e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

“The Future of Platforms in Healthcare” — PowerPoint from eCollaboration Forum at HIMSS12

My colleague Shahid Shah and I are glad to make available to you a copy of the slides from our upcoming presentation “The Future of Platforms in Healthcare.”  This presentation takes place at the eCollaboration Forum as part of HIMSS12 on Thursday, February 23.

You can access the slides here.

While the eCollaboration Forum in Las Vegas is sold out, you can still sign up for the live webinar all day Thursday, February 23: http://eCollab12.eventbrite.com

Here’s a brief summary of our presentation “The Future of Platforms in Healthcare”.

I. NECESSARY: Platforms are a “Must Have”, Not Just A “Nice to Have”

Today’s EMR (electronic medical record) products cannot enable accountable care. Here’s what you would have to believe to think that closed, proprietary products can get us to accountable care:

  1. That one company can develop all needed functionality, and
  2. That health IT will become a winner-take-all market (either through single-payer or all care providers in a market voluntarily choosing to buy the identical “product”), or
  3. That optimal collaboration across products can be achieved by phone, paper, fax

Our conclusion is: interoperable platforms are a “Must Have”.

II. COMPLEX: Many Key Characteristics of Platforms

There will be many permutations among differing platform characteristics:

How Many? Some markets with strong network effects could have a Winner-Take-All (or most) end-point, but this will take a while to play out.

Geography? International…national…regional? With exceptions, we see most U.S. health care as driven regionally.

Migration Path? Are EMRs destined to become more broad based health information exchange and workflow platforms? Maybe. We see many other possibilities.

Functionality? Platforms will contain differing capabilities and will consolidate over time. Think platform “hierarchies”, e.g., NwHIN >> mobile >> remote monitoring >> chronic diseases >> CHF, diabetes, etc.

Walled Gardens vs. Open? Like Apple iOS and Android in smartphones, we anticipate vibrant competition among closed vs. open platforms.

Sponsors? Look for a range of possibilities — single companies, industry consortia, non-profits, open source…

Products Inside Platforms or Adjacent? Anticipate both, with a preference to inside.

Dynamic? Yes. Think of platform evolution as a movie, not today’s snapshot.

III. OPPORTUNISTIC: Unlocking Patient Value and Competitive Advantage?

Is either your 1) business model, 2) technology, or 2) clinical workflow “closed” — restricting the appropriate flow of patient health records for YOUR benefit, not your patient’s benefit?

If your answer to any one these questions is Yes, you risk being out of sync with the upcoming era of “Strategic Openness” in healthcare.

The evolution of platforms will follow patterns in other industries. While incumbents initially resist standardization and cling to proprietary technologies and business models, there are many patient benefits to open platforms. Companies will use “Strategic Openness” as a differentiator — “We provide you access to your health record data. We help you turn the data into usable information. We help you and your care providers act on that information.”

IV: ACTION ITEMS: Preparing for the Future

Achieving accountable care will require platforms. Your EHR can only get you so far — far short of accountable care.

Open platforms will help us solve big problems in the coming decade: digitizing biology, chemistry, and physics, and predicting fundamental behaviors.

There are immediate governance action items to pursue:

  • Review contracts
  • Improve procurement
  • Promote platform neutrality

After governance, focus on storage — the different kinds of data and how your will collect, store, extract, retain, and manage it. You should err on the side of storing everything.

The key takeaways: Platforms in healthcare will be NECESSARY, COMPLEX, and OPPORTUNISTIC. Start now with your list of ACTION ITEMS.

Again, you can access the slides here.

No tag for this post.
 

Discussion

What do you think? Leave a comment. Alternatively, write a post on your own weblog; this blog accepts trackbacks. Your "first time" comment will not appear until approved by the moderator. Comments are closed after a post is 90 days old.

Subscribe without commenting

Mentions on other sites...

