ICT Strategy

1
ICT Strategy Practice in the Belgian Health
Care SectorA LUON MarketWatch Study

• Frank Boermeester

2
A Clear Vision

• A health care system that is
• Effective
• Safe
• Efficient
• Convenient
• Integrated
• Coordinated
• How far have we come today?
• Is there agreement on how to get there?

3
A Brief Introduction

• LUON MarketWatch
• 12-person business research unit, from Overijse
• Research and business development in business
  markets and public sector. Strong technology
  focus.
• Program of self-initiated research. Business
  perspective on technology issues in Belgiums
  economic sector
• Health care
• Food beverage
• Logistics, transportation, warehousing
• Financial services
• etc

4
IT Strategy Practice in the Belgian Health Care
Sector

• Rumour has it
• Health care sector as golden goose for the IT
  sector
• Hype (again)?

Or is IT being seen as a strategic weapon by
hospitals and other health care stakeholders IT
as enabler
- a better health care system - achieving
strategic goals at the level of institutions
?? p.s. please explain the Belgian system
5
Research Approach

• 80 interviews
• Hospitals
• Policy makers (federal, regional)
• Sickness funds
• Professional associations (doctors, pharmacists)
• Pharmaceutical companies, wholesalers
• Medical equipment and supplies
• Key business challenges
• Technology priorities
• 80 page report sent to 700 decision makers in
  the sector

Questions
6
Snapshot of results

• Two dominant themes
• Controlling health care spending
• Coordinating/managing health care

IT as enabler
7
Health Care Spending
4.5 still beats GDP growth
But hospitals feel the pinch
8
Coordinating Health Care

• Belgian system offers high quality care
• BUT
• Poorly coordinated (across clinical divisions in
  hospitals, across different actors in health care
  system)
• Duplication, waste, expensive, errors

Health care sector under pressure Government Pati
ents Technology
Solve the problem!
9

• Lets zoom in
• Hospitals.

10
Critical system?
11
(No Transcript)
12
Strategic!
13

• Clearly an important juncture in hospital
  strategy and IT investment!
• Why?
• Lets place it into context

14
Business Regulatory Challenges

• Strategy
• Central IT strategy
• System integration
• Data capture, analysis reporting
• Manage care programmes

• Mergers networks
• Managing information flows
• Consolidating systems

• Patients
• Service, less waiting times
• Quality, safety
• Information, choices

• Government
• Registrations, archiving
• Tariff rules
• Efficiency (prove it)
• Care collaboration

• Competition
• Qualifications, reputation
• Budgets
• Network partner

• External links
• Other hospitals
• GPs
• Sickness funds

• Organisational
• Autonomy doctors
• Siloes
• Lack common data sources and systems

15
IT Priorities
Portals, connections GPs

• Strategy
• Central IT strategy
• System site integration
• Data capture, analysis reporting
• Manage care programmes

CareNet
BI, reporting tools
Clinical Paths
Electronic Medical Record
HIS decisions implementation
System/site integration
PACS, Results Server
Registrations (MKG etc)
Storage, server consolid.
Business Continuity
Wireless, RFID
16
Being planned today

• IT Priorities
• Clinical Paths, Workflow
• Appointment Planning
• Electronic Ordering
• EMR
• PACS
• Results Server

Systematise care programmes
Simplify tasks
Manage information flows
Being implemented today
17
ER
Surgery
ICU
Implications?
Connections other hospitals, GPs, sickness funds

• Integrated,
• Process-orientated,
• Networked
• Hosp. Inform. System
• Central Patient Record
• Appointment management
• Order management
• Workflow, clinical paths
• ERP, supply chain
• Advanced analytics, reporting
• Messaging, interoperable

Horizontal/hospital-wide systems
MED-TEC
Anat. Pathol.
Clinical

• PACS, Results Server
• Electronic Medical Record
• Registrations MKG etc

Radiol.
Change Management
Clin. Bio.
Administrative

• Billing
• Patient Admin Management
• HR, logistics

Pharma.
Infrastructure
18

• Top-Down
• Strategic planning, change management planning
• At level of network!
• Process review
• New HIS packages or development of tailor made
  solution

• Bottoms Up
• Compliance challenge
• Integration HL7
• Add IT modules
• Reporting requirements

19
Conclude

• Achievement to date?
• Core administration systems (pay your bill)
• CareNet
• Wheres the action today?
• Horizontal health care management systems
• Integrated patient management systems (hospital
  ERP)
• Patient record systems
• Appointment management systems, ordering systems
• Whats coming?
• Automating Clinical Paths
• Health care information networks

20
Conclude

• Distinct dynamic observed in the sector
• Vision
• Listen to some of the key actors (govt, major
  hospital networks, health insurance etc)
• Serious implications of current IT investments
• changing the way health care is organised
• changing the way people work
• Obstacles are significant but we are on the brink
  of something big
• The drivers outweigh the resistance

21
Conclude

• Clear shift from IT as
• Supportive
• Critical
• Strategic