HIT Disruptive Opportunities

HIT: Fantastic Opportunity for
Disruptive Innovation
Health 2.0
Meetup
March 26, 2013
Yvonne
Watkins
Healthcare Information Technology

in 2013
What started it all HITECH Act
Where are we now 4 yrs later
What do we do now Solving the
Healthcare Crisis
Improving Healthcare
4 Non-Disruptive Opportunities in HIT
Transforming Healthcare
4 Disruptive Opportunities in HIT
2013 yvonnewatkins@yahoo.com
For non-commercial use only
HITECH Act Signed Feb 2009

http://youtu.be/sTex_PDsjtE
View video from 7:53 to 8:23
In 2004
President Bush established a goal for
implementing electronic health records
(EHRs) nationwide within ten years
In 2009
President Obama signs HITECH Act
allocating $19B incentivizing EHR
adoption and usage.
HITECH Act Signed Feb 2009

Carrot and Stick incentives for
early adoption and penalties for noncompliance
HITECH Act 4 Years Later

Electronic Health Records (EHR)
Implementation and Adoption rates
lag projected estimations
HITECH Act 4 Years Later

Health Information Exchange
HIE Goal - to facilitate access to and

retrieval of clinical data to provide
better safer care
HIE far from interoperable
Standards were slow to be developed
HIE => NwHIN => Healtheway
If Air Travel worked like health care:
http://youtu.be/5J67xJKpB6c
Beyond the HITECH Act

Healthcare Crisis
Healthcare Costs are out of control
In 2010: Healthcare expenditures totaled $2.6
trillion for all Americans averaging $8,402
per person
In 2010: 49.9 million Americans were
uninsured
Quality of care
Life expectancy in US ranks 37th
75% of all healthcare dollars are spent on
patients with chronic conditions that are
preventable
Using technology to support healthcare is the key to

making the US system sustainable
Solving the Healthcare Crisis

Improving Healthcare
Steps can be taken to reduce costs
and improve quality of care but will not
solve the healthcare crisis
Transforming Healthcare
The crisis will lead to a revolution and
the revolution will be delivered via a
disruption to the system
Solving the Healthcare Crisis

Non Disruptive Opportunities
Analytical Technologies and Tools
Operational dashboards to identify current processes and
opportunities for improvement
Clinical Decision Support vs. Business Decision Support
Process Improvement Tools

Streamlining patient processing
Monitoring adherence to Standards of Care
Inventory Control Tools

Manual audit vs. bar code scanning vs. RFID
Communication and Collaboration Tools

Office visit vs. phone call vs. e-mail
Snail mail vs. faxing vs. e-mail
Online medical libraries and best practices
Disruption Opportunity 1:
Big Data in Healthcare
Analytics and Business Tools
Pattern Recognition
Strategic Dashboards
Easy to Use - Analytical tools
Example of an Innovator
23andme early diagnosis and prevention
based on DNA
Example of a disruptive innovation

Geno2.0 Crowdsourcing to gather
specifics about population
https://genographic.nationalgeographic.com/
Mobile Health Apps
Mobile Health Apps
Medical Device Solutions
Diagnostic tools
Monitoring devices
Example of an Innovation
Polar Heart Monitor with Watch
Example of a Disruptive Innovation

Alivecors iPhone Heart Monitor
(http://www.youtube.com/watch?v=0B-jUOOrtks)
iBGStar iPhone Blood sugar monitor by

Sanofi Aventis
Quantified Self Apps
Monitor bodily functions establishing
baselines and identifying abnormalities
FitBit
Nike+ FuelBand

Smart Clothes EU Biotex / TecInTex
measuring bodily functions including on-body fluids
through clothing
Wearable biosensors for monitoring wound healing
Near Infrared Spectroscopy in socks early detection
and treatment of peripheral vascular disease
Gamification
Improving health outcomes by
gamifying health improvements
Wii Fit body motion used as input

Zamzee gamifying exercise for
reward
Summary HIT Opportunities

Huge opportunities in HIT
Innovative Opportunities
1.
2.
3.
4.
Analytical Tools
Process Improvement Tools
Inventory Control Tools
Communication and Collaboration Tools
Transformative Opportunities
1.
2.
3.
4.
Big Data
Mobile Health Apps/Devices
Gamification
THANK YOU
ITS UP TO YOU TO SOLVE
THE HEALTHCARE CRISIS
TRANSFORM HEALTHCARE:
GO OUT THERE AND
DISRUPT IT!
yvonnewatkins@yahoo.com
BACKUP SLIDES
BACK-UP SLIDES
yvonnewatkins@yahoo.com
iBGStar - Blood Sugar Monitor
Device snaps onto iPhone and uploads

information which is then sent to
physicians office.
Where Disruptive Innovations

are needed
Healthcare Information Technology (HIT)
Health Information Systems (HIS)
Informatics
Health Informatics
Clinical Informatics
Biomedical informatics / Bioinformatics
Medical Informatics
Health Information Management (HIM)

Medical Technology / Health Technology
Disruption is needed in ALL areas


HIT Disruptive Opportunities

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HIT: Fantastic Opportunity for

Healthcare Information Technology

HITECH Act Signed Feb 2009

View video from 7:53 to 8:23

HITECH Act Signed Feb 2009

HITECH Act 4 Years Later

HITECH Act 4 Years Later

HIE Goal - to facilitate access to and

Beyond the HITECH Act

Using technology to support healthcare is the key to

Solving the Healthcare Crisis

Solving the Healthcare Crisis

Process Improvement Tools

Inventory Control Tools

Communication and Collaboration Tools

Example of a disruptive innovation

Example of a Disruptive Innovation

iBGStar iPhone Blood sugar monitor by

Example of a disruptive innovation

Example of a disruptive innovation

Summary HIT Opportunities

iBGStar - Blood Sugar Monitor

Device snaps onto iPhone and uploads

Where Disruptive Innovations

Health Information Management (HIM)

Disruption is needed in ALL areas

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