Jörg Schwarz - Agfa HealthCare 360 - e-health 6.6.14

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Agfa HealthCare 360°

Our Roadmap to integrated care and 360° patient insight

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Agenda

Healthcare is changing

Fee for service versus Fee for value

Benefits of integrated care, i.e. chronic disease management

Agfa Maturity model / HIMSS Continuity of Care model

Economics in a changing environment

Step-by-step approach

New quality driven business model enabled by IT

Value for Stakeholders

Patients

Providers

Payers

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Healthcare costs in selected OECD countries

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Hospital admission rates – a comparison

0

5

10

15

20

25

30

35

40

2006 2007 2008 2009 2010 2011

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50

100

150

200

250

300

350

400

USA

Germany

UK

France

Brazil

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Chronic Disease Management: Cost & Quality

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Outcomes based payments require integrated care

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Integrated Care is here to stay

Care Coordination shows

results

Initial results of accountable

care organization show double

digit cost reduction and quality

improvement

Shift from acute care to

preventive care

More prevention saves cost

Less revenue for Hospitals

(fewer acute care episodes),

more revenue for GPs and

Specialists (more preventive

care)

.

The end of the fee for service era?

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Agfa Maturity Model

Maturity

Level

Objectives Characteristics

1 Messaging

• Simple pnt-to-pnt messaging (e.g. email) to send orders and to receive results (push only – the data is

stored in the edge systems)

2 Sharing • Query and retrieve results, stored at different locations (push-pull model, central / federated data

storage ). Example XDS

• Data is structured and non-structured with various levels of data quality

• Tracking of orders / referrals (status monitoring, task management)

3 EHR • Use semantics (e.g. NLP, master data, tagging) and data quality management mechanisms (e.g.

validation, normalization) to ensure that the data is structured and of guaranteed data quality

(complete, consistent and correct)

• Provide longitudinal view on clinical results of patients (virtual patient record), stored at different

locations

• Support secure electronic communication (e.g. chat, secure email) among different members of care

team

• Access to clinical guidelines in applications

• Provide patient level alerting

4 Analytics • Provide outcome reporting (KPIs) and dashboards on financial, operational, clinical level

• Search and navigate through the data in interactive way

• Support secondary data usage for clinical trials

5 Smart Care

• Improve clinical outcome and reduce clinical risk by using Clinical Decision Support mechanism (e.g.

reasoning, predictive analytics) for ordering, diagnosis and treatment planning

• Generate knowledge from information (e.g. using predictive analytics, community authoring)

• Integrate high variety of data sources, including sensors, genomics

6 Integrated

Care

• Support clinical pathways (process workflow) for disease / health management

• Create patient/case centric virtual care teams using advanced collaboration tools (e.g. forums, social

media,

• Provide population level alerting

HIE

EHR

Agfa

360

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HIMSS Continuity of Care Model

= Level 1

AGFA

Model

= Level 2

= Level 3

~ Level 4

~ Level 5

= Level 6

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Step-by-Step Transition

An economically viable way to transition from status-quo to state-of-the-Art

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Quality driven delivery model

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Data progression enables integrated care

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5 steps to integrated care; value @ every step

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Value creation

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Summary

Integrated Care is promising

Can improve outcomes by supporting a holistic, 360° view of the patient

Can reduce cost by eliminating waste & redundancy, prevention of escalations

New generation of Health IT can support Integrated care

Collect and aggregate data across the care continuum

Semantically enhance data

Support clinical decisions, reminders, & prevention

New Business model

From fee-for-service (volume oriented) to

fee-for-value (outcomes oriented)

Patient Engagement

Patient is involved and informed to better manage health outcomes

Governments and Payers are important

Create & funds standards, infrastructure to enable transition

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Questions & Comments

Joerg.schwarz@agfa.com