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Transforming Healthcare
Is it enough?
Dr Lester Russell
Global Chief Medical Officer
Fujitsu


                               © Copyright 2012 Fujitsu
Healthcare is in crisis
across the globe.

Connections
will be as influential as antibiotics
 were in changing healthcare.


Change is hard
but IT-enabled business change
 delivers patient benefits.

                              1         © Copyright 2012 Fujitsu
2   © Copyright 2012 Fujitsu
UK Health Expenditure




          3             © Copyright 2012 Fujitsu
US National Health Expenditure ($ trillion)




                     4                        © Copyright 2012 Fujitsu
Canada National Health Expenditure ($ billion)




                      5                      © Copyright 2012 Fujitsu
GM spends more
on healthcare
than advertising or
sheet metal
                  6   © Copyright 2012 Fujitsu
The greatest threat to America’s fiscal
health is not Social Security. It’s not the
investments that we’ve made to rescue
our economy during this crisis. By a wide
margin, the biggest threat to our
nation’s balance sheet is the
skyrocketing cost of health care. It’s
not even close. 

President Obama White House speech, March 2009
                      7                   © Copyright 2012 Fujitsu
Mounting Medical Care
Spending Could Be Harmful
To The G-20's Credit Health.
Standard & Poor's Ratings Services
January 2012


                     8               © Copyright 2012 Fujitsu
5%       of admissions
due to adverse drug
reactions




                      9
10% of
     patients
     harmed
     due to errors
     including wrong-
     sided surgery

10                © Copyright 2012 Fujitsu
“   Doctors use ancient
    tools, memorize
    symptoms and solutions…




                        …and a half-way decent
                     search engine can leave

                         11
                              them in the dust.
                                                       ”
                                           © Copyright 2012 Fujitsu
80% of GP consultations (UK) 75% of health bill (US)
                         12                  © Copyright 2012 Fujitsu
13
One third of
     adults in the US
           are obese




14               © Copyright 2012 Fujitsu
15
16
Diagnosis:
Heart failure

Prognosis:
50% at 4yrs.

                17   © Copyright 2012 Fujitsu
The burden of
     chronic diseases
     Diabetes
                   Diabesity
     Obesity
     Cancer
     Heart
     Respiratory
18                    © Copyright 2012 Fujitsu
19   © Copyright 2011 Fujitsu
Healthcare is in a
highly visible
crisis


                     20   © Copyright 2012 Fujitsu
Crisis

Connections

Change
              21   © Copyright 2012 Fujitsu
Connections = the new antibiotics




                22
23
Reducing Cost, Improving Quality of Life




                   24                      © Copyright 2012 Fujitsu
Level of Health




     Birth

25
     Death
Level of Health




     Birth

26
     Death
Level of Health




     Birth

27
     Death
Level of Health




     Birth

28
     Death
Healthcare productivity




                max
                            
                                         $
       “the quality of patient outcomes
       relative to the dollars expended”
       Porter & Olmsted Teisberg - Redefining Health Care, 2006
                                 29                               © Copyright 2012 Fujitsu
The healthcare framework




                      30   © Copyright 2012 Fujitsu
Our vision - The 3D EHR




                      31   © Copyright 2012 Fujitsu
4th dimension - Populations




                     32       © Copyright 2012 Fujitsu
Vision of a health cloud




                           33
Larry’s story




                34   © Copyright 2012 Fujitsu
FUJITSU LABORATORIES OF
35
                    35© Copyright 2012
     AMERICA, INC. CONFIDENTIAL Fujitsu
FUJITSU LABORATORIES OF
36
                    36© Copyright 2012
     AMERICA, INC. CONFIDENTIAL Fujitsu
Connections =

the new
antibiotics

                37   © Copyright 2012 Fujitsu
Crisis

Connections

Change
              38   © Copyright 2012 Fujitsu
Paving the
cow-paths

             39   © Copyright 2012 Fujitsu
“Swallow
     two Tablet
      PCs and call
        me in the
       morning….”

