4.0 Javier Martin - "Digitalización de Servicios en Sanidad: Tendencias, Beneficios y Retos"

telekom healthcare SOLUTIONS

BADALONA , 12 NOVEMBER 2015

November 11, 2015 2 For external use

1. Telekom Healthcare Solutions

2. Digital Healthcare: Tendencies

3. Digital Services: Charitè Berlín

DEUTSCHE TELEKOM HEALTHCARE SOLUTIONS

AGENDA







AGENDA



TELEKOM HEALTHCARE SOLUTIONS COMPANY PROFILE FACTS & FIGURES (A Selection)

Employees & Responsibilities Certified partner (ISO 27001, 14001/18001, ITIL)

in DC services, ICT systems and convergence solutions

Strategic E2E solutions: cloud, clinical, telemonitoring, telematic

The highest compliance to data security / privacy standards

Standardised healthcare solutions: HL7 and IHE (health data exchange), PME, Six Sigma, ITIL

Experts worldwide: 50 offices in AME, EMEA & APJ + HC Competence Centers (HU, AT, DE, ES, SG)

THS in figures 2015 > 170 Mio. € Revenue with Healthcare Solutions

worldwide

> 350 global HIS Implementations

> 100 Clinics with IT-Services/Outsourcing

> 9500 Medical suppliers connected to our platform

> 690 Healthcare experts worldwide in Sales, Delivery and Development

> 24 years of expertise in HIS market, developing and implementing solutions with SAP/Cerner

Markets No 1 in the Healthcare-ICT market in Germany

No 3 in the Healthcare-ICT market in Europe

Positioning as the Enabler for Connected Healthcare

Strategic industry for Deutsche Telekom

Focus on open Platforms, Cloud and Data Center-Services

Intelligent portfolio expansion through global shareholdings and partnerships (e.g. ITH, Visus, Healthways, Silvermedia, SAP, Cerner)

Trusted company also by the public players: leading provider since 30 years (NATO, UN, German Army/Police)


CURRENT INTERNATIONAL FOOTPRINT

INTERNATIONAL presence

Focus

Revenue

Employees

*2013 FIGURES

Market position No. 1

No. 2

No. 2

OFFICES IN OVER 20 COUNTRIES, GLOBAL DELIVERY CAPABILITY

LARGE CORPORATIONS, MULTI-NATIONAL COMPANIES, PUBLIC SECTOR AND HEALTHCARE ORGANIZATIONS

€9.5 BILLION*

*2013 FIGURES

APPROX. 50 000 (27 000 IN GERMANY, 23 000 OUTSIDE GERMANY)*

ICT provider in Germany

Systems integration in Germany

Manufacturing IN EMEA


DTHS PROPOSITION AS A PARTNER

TIME to focus on what I value more: my patients/my customers

EXPERIENCE: 24 years of expertise in HIS market, developing and implementing solutions with SAP/Siemens

EXPERTS: Sales (47), Delivery (222), Developers (540)

CERTIFIED partner (ISO 27001, 14001/18001, ITIL) in DC services, ICT systems and convergence solutions

STANDARDISED healthcare solutions: HL7 and IHE (health data exchange), PME, Six Sigma, ITIL

EXPERTS WORLDWIDE: 50 offices in Americas, Europe and APJ + Healthcare Competence Centers (HU, AT, DE, ES, SG)

REFERENCES: 280 clients with i.s.h.med in 17 countries

STRATEGIC E2E solutions: cloud, clinical, telemonitoring, telematic

STRATEGIC PARTNERS: IHE, Tiani, Portavita, SAP/Siemens

one MAJOR PARTNER able to invest 80€ M in the last 3 years in development of new IT healthcare solutions to the market

TRUSTED company also by the public players: leading provider since 30 years (NATO, UN, German Army/Police)

The highest compliance to DATA SECURITY/ PRIVACY standards






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MARKET POTENTIAL 50 bn connected devices by 2020

Cloud industry digitalization >100 bn € market potential in 2017

Big data: by analyzing streaming patient data one can reach 20% decrease in patient mortality

TRENDS In 2005 only 30% of office based physicians

and hospitals used EMRs. In 2011, this figure rose to 50% of use by physicians and 75% by hospitals (McKinsey 2013)

Patients are becoming more proactive in managing their own health

CHALLENGES

Lack of coherent strategies linking healthcare IT investments to desired health outcomes

Fragmentation and lack of coordination in healthcare delivery.

Lack of commitment to standards that enable interoperability across the health system.

