Dr. Ulrich Pluta - IBM Global Healthcare
Let’s Build A Smarter Planet:
Healthcare
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Forces at work across healthcare systems are impacting us all.
 Growing expectations for value from increasingly costly health systems.
 Broad global awareness of quality and patient safety challenges.
 Increasing need for citizens to make better health and wellness choices.
 Emerging approaches to promoting health and delivering care such as e-health
and medical tourism.
 Expanding resource challenges.
 Increasing cost sharing among public and private health insurers and individuals.
The world is connected:
economically, socially and technically.
Source: “Healthcare 2015 Series,” IBM Global Business Services and IBM Institute for Business Value
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
The need for progress is clear.
100
million
1.5
million
People worldwide
pushed below the
poverty line by
personal healthcare
expenditures
each year.¹
Errors in the way
medications are prescribed,
delivered and taken harm
1.5 million U.S. citizens
every year.³
The number of developed
countries where people
with higher incomes have
better access to physicians
than those with lower
incomes.5
2 times
1 in 10
35 years
In many parts of the world,
healthcare costs are rising
two times faster than
economic growth.²
The estimated number
of patients affected by
healthcare-related
infections in the EU.4
With poor urban
governance, life
expectancy within
developing countries can
be as low as 35 years.6
50 percent
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
The demand for change is strong.
HEALTHCARE CEO’S
GLOBAL CEO’S
8 in 10
Healthcare leaders
anticipate substantial
change ahead.
29%
Gap between envisioned
change and past success
at managing it.
Source: IBM Global CEO Study 2008
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Healthcare faces global challenges brought on by five key drivers,
and the need to overcome five key inhibitors
DRIVERS (increase cost of care)
INHIBITORS (limit effectiveness of care)
Globalisation
Healthcare costs are affecting the
competitiveness of companies, regions and
countries
Financial constraints
Pool of funds for healthcare is not limitless
Consumerism
More knowledgeable, demanding citizens
Changing demographics and lifestyles
Aging and overweight populations
Diseases that are more expensive to treat
Increased prevalence of chronic conditions –
especially diseases of affluence
New technologies and treatments
Advances revolutionizing risk assessment,
diagnosis, and treatment
Societal expectations and norms
Is healthcare a societal right or a market
service?
Lack of aligned incentives
Few incentives to encourage the behaviour of
collaboration and service transformation
Inability to balance short and long-term
perspectives
Common focus on urgent short-term needs,
rather than long-term sustainability
Inability to access and share information
Clinical data is being generated at
unprecedented rates, but information sharing
remains elusive
Source: “Healthcare 2015 Series,” IBM Global Business Services and IBM Institute for Business Value
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
This mandate for change is a mandate for smart.
A smarter health system
forges collaborative partnerships
to deliver better acute, chronic and preventive care,
while activating individuals to make smarter choices.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Individuals will be served by collaborative, coordinated
health systems.
GOVERNMENTS
Address the current lack of sustainability
by providing leadership and political
willpower, removing obstacles,
encouraging innovation and guiding
countries to sustainable solutions.
COMMUNITIES
Make realistic, rational decisions
regarding lifestyle expectations,
acceptable behaviors, and
healthcare rights and economies.
PHARMACEUTICALS AND
DEVICE MANUFACTURERS
Work collaboratively with care delivery
organizations, clinicians and individuals to
create products that improve outcomes
and lower costs.
CARE DELIVERY ORGANIZATIONS
Expand the current focus on episodic, acute
care to encompass the enhanced management
of chronic diseases and the life-long prediction
and prevention of illness.
DOCTORS, NURSES AND
OTHER CAREGIVERS
Develop partnerships with individuals,
payers/health plans and other
stakeholders, collaborating to promote
and deliver more evidence-based and
more personalized healthcare.
PAYERS AND HEALTH PLANS
Help individuals remain healthy and get more
value from the healthcare system while assisting
care delivery organizations and clinicians in
delivering higher-value healthcare.
Source: “Healthcare 2015 Series,” IBM Global Business Services and IBM Institute for Business Value
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Smarter healthcare organizations are doing so by becoming
instrumented, interconnected and intelligent.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
INSTRUMENTED
We now have the ability to measure, sense and see
the exact condition of everything.