40            © Copyright 2012 Fujitsu
41   © Copyright 2012 Fujitsu
42   © Copyright 2012 Fujitsu
“This is no time…
to take the tranquillizing
drug of gradualness.”
   Dr Martin Luther King

                     43    © Copyright 2012 Fujitsu
44
45   © Copyright 2012 Fujitsu
“We’re here
          to make a dent
         in the universe.
              Otherwise,
     why even be here?”
46
A Perfect Storm - Eric Topol



 >4bn mobile phone users
  Broadband /
  3G / 4G
  Pervasive
  connectivity
  Smartphones
  Ingenious sensors
                        47     © Copyright 2012 Fujitsu
Omics



                            Enzymes
 Genes (DNA)   Proteins
                          (Metabolism)




                    48           © Copyright 2012 Fujitsu
49
“Nanopore genome
                       sequencer promises
                       a human genome in
                       15 minutes.”
Oxford Nanopore        Nature 17th Feb 2012
                  50                          © Copyright 2012 Fujitsu
Change is
hard

and it’s also
unstoppable
                51   © Copyright 2012 Fujitsu
Healthcare is in crisis
across the globe.

Connections
will be as influential as antibiotics
 were in changing healthcare.


Change is hard
but IT-enabled business change
 delivers patient benefits.

                              52        © Copyright 2012 Fujitsu
“   The first person to live to be 1,000
    years old is certainly alive today…
    … whether they realize it or not, barring
    accidents and suicide, most people
    now 40 years or younger can expect to
    live for centuries.
                        ”
    Aubrey de Grey Cambridge University geneticist




                            53                   © Copyright 2012 Fujitsu
Copyright 2010 FUJITSU LIMITED
54   54
When the
facts change,
I change my mind.

What do you
do, sir?                 John Maynard Keynes




                    55                         © Copyright 2012 Fujitsu
56   © Copyright 2012 Fujitsu
Health care disruptors


                                        Agile
                                        Lean
                                      Nimble
                              Productivity
                                  Value-for-money
                              Outcomes
                                  Business Intelligence
                                  Analytics
                         57                     © Copyright 2012 Fujitsu
Dis-integration is coming




                        58   © Copyright 2012 Fujitsu

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Transforming Healthcare - Fujitsu's Dr Lester Russell

