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To be, or well be, II Teknologiat osana palveluprosessin muutosta

To be, or well be, II Teknologiat osana palveluprosessin muutosta. Jaana Tuominen, GE Healthcare. GE Healthcare. GE Healthcare: A Unique Collection of Expertise…. Technologies. Bio-Sciences. Information Technology. Imaging and Intervention. Molecular Diagnostics. Pharmaceutical Solutions.

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To be, or well be, II Teknologiat osana palveluprosessin muutosta

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  1. To be, or well be, II Teknologiat osana palveluprosessin muutosta Jaana Tuominen, GE Healthcare

  2. GE Healthcare

  3. GE Healthcare: A Unique Collection of Expertise… Technologies Bio-Sciences Information Technology Imaging and Intervention Molecular Diagnostics Pharmaceutical Solutions …creating advanced diagnostics

  4. Need a fundamental change … Cancer Heart Disease Brain Disorders One person in three will have cancer 50% die after 1st heart attack 20% aged 75-84 suffer from Alzheimer’s disease

  5. Predict Diagnose Inform Treat A new age of medicine 21st Century Personalized Healthcare

  6. If we can detect it here, it may never appear here.

  7. See the future.Change the future. Molecular understanding of diseases A new generation of diagnostics Identify the “genetic fingerprints” of disease Predict disease before the onset Predict

  8. The earlier you detect disease,the earlier you can deal with it. Transformational medical imaging and medical diagnostics Visualize and analyze disease at a molecular level Diagnose disease more precisely – based on the individual patient Improve patient outcomes Diagnose

  9. Enable better care through molecular knowledge. Provide life-critical patient information – when, where and how it’s needed Empower through information about “genetic signatures” Tailor treatment to the patient Monitor and manage the efficacy of personalized therapy Inform

  10. Read the genes.Tailor the treatment. Understand disease at a molecular level Develop more targeted and effective therapies Enable the development of new, more targeted drugs… faster Treat

  11. GE Healthcare Vision • At GE Healthcare, We Strive to See Life More Clearly • We Help Predict, Diagnose, Inform and Treat So That • Every Individual Can Live Life to the Fullest

  12. The Emerging Era of Chronic Disease

  13. Response Needed for a New Era • 1900-1950 Era of Infectious Disease Care • 1950-2000 Era of Acute Care • 2000-2050 Era of Chronic Care • Era of Chronic Care requires collection and management of patient medical information outside of the traditional hospital setting.

  14. Population Managing Multiple Diseases • Medical progress often turns an acute condition into a chronic one. Ex: 40% decline in mortality from coronary heart disease since 1980, but more people are living with survival effects. A chronic condition lasts more than one year, limits a patient’s abilities and requires ongoing care. Chronic conditions include: • Cardiovascular disease • Diabetes • Hypertension • End-stage renal disease (ESRD) • Chronic obstructive pulmonary disease (COPD) • Osteoporosis • Arthritis • Some types of cancers • Asthma • Neurodegenerative disorders (Alzheimer’s, Parkinson’s, etc.) • Chronic pain • Stroke and other brain injuries

  15. Chronic Health Impact Pending Dr. & RN Shortage Rising Costs of Healthcare US Supply & Demand for Registered Nurses Patients With Chronic Conditions Account For: Demand 55% 66% 96% 60% Supply 80% Quality of Care Dilemma Medicare Expenditures Per # of Chronic Conditions • 60 Million Americans with 1 Chronic Disease • 157 Million Americans with 1 by 2020 • Medicare Insolvency by 2019 • Direct Costs $510 Billion, to $1.07 Trillion, 2020 • 80% of Healthcare Costs on 20% of Population • Chronic consuming 70% of Prescription Drugs

  16. Ambulatory Care – to address chronic diseases

  17. Ambulatory Care • Address Key • Disease States… • Ambulatory Monitoring… • Enables early intervention • Improves patient outcomes • Reduces hospitalization costs • Increases Cost Savings • Increases patient compliance • Improves provider productivity • Improves quality of life • Congestive Heart Failure • Chronic patient, managed at home + MSU Telehealth Case Study: Ambulatory Monitoring Solution reduced… Total Bed Utilization  55% CHF Patient Hospital Utilization  43% Urgent Care Visits  35% • Asthma and COPD • Ambulatory diagnostic device + connection to physician & EMR • Therapeutic dose monitoring

  18. Market Drivers • Aging population • Acute conditions  chronic conditionsAcute intervention managed care • Increasing patient consumerism - “Worried well” • Need for cost reductions in healthcare systems • Changes in reimbursement to encourage outpatient care • Improvement in communications access (Source: F&S 2004 US RPM) www.cybernetmedical.com www.medscape.com

  19. Market Restraints • High cost and inflexibility of products • Limited scope of reimbursement • Documentation of outcomes • Legal issues (e.g. state licensure issues) • Lack of standardization of clinical protocols • Privacy concerns • Tight budgets with home health care • Lack of physician acceptance (Source: F&S 2004 US RPM) www.cybernetmedical.com www.medscape.com

  20. Key CHFParameters… • Weight • SPO2 • ECG • Heart Rhythm Product Needs • Blood Pressure • Drug Compliance • Activity Level • Nutrition/Diet • Low cost • Flexibility • Ease of Use (single button, voice prompts) • Unbreakable • Designed for home environment • Communications requirements

  21. EMR/ Patient dashboard • Central platform • PC/TV • Network / Data • Pre-prosessing • Algorithm • Customer interface • Data management • Information • interface • Sensing Remote Patient Monitoring Overview • Physician • Configured • Patient • Alertee (e.g., FNP) • Data • Data alert • Home hub • Results • Professional caregivers • Data • Data • Non-professional caregivers • Non-invasive sensors • Novel Parameters • Drug Compliance • Smart alerts • Wireless platform • Information portal • Telecommunication • Novel algorithms, modeling • Existing algorithms • Decision Support • Configurable Alerts • EMR Integration • Patient Access • Patient Triage • Educate Patient • Engage Family

  22. Remote monitoring and viewing – opportunities in the near future

  23. The story of Joe Doe 14:32:23 14:32:28 RN M. Smith receives the ‘ST high’ alarm in her PDA. She checks the snapshot, acknowledges the message and hurries to the patient. Telemetry patient John Doe is going to have a cup of coffee in the hospital cafeteria.

  24. 14:33:32 14:33:55 The message shows the snapshot and RN Smith’s request for advice After examination she decides to consult Dr. S. Jones who is the physician in charge of John Doe.

  25. 14:36:38 14:35:12 After looking at the John Doe’s snapshot and real-time and trended data, Dr. Jones gives care instructions to RN Smith RN Smith makes the lab test order electronically with her PDA

  26. 15:17:09 15:17:09 Dr. Jones makes the drug order with his PDA, and sends it to RN Smith The lab results are ready and they are sent to Dr. Jones automatically by the system

  27. 15:21:17 15:22:50 RN Smith receives the drug order and administers the drug in John Doe’s IV bag RN Smith documents the drug treatment utilizing the bar code scanner that is built-in her PDA

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