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The U.S. leads the world in healthcare expenditures – an astounding $2.7 trillion in 2012 and rising every year. Yet in one recent study of medical outcomes in the world’s most highly developed countries we ranked last. By any measure we are experiencing a healthcare crisis. If we hope to change this – to improve the quality of care and make it available to more people, while still reducing costs – it is imperative that our health system embraces new and disruptive technologies.
Healthcare IT in infancy
In 1969, just six weeks after NASA landed the first men on the moon, the first $20 bill was dispensed from an automated teller machine. IT systems have since revolutionized financial services, and as a result banks have since saved billions of dollars as consumers first used ATMs for deposits and withdrawals, and then started to pay their bills and make purchases online. According to a Bain & Co. brief, transaction costs have dropped from $4 at the teller window to just 8 cents when paying a bill via a smartphone.
From my perspective, healthcare IT is still just a few paces beyond where the financial services industry was in 1969.
Electronic health records (EHR), the backbone of health IT systems, are a perfect example of the health system effectively using technology to both improve care and reduce costs. For those healthcare systems that have proactively decided to digitize, EHRs are already proving to save lives and costs, from identifying redundant tests and dangerous drug interactions to revealing trends in treatment outcomes.
For example, we have used EHRs at Kaiser Permanente to analyze a database of 1.4 million members, and that led to the discovery that the widely used COX-2 pain reliever Vioxx was dangerous; the drug was eventually taken off the market. It took a large data set and the right tools to find this lifesaving information.
IT costs growing faster than healthcare
The following market research indicates that spending on health care IT will grow at an even faster rate than overall healthcare spending:
- According to Insight Research, health care IT spending will grow 9.7 percent annually between 2012 and 2017. That compares to an annual 6.4 percent growth rate in overall healthcare spending.
- Neal Patterson, founder and CEO of Cerner, the world’s largest stand-alone developer of healthcare IT (HIT) systems, told Forbes magazine in May 2012 that he expects HIT sales in the U.S. to double or even quadruple by 2020 – growing from $5 billion to $10 billion annually.
Opportunities for entrepreneurs
Investing in innovative health IT is a winning strategy for entrepreneurs. Here are three opportunities that I find particularly compelling:
Cloud computing is one disruptive technology that makes setting up and running an electronic health record faster, simpler and more affordable. Bain & Co. suggests that the move to cloud computing could cut costs from 30 percent to 40 percent compared to legacy IT systems. That’s a big selling point. The smartest new EHR vendors go the extra mile to guarantee, as Athena Health does, that their systems will allow a practice to qualify for Medicare Meaningful Use payments (a government incentive program for health care professionals). This is a smart strategy for vendors, as it gives healthcare providers an income stream that will help defray the cost of adopting the technology.
Big data analytics
Here at Kaiser Permanente, the 1-2 terabytes of data we’ve collected every day since 2003 have resulted in a patient database that’s larger than the Library of Congress. Our system can analyze and leverage this massive dataset with a variety of tools: Predictive analytics, clinical decision support, data mining, and natural language processing, among them. What we have learned has changed the way we, and doctors around the world, practice medicine. Big data has already attracted the attention of major players like Dell, Intel, and Oracle.
But storage also offers fertile ground for exploration: Providers now dump nearly 90 percent of data they generate due to storage issues – literally trashing valuable information that could save lives.
Mobile capabilities offer incredible opportunities to advance the way healthcare is administered, chiefly through telemedicine (the delivery of care via telecommunication technologies like video) and telehealth (remotely provided preventive health services, such as patient education and e-mail consultation). It’s all about high-tech tracking and high-touch connection. Existing innovations include portable pulse oximeters that can send data on pulse and blood oxygen rate from a patient sitting at home to his doctor, in real time. According to BCC Research, these technologies were a $3.5 billion global market in 2011, and are expected to reach $9.7 billion by 2016.
No one can deny the stakes in health IT are high, but the rewards we stand to gain are even higher. Some rewards are financial. Reducing our overall healthcare expenditures would strengthen our economy and ease the financial burden of healthcare on individuals and family. But the biggest rewards are intangible: higher quality care enabled by health IT will provide better health outcomes, and a healthier population.
Phil Fasano is executive vice president and chief information officer of Kaiser Permanente, the nation’s largest not-for-profit health plan and health care provider, and author of Transforming Healthcare: The Financial Impact of Technology, Electronic Tools, and Data Mining.
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