  1. Vince Kuraitis on February 21st, 2012 at 10:10 pm
  2. Ian McNicoll on February 21st, 2012 at 11:16 pm
  3. Netspective Health on February 22nd, 2012 at 1:22 am
  4. Netspective Health on February 22nd, 2012 at 1:22 am
  5. Aparna M K on February 22nd, 2012 at 1:24 am
  6. Aparna M K on February 22nd, 2012 at 1:24 am
  7. Aparna M K on February 22nd, 2012 at 1:24 am
  8. Aparna M K on February 22nd, 2012 at 1:24 am
  9. Leonard Kish on February 22nd, 2012 at 1:36 am
  10. Katerina on February 22nd, 2012 at 1:36 am
  11. Ryan Witt on February 22nd, 2012 at 1:37 am
  12. Brian Eastwood on February 22nd, 2012 at 1:39 am
  13. Pivasys on February 22nd, 2012 at 1:45 am
  14. TheHealthPolicyGroup on February 22nd, 2012 at 1:45 am
  15. Gerrit Lesaffer on February 22nd, 2012 at 1:51 am
  16. christopher parks on February 22nd, 2012 at 2:02 am
  17. kosta MakroDimitris on February 22nd, 2012 at 2:02 am
  18. Mark Scrimshire on February 22nd, 2012 at 2:08 am
  19. Mark Scrimshire on February 22nd, 2012 at 2:08 am
  20. Neelesh Bhandari MD on February 22nd, 2012 at 2:11 am
  21. Neelesh Bhandari MD on February 22nd, 2012 at 2:11 am
  22. Luis Saldana on February 22nd, 2012 at 2:18 am
  23. eCollaboration Forum on February 22nd, 2012 at 2:36 am
  24. Karim Jessa on February 22nd, 2012 at 4:19 am
  25. Paulo Machado on February 22nd, 2012 at 4:19 am
  26. Arjun (AJ) Maini on February 22nd, 2012 at 4:30 am
  27. Andy Boyle on February 22nd, 2012 at 6:16 am
  28. Khurram Shahzad on February 22nd, 2012 at 6:38 am
  29. Heather Leslie on February 22nd, 2012 at 8:14 am
  30. Teresa Di Cairano on February 22nd, 2012 at 9:51 am
  31. hiv snp on February 22nd, 2012 at 12:06 pm
  32. PenelopeM on February 22nd, 2012 at 5:32 pm
  33. HCI on February 22nd, 2012 at 9:12 pm
  34. Nicole Trueba on February 22nd, 2012 at 11:33 pm
  35. Maria Lyubelsky on February 23rd, 2012 at 12:08 am
  36. Gregg Masters on February 23rd, 2012 at 1:50 am
  37. Howard Luks on February 23rd, 2012 at 12:01 pm
  38. KentBottles on February 23rd, 2012 at 12:02 pm
  39. Ignacio Basagoiti on February 23rd, 2012 at 12:03 pm
  40. Marshall Votta on February 23rd, 2012 at 12:15 pm
  41. Daniela Chueke on February 23rd, 2012 at 1:07 pm
  42. Armedia on February 23rd, 2012 at 1:44 pm
  43. eli ingraham on February 23rd, 2012 at 4:35 pm
  44. Jon Mertz on February 23rd, 2012 at 5:16 pm
  45. Sande Olson on February 23rd, 2012 at 6:09 pm
  46. TESCH Global on February 23rd, 2012 at 6:16 pm
  47. Deborah Verran on February 23rd, 2012 at 6:49 pm
  48. Natrice Rese on February 23rd, 2012 at 7:14 pm
  49. Alan Wills on February 23rd, 2012 at 8:09 pm
  50. Intuitive Solutions on February 23rd, 2012 at 9:21 pm
  51. Michael Crosnick on February 24th, 2012 at 4:23 pm
  52. Nate Osit on February 24th, 2012 at 4:33 pm
  53. Melody Smith Jones on February 24th, 2012 at 4:34 pm
  54. P. F. Anderson on February 24th, 2012 at 4:36 pm
  55. Neelesh Bhandari MD on February 25th, 2012 at 5:28 am
  56. Neelesh Bhandari MD on February 25th, 2012 at 5:28 am
  57. Lawrence Lin on February 25th, 2012 at 6:20 am
  58. XanateMedia on February 25th, 2012 at 9:58 pm
  59. Rodney Hamilton, MD on February 26th, 2012 at 1:46 am
  60. Davisthedoc on February 27th, 2012 at 12:58 pm
  61. Leonard Kish on February 27th, 2012 at 6:46 pm
  62. Howard Luks on February 27th, 2012 at 6:52 pm
  63. eCollaboration Forum on February 27th, 2012 at 7:32 pm
  64. Pablo Pazos on February 28th, 2012 at 3:26 am
  65. Domingo Liotta on February 28th, 2012 at 3:27 am
  66. KOBAYASHI, Shinji on February 28th, 2012 at 3:49 am
  67. Kyle I. Curley on February 28th, 2012 at 4:13 pm
  68. Chris Mueller on March 1st, 2012 at 5:04 pm
  69. Chris Mueller on March 1st, 2012 at 5:05 pm
  70. PW Industries on March 2nd, 2012 at 3:43 pm
  71. Ram Fernando on March 3rd, 2012 at 1:06 pm
  72. Jon Mertz on March 7th, 2012 at 6:09 pm
  73. Leonard Kish on March 7th, 2012 at 9:06 pm
  74. Michelle Troseth on May 5th, 2012 at 1:52 pm
  75. Myung Kyu Chun on September 5th, 2012 at 12:31 pm