Meeting healthcare challenges: what are the challenges and what is the role of e-health?

Meeting healthcare challenges: what are the challenges and what is the role of e-health? Richard Smith Chief executive, UnitedHealth Europe

Agenda ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fee for serv i ce for the rich Marks and Spencer style managed care for the middle classes Safety net service for the poor The way all health systems will be. Uwe Reinhardt

Characteristics of an optimal health system: Institute of Medicine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

IOM report: the problem ,[object Object],[object Object],[object Object],[object Object]

IOM report: the problem ,[object Object],[object Object],[object Object],[object Object],[object Object]

The major challenges ,[object Object],[object Object],[object Object],[object Object]

How safe is health care? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

How to respond? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Problems of access ,[object Object],[object Object],[object Object],[object Object]

Role of e-health in responding ,[object Object],[object Object],[object Object],[object Object]

Responsiveness/usability of the system ,[object Object],[object Object],[object Object],[object Object],[object Object]

How can e-health help? ,[object Object],[object Object],[object Object]

Affordability ,[object Object],[object Object]

Successful health system reform Controversy without impact Transformation Improved Status quo outcomes Effective implementation Effective system design Source: derived from DU

Copyright ©2005 BMJ Publishing Group Ltd. Quam, L. et al. BMJ 2005;330:530-533 Fig 3 Annual expenditure per employee on information and communication technology in United Kingdom in different economic sectors, 2000

Copyright ©2005 BMJ Publishing Group Ltd. Quam, L. et al. BMJ 2005;330:530-533 Fig 1 Risk adjusted mortality from cancer against length of stay for institutions in New York State. The size of the circle indicates the number of patients treated

Three pet issues ,[object Object],[object Object],[object Object]

Current problems ,[object Object]

Words used by 41 doctors to describe their information supply ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The information paradox Doctors are overwhelmed with information but cannot find the information they need when confronted with a question. Muir Gray

Water, water everywhere Nor any drop to drink

A vision of a better information tool for clinicians 1 ,[object Object],[object Object],[object Object],[object Object],[object Object]

A vision of a better information tool for clinicians 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The importance of all research being free to everybody everywhere

Why provide free access to research? ,[object Object],[object Object],[object Object],[object Object]

A vision of something better ,[object Object],[object Object]

Money ,[object Object],[object Object],[object Object],[object Object],[object Object]

Balkanisation ,[object Object],[object Object],[object Object],[object Object]

Risk stratification of patients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Copyright ©2005 BMJ Publishing Group Ltd. Roland, M. et al. BMJ 2005;330:289-292 Emergency admissions and emergency bed days per person for patients [≥]65 in 1997-8: comparison of those with two or more emergency admissions in 1997-8 ("high risk") with general population (England)

Change=burning platform x vision x next steps

Barriers to transformation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

"The Sicilians never want to improve for the simple reason they think themselves perfect; their vanity is stronger than their misery.”

Entrepreneurs are simply those who understand that there is little difference between obstacle and opportunity and are able to turn both to their advantage. Niccolo Machiavelli

Meeting healthcare challenges: what are the challenges and what is the role of e-health?

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Meeting healthcare challenges: what are the challenges and what is the role of e-health?