A Baptism of FHIR - The Layman's intro to HL7 FHIR
Health Care - Long overdue for a Colonoscopy
1. HEALTH CARE
Long Overdue for a Colonoscopy
Mark Scrimshire
@ekivemark
HealthCamp Foundation
2. @ekivemark
“F
ind
the
Cr
ack
”
http://healthca.mp
3. @ekivemark
Consumers
are still kept in the dark
http://healthca.mp Joachim @ daysoff.wordpress.com
4. @ekivemark
Houston,
we have a problem...
nasa.gov
5. @ekivemark
“NO ONE IS HAPPY WITH THE
AMERICAN HEALTH-CARE
EXPERIENCE TODAY. IT IS AN
EXPENSIVE, COMPLEX
SYSTEM TO WHICH PEOPLE
RESORT ONLY WHEN A
PROBLEM HAS GROWN
THREATENING.“
BUSINESSWEEK
6. @ekivemark South America
We are not getting any younger The Ch
1980 2025
Male Age Female Male Age Female
80+ 80+
75-79 75-79
70-74 70-74
$9,000
65-69
60-64
55-59
65-69
60-64
55-59
Region
$7,500
50-54
45-49
50-54
45-49
Structu
40-44 40-44
$6,000 35-39 35-39
30-34 30-34
The term
ulation $4,500 25-29
20-24
25-29
20-24
transition
Source: Kaiser
15-19 15-19
$3,000 10-14 10-14
gradual p
5-9 5-9
$1,500 whereby
ucture: 20 15 10 5 0
0-4
0 5 10 15 20 20 15 10 5
0-4
0 0 5 10 15 20
$0 moves fro
0 and Under 5 5 - 17 18 - 24 25 - 44 45 - 64 65+ of high ra
5 Annual Spend Per Person
North America and mort
ions) low rates.
1980 2025 is charac
Male Female Male Female
Age
80+
Age
80+
declines i
75-79
70-74
75-79
70-74
childhood
65-69
60-64
65-69
60-64
infectious
55-59 55-59 diseases
Source: Census Bureau
50-54 50-54
45-49
40-44
45-49
40-44
Whole po
35-39
30-34
35-39
30-34
begin to a
25-29
20-24
25-29
20-24
fertility ra
15-19
10-14
15-19
10-14
and mort
5-9
0-4
5-9
0-4
all ages im
20 15 10 5 0 0 5 10 15 20 20 15 10 5 0 0 5 10 15 20 Successiv
Millions may even
Central America and the Caribbean smaller a
Changing age distribution drives up cost by 22% per person for N
1980 2025
seen
in 1980.
Male Age Female Male Age Female
7. @ekivemark
Rising Health Care Costs
$12,000
18.0%
$9,000
%GDP 17.0%
16.0%
$6,000
$11,907
$ 7,421
15.0%
$3,000 14.0%
13.0%
2014 2015 2016
2009 2010 2011 2012 2013
2000 2001 2002 2003 2004 2005 2006 2007 2008
1997 1998 1999 Actual Health Expenditure as percentage of Gross Domestic Product
Actual Health Expenditure Per Capita
Projected Health Expenditure Per Capita
... But this is only half the story
Source: Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Statistics Group
8. 17.6%
HealthCare percentage of GDP in 2009
Health Affairs Magazine
9. Title
Public
46% Private
54%
HealthCare spending breakdown (2005)
CBO.gov
10. Medicare
18%
Medicaid Private Health
17% 37%
Other
Public - Other 4%
10% Out of Pocket
13%
HealthCare spending breakdown (2005)
CBO.gov