eHealth 2013:

Do eHealth investments really match consumer expectations?

Presented by:

Aaron Berk (Director, Advisory, KPMG)

Craig Worden (SVP, Public Affairs, Pollara)

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Agenda

1. Introduction

2. Study Findings

3. Implications for the Future

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Inspiration for our study: Gauging the Height of the Privacy Hurdle

And, to what degree is privacy – in particular – a hurdle in implementing and leveraging EHRs given the emerging world of social media and app-driven consumer behaviour?

Canadians have long been frustrated by the lack of information integration among health providers. Now, what hurdles does the EHR solution face in its bid to solve this?

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Survey Methodology

In March 2013, Pollara conducted an online survey of 1,000 Canadians.

As a guideline, a probability sample would carry margin of error of + 3.1%, 19 out of 20 times

Dataset weighted per Census Data to ensure it represents actual demographic distribution of Canadian population per gender, age, and region.

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Public Knowledge, Engagement, Support for EHRs

But, they believe just

34%of Canadians have an EHR

50%think an EHR regime exists in their province

believe EHRs will improve health care

90%

in favour of their province moving to EHRs exclusively

89%

believe they currently have an EHR

46%

52%feel 2016 is

the right deadline

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The Current Hurdle: Privacy/Security Concerns & Demands

85%concerned that EHRs will allow personal health info to fall into wrong hands

uncomfortable with insurance & employer access, respectively

65% & 83%

comfortable with various health care providers having EHR access

98-62%

Uncomfortable granting access to other gov ministries

72%

concerned that EHRs will allow personal health info to be lost

75%

comfortable with provincial & federal health ministry access, respectively

60 &

64%

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Public Demand for Control over EHR Access is High

Importance of having say in who has access to eHealth

record

72%Very

Important

25%

Somewhat Important

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But, it Relaxes if it Means…

72%

Very Important

25%

Somewhat Important

Slower Access to EHR in Emergency

42%

Very Important

38%

Somewhat Important

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But, it Relaxes if it Means…

72%

Very Important

25%

Somewhat Important

Slower Implementation of EHRs

38%

Very Important

44%

Somewhat Important

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But, it Relaxes if it Means…

72%

Very Important

25%

Somewhat Important

Increased Costs

37%

Very Important

45%

Somewhat Important

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81 % of respondents said it’s the Patient’s responsibility to take care of their own healthcare needsWho should be

primarily responsible?

Almost 50% of respondents said that they did not trust any one of their doctors to have a full understanding of their overall health

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Who should be primarily responsible?

81%

66%

54%

52%

10%

30%

42%

42%

9%

4%

4%

6%

Ensuring accuracy of EHRs

Ensuring reliability of EHRs

Ensuring privacy of EHRs

Implementing exclusive use of EHRs

Healthcare providers/institutions Government Patients

Trust is Key to Consumer buy-in

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Are Consumer Expectations Disconnected from our eHealth investments?

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Conditions for EHR Success

Building Foundational Components (i.e. registries, standards, etc.)

Are we ready for the future of Healthcare?

Awareness and Engagement

Trust

Consumer-focused technology (e.g. smartphone penetration)

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Increased Consumer Demand for healthcare apps

Demand for 2-way interaction (not just read only for information sharing)

Shift towards personalized care

What should we expect to see?

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Concluding Remarks

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Contact details

KPMG LLPBay Adelaide Centre333 Bay Street, Suite 4600Toronto, ON M5H 2S5

aberk@kpmg.ca 416-777-3217

Aaron BerkDirector, IT Advisory

ABCD

KPMG LLP, a Canadian limited liability partnership.

Pollara Inc. 1255 Bay Street, Suite 900Toronto, ON M5R 2A9

craigworden@pollara.com416.921.0090 x 2235

Craig WordenSVP, Public Affairs