Closing Remarks: HIMSS Global Outlook
Manish Kohli, MD, MPH, MBA, FHIMSSChief Medical Information Officer, Aurora Health Care&Chair-elect HIMSS Global Board of Directors
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Vision for 21st Century Healthcare Globally
• Paradigm shift• From volume-based to value based
• To value-based with economies of volume
• Data Integration, timely access and Security
• Insights to enable Innovation and create value
• From “curing sick” to “health and care”
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The Global Community’s Needs
Global Challenge Members’ Strategic Implication
Aging Populations• Significant increase in overall healthcare services
demand, now and in the future• Greater technology adoption concerns
Prevalence of Chronic Disease• More complex and on-going patient needs• Greater need for multi-specialty coordination• Increased long-term (vs. episodic) care needs
Geographic Displacement• Urban centers are increasingly unaffordable• Rural populations lack sufficient density
Challenged Funding Models• Reductions in reimbursement for care• Focused on reducing unnecessary utilization
Consumer Expectations & Disaggregation of Culture
• Increasingly “informed” patients• More channels for patients’ to voice opinions
Lack of Actionable Information• Silo views of operations• Opportunities identified are often too little and too
late
Healthcare delivery globally faces many of the same challenges, and is searching for innovative, yet pragmatic solutions, that can have an impact.
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Common Issues in Health Care Globally
• Do more with less
• Workforce recruitment, retention
• Justify investment in Technology
• Manage risk
• Improve safety, quality and access
• Changing Demographics
• Consumerism and Digital experience
• Mobile population
• Reduce cost
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Common Issues in Health Care Globally
Quality
Access
Patient Experience
Caregiver Burnout
Cost
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A Dynamic Landscape
Robots
Cloud computing
Locationservices
Smart Contracts
Smart Assistants
DistributedComputing
Digital Identity
Supply chain & assetmanagement
Patient generated healthcare data/IoMT
Open API/FHIREHR
PermissionedPHR
Identity & access management
APPS & gamification
Reporting
Chatbot
Patient & physicianscheduling
AI
Sensors
Connected Patients
CARE FOR ME
KNOW ME
CONNECT ME
EMPOWER ME
• Geofencing
• IoMT
• Predictive analytics• Marketing insights• Behavioral health• Blockchain & AI
• 3D Printing • AI Neural Cognition
• Personalized Medicine/Genomics• Plasmonics
• Wayfinding
• Virtual Health• mHealth• Location services• Blockchain & AI
• AR/VR/MR/360• Artificial Intelligence
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Factors Affecting Health: More Data Everywhere
• Environmental: 5%
• Traditional Healthcare: 10%
• Social: 15%
• Genetic: 30%
• Personal behavior: 40%
Health Affairs 2002:21(2) 78-93
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Intuition to Precision: A Paradigm Shift
Intuitive Medicine
Symptoms, intuition and limited information
Evidence Based Medicine
Patterns, partial data set and knowledge
Precision Medicine
Algorithms, Massive data network, real time, aggregated information and insights
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Serving Healthcare’s Needs
Information technology advances will not be sufficient to adequately address these systemic challenges healthcare faces, it will request a more robust approach to technical innovation.
People
…AND
TechnologyProcess
Transform from being an IT organization, to the healthcare industry’s undisputed thought leader for information and technology-enabled innovation
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Key Strategies: A Global Organization with Local Impact
1Enhance the value delivered to HIMSS Members
2Advance the content direction of industrythought leadership
3Develop the breadth and reach of HIMSS adoption models (beyond EMRAM)
4Diversify revenue streams through new innovation-centric offerings
5Expand our international footprint to become the global leader in health innovation
Thank you!Manish Kohli, MD, MPH, MBA, FHIMSSChief Medical Information Officer, Aurora Health Care&Chair-elect, HIMSS Global Board