Federal Government Releases Health Care Provider Reference Architecture

On April 3rd 2014, the federal mandate to publish an IT Risk framework for Healthcare IT was fulfilled with the publication of the "FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk Based Framework."

As per the FDA press release "the diverse and rapidly developing industry of health information technology requires a thoughtful, flexible approach,” said HHS Secretary Kathleen Sebelius. “This proposed strategy is designed to promote innovation and provide technology to consumers and health care providers while maintaining patient safety. Innovative health IT products present tremendous potential benefits, including: greater prevention of medical errors; reductions in unnecessary tests; increased patient engagement; and faster identifications of and response to public health threats and emergencies. However, if health IT products are not designed, implemented or maintained properly, they can pose varying degrees of risk to the patients who use them. The safety of health IT relies not only on how a product is designed and developed, but on how it is customized, implemented, integrated and used" 

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HIMSS: Moving The Model From The Hospital To The Recipients Of Care

Everybody at HIMSS, the annual health care IT conference (http://www.himssconference.org/) is telling the same story. Regulations and the need to reduce the burden of healthcare costs on the American economy is driving innovation to more efficient models of care delivery. The engine behind this drive is a changing model of incentives that reward quality and punish uncoordinated poor-quality care.

                           

Mark Bertolini, CEO of Aetna (HIMSS keynote speaker)

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Global Health Spend

There is a great deal of wildly divergent and sometimes seemingly fabricated information on the size of the US and global healthcare market. For 2014, here are the numbers that I will be using, with my sources, and assumptions and notes.1

 

2012 Annual Healthcare Spend

US Dollars Trillion

Percentage of GDP

Global

7.1

10.1%

US

2.9

17.9%

 

US percentage of global health spend

41%

US percentage of global population

5%

 

Sources

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Big Pharma Big Data Trends

While I don't cover big pharma on its own, I am keenly interested in it and follow it with some passion, having in my career worked for several pharma firms as a consultant.

I have spoken to several pharma folks about data since arriving at Forrester. Some of what I learned was surprising. Some of what I learned reinforced my views coming to this job.

Important leaders are saying that good data management gives companies a key and differentiated competitive advantage. We are hearing this in almost all of our conversations with pharma leaders. It is 100% top-of-mind for big pharma CIOs. http://searchcio.techtarget.com/video/JJ-Pharma-CIO-Healthcare-data-management-will-revolutionize-her-business

But what are the trends, and what are the best practices?

We are hearing from all the pharma stakeholders four stories that are driving the questions that are being asked of the data:

  1. Pharma needs to get away from its focus on molecules and pivot to a holistic view of disease. As per a senior IT manager at a major pharma in a meeting with me last week: "We have to deliver whole solutions, and not just pills." 
  2. Pharma needs to understand prescribing behavior in the formulary and in the physician's office better in order to influence it and thus drive sales. As per a senior marketing manager from a meeting recently: "In the old world, we just sprayed and prayed," meaning that the marketing campaigns aimed at the physician did not discriminate as to who that physician was.
  3. Genomic-based drugs are driving changes though the amounts and types of data that the industry must manage.
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