Consumer Health Solutions The New Frontier

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Consumer Health Solutions The New Frontier?
Shared Services in Health Care - A New Era of
Collaboration Trevor Hodge, Senior Vice
President June 22, 2009
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Agenda

• Shared Health Services in Healthcare
• Consumer Health Solutions
• The Expectations of Canadians
• Denmark as the Best in Class
• What is Emerging in Canada
• An Opportunity for Collaboration

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Shared Services in HealthcareThe Emergence of a
Few Key Platforms

• Jurisdiction (public sector) health
  infostructures
• Commercial health solution platforms
• Administrative offerings
• Clinical offerings
• Consumer offerings
• Commercial mobile solution platforms

These platforms all lend themselves to a shared
services approach
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Shared Services in HealthcareOur Recent
Experience

• Initial resistance is common, but can be overcome
  with
• A strong business case
• Strong funding incentives
• Success will very rapidly replace resistance
• When rapid progress is possible
• Where significant savings can be realized
• Some excellent historical examples exist
• National drug claims routing for private payers
• Excelleris in BC
• Pharmanet in BC
• More recent examples
• Electronic health record infostructure

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Shared Services in HealthcareOur Recent
Experience

• Province-wide shared services in healthcare
• Saskatchewan, Manitoba, Ontario, Nova Scotia, New
  Brunswick, Newfoundland-Labrador and PEI are the
  best examples today in healthcare
• Alberta and BC are starting to move in this
  direction
• Quebec is lagging some legislative barriers
• Pan-Canadian shared services in healthcare
• A new concept for the public sector
• Some excellent opportunities do exist
• Commercial shared services offerings in
  healthcare will increasing take on a regional
  and/or national flavour

Canadians are mobile and want their health record
to be portable
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Consumer Health Solutions
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What Are They .. Systems and Devices providing

• Health Information
• Navigation
• Communication
• Confidentiality
• Mobility

consumer health solutions, consumer health
platforms, consumer health applications, patient
portals, personal health records, patient
monitoring devices ..
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The Consumer Needs that They Serve

• Access
• Choice
• Portability
• Quality of Care
• Personal Productivity

consumer health solutions, consumer health
platforms, consumer health applications, patient
portals, personal health records, patient
monitoring devices ..
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The Expectations of Canadians
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The Expectations of Canadians
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What are Canadians Doing

• 84 (28 M) of Canadians are online internet
  users
• 70 of online Canadians visited a healthcare
  website last year
• Many online Canadians are using the Internet to
  conduct their own self-diagnosis and 51 of
  online Canadians say their own diagnosis via the
  Internet is confirmed as correct after
  consultation with a doctor
• However, only 20 agree that they visit their
  doctor less often because of information they
  find on the Internet
• Sources Ipsos Reid, Online Healthcare Coming
  of Age

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The Feelings of Canadians

• Their Priorities (in order)
• Personal Health Record
• Selfcare
• Care Planning
• Care Coordination
• Other

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The Feelings of Canadians

• Their Concerns
• Security
• Internet
• Information Usability
• Information Sources

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The Feelings of Healthcare Providers in Canada

• Their Feedback
• Communications
• Oversight
• Online Assessment Forms
• Health Management Tools
• Online Consultation

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The Global Experience
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Denmark

• Patient Portal Functionality
• Find health information A-Z
• Find provider, facility and service information
• Communicate with healthcare providers
• View health record (in part)
• Manage medication refills
• View wait times
• Book appointments with family physicians
• View who has looked at your health record

• Patient Portal Use
• Denmark has a population of 5.4 M people
• 6 of the total population used the health portal
  in January 2009
• The national Medcom health information exchange
  is used to route data to and from the health
  portal

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Consumer Health Solutions in Canada
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What is Emerging in Canada

• Six Types of Consumer Health Solutions
• Jurisdiction driven
• Hospital/RHA driven
• Physician Office driven
• Pharmacy driven
• Insurer driven
• Vendor driven

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Canadians will rapidly become confused and
frustrated
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What Is Emerging in Canada
Copy
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The Infoway Consumer Health DirectionWith a
Focus on Integration and Collaboration
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Thank you