Healthcare and Medical Device Connectivity and Interoperability

Transcription

1 Healthcare and Medical Device Connectivity and Interoperability Overcoming Communication Barriers to Achieve a Connected Future April 2015

2 Contents Section Slide Number Executive Summary 4 Connected Health Infrastructure Overview 7 Healthcare Interoperability and Communication Standards and Alliances 12 Technology Advances in Healthcare and Medical Device Connectivity and Interoperability 20 Business Models in Healthcare and Medical Device Connectivity and Interoperability 25 Conclusion 32 Appendix 35 The Frost & Sullivan Story 39 2

3 Research Methodology The objective of this research service is to present an analysis of major connectivity and interoperability standards in the global healthcare and medical device industry. The study analyses the technology advances in healthcare and medical device connectivity and interoperability. Frost & Sullivan used a three-step methodology to develop the analysis presented in this research service. Internal Expertise Frost & Sullivan utilises the expertise of the global research staff supported by the internal databases to develop insights into the healthcare and medical device market. Secondary Research Secondary research is used to develop a baseline understanding of major connectivity and interoperability standards in the healthcare and medical device market, in addition to identifying key stakeholders for the primary research phase. Primary Research Approximately % of the data from the primary research is targeted information collected from key market participants through telephone interviews. Information collected by the above methods was analyzed and aggregated to produce this research service. 3

4 Key Findings Wellness and proactive care are gaining importance, and therefore, the focus is on diagnosis, monitoring and prevention; connected healthcare infrastructure will be the binding force that will enable collaboration in the healthcare sector. The adoption of connected healthcare infrastructure is not uniform across the globe, owing to the lack of a holistic digital healthcare strategy that focuses on integrated care models, and failure to utilize established standards in connectivity and interoperability. There are several established interoperability standards such as HL7, DICOM, and Direct Project, and clinical terminologies such as ICD and SNOMED-CT that enable recording and exchange of healthcare information. Alliances and gateways involving several market participants, with the objective of using interoperability to share information between devices and healthcare IT solutions from different vendors, are elevating the maturity level of medical device connectivity. Technological advances in WiFi, Bluetooth, and RFID are adding momentum to the drive for healthcare connectivity and interoperability. Hospitals have a need to connect devices and healthcare IT solutions for centralized monitoring and real-time data analysis; however, they find it challenging to manage the reviews required for updating the workflows and have cost constraints. Several medical device manufacturers are offering connectivity functionality. However, these gateways are mostly proprietary and closed. Manufacturers of vendor-neutral and open medical connectivity solutions are in demand, as they offer integration of devices from different OEMs. Increased focus on healthcare interoperability in FDA guidelines and the EU ehealth action plan is expected to have a positive impact on the market landscape for healthcare and medical device interoperability and connectivity. *Note: Expansions of abbreviations are given in the appendix. 5

5 Research Scope The scope of the research study revolves around the global standards for healthcare and medical device interoperability and connectivity. The study aims to analyze the impact of standards on sharing of patient information between healthcare IT solutions and medical devices in today s healthcare system that is increasingly getting connected and digitized. The study covers the technological advances that enable connectivity and interoperability, and includes business models of key market participants in the connectivity and interoperability space. 6

6 Healthcare Paradigm is Shifting Forces Shaping the Future of Health, Wellness, and Wellbeing Healthcare Market: Market Transformation, Global, 2015 and 2025 Healthcare Transformation Approach From One Size Fits All To Personalized Medicine Information Flow Fragmented, One-way Integrated, Two Way Focus Provider-centric Patient-centric Reimbursement Procedure-based Bundled, Capitated Location Centralized, Hospital-based Decentralized, Community-based Clinical Decision Making Fragmented, Specialized Collaborative, Shared Information Care Delivery Treating Sickness Preventing Sickness (Wellness)

7 Transformation of Healthcare Aided by Digitization Leading the Change to Provide Sustainable Healthcare Healthcare Market: Market Outlook, Global, 2015 and 2025 Focus Area Present (2015) Future Outlook (2025) Healthcare Delivery Information Flow Clinical Outcomes Treatment Focus Reimbursement Regulations Healthcare providers are starting to move away from a one-size-fits-all model to a customized model for their healthcare IT needs. A majority of the healthcare providers are still focusing only on collection of data and the information flow is a fragmented one-way channel of communication. Healthcare is gradually shifting from a physician- or provider-centric model to one focused on individual patients and population health. The treatment focus has been driven by reactive care, as the focus is on treating illness. The model of care delivery is fragmented and specialized. Governments and regional or state health institutions are evaluating reimbursement regulations to include new areas such as telemedicine and mhealth. Future healthcare delivery will focus more on personalized medicine that revolves around a more customized model of care. The focus is shifting to deriving meaningful insights from patient data that can enable clinical decision making, while flow of information between various stakeholders in a healthcare environment has been transforming to an integrated two-way mode. The patient-centric model, which gives the highest priority to improving clinical outcomes, is expected to gain popularity. The focus is expected to shift to proactive care with prevention and wellness gaining importance. As a result, treatment options will move to a more collaborative and shared model. The reimbursement model is evolving from a procedure-based model to one based on complete care pathways and clinical outcomes in a value-based environment. 9