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Wes Rishel Vice President and Research Director 18 October 2006 Gaithersburg, MD

Moving Toward Interoperability— Technologies for Accessible, Affordable Healthcare Market Drivers and Societal Issues. Wes Rishel Vice President and Research Director 18 October 2006 Gaithersburg, MD. Viewpoint: Healthcare Shifts to Optimizing Performance in the Post-Paper Era.

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Wes Rishel Vice President and Research Director 18 October 2006 Gaithersburg, MD

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  1. Moving Toward Interoperability—Technologies for Accessible, Affordable HealthcareMarket Drivers and Societal Issues Wes Rishel Vice President and Research Director 18 October 2006 Gaithersburg, MD

  2. Viewpoint: Healthcare Shifts toOptimizing Performance in the Post-Paper Era “The First Stuff”Implement infrastructure Implement business & financial systems Implement clinical systems Achieve nursing use Achieve physician use Implement basic patient safety decision support “The Right Stuff”Leverage people, process and technology Achieve systemness, standardization and predictability Achieve care process agility Transform the enterprise Transform medicine

  3. Inform Clinical Practice Incentivize EHR adoption Reduce risk of EHR investment Promote EHR diffusion in rural and underserved areas Interconnect Clinicians Foster regional collaborations Develop a national health information network Coordinate federal health information systems Personalize Care Encourage use of PHRs Enhance informed consumer choice Promote use of “telehealth” systems Improve Population Health Unify public health surveillance architectures Streamline quality and health status monitoring Accelerate research and dissemination of evidence The Challenges for IT in Healthcare Source: Thompson, Brailer; Framework for Strategic Action, July 2004

  4. Hi! You have an ailment. I have the cure. "Build it and the money will come." Yes, sir. Buy a predictable product. Hello? Meet Mr. Reality. Selective successes. Clarified value proposition. The Gartner Hype CycleRiding the News Media Roller Coaster Visibility As of July 2006 Peak of Inflated Expectations Technology Trigger Trough of Disillusionment Plateau of Productivity Slope of Enlightenment Maturity

  5. TeleHealth To Solve Provider Shortage! Long Term Care Provider Guilty: Negligent Homicide New Technology Lets Grandma Stay Home VA Extends Home Telehealth Pilot to 50,000 Veterans GAO: Medicare Wasted Millions Monitoring Iggidyitis Home Health Victim Gets $500m: Incompatible IT Does Your Insurance Cover Home Monitoring? U.S. Ranks 17th in Home Health Monitoring Slope of Enlightenment Plateau of Productivity Technology Trigger Trough of Disillusionment Peak of Inflated Expectations Following the Hype Cycle in the News

  6. Continua Visibility Home HealthMonitoring Continua As of July 2006 Peak of Inflated Expectations Technology Trigger Trough of Disillusionment Plateau of Productivity Slope of Enlightenment Adapted from: ”Hype Cycle for Healthcare Provider Technologies, 2006” G00141020 Maturity

  7. Recommendations for the Home Health Monitoring Market • This is a win-win-win: cost, quality, patient satisfaction Run with it! • In the U.S., start with the few providers that benefit from cost savings • Technical interoperability is a big challenge: BlueTooth is a great example of how not to do it • Business interoperability is a bigger challenge: • who looks at all the data and how • where are the protocols and evidence for care management • Interoperability extends to the electronic health record • Learn to enjoy the hype cycle

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