This document discusses person-centered healthcare and how technology can enable it. It argues that healthcare should be centered around both the patient and the human workforce. It advocates for IT systems that support patient-centric models of care and help improve communication between healthcare workers. The goal is to use technology to shift more care to the home and community to improve quality of life while lowering costs.

1. What does Person Centric Healthcare Mean?
The Patient and the entire Health Workforce are
all People!
Dr David Dembo, MD ddembo@microsoft.com
Leader – Health & Social Services
Microsoft Australia

2. The Beechcraft 1900D, Fear and Healthcare

3. Person Centred Healthcare: eHealth as an enabler
Patient Centric Healthcare
IT and Patient Centric Models of care
Human Centric Workforce
Human being's Interface with IT
Human being's interface with each other

4. The Doctor Patient Relationship

7. Health Advances Require a “Shift Left”
The “total-system
healthcare win” is
in the home
HOME CARE
Specialty
100% Pharmacy Lower cost (good for
plans, employers)
Healthy, Higher quality of life
Independent Living Community
Clinic (good for consumers)
Chronic
Disease Management
Doctor’s
SHIFT The key focus for
all competitors will
Office
LEFT be on home-based,
Quality of Life
consumer-centric
COMMUNITY CARE healthcare solutions
Assisted Living ACUTE CARE HOME CARE FOCUS:
Specialty Clinic Prevention
Skilled Nursing
Knowledge
Facility
Fitness
Community Hospital
Wellness
Dr Communications
ICU
0% Chronic Care and
Outpatient
Medications
$1 $10 $100 $1,000 $10,000 Monitoring
Cost of Care per Day Community
Source: Intel.com Medical
Communications

8. Connecting Health: Across the Ecosystem
Physical Home Computing Home Web Health Ecosystem

9. HealthVault = Health Application Platform

10. 10 Device Partners, 60 Devices

11. New Devices

13. HealthVault = PayPal for health information
PayPal is a financial transaction HealthVault is a health information
platform that allows you to store and platform that allows you to store and
share your banking information with share your health information with
thousands of online retail thousands of online health
applications.
applications.
• Primary user relationship is with
the online retail application • Primary user relationship is with
the online health application
• Consumer trust is important for
users of PayPal • Consumer trust is important for
• Consumer-centric data exchange users of HealthVault
platform • Consumer-centric data exchange
platform

14. Consumer Branding and Trust

15. Affordable Monitoring Solutions
PC/Netbook  ‘Works with HealthVault’ Health and Fitness Devices  pre-
installed device drivers and HealthVault Connection Center
For Illustration purposes only

17. Route Tracker

18. Phone
Good match for Health & Fitness scenarios
Security - HealthVault SODA for more
advanced scenarios

19. HealthVault Use Cases
• Hospital Admit • Medication Management
• Hospital Discharge • Lab and Test Results
• Chronic Disease • Acute Condition
Management Management
• Remote Monitoring with • Emergency Care
Devices • Weight Management
• Telemedicine • Nutrition
• Pregnancy • Get Fit
• Family Wellness • Healthy Aging

20. HealthVault Update - Partner Momentum

21. The information challenge

22. Why Communication is important
Work Day
9%
15% 33% Professional Communication
Social Activities
17% Indirect Care
17% Direct Care
Documentation
Source: J. Westbrook et al, MJA, 5 May 2008
Communication errors are the most common cause of
preventable medical errors
Caregivers preference their peers over text
Blind calls and paging
Most junior staff cover 75% of working week (24/7)

23. May 1 2006

24. What are we trying to resolve
Issue 1: Not knowing who to go to for advice
Issue 2: No backup for the person with the info
Issue 3: One to One Communication does not make a team.
Metcalfe's law states that the value of a network is proportional
to the square of the number of connected users of the system
(n2).
Most of
Healthcare

26. 26

31. Clinical User Interface
www.mscui.net

32. Person Centred Healthcare: eHealth as an enabler
Patient Centric Healthcare
IT and Patient Centric Models of care
Human Centric Workforce
Human being's Interface with IT
Human being's interface with each other

33. © 2008 Microsoft Corporation. All rights reserved. Microsoft, Windows, Windows Vista and other product names are or may be registered trademarks and/or trademarks in the U.S. and/or other countries.
The information herein is for informational purposes only and represents the current view of Microsoft Corporation as of the date of this presentation. Because Microsoft must respond to changing market
conditions, it should not be interpreted to be a commitment on the part of Microsoft, and Microsoft cannot guarantee the accuracy of any information provided after the date of this presentation.
MICROSOFT MAKES NO WARRANTIES, EXPRESS, IMPLIED OR STATUTORY, AS TO THE INFORMATION IN THIS PRESENTATION.