EVERYTHING THAT CAN BE DIGITISED, WILL BE DIGITISED …

11.11.2015 8

… and everything that can be connected, will be connected! Timotheus Höttges, CEO Deutsche Telekom

NICHOLAS NEGROPONTE, PROFESSOR AT MIT

demographic changes

Age pyramid / Immigration

Increasing chronic disease

Social diseases

External requirements and regulation

DRG

eHealth / Horizon 2020

Data privacy guidelines

Medical products guidelines

Growing knowledge

Exponential growing knowledge

From experts‘ to team knowledge

New, flexible value added chains e.g. competence centers, councils)

Patients knowledge

Technological transition

Progress in the IT medicine Cloud Computing

Mobility

Web 2.0

Ready for Wearables?

2020 500 Mio. active wearables – new tariffs for customers who monitor their health.

Digitalization brings opportunities & challenges for healthcare

economic pressure

Increasing demand

New, more expensive options

Investment bottleneck

Competition (intercantonal)

regional lack of doctors

Shortage in countryside regions

Uneven retribution for GPs

Investments in IT & Infrastructure


eAkte

health 4.0: on the go

eHealth

IT supports processes with cooperation partners without media disruptions

LIVE DATA

Transmission of data from ambulance on the way to the hospital

referral management

Systemic , steered cooperation/ communication between hospital and referred sites

EMPOWERED Patient

Patients want to be informed and involved in the decision making process regarding their theraphy

Social Media

Open and striking expression of will and attitude e.g. over evaluation portals in Facebook

Telemedicine / AAL

Services for patients out of the hospital

changed regulatory and framework conditions

Guidelines to cost efficiency, quality or patient safety

Prevention

Healty patients as customers

New business models

Comprehensive cooperation and changed roles (in gradual treatment models)

Quantified Self

Usage of patient generated data as self-monitoring


Internet of things

Machine2Machine, IHE

Future workstation from doctors and caretakers

Chief resident on duty can instruct an assistant via iPad; caregivers can document data in real time

Quality management

Securing of /compliance with hygiene, medication und treatment standards

Patient reported outcomes

Patient records evaluation of the treatment in the file

health 4.0: internal hospital view

Location Tracking Services:

Where are the patients, devices and employees at this moment?

It support

Competent support over IT – together with partners to fight against the complexity of technology

Specific applications

Variety of specific applications are enclosed by a comprenhensive patient file

administration & Steering

for Management Information, surgery planning, emergency admission, epidemies, etc Big Data

Electronic dispatcher for logistic or decision making support for diagnose and theraphy

Patients Entertainment

Contemporary configuration for inpatient installations (WLAN, video on demand)

Digitalisisation or processes Availlability of findings at patients bed


CHANGE FROM CIO TO CHIEF DIGITAL OFFICER (CDO)

Future: ICT is core and a differentiation factor in busines processes for products and services

■ ICT is a central lever of the company‘s performance – the CIO becomes the CDO

■ Approach: decentralisation of the old IT systems by having a clear enterprise architecture

■ Specialist deparments: more flexibility and speed with dynamic and subject-oriented Business Process Management

The role from ICT ■ in customer interaction: manages to be close to customers and to

promote the dialogue ■ inside companies: orchestrate complex value-added networks ■ regarding infrastructure: decentralised assets are available according to

current needs

So far: IT served as enabler of the core business

■ IT is a support function, used by different departments to improve themselves

■ Approach: constant new silos and endless migrations

■ Specialist departments: existant processes are described in detail in order to generate IT specifications Improvements can happen due to the redesign of processes

The role of IT ■ in customer processes: monitoring of status & generation of data for

reports ■ inside companies:support for decision making process ■ regarding infrastructure: yield of economies of scale and centralisation of

assets

IT as Enabler ICT as Core of Business






AGENDA


November 11, 2015 14 For external use November 11, 2015 14 For external use

CHARITE: TELEMEDICINE REFERENCE CENTER The Charité is one of the largest university hospitals in Europe. 3700 doctors and scientists heal, do research and teach at the top international level. More than half of the German Nobel Prize winners in medicine and physiology come from the Charité, among them Emil von Behring, Robert Koch and Paul Ehrlich. The Charité also has an international reputation for excellence in training. It extends over four campuses with almost 100 clinics and institutes

Founded in 1911

103 departments Turn-over 2009: 1.200 M€ Scientific budget 2009: 127M€

11 Nobel laureates 12.922 employees 7.112 students

bundled under 17 Charité Centers. With 13,100 employees, The Charité generates about 1.400 Million euros in sales per year and is one of the largest employers in Berlin. In 2010, the Charité could look back and joyously celebrated its 300-year anniversary


CHARITÉ-CENTRE FOR CARDIOVASCULAR TELEMED.

