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E-CareManagement News

October 23, 2000

THE CURE IS IN HAND: BRINGING INFORMATION TECHNOLOGY TO PATIENT CARE

Josh Fisher and Rosemary Wang of W.R. Hambrecht have issued a comprehensive 78 page report examining the wireless handheld market for physicians.
Here are a few highlights:

  • With less than 1% of U.S. physicians using handheld devices for transactional purposes today, we believe there are exceptional opportunities for companies developing handheld applications for the healthcare market.
  • We believe wireless handheld devices, which fit seamlessly into a physician's workflow, will not only involve physicians but get them addicted to Internet technologies.
  • Already, approximately 15% of physicians are using handheld devices for reference uses (i.e., storing phone numbers and looking up drug information)....
  • By 2004, we project that 20% of U.S. physicians will be using handheld devices for transactions, generating over $2 billion in sales for handheld companies.
  • Which is the bigger opportunity -- reducing administrative costs or clinical costs? Both are big opportunities, but the bigger opportunity, which is more difficult to quantify, is on the clinical side.
  • Is there a "killer handheld app" for physicians? We think charge capture, with its strong ROI proposition, and e-prescribing, with its multiple revenue streams, are the two best applications out today. In the future, the "killer app" will likely be a handheld device that can perform all applications.
  • ADDITIONAL READINGS

    Editorial -- Electronic Prescribing and Monitoring Are Needed to Improve Drug Use

    Analyses of Allscripts, Inc. (MDRX), a publicly traded company developing wireless handheld solutions for physicians :

    Witsoundview
    Fbr 1
    Fbr 2
    The Internet Analyst
    WRHambrecht

    BABY BOOMERS STRUGGLING TO CARE FOR AGING PARENTS

    Family Circle and Kaiser Family Foundation have issued an excellent report entitled "National Survey on Health Care and other Elder Care Issues". The survey was designed to examine the experiences of adults in the course of caring for an aging parent. Some interesting findings (among respondents with a parent age 65 and older):

  • 33% of respondents reported that their parent lives more than 100 miles away
  • 40% could not identify their parent's doctor or health care provider
  • 43% say they know next to nothing or nothing at all about health insurance to help their parent with information
  • 25% reported their parent requires some kind of help to take care or himself/herself
  • 26% have helped or given advice about making decisions about medical care
  • Over a third (38%) say their parent is in fair or poor health 
  • When asked "How concerned are you that your parent is not getting medical care she/he needs?", 21% answered "very" or "somewhat concerned".

    When asked "How concerned are you about your parent's safety?", 47% answered "very" or "somewhat concerned".

    UPCOMING CONFERENCES
    HEALTH INTERNET CONGRESS & INAUGURAL E-CARE FORUM

    The Center for Business Innovation is sponsoring two conferences in San Jose, CA.

    The first is the Health Internet Congress, December 11-12, 2000. This conference will focus on financing, partnering and value creation for e-health companies. Attendees will include leading financiers, innovative e-health companies, hospital executives/clinicians, managed care executives/clinicians and pharmaceutical/biotech executives. Keynote speaker is Peter Boland, President, Boland Healthcare.

    The Inaugural E-Care Forum, December 13, 2000 is an intensive one-day program that delves into e-care, the use of Internet-based applications to optimize the delivery of care. It features practical and timely case studies from leading-edge hospitals, health systems and managed care organizations. Keynote speaker is Allen Hinkle MD, Corporate Medical, Blue Cross Blue Shield of New Hampshire.

    2nd ANNUAL DMAA DISEASE MANAGEMENT LEADERSHIP FORUM
    The 2nd Annual Disease Management Leadership Forum will be held November 12-15, 2000 in Baltimore, Maryland. This premiere event is sponsored by the Disease Management Association of America (DMAA).

    HIMSS TELEHEALTH 2000 CONFERENCE
    The Health Information Management Systems Society (HIMSS) will host its first Telehealth 2000 Conference, October 31st-November 3rd, in Los Angeles at the Century Plaza Hotel. The conference will focus on:

  • Strategic considerations for developing a telehealth program
  • Practical applications for using telehealth to enhance patient care
  • Best practices and tools to implement high-quality and cost-effective telehealth programs
  • MEDTRONIC VISION 2010 - "PROVIDING LIFELONG SOLUTIONS FOR PEOPLE WITH CHRONIC DISEASE"

    Medtronic's Vision 2010 strategy proscribes a compelling new role for the medical device company: "Medtronic is the world's leading medical technology company, providing lifelong solutions for people with chronic disease."

