skin and bones, as well as to diagnose and treat disease. Medical imaging also establishes a database of normal anatomy and physiology to make it possible to identify abnormalities. Non-Imaging The connected Non-imaging devices are hand held devices registers only a single response value, with no finer resolution, hence no image can be made from the data. Monitoring The Connected monitoring medical devices are those that are capable enough to transmit vital sign data from a patient home to the hospital staff. Prosthetics The Connected prosthetic device replaces a part of the body, corrects a physiological malfunction and supports deformed part of the body. Surgical A device that is used to perform specific action during a surgery by modifying biological tissue and providing access for viewing it. Other Therapeutics Connected therapeutic medical devices attempt to augment or replace certain critical physiological functionalities and provide needed pain therapy using ventilators, hemodialysers, pacemakers, infusion pumps, and deep-brain or spinal stimulators. Case study: Internet of Things Powers Connected Surgical Device Infrastructure Medical device manufacturer partners with Cognizant to create IoT network • Manufacturers needed to regularly capture important data about the health and status of the equipment manually. This manual process resulted delay in receiving the data. • IOT enabled instrument that can be plugged into thousands of existing equipment to gather and automatically transmit important data. • Projected Results: ➢ Savings of $6 million annually. ➢ Return on investment in under one year. ➢ Improved customer satisfaction. ➢ Faster deployment of software updates. ➢ Better device performance overall. Vendor Landscape Imaging Monitoring Therapeutics Surgical Note: Analysis is based on the DRAUP’s proprietary engineering database, updated in March 2019 Medical Devices: Focus on affordable pricing, faster detection, and reduction in hospital stays are key factors driving continuous investment in advanced medical devices Medical Devices Digitization Assets Networked Medical devices • Devices for tele-diagnosis & tele-monitoring • Automated dosing equipment Networking Systems • IoT Gateways • Network Interface Cards Remote Care Systems • Implantable devices such as pacemakers • Wearable external devices-insulin pumps Connected Communication Systems • Hospital Information Systems • Laboratory Information Systems • Pharmacy Information System
- 8. 8 Segments of Intelligent Enterprise Systems Vendor Landscape Safety Automation Communication Infotainment Energy Case study: Bosch partners with Banner Health Bosch subsidiary Climatec partners with Banner Health to offer connected solutions • Bosch and Banner Health collaborated together to plan, develop and integrate solutions in the new and retrofitted 29 hospital • In 15 Banner Health facilities, Bosch offers building automation, air condition & fire detection equipment, along with nurse-call and infotainment systems for patients which is integrated and connected from a single source • The partnerships goal is to use connected solutions to provide economical and reliable medical care to patients Safety Technologies such as sensor-based video in corridors and at entry and exit, video management suite and network-based systems offers safety via video imaging surveillance. Such technologies help in monitoring patient, employee and visitor traffic and improve hospital security and prevent crimes and fraud medical insurance claims Automation Automating several tasks such as admission processes, medication processes, documentation, and drug supply increases efficiency and performance of the hospital staff. It saves costs, reduces the workload of hospital staff, streamlines medical billing, etc. Infotainment Interactive infotainment systems allow patients to place an order, adjust bed position and offers access to music, games, and movies. IPTV includes TV programming, health information videos, hospital messaging notifications, automates patients requests, and patient education videos Energy Management Energy management solutions improve financial health and operational efficiency of a hospital by adopting energy efficient infrastructure, automating and integrating systems, and real-time metering Communication Connected and integrated devices communicate with each other thereby increasing the efficiency and reducing time loss. Information is stored centrally at one place which links pharmacy to labs and EHRs to images and reduces manual tasks and manual error. Note: Analysis is based on the DRAUP’s proprietary engineering database, updated in March 2019 Intelligent Enterprise Systems: Ability to enhance patient safety and automate redundant manual systems allows physicians and nurses to focus on diagnosis and care Connectivity Connected hospital infrastructure allows internal and external connectivity with the help of fast networking solutions. This allows seamless data transmission between different facilities. Intelligent Enterprise Systems Digitization Assets Internal Communication • Alert and emergency communication • Communications between various departments Networking Systems • IoT Gateways • Network Interface Cards Surveillance & Identification System • Biometric scanners • RFID systems • Beacons • Surveillance cameras Connected Communication Systems • Hospital Information Systems • Laboratory Information Systems • Pharmacy Information System
- 9. 9 Chief Digital Officer Chief Technology Officer Chief Experience Officer Chief Information Officer Chief Information Security Officer Chief Clinical Transformation Officer Chief Population Health Officer Chief Innovation Officer Cloud Big data/ Analytics Software Automation Security Director – Datacenter & Storage Director Hybrid Cloud Strategy Director - Advanced Analytics Director - Analytics and Data Engineering Director – Clinical information systems Director - Application Development & Integration Director - Automation Engagement Director - Information Security Director- Network & Data Security Enterprise Automation Leader Manager- Hospital Automation Systems Manager- Enterprise Automation Manager - Data Quality, BI, Field Analytics Manager Information Security Cybersecurity Expert Chief Cloud Architect Cloud Application Operations Manager Manager Clinical Information Systems Leadership Structure of a Digital Hospital Note: Analysis is based on the DRAUP’s proprietary engineering database, updated in March 2019 Digital Hospital Leadership: Digital executives play a critical role in analyzing solutions and strategies that meet the patient care, operational and financial needs of their organizations, and deploy technology appropriately Chief Executive Officer
- 10. 10 ClinicalPredictive Analytics Telemedicine/ Virtual care EHR/EMR & Hospital Management Communication Automation Patient Experience Drug Discovery Information and Clinical Trials Genetic Research EMR/EHR CRM/Billing Systems Practice Management Clinical Decision Support Imaging Monitoring Note: Analysis is based on the DRAUP’s proprietary engineering database, updated in March 2019 Note: Primary and secondary research sources have been used to align the Digital themes and use-cases Hospital Software and Tools: With so many different solutions available now, health systems need to be able to cut through the marketing hype to find the tools most fitting for real-time needs
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