Transcript Integrated Health System Planning

Integrated Health System Planning
An exclusive Executive Circle Briefing
Healthcare is undergoing a
“Copernican Shift”
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The Traditional Healthcare Universe
Consumers (C1 to C5) are forced to interact
with facilities – focused around the needs of the
provider, not the consumer
C4
FACILITY
C1
C5
C2
C3
In 1543, Copernicus was the first to propose that the Earth rotated
around the sun, while accepted scientific thought at the time believed
that the Earth was the center of the universe. Copernicus effectively
“changed the center of the universe”.
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Healthcare’s “Copernican Shift”
Healthcare is undergoing a “Copernican Shift” –
with the consumer now placed at the center of
the orbits of various healthcare strategies
Clinic
• Convenience (PHR)
• Access (PHR)
Home Prevention
• Knowledge (Search)
• Fitness (PHR)
• Wellness (PHR)
CONSUMER
Home Outpatient
Hospital
Home Chronic Care
• Hospital ERP (Azyxxi)
• Full Enterprise
• MTM (PHR)
• Monitoring (PHR)
• Knowledge (Search)
• MTM (PHR)
• Senior Care (Devices)
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Implications of the “Copernican Shift”
The Copernican Shift is being driven by cost & access to
information – consumer behavior and attitudes are changing as
increasing numbers of consumers are being forced to take on
more personal financial responsibility for their health
Importantly, the Copernican Shift displaces both providers and
consumers. Both parties are now in new orbits, without
necessarily having access to the tools they need to fulfill their
new roles
This has created a “Healthcare Gap” between providers and
consumers
How can Microsoft make a positive difference in this
evolving healthcare industry?
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How Can Microsoft Help?
Microsoft is unusually well positioned to help solve both
the enterprise and consumer challenges of the
healthcare industry
Our strong enterprise footprint, products, and
relationships put us in a unique position to aid the
enterprise
Our excellent consumer trust and ubiquity put us in a
position of responsibility with the consumer
Microsoft will be the company that helps providers
and consumers span the healthcare gap
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Why Microsoft?
• When Microsoft makes an investment,
we take a long-term view
• Seven years ago we recognized the
need to invest in the health industry
• Today it represents a $1 billion U.S.
growth market for Microsoft
• History of innovation; We invest
$7 billion every year in R&D – the
largest R&D budget in the software
industry
• A significant amount of R&D spending
is now focused on healthcare
600 dedicated employees
Pervasive in health around the world
$1 billion in sales
63 employees, 115 customers
$320 million in sales
2000 2001 2002 2003 2004 2005 2006 2007
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Our Footprint
• 600 million people around the world
start the day with Windows when they
turn on their computers
• MSN Health + Fitness is the number
two portal in the U.S. – a strong
foundation for future health offerings
MSN Health & Fitness
What’s Next?
Microsoft can be a cornerstone for our
long-term health strategy,
transforming how healthcare is
managed and delivered
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Provider
Challenges
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Challenges in Enterprise Healthcare
Medication
Management
Library
Radiology
Search
Revenue
Cycle
Labs
EKGs
Scanned
Charts
Old Records
OR Management
CPOE
Emergency
Department
Ambulatory
Registration
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What is Azyxxi?
Lab
EMR
Systems
OR
Management
Imaging
Medication
Management
Ambulatory
Emergency
Revenue
Cycle
CPOE
Azyxxi DB
Personalized Views
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Configurable by User
Orthopaedic Unit Nurse
Finance
Quality
Resource Planning
Cardiologist
Regulatory
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Configurable by User
Orthopaedic Unit Nurse
Quickly scan latest platelet count in
post-op patients on blood thinners
Snapshot of pre- and
post-op patients
Anticipated date of surgery
Easily see admission diagnosis
and attending physician
Nurses just one click away
from past medical history
Orthopaedic Unit Nurse
Customized for an orthopaedic nurse to view patients assigned
to their unit, their surgical status and key labs.
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Configurable by User
Finance
Track success at
collecting co-pays
Track success at
collecting co-pays
Finance
Views customized by finance users to integrate and collect data
from across all information systems to improve co-pay
collections at the time of service.
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Benefits of Azyxxi
What You Have
Hard working, disparate information
systems that aren’t feeding you the
best results
What You Need
A single version of the truth
Azyxxi doesn’t replace, but sits on top
of existing information systems
It provides integrated and customized
views + analysis of clinical,
financial, and administrative data
Why You Need Azyxxi
• Azyxxi aggregates and
analyzes all relevant data for
one, nearly instantaneous
view
• Health workers can maximize
the value of information and
make the most informed
decisions
• Informed decisions save your
business money and most
importantly, save patient lives
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Consumer
Challenges
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Health: Advances Require a “Shift Left”
HOME CARE
Specialty
Pharmacy
100%
Healthy,
Independent Living
Community
Clinic
Chronic
Disease Management
Quality of Life
The “total-system
healthcare win” is
in the home
Doctor’s
Office
SHIFT
LEFT
COMMUNITY CARE
Assisted Living
Skilled Nursing
Facility
ACUTE CARE
Specialty Clinic
Community Hospital
ICU
0%
$1
Source: Intel.com
$10
$100
Cost of Care per Day
$1,000
$10,000
Lower cost (good for
plans, employers)
Higher quality of life
(good for consumers)
The key focus for
all competitors will
be on home-based,
consumer-centric
healthcare solutions
HOME CARE FOCUS:
Prevention
Knowledge
Fitness
Wellness
Dr Communications
Chronic Care and
Outpatient
Medications
Monitoring
Community
Medical
Communications
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“Walled”
“Open”
VS
PHR Philosophies
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Consumer Health Platform
3rd Party Applications
My Health
Data
My Health
Data
MS Apps
Platform Services
• User authentication
• User mapping / identity
• Data storage and access
• Personalized search
• Branded data and tools
• Community building
• Incentive infrastructure
• Integration with other devices and services
• Advertising infrastructure
Device
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Family Health Record (FHR)
“Seventy percent of our users are women storing information about kids, spouses, aging parents and
themselves,” says Fotsch, who runs Medem Inc., on online business that links the needs of patients and
doctors through the Web at iHealthRecord.com Source: USA Today – Saturday, January 6, 2006
The “Family Health
Manager” or FHM runs
the FHR
FHR
PHR
Self
PHR
Spouse
PHR
Senior
PHR
Minor
PHR
Minor
PHR
Pet
FHM has
FULL
ACCESS
FHM has
PARTIAL
ACCESS
FHM may have
FULL or PARTIAL
ACCESS
FHM has
FULL
ACCESS
FHM has
FULL
ACCESS
FHM has
FULL
ACCESS
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Bridging the Healthcare Gap
Keystone
Providers
Healthcare Gap
Consumers
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Microsoft Health
Q&A
Discussion
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