How Healthcare IT will Migrate to Cloud Services

According to the findings from a global market study, the healthcare sector has a highly complex IT environment that's supporting a very diversified professional user population (i.e., clinicians) -- along with their patients in life-critical situations. The industry is currently facing growing economic and regulatory pressures that make its IT infrastructure primed for change.

Therefore, all organizations will likely consider the potential benefits of migrating to cloud computing. Improvement in the quality of healthcare services is a key driver for managed cloud service adoption.

Billions of dollars of federal incentives are provided for the delivery of quality healthcare services, and expanding the use of electronic health record (EHRs) systems -- as well as providing the basis for the exchange of information and data across and between the providers. These EHR systems are expected to be used extensively by 2014.

Another significant opportunity is the consumer-oriented cloud application -- offering the potential of improving healthcare communications and enabling patients to manage their own medical records. The cloud platform fits well with new business models, which often require uninterrupted access from multiple providers to a single patient, such as a Patient Centered Medical Home (PCMH) model or Accountable Care Organization (ACO).

Cost Reduction Potential Across the Ecosystem

Reducing costs in the healthcare industry ecosystem is a key motivation for cloud service adoption. This is true for all healthcare organizations, irrespective of their size and area of specialization. In making future IT investment decisions, health organizations will likely measure the return on investment closely. For many new Health Information Exchange (HIE) models, the infrastructure is already in place.

In today’s healthcare system, access to good facilities often depends on the physical location. As more health data moves into the cloud and telehealth technologies become popular, everyone will be able to access health information in real-time from anywhere. The result will be better access to healthcare and relevant data, especially in the remote areas. However, risks around data privacy, security and safety, and state specific policy rules are among the top concerns raised for the adoption of cloud computing.

As a result, these issues currently are the greatest barriers for embracing cloud computing. However, according to the MarketsandMarkets assessment, the data security issue has the potential to increase cloud service adoption. By centralizing and standardizing handling of patient data across the healthcare ecosystem, the cloud could enable stronger security and authentication measures to be imposed by SaaS (software as a service) providers, thereby actually improving protection and integrity of data.

According to MarketsandMarkets latest research, globally 32 percent of healthcare facilities are already using some form of cloud application. Moreover, close to 75 percent of the organizations not using any cloud applications are already considering adopting them in the next three to five years.

In summary, the top priorities for the healthcare industry are:

• Improvement in the quality of healthcare services.
• Reduction of costs.
• Increasing access to the healthcare systems.
• Data privacy and security.

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Video Communication Applications in Healthcare

Just as architecture has the power to transform a skyline, create new vistas and reshape the horizon -- so technology has the power to redefine healthcare, that's the theme of this year's HIMSS09 conference and exhibition in Chicago, Illinois this week.

Cisco video technology was featured in the AT&T Telepresence Solution booth on the exhibition floor. Visitors to the live video demo described their perspective on potential new applications, and Wendy Bohling, Senior VP at Magpie Healthcare had a more profound point of view. She said, regarding the business impact, "Telepresence changes and differentiates a hospital."

Quest to Improve the Patient Experience
Enhancing communication capabilities in healthcare can be equated to the potential for productivity and cost-reduction benefits, which are clearly valued. However, perhaps the emerging opportunities will now also focus on patient safety and the overall patient experience.

A recent study, conducted by Zogby International, sheds new light on the heavy toll that communication lapses take on patient care, clinical efficiency and the overall ability of nurses to do their job. More than 250 practicing nurses were surveyed. They included those in medical-surgical, emergency room, operating room, and critical care or intensive care unit service.

The Key Survey Findings Include:

Improving "people-to-people connections" offers the greatest potential for progress. The primary issue centered on the opportunity to improve communications among care team members. The time that nurses spend chasing other people to get answers was twice as great as the time they spend locating other resources.

