Download Healthcare Trends in North America

HEALTHCARE
TRENDS IN
NORTH
AMERICA
ANDY TIPPET
SR. MARKETING MANAGER
HEALTHCARE , AMERICAS
VarTech 2014, September 18
GOALS
• Discuss trends that are driving healthcare today
–
–
–
–
Advent of the EHR
Care across the continuum
Advent of Analytics
Issues around staff productivity
• Where AIDC fits
• What it takes to succeed
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NOT GREAT – MOMENTS IN HEALTHCARE
MARKETING
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HEALTHCARE IN THE PAST
Injury
Acute disease
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Population Disease
NEW ORDER - WORLD HEALTH DRIVERS
Aging Population –
Worldwide Population>65
2,500
1,966
Millions
2,000
Hypertension
Coronary…
1,187
1,000
Cancer
606
205
Diabetes
349
Stroke
0
1950 1975 2000 2025 2050
Lifestyle Diseases
•
•
•
•
•
•
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Prevalence of
Chronic Disease
Arthritis
1,500
500
Decreasing Population
Fitness
Asthma
Cancer
Cirrhosis
COPD
Type 2 Diabetes
Heart Disease
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• Metabolic
Disease
• Osteoporosis
• Renal Failure
• Stroke
• Depression
• Obesity
• STD
0%
Increasing Patient Complexity
50%
Increased Cost of Care
100%
WHAT DO THESE CHANGES MEAN?
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•
It is important to treat the history of the person –
enabled by the Electronic Health Record (EHR)
•
Treatment is conducted throughout the life cycle –
called the healthcare continuum
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EHRS
• Enabler that support macro trends – Movement from acute (injury) to chronic care (hypertension, diabetes)
– Movement from Population to Individual care and back again
– Function across continuum in acute and other areas
• Implementation in US supported by the HITECH ACT of 2009
• Over $10 billion has been distributed
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RELATIONSHIPS WITH KEY EHR
PROVIDERS
• EHR Providers
• Additional Healthcare ISVs
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WHERE ZEBRA FITS:
THE BRIDGE TO THE EHR AND PATIENT SAFETY
Patient Information
Zebra Solutions
Patient, Specimen, Medication, Clinician, Asset
Identity
Electronic Health Record
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UNIVERSITY HOSPITAL SYSTEM
• Three hospital system
• Two are recently purchased
• Central location has over 800 beds
• Recently converted to new EHR system
• Wanted to alter how they identify specimens taken from
the patient
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PREVIOUS SYSTEM
Gather draw
orders –
printed in Lab
Organize
orders
Prepare cart
Remove
label from
draw order
Draw Blood
Locate
patients
Mark as stat
Deliver
samples to
lab
Apply label to
vial
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CHALLENGES WITH OLD SYSTEM
Wrong label
put on vial –
mismatch of
sample to
patient
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Samples that
should be
marked as
STAT, aren’t
Samples that
should not be
marked STAT
are
Printer
configuration
out-of-box is
timeconsuming
Managing
printers over
multiple
locations is
timeconsuming
and difficult
LABELING AT POINT OF CARE – IN EVERY
ROOM
• A superior process to prevent mislabeling
Clinician arrives
at bedside and
immediately
scans patient
wristband
verifying patient
ID
Blood or other
specimen is
drawn/collected
Label is output
using a mobile
device and
immediately
applied to vial
or sample
encasement
Label is
scanned
Clinician badge
is scanned
• Results
– Patient, clinician, and sample are all linked in EHR with all of
the attendant information
– Confidential
Elimination of possibility of clinician applying the wrong label
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NOT GREAT MOMENTS
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CHALLENGE WITH NEW PROCESS
• Label output devices need to be wipeable if moving from
room to room to prevent infections from spreading
• Devices need to be easy to use and manage – the goal
is to simplify the process
• Would need a fair number of devices – even for smaller
hospitals – how are they managed?
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DEVICE
MANAGEMENT
THE CHICKEN & EGG PROBLEM
Wireless printers
• I need the printer on my WiFi
network to configure it
• I can’t get the printer on my
WiFi network until I configure it
• And I have A LOT of devices!
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We have to set customers up to succeed.
Solving this after shipping printers is costly
VARIATIONS IN CONFIGURATIONS
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PRINTER MANAGEMENT TODAY
Send person
to each
printer
Or have
printers
sent in
Purchase
and install
an app
Or write an
app
Learn
command
language
Figure out
how to find
devices
Install client
on each
device
Get IT to
approve your
solution
Create
command
files
Convert
files as
needed
Figure out
how to
send files
Find when
it’s ok to
send files
Monitor
devices for
“events”
Wrangle
large scale
installs
Deal with
regular
updates
Keep
“golden
files” safe
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NETWORKED PRINTER CONFIGURATION &
MANAGEMENT SOLUTION OVERVIEW
Profile
Manager
Mirror
ZebraNet
Bridge
Attended Management
Unattended
Management
Attended Management
Printer discovery
Alerts
Printer grouping
Printer profiles
FTP for ZebraLink and
Link-OS Printers
SFTP for Link-OS
Printers
Assign printer roles
Send to one or many
Quick actions
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Printer discovery
Alerts
Printer grouping
Printer profiles
Send to one or many
Command line user
interface
Assign roles
NOT GREAT MOMENTS
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HEALTHCARE CENTRIC
• Healthcare plastics
– Specialized Resins to
withstand cleansing agents
– Tested against 40 leading
agents
– 1,000 wipes
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• Healthcare Power Supply
– Compliant with IEC 60601-1
– Prevents sparking
– Safe for patients AND
clinicians
QLn220 HC
QLn320 HC
IQ Color
Labels
Mobile
Specimen
Collection
ZebraCare
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Link OS
WHO DID WE TALK TO?
• Chief Information Officer – Primary
• Chief Technology Officer – Primary
• IT Directors (seamless integration, budgets,
business value)
• Chief Nursing Officer (employee morale, enhance
patient experience and reduce cost) – See Profile
• Clinical Informatics Director / Chief Nursing
Information Officer
• Chief Medical Information Officer – See Profile
• Laboratory Director: Influencer (Performance) –
See Profile
• Pharmacy Director: Influencer (Performance)
• Registration/Admitting Director: Influencer
(Performance) and User (Efficiency)
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Patient Safety
Committee
Members
LAST NOT GREAT MOMENT
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WHAT IT TAKES
• Focused sales team
– This does not work by sending the retail rep to a hospitals
• Focused Subject Matter Expert
– Not a sales rep, a workflow and HC consultant
• Software expertise – both Zebra’s but really knowledge
of the hospital operating systems and EHRs
– Focusing on different areas of the hospital, with different ISVs
• Patience
– Healthcare sales take a LONG time to come to fruition
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