What Shapes a Modern Health­care Plat­form?

A modern health­care plat­form is a mo­saic of many tech­ni­cal el­e­ments. There is a hub of tech­ni­cal el­e­ments which can be used to en­hance and im­ply modern health­care plat­form, ben­e­fi­cial for both doc­tors and pa­tients

DQ Channels - - Contents - The au­thor is Mr. Venkataraman Subra­ma­nian, CTO, Columbia Asia Hos­pi­tals.

Be­fore we an­swer that ques­tion in the header, let us iden­tify the stake­hold­ers and their unique pain points.

1. Hos­pi­tals that typ­i­cally strug­gle with data, ap­pli­ca­tion in­te­gra­tion, wait times, strate­gic pric­ing and cost con­trol.

2. Physi­cians who want bet­ter sched­ul­ing, and more in­flu­ence on pa­tients.

3. Pa­tients who would de­sire to self-man­age their con­di­tion, des­per­ately need be­hav­ior al­ter­ation, want bet­ter value for money, and re­as­sur­ance about care qual­ity.

4. Gov­ern­ment which wants to con­trol spends per pa­tient; im­prove over­all health of the nation, wants dis­ease sur­veil­lance.

5. Pay­ers who want to man­age risk pool.

There is per­haps one more stake­holder who has not played its cards fully yet and that is the tele­com. All dig­i­tal ini­tia­tives are even­tu­ally built on a telecom­mu­ni­ca­tion high­way. Tele­com com­pa­nies have a sig­nif­i­cant sub­scriber base and reach. I won­der why they would not pro­vide health­care on de­mand as an op­tion us­ing dig­i­tal chan­nels.

A modern health­care plat­form is a mo­saic of many tech­ni­cal el­e­ments. A few no­table com­po­nents would be data ex­change fa­cil­ity, elec­tronic record store, sen­sor hub, an­a­lyt­ics en­gine, au­dio video com­mu­ni­ca­tion hub, ad­min­is­tra­tive el­e­ments of sub­scrip­tion, iden­tity, and ac­cess man­age­ment. While ev­ery stake­holder will have in­ter­est in all com­po­nents, a few will be crit­i­cal and that begs the ques­tion, which stake­holder has the high­est in­flu­ence on the plat­form.

At the epi­cen­ter of the plat­form there are some core needs. Pa­tients and doc­tors need one to one in­ter­ac­tion. Doc­tors need con­tex­tual in­for­ma­tion to make de­ci­sions on the fly to work with the pa­tient’s con­text and back­ground. Modern pa­tients would like to take charge of and man­age their own health. Ac­cord­ing to my un-

der­stand­ing, any plat­form should be built keep­ing the pa­tients in mind. For ex­am­ple, should a pre­scrip­tion mod­ule de­signed to make it eas­ier for the physi­cian to pre­scribe or for the pa­tient to un­der­stand? Maybe we should con­sider man­i­fest­ing data for dif­fer­ent user groups dif­fer­ently. The plat­form should pro­vide an endto-end so­lu­tion for the pa­tient across preven­tion, di­ag­no­sis, ther­apy, and care con­sid­er­ing unique needs of acute and chronic seg­ments, and pa­tients across dif­fer­ent age group.

For ex­am­ple, pre­scrip­tions for el­ders could have a dif­fer­ent font or color so that it helps with bet­ter med­i­ca­tion ad­her­ence. An HbA1c re­port could pro­vide a call for ac­tion to a di­a­betic rec­om­mend­ing low glycemic food, ex­er­cises de­pend­ing on the pa­tient’s age, so­cial con­text. When we de­sign a fu­ture ready plat­form, it has to start with the pa­tient in mind and end with the pa­tient in mind. This is not to say that ex­pec­ta­tion of other stake­hold­ers should be dis­re­garded. The in­tent here is to em­pha­size that all other play­ers will or­ga­nize them­selves around the pa­tient thereby know­ing their end customer so well that their ser­vices will add over­all value to the customer ex­pe­ri­ence.

Such a sys­tem is best build by a con­sor­tium in part­ner­ship so that all rel­e­vant skill sets can be avail­able in its de­sign and con­struc­tion. Such a plat­form needs to es­tab­lish an emo­tional ap­peal to all its con­stituents. For ex­am­ple: 1. If telemedicine should be the norm, the emo­tion ori­en­ta­tion of the pa­tient doc­tor re­la­tion­ship has to be chal­lenged. 2. Hos­pi­tals would have to be ready with bet­ter in­te­gra­tion ca­pa­bil­i­ties and have con­fi­dence to host their data on the plat­form. 3. Physi­cians would have to learn to rely on Ama­zon Alexa like en­tity to help them shift through large data sets to pro­vide in­sights just in time. In ef­fect, the plat­form is an ag­gre­ga­tor for mul­ti­ple play­ers to come to­gether to de­liver value to that one buyer – the pa­tient. The split of ev­ery unit of cur­rency spent by the pa­tient has to be such that pa­tient al­ways gets max­i­mum value. The beauty of this is that it is not a zero sum game. Once we have a plat­form that tran­scends the phys­i­cal realm into the dig­i­tal, the en­tire planet is the customer base. All we need to do is to find out peo­ple/ who are in de­nial, bor­der­line and un­ex­plored cus­tomers and bring them on-board and they will be happy to do so when they see ex­cep­tional util­ity. While there are high deci­bel con­ver­sa­tions about customer cen­tric­ity, I think we re­ally need to get our fo­cus on pa­tient for a true modern health­care plat­form to dom­i­nate the health IT con­ver­sa­tion.

Newspapers in English

Newspapers from India

© PressReader. All rights reserved.