• When asked how many minutes per shift are typically spent "chasing other people to get answers," up to 86 percent of respondents estimated wasting as much as two hours per shift.
• When asked about information needed to improve communication, 48 percent of nurses surveyed said, "care team availability and location" is most needed from a communications device at the point of care.
• In an open-ended question about the most significant challenge that a nurse's communications device could address, 56 percent of nurses said, "better communication between staff."
• About 60 percent of nurses in the study estimate they work up to 10 hours of overtime each week due to time wasted or lost trying to communicate with other staff.
  

If the visitor comments at the AT&T Telepresence demonstrations are an indication of an emerging trend, then the opportunities for hospital administrators, and other healthcare industry leaders, to apply the latest managed or hosted service offerings certainly looks very promising. Clearly, IT transformation is a rising priority.

Updates:
View the Day Two video of additional demo visitor commentary.
More demo visitor perspectives on the Day Three video coverage.

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Transforming Healthcare with Creative IT Solutions

Healthcare is constantly in the spotlight as aging populations, technological advances and high-costs threaten the very fabric of the current system. Healthcare providers and insurers are under constant social, political and shareholder pressure to both improve quality of delivery and lower operational costs.

To proactively evolve, forward-looking insurers and providers need to focus on:

• Access -- ensuring that patients are properly insured and the facilities are available to treat them;
• Affordability -- driving down costs across all parts of the system;
• Quality -- ensuring quality and successful treatment outcome;
• Sustainability -- focus on managing labor force resources and green issues.
  

New Approaches to Technology Driven Transformation
Despite being an industry heavily dependant on the use of the latest in medical technologies, healthcare has traditionally been slow to use information technology and services to improve their business processes. Healthcare has some of the most stringent concerns about privacy and security, and regulatory constraints. It is a highly fragmented industry, with over 70% of healthcare typically dispensed by autonomous professionals.

This unique industry structure has resulted in both a lower uptake of technology and the desire for high-cost in-house IT development and operation. Research by Cisco IBSG (the company's strategic consulting arm) reveals that this is beginning to change.

To-date most of the focus has been on using information technology to address the eHealth, or patient records issue, with mixed results. In contrast, Cisco IBSG believes that implementing next generation managed services, outside of the clinical area, can have a significant transformational impact.

Creative Solutions for Challenging Times
We are now seeing both healthcare providers and insurers exploring the potential benefits of managed services to streamline their operations and to improve the overall customer experience. Insurers are eager to encourage competition amongst providers, to drive down costs.

IBSG research indicates insurers are experimenting with using healthcare-specific telepresence solutions to remotely deliver healthcare, reducing costs and improving the overall customer experience.

For example, United Healthcare recently installed a HealthPresence managed service at Cisco's main San Jose, California campus. This allows employees to conveniently access medical support at their place of work, and enables United Healthcare to deliver it using less expensive medical resources in a more streamline process.

Healthcare providers are using managed services to address the cost and quality impacting issues. A hospital wide wireless RFID solution allows caregivers to quickly locate wheelchairs, trolleys and critical equipment, saving not just time and money, but often someone's life. Similar examples exist with locating doctors, identifying their availability, and across other parts of the medical supply chain.

Healthcare providers need to compete on service quality and loyalty. Providers are turning to next generation managed services as a means to enhance their offerings. For example, hospitals are using telepresence kiosks to create in-house concierge services to aid both patients and visitors to improve their overall hospital experience.

Transforming healthcare is going to require radical change. Managed services outside of the traditional clinical area have great potential. However, service providers must work with both insurers and healthcare organizations -- across all aspects of their business -- to develop unique IT solutions that help them to deliver lasting business advantage, and reduce operational costs.

About the author: Stuart Taylor is a Director in Cisco IBSG. Stuart leads thought leadership and engagements with key Service Providers in managed services. He has over 15 years of experience focused on strategy, corporate development, business unit strategy, M&A and operational improvement with large mobile and wireline operators and high technology clients.

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