Health%20Care%20Trends

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Health Care Trends
Biotechnology Council Meeting
Washington, D.C. 19 March 2005
Michael J. Rozen M.D. Chair, MTPC IEEE-USA
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I. U.S. Healthcare Expenditure

• 1.8 Trillion (Traditional) 14.6 GNP
• What Do we Get? Life span
• Uninsured Americans 45 M
• Population 295,650,000 (net gain 1 person -12
  sec)
• Uninsured add 1 person every 32 secs.

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http//www.oecd.org/dataoecd/7/58/31785551.pdf
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http//www.post-gazette.com/pg/05055/462144.stm
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18.7
14.6
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How Long We Live, How Long They Live
Country MS GNP MD/1000 Res. F LE M LE USA
14.6 2.4 79.8 74.7 Australia
9.1 2.5 82.6 77.4 Austria
7.7 3.3 81.1 75.1 Canada 9.6
2.1 82.2 77.1 Czech Rep. 7.4
3.4 78.7 72.1 France 9.7
3.3 82.9 75.6 Germany 10.9 3.3
81.3 75.6 Ireland 7.3 2.4
80.3 75.2 Italy 8.5 4.3 82.9
76.8 Japan 7.8 1.9 85.2
78.3 Norway 8.7 3.4 81.5
76.4 Spain 7.6 2.9 83.1
75.7 Sweden 9.2 3.0 82.1
77.7 UK 7.7 2.1 80.4 75.7
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Fifteen illnesses account for 56 of 200B
increase in health spending 1987-2000
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II. MTPC-IEEE-USA

• Voluntary Universal H/C Identifiers
• http//www.ieeeusa.org/policy/positions/healthcare
  identifier.html
• Geriatric Symposium
• http//www.ieeeusa.org/calendar/conferences/geriat
  rictech/index.html
• Tissue Engineering/Stem Cell
• EMR and Interoperability

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• VOLUNTARY HEALTHCARE IDENTIFIER
• Approved by the IEEE-USABoard of Directors, 17
  June 2004
• IEEE-USA believes the use of voluntary healthcare
  identifiers can significantly enhance healthcare
  efficiency and patient safety. Consistent with
  the framework of the HIPAA legislation, IEEE-USA
  recommends that legislators and regulators
  develop and implement policies to create a
  Voluntary Healthcare Identifier Program and
  establish demonstration projects to document
  these benefits.
• Policies needed to facilitate adoption include
• Congressional authority and resources for the
  Department of Health and Human Services and the
  National Committee on Health and Vital Statistics
  to develop and maintain a Voluntary Healthcare
  Identifier System 
• Strong penalties, including monetary, civil and
  criminal for privacy and security abuses 
• Safeguards against current or future unintended
  use of the information, and 
• Incentives for healthcare stakeholders to
  encourage adoption of Voluntary Healthcare
  Identifiers
• This statement was developed by IEEE-USA's
  Medical Technology Policy Committee and
  represents the considered judgment of a group of
  U.S. IEEE members with expertise in the subject
  field. IEEE-USA is an organizational unit of the
  IEEE. It was created in 1973 to advance the
  public good and promote the careers and
  public-policy interests of the more than 225,000
  technology professionals who are U.S. members of
  the IEEE. The IEEE is the world's largest
  technical professional society. For more
  information, go to http//www.ieeeusa.org.

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• Addressing the Healthcare Needs ofOur Aging
  Population With Technology4 June 2004
•  This report summarizes the findings and
  recommendations provided by a leading group of
  geriatric care and scientific scholars at a
  one-day symposium on June 4, 2004. The symposium
  goal was to address the healthcare needs of our
  aging population and to review current technology
  and recent advancements in geriatric care.
• The general recommendations of the symposium are
  to
• Provide new incentives to encourage physicians
  to specialize in geriatric care, including
  financial incentives, regulatory changes and
  access to technology-based efficiencies
• Incorporate information technologies with
  enhanced communication capabilities into patient
  care management
• Utilize remote sensing to promote efficient and
  effective patient management between office
  visits and encourage adoption of home self-care
  management programs
• Make payment methodologies and staff training
  more effective and more focused on geriatric
  healthcare needs through the incorporation of
  innovative technological enhancements
• The symposium also developed specific
  recommendations from the perspectives of the
  geriatric population, caregivers, medical
  professionals, and other medical support areas
  including medical facility and insurance
  providers and IT system and device makers.
  Included under these areas are recommendations
  to

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III. OECD Biotechnology

• Primary Focus-Agriculture
• Upgraded to full division of OECD
• Projects on Prevention of Biotech research abuse
• Creating Int. inventory of biotech tools
• Developing best practices and guideline re
  genetics research
• Prioritizing biotech innovation activities
• Collection biostatistics from members

http//www.oecd.org/dataoecd/54/45/34512603.pdf
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IV. Opportunities for Us

• Collaboration Synergistic Alliances
• Voluntary Universal Healthcare Identifier
• National Health Information Infrastructure
• Adoption of Electronic Medical Records
• Geriatric Healthcare
• Medical Device Identification and Tracking

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Thank You
Michael J. Rozen M.D. Chair, MTPC IEEE-USA