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TiE Healthcare Technology Innovation Zen Chu

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Overview of the Challenges & Opportunities within Healthcare Information Technology amid the 2009 Healthcare Reforms. Cost savings, business models and medical technology and software solutions are described.

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TiE Healthcare Technology Innovation Zen Chu

  1. 1. Healthcare Information TechnologyInnovation & OpportunitiesThe Indus EntrepreneurTiE Boston SymposiumMicrosoft New England July 2009<br />Zen Chu<br />Accelerated Medical Ventures<br />ZEN @ ACMEDX.COM<br />
  2. 2. Unique Healthcare Mission & Business<br />Safety & Effectiveness Paramount<br />Evidence-Based Outcomes<br />Regulatory & Reimbursement Barriers<br />Cost-effective to society<br />Alignment of 4 P’s & Big G<br />Patients<br />Payers<br />Providers<br />Products<br />Goverment<br />Multiple Customers<br />Who Pays?<br />© zen@acmedx.com<br />
  3. 3. Procedures<br />Products & Services<br />Drugs, Medical Devices, Capital Equipment<br />Software, Services<br />Patients vf<br />Healthcare Players<br />Providers<br />Physicians, Hospitals, Nursing Homes <br />$$$<br />Payers<br />Insurers, Employers, Medicare<br />Information Asymmetries Confound Best Practices<br />© zen@acmedx.com<br />
  4. 4. Healthcare Delivery Value ChainComplex Value Chain Across Disease Cycle<br />Source: Porter & Teisberg, Redefining Health Care<br />© zen@acmedx.com<br />
  5. 5. US Healthcare Spending 2007$2.3 Trillion, 15.2% GDP<br />Other<br />Devices, Diagnostics<br />Pharmacy, etc<br />Hospital Care<br />Admin Costs<br />Nursing Homes<br />Physician Services<br />Pharma<br />Source: PHRMA Annual Report 2008<br />© zen@acmedx.com<br />
  6. 6. Sources of Healthcare Dollars<br />
  7. 7. Health Care Cost InflationPassed Along Value Chain Without Cost Controls<br />Source: McKinsey Global Institute<br />
  8. 8.
  9. 9. Who Aligned To Manage Wellness?<br />Source: Clayton Christensen, Innovator’s Prescription<br />
  10. 10. Fragmentation & Scalability ChallengesGeography, Specialty, Disease State<br />700 Payers<br />Negotiated Payments & Pricing Among Each Player & Region<br />5700 US Hospitals<br />Medical Product Companies<br />© zen@acmedx.com<br />
  11. 11. Successful Products & Services Pattern<br />Prove Effective Therapies for Right Patient<br />Unmet Medical Need<br />Remove treatment ambiguity<br />Improve Standard of Care<br />Comparative Effectiveness<br />Prove it quickly & efficiently<br />Productivity = Save Physician Time<br />Reduce Patient Pain<br />Enable New (Cheaper) Provider & Venue<br />Intellectual Property (Patents, trademarks, brand)<br />Lower Cost<br />Necessary But Insufficient<br />© zen@acmedx.com<br />
  12. 12. Healthcare Information TechnologyChallenges<br />HIT under-invested vs other industries<br />2.2-3.8% IT/Total Operating Expense (HIMSS)<br />50% less gross revenue investment than banking (Gartner)<br />Spaghetti code & lack of standards<br />Privacy & security costs<br />Technology cost inflation under microscope<br />… But strong case for HIT as Quality Driver<br />Obama’s $19B HITECH Funding<br />© zen@acmedx.com<br />
  13. 13. Enabling New Business Models<br />NEW MODEL EXAMPLE<br />New Device SonoSite Ultrasound<br />New Workflows e-Prescribing <br />Payment Services Athena Healthcare<br />Collective Knowledge Sermo Social Network<br />New Therapies Image-Guided Therapy<br />Direct to Consumer iPhone Disease Management<br />Outsourcing O2i Teleradiology<br />Decentralization In Home Warfarin Testing<br />Pay 4 Performance Cerner<br />Bundling Episode-Based Pricing<br />Unbundling Bluetooth BP reporting<br />© zen@acmedx.com<br />
  14. 14. Additional Reading<br />Viswanathan, Vijay. “Special Report: Medicine Goes Digital.” The Economist 16 April, 2009.<br />Gawande, Atul. “The Cost Conundrum.” The New Yorker 1 June, 2009.<br />Gawande, Atul. Complications: A Surgeon’s Notes On An Imperfect Science. 2002, Picador.<br />Center for Accelerating Medical Solutions. Investing in Innovation: Accelerating Disease Research Through Philanthropy and Business. www.fastercures.org, 2005.<br />Chesbrough, Henry. Open Business Models. 2006, Harvard Business School Press.<br />Christensen, Clayton. The Innovator’s Dilemma. 1997, Harvard Business School Press.<br />Christensen, Clayton, et al. Seeing What’s Next. 2004, Harvard Business School Press. <br />Megantz, Robert. How to License Technology. 1996, John Wiley & Sons.<br />Moore, Geoffrey. Crossing the Chasm. 1991, HarperCollins.<br />Porter, M. and Teisberg, E. Redefining Healthcare: Creating Value-Based Competition on Results. 2006, Harvard Business School Press.<br />www.thehealthcareblog.com<br />www.health2con.com<br />www.himss.org<br />http://www.economist.com/specialreports/displaystory.cfm?story_id=13437990<br />http://cimit.typepad.com/cimit_forum_blog/2008/05/zen-chu-slides.html<br />http://cimit.typepad.com/cimit_forum_blog/2009/04/the-new-economic-playbook-for-healthcare-development.html<br />© zen@acmedx.com<br />
  15. 15. Healthcare Information TechnologyInnovation & OpportunitiesPanel Discussion<br />Prof. BhaskarChakravorti Harvard Business School, McKinsey<br />Zen Chu Accelerated Medical Ventures<br />Pam RandhawaSermo, Inc.<br />Joseph Ternullo Partners Healthcare<br /> Center for Connected Health<br />