    "21st Century Healthcare: The Patient Revolution" was presented by Medtronic CEO Bill George as a keynote address at the recent Windows on Healthcare conference in Las Vegas. Click here to listen to the Webcast and view the Powerpoint presentation. Read about Medtronic's Vision 2010.

    NCQA RELEASES "STATE OF MANAGED CARE QUALITY 2000" REPORT

    NCQA has released its 4th annual State of Managed Care Quality report.
    The good news: Overall, reporting plans made significant improvement in 1999, showing gains on all clinical quality measures NCQA tracked. The measure showing the most consistent and dramatic improvement over time is Beta Blocker Treatment after a Heart Attack. The percentage of patients discharged from a hospital after surviving a heart attack and who received a prescription for beta blockers has risen from 62% in 1996 to 85% in 1999.
    There's still much room for improvement. Many other measures show only marginal improvements over time, and regional variations are significant.

    REPORT IDENTIFIES 3 MAJOR FORCES DRIVING PHARMACEUTICAL COSTS

    The BlueCross BlueShield Association has issued a 106 page report entitled "Prescription Drug Costs: Federal Regulation of the Industry". The report examines the Association's views of three of the most important forces driving prescription drug costs.

    1. Direct-to-consumer advertising
    2. The flow of new technology to market
    3. Intellectual property protection, including special treatment granted to the pharmaceutical industry.

    DEFINED CONTRIBUTION IN A NUTSHELL

    The Center for Studying Health System Change has published an issue brief entitled "Are Defined Contributions A New Direction for Employer-Sponsored Coverage". The more-than-casual reader can peruse an insightful transcript of a recent conference on this topic (click the link on the right).

    RED HERRING ASSESSES E-HEALTH

    The October 2000 issue of Red Herring magazine contains a series of articles on Health Care and the Net.

    A particularly relevant set of articles describes "Three Promising Clinical Applications":

    1. PDAs for drug research and prescriptions
    2. In-hospital wireless monitoring
    3. Remote monitoring of chronic illnesses

    BIOTECHNOLOGY'S IMPACT ON DISEASES OF THE ELDERLY: A WHITE PAPER

    The Biotechnology Industry Organization has developed a useful 103 page report. "Biotechnology's Impact on Diseases of the Elderly: A White Paper" describes the costs of eight age-related illnesses in human and economic terms. It also examines some of the biotech medicines on the market and in development to treat the diseases and details their impact on patients' quality of life and health-care expenditures.

    PERSONALIZED MEDICINE FOR ASTHMA

    As reported in the British Medical Journal, researchers have discovered subtle differences in the DNA of people with asthma which help to predict which patients will benefit most from a certain drug before they take it.
    It is the first example, researchers said, of personalized drug treatment, made possible by the sequencing of the human genome. In the future, the researchers said, they will be able to match individual patients to different medications, using their DNA as guidance to improve the drugs' effectiveness and eliminate harmful side effects. "Pharmacogenomics" is considered the most likely spin-off of decoding the human genome to have practical application in the near term.

    "This is a step toward personalized medicine," said Dr. Stephen Liggett. "The era of one drug fitting all is probably coming to an end soon."

    Click here for more.

    Disclosure - BHT clients referenced in this issue: Medtronic Neurological.



    E-CareManagement News is an e-newsletter that tracks a major change in health care and managed care—the paradigm shift from “managing cost” to “managing care”.  This e-newsletter is brought to you by Better Health Technologies, LLC (http://www.bhtinfo.com).  BHT provides consulting and business development services relating to disease management, demand management, and patient health information technologies.

    You may copy, reprint or forward this newsletter to friends, colleagues or customers, as long as the use is not for resale or profit and the following copyright notice is included intact. Copyright © 2000, Better Health Technologies, LLC. All rights reserved.


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