Division of the Department of Cardiology (Prof. Dr. med. Gert Baumann) : Founded: 1st April 2008 16 Employees (7 doctors, 5 nurses, 2 study nurses, 1 scientist, 1 student)

Social Media Participación

Autogestión

Telemedical care of patients

Research Projects: • Partnership for the Heart (PfH) • Health Region of the Future Northbrandenburg - Fontane •Nanoelectronics for Mobile AAL-Systems

Education


TELECARDIOLOGY

Connectivity between health care providers

„doc2doc“ systems

Connectivity & Collaboraton between doctor and patient (remote patient management)

„ doc2patient“ systems

Telecardiology = Telemedicine in Cardiology Remote patient monitoring, diagnostics and therapy using modern information and communication technologies

(ICT) Basic Scenarios


CONCEPT OF REMOTE PATIENT MANAGEMENT


CHRONIC HEART FAILURE – A DEMOGRAPHIC BURDEN

Incidence approx. 1.2 million patients (every tenth German citizen over 65 years)

Approx. 200.000 new cases per year Approx. 9% Mortality in class NYHA II/III per year

Costs

3

Morbidity

2

Epidemiology

1

Major cause of hospitalization (approx. 375.000/year)

Non-cardiovascular co-morbidity (renal failure, COPD; depression)

200.000 patients with 375.000 Hi-hospitalizations

Therapy costs – 3.000 M€/year Approx. 85 % of the costs for hospital stay

1. Reduction of HF-hospitalisation („Champion Trial“)

2. Improvement of quality of life („TIM-HF“, „Champion Trial“))

3. Potential for reduction of CV-mortality („TIM-HF“ Subgroup)

For recently hospitalised HF-patients only (1/6 of the total HF-population):


FOUR GENERATIONS OF REMOTE PATIENT MANAGEMENT SYSTEMS


ARCHITECTURE OF THE „PFH-SySteM“


PATIENT & DOCTOR PORTAL


IMPLICATIONS ON HEALTH QUALITY & ECONOMY

Patient profile of responders to telemedicine

• after a HF-hospitalization; without depressive symptoms;

• cardiac function not too weak (LVEF > 25%)

• 1.2 million HF-patients in GER (NYHA stages I - IV NYHA)

• 200.000 HF-patients causing approx. 375.000 HF-hospitalizations per year

• Prevalence for telemedicine in heart failure patients:

• reduction of HF-hospitalizations by 20%

• (health economics is currently under analysis)

• annual constant savings potential of € 150 million (5% of the total treatment cost)

Results for the risk group : 333 (47%) of the 710 TIM-HF patients

• ~ 50% lower cardiovascular mortality due to telemedicine

• ~ 50% reduction in the number of days lost due to cardiovascular mortality and HF hospitalization


CONCEPT OF TELEMEDICAL CENTERS - 1ST&2ND LEVEL

Berlin

Frankfurt

Bonn

Stuttgart

Munich

Challenge: Need for a 24/7 RPM (2/3 of the emergency calls occure during night time and bank holidays) vs. high cost and need for appropriate TMC workload during nighttime network between Telemedical Centers of 1st and 2nd level

2nd level Telemedical Center Working hours: 24/7 Workload: daily Remote Patient Management of the own patients (500 Patients) During nighttimes: management for the own patients + management of the patients from different 1st level TMC´s (approx. 1,000 patients)

1st level Telemedical Center Working hours: Mo-Fr; 9-5 h Workload: ca. 200 Patients During nighttime RPM provided by 2nd level Telemedical Center within the Region


CONCLUSION

• 1/6 of the total HF-population needs telemedicine as a „bridge to stability“ (12 months after HF-hospitalisation), afterwards self-empowerment strategies should be carried out lifelong for all HF-patients.

• Remote Patient Management has to be organized within the regions with a network of TMCs of the 1st level and 2nd level.

• Need for 2nd level TMC for approx. 5 Mio. inhabitants.

• The outcome of telemedicine in rural areas is currently under investigation.

• Remote Patient Management allows individualized patient monitoring (e.g. diabetes, COPD, depression).


DEUTSCHE TELEKOM HEALTCARE SOLUTIONS

DRIVER FOR CONNECTED HEALTHCARE

Thank You!

4.0 Javier Martin - "Digitalización de Servicios en Sanidad: Tendencias, Beneficios y Retos"

Health & Medicine

Transcript of 4.0 Javier Martin - "Digitalización de Servicios en Sanidad: Tendencias, Beneficios y Retos"