Top 10 Health IT Advances You Should Know About - Presented by http://www.healthimaging.com - speaker: Mike Davis, Managing Director, The Advisory Board

1. Applications and Technology
Collaborative
Top 10 Health IT
Advances You
Should Know About
Mike Davis, Managing Director
©2011 THE ADVISORY BOARD COMPANY

2. 2
Virtualization
The foundation of cloud computing
• Virtualization of servers, storage and desktops
• Related to autonomic computing – the IT environment
manages itself and is self correcting
• An enabling technology for Software as a Service and
usage-based pricing
©2011 THE ADVISORY BOARD COMPANY
• Do not confuse with remote hosting

3. 3
Mobility Applications
• Application software developed for mobile devices – smart
phones, smart pads, etc.
• Healthcare focus due to the rapid adoption of the Apple
iPhone and iPad by physicians
• Google Android solutions will begin to challenge Apple in
healthcare
• FDA appears to be positioning to certify mobile
applications that impact healthcare decisions – especially
related to calculations from acquired data
• Question as to who will challenge Apple and Google in this
©2011 THE ADVISORY BOARD COMPANY
emerging market
• Mobile device management is driving new market – Iron
Mountain, Good Technologies, McAfee, Symantec

4. 4
Natural Language Processing
• A branch of artificial intelligence
• Combination of computer science, linguistics and statistics
that captures the meaning of natural language - supports
mapping to controlled medical vocabularies
• Key market drivers are the ICD-10 coding transition and
physician resistance to structured documentation
templates
• Important as a data capture application for CAC,
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operational BI and the EMR

5. 5
Semantic Interoperability
• Assumes syntactic interoperability (e.g. HL7 messages or HL7 CDA)
• Requires participants to use the same reference terminologies (e.g.
SNOMED-CT)
• Requires participants to reference a shared information model (e.g.
HL7 RIM)
• A federally mandated set of vocabularies for information exchange is
very helpful
• HL7 CDA facilitates incremental growth of semantic interoperability
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• Green CDA and Green CCD are showing promise in simplifying
these transactions

6. 6
Service Oriented Architectures (SOA)
• Application integration and reuse architecture
a software architecture best practice
• Provides a mechanism for the construction of composite
applications and workflow automation crossing
application boundaries
• Few healthcare applications are SOA-enabled today
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• Clinical care coordination and multi-entity accountable
care organizations will drive more solutions based on
SOA

7. 7
Business Process Management (BPM)
• A software application that orchestrates the activities of
people and the capabilities of installed software
applications to automate business processes
• From a practical perspective, participating applications
must support one or more of the following: read-only
access to DBMS, messaging interface, SOA (preferred)
• Will be implemented in the future to drive optimization of
©2011 THE ADVISORY BOARD COMPANY
the care delivery processes

8. 8
Business Intelligence (BI)
• The information, technologies and processes used to
obtain timely, valuable insights into business and clinical
operations and improve decision making
• Three types –
 Descriptive – what are the
trends, strengths, weaknesses, opportunities
 Predictive – what might happen
 Prescriptive – how to achieve best outcome
©2011 THE ADVISORY BOARD COMPANY
• Accountable care is driving BI as a risk mitigation solution
for new reimbursement models

9. 9
Vendor Neutral Archiving (VNA)
• Solution to mitigate proprietary image data wrappers for
vendors of PACS solutions. Leverages and augments
DICOM
• Data sharing between PACS is enhanced
• Mitigates issues for upgrading or replacing PACS solutions
– proprietary image viewers, storage, and archiving
• IHE’s XDS-b standard will help drive standardization of
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data associated with image (DICOM)

10. 10
Unified Communications
 Strategy to Patient
optimize at Home
communication
services
EMR
Communications Management System/
Devices
Unified Communications CDS/Workflow Engine
Platform
 UC can have a
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multiplier effect for
benefits derived
Patient from BPM
Registry

11. 11
Real Time Locating System (RTLS)
• Track and identify the location of people and objects in real
time
• Can use passive or active wireless signals
• Best examples in healthcare are for asset tracking and patient
tracking using passive RFID tags
• Ubiquitous wireless network coverage and expense of tags is
still a barrier to wider adoption in healthcare (e.g. medication
©2011 THE ADVISORY BOARD COMPANY
tracking)
• May be seen by some as threat to patient privacy

12. To Submit a Question:
Live Q&A • Type your question in
the white Q&A box.
Session • Hit send to deliver your
question to the speaker.
Mike Davis
Managing Director, The Advisory Board Company
davismi@advisory.com
Mary Tierney
VP, Chief Content Officer, Health Imaging
mtierney@healthimaging.com
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