2. Gartner delivers the technology-related
insight necessary for our clients to make
the right decisions, every day.
1
3. Most EU countries need 10% cost
reduction
By 2016, 67% of the workforce will
own a Smartphone
By 2016, 40% of the workforce will
be mobile
By 2016, 50% of all non-PC
devices used in business will be
purchased by employees
2
5. A NEXUS OF FORCES
Clinician/Patient
behavior is at the core
of the nexus of forces:
• Creating new
communication
opportunities
• Generating new
patterns of data
• Superseding the
limitations of "old
school" IT and
business
paradigms
6. Gartner Digital Hospital – HITechMap
Strategic
Planning Hardware
BMS Software
Integration
Network
Governance
EPR
International
Standards
Employees
Programme
Management Patients
Enterprise
Infrastructure
Mobile
Enterprise
Outsourcing
Green
Mobile
Working
Enterprise
Information Content
Systems
Unified
Business Communications
Intelligence
Collaboration Identity &
Source: Gartner (2012) Security Access
7. Five Generations of EHRs
Full Generation 5:
The Mentor
Generation 4:
The Colleague
Functionality Generation 3:
The Helper
Generation 2:
The Documenter
Generation 1:
Minimal The Collector
1993 1998 2005 2015 2020+
Availability of Products
The convergence of these forces is on a different order of "disruption magnitude"People have created a convergence:It results from their behaviorIt is an outcome of consumerization and democratization of ITBecause technology is now good enough (and ubiquitous)
The Gartner enterprise EHR generation model has created metrics for core EHR capabilities that enable easier comparisons of vendor offerings, as well as enable HDOs to set internal expectations more accurately. Our vision is that EHR offerings will evolve through five generations, transforming from very simple systems that provide results reporting into very complex, fully integrated systems focused on the tasks directly related to promoting wellness and providing medical care for individuals across the entire healthcare continuum, within a single healthcare enterprise.In determining the generations of EHRs, Gartner evaluated each of the eight core capabilities of an EHR and determined the progression of functionality expected. To create the generations, we then divided that functionality into five reasonable, incremental steps, but also considered the synergy of each set of functions. A given EHR product may have some increased functionality in certain areas, but to be considered an n-generation product, it must at least have all of the basic capabilities listed for that generation. In addition, each subsequent generation must have all of the capabilities of previous generations.Generation 3 products have been available since 2005, but Generation 4 products are not expected before 2015.