  • 1. Transforming Healthcare Is it enough? Dr Lester Russell Global Chief Medical Officer Fujitsu © Copyright 2012 Fujitsu
  • 2. Healthcare is in crisis across the globe. Connections will be as influential as antibiotics were in changing healthcare. Change is hard but IT-enabled business change delivers patient benefits. 1 © Copyright 2012 Fujitsu
  • 3. 2 © Copyright 2012 Fujitsu
  • 4. UK Health Expenditure 3 © Copyright 2012 Fujitsu
  • 5. US National Health Expenditure ($ trillion) 4 © Copyright 2012 Fujitsu
  • 6. Canada National Health Expenditure ($ billion) 5 © Copyright 2012 Fujitsu
  • 7. GM spends more on healthcare than advertising or sheet metal 6 © Copyright 2012 Fujitsu
  • 8. The greatest threat to America’s fiscal health is not Social Security. It’s not the investments that we’ve made to rescue our economy during this crisis. By a wide margin, the biggest threat to our nation’s balance sheet is the skyrocketing cost of health care. It’s not even close. 
 President Obama White House speech, March 2009 7 © Copyright 2012 Fujitsu
  • 9. Mounting Medical Care Spending Could Be Harmful To The G-20's Credit Health. Standard & Poor's Ratings Services January 2012 8 © Copyright 2012 Fujitsu
  • 10. 5% of admissions due to adverse drug reactions 9
  • 11. 10% of patients harmed due to errors including wrong- sided surgery 10 © Copyright 2012 Fujitsu
  • 12. Doctors use ancient tools, memorize symptoms and solutions… …and a half-way decent search engine can leave 11 them in the dust. ” © Copyright 2012 Fujitsu
  • 13. 80% of GP consultations (UK) 75% of health bill (US) 12 © Copyright 2012 Fujitsu
  • 14. 13
  • 15. One third of adults in the US are obese 14 © Copyright 2012 Fujitsu
  • 16. 15
  • 17. 16
  • 18. Diagnosis: Heart failure Prognosis: 50% at 4yrs. 17 © Copyright 2012 Fujitsu
  • 19. The burden of chronic diseases Diabetes Diabesity Obesity Cancer Heart Respiratory 18 © Copyright 2012 Fujitsu
  • 20. 19 © Copyright 2011 Fujitsu
  • 21. Healthcare is in a highly visible crisis 20 © Copyright 2012 Fujitsu
  • 22. Crisis Connections Change 21 © Copyright 2012 Fujitsu
  • 23. Connections = the new antibiotics 22
  • 24. 23
  • 25. Reducing Cost, Improving Quality of Life 24 © Copyright 2012 Fujitsu
  • 26. Level of Health Birth 25 Death
  • 27. Level of Health Birth 26 Death
  • 28. Level of Health Birth 27 Death
  • 29. Level of Health Birth 28 Death
  • 30. Healthcare productivity max  $ “the quality of patient outcomes relative to the dollars expended” Porter & Olmsted Teisberg - Redefining Health Care, 2006 29 © Copyright 2012 Fujitsu
  • 31. The healthcare framework 30 © Copyright 2012 Fujitsu
  • 32. Our vision - The 3D EHR 31 © Copyright 2012 Fujitsu
  • 33. 4th dimension - Populations 32 © Copyright 2012 Fujitsu
  • 34. Vision of a health cloud 33
  • 35. Larry’s story 34 © Copyright 2012 Fujitsu
  • 36. FUJITSU LABORATORIES OF 35 35© Copyright 2012 AMERICA, INC. CONFIDENTIAL Fujitsu
  • 37. FUJITSU LABORATORIES OF 36 36© Copyright 2012 AMERICA, INC. CONFIDENTIAL Fujitsu
  • 38. Connections = the new antibiotics 37 © Copyright 2012 Fujitsu
  • 39. Crisis Connections Change 38 © Copyright 2012 Fujitsu
  • 40. Paving the cow-paths 39 © Copyright 2012 Fujitsu
  • 41. “Swallow two Tablet PCs and call me in the morning….” 40 © Copyright 2012 Fujitsu
  • 42. 41 © Copyright 2012 Fujitsu
  • 43. 42 © Copyright 2012 Fujitsu
  • 44. “This is no time… to take the tranquillizing drug of gradualness.” Dr Martin Luther King 43 © Copyright 2012 Fujitsu
  • 45. 44
  • 46. 45 © Copyright 2012 Fujitsu
  • 47. “We’re here to make a dent in the universe. Otherwise, why even be here?” 46
  • 48. A Perfect Storm - Eric Topol >4bn mobile phone users Broadband / 3G / 4G Pervasive connectivity Smartphones Ingenious sensors 47 © Copyright 2012 Fujitsu
  • 49. Omics Enzymes Genes (DNA) Proteins (Metabolism) 48 © Copyright 2012 Fujitsu
  • 50. 49
  • 51. “Nanopore genome sequencer promises a human genome in 15 minutes.” Oxford Nanopore Nature 17th Feb 2012 50 © Copyright 2012 Fujitsu
  • 52. Change is hard and it’s also unstoppable 51 © Copyright 2012 Fujitsu
  • 53. Healthcare is in crisis across the globe. Connections will be as influential as antibiotics were in changing healthcare. Change is hard but IT-enabled business change delivers patient benefits. 52 © Copyright 2012 Fujitsu
  • 54. The first person to live to be 1,000 years old is certainly alive today… … whether they realize it or not, barring accidents and suicide, most people now 40 years or younger can expect to live for centuries. ” Aubrey de Grey Cambridge University geneticist 53 © Copyright 2012 Fujitsu
  • 55. Copyright 2010 FUJITSU LIMITED 54 54
  • 56. When the facts change, I change my mind. What do you do, sir? John Maynard Keynes 55 © Copyright 2012 Fujitsu
  • 57. 56 © Copyright 2012 Fujitsu
  • 58. Health care disruptors Agile Lean Nimble Productivity Value-for-money Outcomes Business Intelligence Analytics 57 © Copyright 2012 Fujitsu
  • 59. Dis-integration is coming 58 © Copyright 2012 Fujitsu