 Today, there are 1 billion transistors for each person on
the planet.7
 By 2010, 30 billion RFID tags will be embedded into
our world and across entire ecosystems.7
 There is a 60% reduction in hospital readmissions for
patients who use remote physiological monitoring,
compared with those who receive standard care.8
 Typically, hospitals over-procure mobile assets by
20-30% while critical staff spend 10-30% of their time
searching for them.9
Smarter health systems automatically capture and exchange information
through diverse channels to proactively manage and deliver preventive
and therapeutic care.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
INTERCONNECTED
People, systems and objects can communicate and
interact with each other in entirely new ways.
 The Internet of people is 1 billion strong. Almost one third
of the world’s population will be on the Web by 2011.10
 There will be nearly 4 billion mobile phone subscribers
worldwide by the end of 2008.10
 The number of health-related Web sites in the U.S. has
increased from 35 four years ago to nearly 500 today.11
 While only 6% of European Union general practitioners
use electronic prescriptions, 97% in Denmark, 81% in
Sweden and 71% of general practitioners in the
Netherlands use e-prescriptions.12
Smarter health systems remove information barriers and work as
integrated teams with the individual to make smarter decisions.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
INTELLIGENT
We can respond to changes quickly and accurately, and
get better results by predicting and optimizing for future
events.
 Every day, 15 petabytes of new information are being
generated. This is 8 times more than the information in all
U.S. libraries.13
 More than 3,600 statistical articles are published each
year on the topic of coronary heart disease alone.14
 The average individual health care record, including digital
x-rays and scan information, contains as many bits of data
as 12 million novels.15
 Increasing digitization and medical imaging will lead
to a 41% annual increase in storage requirements
between 2008 and 2012.16
Smarter health systems continually analyze information to meet the
changing needs of the organization, optimize performance, integrate
predictive models, and deliver greater value to the individual.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
+
+
=
An opportunity for health systems
to think and act in new ways.
Improve
operational
effectiveness.
Achieve better
quality and
outcomes.
Deliver collaborative care
for prevention
and wellness.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Our healthcare solutions focus
and investments
Deliver collaborative care
for prevention and wellness
Achieve better quality
and outcomes
Personalized
Healthcare
Value
Retrospective
to Prospective to Predictive
Care Management
Collaboration and Automation
Integration /
Interoperability
Improve operational
effectiveness
Information compliance,
availability and security
EMRs, Images, Records, Forms
Lifecycle Management
Health Integration Framework
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Smart healthcare:
Deliver collaborative care for prevention and wellness.
SMART IS
Standardizing clinical practices across
health systems, informed by integrated
information.
Servicio Extremeño de Salud: Implemented a regionally
integrated system that enables patients to go to any health
center in the region knowing the doctor will be able to view
their complete, up-to-date records for faster clinical
decision-making.
SMART IS
Speeding diagnoses and treatments by
making it easier for doctors to navigate
complex patient information.
Thy-Mors Hospital: Developed a first-of-a-kind patient
records system that uses a three-dimensional model of
human anatomy to easily navigate patient records,
simplifying access to electronic health information and
helping to deliver and explain treatments to patients easier
and faster by focusing solely on medical data relevant to
current diagnostic efforts.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Smart healthcare:
Deliver collaborative care for prevention and wellness.
SMART IS
Being able to access an individual’s full
medical history with a single trusted view.
Shanghai First People’s Hospital: Developed a reliable,
large-scale identity repository that aggregates a patient’s
historical care information while eliminating duplicate and
erroneous data, improving care through the sharing of trusted
patient information and reducing costs through efficiency
improvements.
SMART IS
Proactively driving the integration of
technology, process and people changes
back into the organization.
American Hospital Dubai: Deployed an integrated
healthcare information system for the community of Dubai
and surrounding Gulf States, providing secure, real time
access to patient information and changing the way medical,
nursing and healthcare staffs perform their jobs when
utilizing technology.
© 2010 IBM Corporation
Let’s build a smarter planet: Healthcare
Thank you for your time today.
For more information:
 Dr. Ulrich Pluta
Contact:
 ulplu@de.ibm.com
© 2010 IBM Corporation