Monday, November 17, 2008

CITIH - What innovative technologies come next

Jason Hwang of the Innosight Institute presented the Innovator's Prescription.

The rate of technological progress has out paced the customers ability to absorb it. This benefits the incumbent.

Disruptive innovations typically occur on a parallel path in entirely new markets. This is asymmetric competition. What does that mean for HealthCare?

Disruption is decentralizing the venues of care. This is competing against the general hospital. Thus the emergence of outpatient clinics. This process has now moved further out to the Doctor's office. Ultimately some care may take place at home.

In the same way disruption enables de-skilling of specialist skills. Work migrates from Specialists to general physicians to retail clinics.

Jay Srini: Medical Home - moving from sick care to well care.

The medical Home is a misnomer but it is a term we have all got to grips with.

The personal physician leads a team of individuals in your care and wellness.

An EHR is a system of systems. Embracing identity, security, communications etc.

"We need semantic interoperability".

Digitized images and data lead to new discoveries.

Employers are linking wellness to their ROI through reduction in absenteeism etc.

With an aging population we have opportunities to instrument our surroundings using biometrics and wearable computing and other devices.

Philips have introduced the iPill. It senses acidity to determine when to release a medicine dosage when it reaches the gut.

Linda McCann, HP:

The convergence of bioscience innovations, increasing healthcare costs, the aging population,technology adoption and individuals demanding more empowerment over their health management.

"The chain of information is broken"

We need to bridge the gap between research and clinical care.

If PatientsLikeMe is the model then the engaged consumer will drive this linkage.

Ken Waldbillig:

Most of the data is unstructured. Leverage what you have.

Creating a single version of the truth. This drives a web services approach and the building of an enterprise service bus.

"Talk to the Bus"

Mike LaChance, Agfa:

Policy makers believe that there are $1.5B to $6B of savings from redundant diagnostic imaging - annually.

We may see a registry for nationwide diagnostic imaging registry exchange.

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