CONFIDENTIAL AND PROPRIETARY This presentation, including any supporting materials, is owned by Gartner, Inc. and/or its affiliates and is for the sole use of the intended Gartner audience or other intended recipients. This presentation may contain information that is confidential, proprietary or otherwise legally protected, and it may not be further copied, distributed or publicly displayed without the express written permission of Gartner, Inc. or its affiliates. © 2016 Gartner, Inc. and/or its affiliates. All rights reserved. Musings on the Future of Healthcare Information Technology Richard Gibson MD PhD Research Director

1CONFIDENTIAL AND PROPRIETARY I © 2016 Gartner, Inc. and/or its affiliates. All rights reserved. Contributors to Risk of Premature Death Schroeder SA 2007: NEJM. 357:

2CONFIDENTIAL AND PROPRIETARY I © 2016 Gartner, Inc. and/or its affiliates. All rights reserved. From

3CONFIDENTIAL AND PROPRIETARY I © 2016 Gartner, Inc. and/or its affiliates. All rights reserved. Lawrence L Weed MD and Lincoln Weed

4CONFIDENTIAL AND PROPRIETARY I © 2016 Gartner, Inc. and/or its affiliates. All rights reserved. From humanism-in-medicine.org

5CONFIDENTIAL AND PROPRIETARY I © 2016 Gartner, Inc. and/or its affiliates. All rights reserved. From NEJM.org online 31 March 2016

6CONFIDENTIAL AND PROPRIETARY I © 2016 Gartner, Inc. and/or its affiliates. All rights reserved.

7CONFIDENTIAL AND PROPRIETARY I © 2016 Gartner, Inc. and/or its affiliates. All rights reserved. Electronic medical record  Don’t interfere with patient-provider relationship  Have patients contribute facts at home  Collect patient generated health data  Capture discrete coded findings with discretion  Continue to use free-text notes

8CONFIDENTIAL AND PROPRIETARY I © 2016 Gartner, Inc. and/or its affiliates. All rights reserved. