#AGILEHEALTH A CSC HEALTHCARE POINT OF VIEW AGILE HEALTH PATIENT-CENTRIC CARE IN THE MODERN HEALTHCARE ENVIRONMENT Medicine is changing, and the provision of healthcare is changing with it. Patients are increasingly making more-informed choices and managing their own health. Successful healthcare providers need to respond to changing patient needs and preferences with new, more-effective models of care. CSC’s Agile Health strategy will help you transform your IT organization so you can achieve the flexibility and efficiency you need to deliver more patient-centric care in the future. New Models of Care Need New Models of IT Advances in medical science, combined with rapidly changing patient expectations, mean that healthcare providers are facing a period of sustained change. Add to that a pressing need to contain healthcare costs in the face of increasing demand, and it is clear that this change needs to be both fundamental and transformational. Recognizing that stepwise improvements will not be enough to keep pace, healthcare providers across the world are adopting new models of care. These models focus as much on population health as they do on treating individual illness. The new models of care that will characterize the next 50 years of healthcare will require ever-more sophisticated systems to enable them. Three Drivers of Transformational Change Advances in Medical Science. Medical science is advancing rapidly. At an individual level, low-cost genomic profiling paves the way for precision medicine, using targeted and personalized therapies. At a broader population level, sophisticated analytics allow physicians to predict patterns of disease and, more crucially, to predict an individual’s health trajectory. These new analytics approaches will be fed by the huge amount of personal health data being built up, not only in healthcare providers’ systems, but also through individual patient input such as personal wearable devices. In addition, other unstructured data sources, including retail, social media and travel, will help provide powerful insights. Changing Demographics, Lifestyles and Disease Patterns. Demographic data predicts a rapid increase in the population aged 60 years or older. The rate of change is greatest in moredeveloped regions but is significant everywhere in the world. This both drives demand for and changes the nature of healthcare. As populations age, chronic condition management and end-of-life care become increasingly important. A single example demonstrates the shift: In the UK, experts suggest that one-third of the population is pre-diabetic, and estimate diabetes care could account for 17% of health costs in the next 30 years. The Rise of the Informed Consumer. Increasingly, health is being seen as a “lifestyle” option, and individuals expect to engage with their healthcare provider in the same way they engage with other consumer goods suppliers. At a base level, this means they will demand social and mobile access to providers. More profoundly, we will see patients becoming more proactive, seeking to make informed decisions about their conditions and treatment through personal research and engagement with peer communities. Toward a Coordinated, Patient-centric Healthcare Ecosystem Better therapies, increased life expectancy and more engaged patients are clearly a good thing. However, with citizens living longer, it is predicted that healthcare spending will be everexpanding. Even with data from the Organisation for Economic Co-operation and Development (OECD) showing that the growth in health spending is slowing, nations are seeing record high percentages of gross domestic product (GDP) spent on healthcare. In many economies, efforts to “bend” the healthcare cost curve are accelerating. AGILE HEALTH In response, healthcare providers need to adopt new models. These models will have two defining characteristics: They will focus on promoting and propagating health rather than treating disease, and they will be built around care pathways that coordinate personalized care across the complete continuum of personal health, social care and therapeutic venues. Effective IT will be at the heart of the changes providers need to make. Clinicians, administrators and patients need better information if they are to make better decisions, but the new models of care will also require new systems and processes. The Chief Innovation Officer — CIOs as Critical Change Agents A recent CSC survey found that nearly half of healthcare CIOs think legacy applications are hindering innovation, and two-thirds identify modernization as a key priority. Typically, too much time is spent running the operation, rather than responding to new possibilities. The survey also found that budget constraints are a key challenge. Forward-looking CIOs are seeking to rebalance their organizations, achieving more innovation at the same or reduced cost. With the move to a coordinated, patientcentric ecosystem underpinned by agile and effective IT, it is vital that the CIO become a key driver of business change, championing innovation and enabling transformation. CSC identifies three key areas of focus for CIOs: Agile IT as a Service. Increase organizational flexibility, agility and responsiveness, while reducing costs by: • Simplifying and standardizing operating environments • Using cost-optimized, multitenanted commodity IT services • Embracing consumer-focused social and mobile technologies eHealth Optimization. Maximize the value of eHealth investments and enable staff to focus on clinical and operational innovation by: • Minimizing the overhead of legacy applications, freeing up resources to drive innovation and transformational change • Increasing clinical integration and relevance, improving clinical outcomes • Efficiently implementing new electronic health record (EHR) systems and functionality Working with a large U.S. academic healthcare provider, CSC is helping optimize IT spending and resources, rationalizing and operating legacy clinical and financial applications while transitioning to a new EHR system. Population Health Enablement. Improve patient outcomes and integrate care pathways across system boundaries by: • Converging population data across multiple health settings and pathways The Triple Aim of Healthcare Reform The Institute for Healthcare Improvement (IHI) has developed a framework that describes an approach to optimizing health systems. IHI believes that new designs must be developed to simultaneously pursue three dimensions: • Improving the patient experience of care (including quality and satisfaction) • Improving the health of populations • Reducing the per-capita cost of healthcare Find out more about the IHI Triple Aim at: www.ihi.org/tripleaim. • Optimizing clinical decision making with analytics-based insights into populationwide health management • Engaging with patients in diverse care settings through multiple communications channels • Supporting the transition to value-based commissioning and reimbursement models Working with a healthcare commissioning group in the UK, CSC has been selected to deliver a first-of-its-kind Patient Care Coordination Center, serving the needs of more than 200,000 health consumers. Transforming for the Future New models of IT provide a platform for innovative and effective new models of care. With global experience across multiple industries, established expertise and a next-generation technology focus, CSC can work with you to deliver innovation together. Working with a U.S.-based integrated healthcare system, CSC is transforming the IT infrastructure with CSC Agility Platform™, optimizing workloads across development, testing and production environments. © 2015 Computer Sciences Corporation. All rights reserved. Creative Services BR7586h-16 April 2015 There’s No “Business as Usual” Anymore CIOs need to adapt in order to survive and thrive. Key issues include: • Optimizing CAPEX and OPEX budgets for maximum efficiency • Transforming infrastructure for effectiveness and efficiency • Ensuring cybersecurity in an increasingly connected environment • Engaging with patients, clinicians and populations digitally and socially • Investing in innovation while running the business • Ensuring that investments are fit for the future ÞÞ Learn more at csc.com/healthcare.
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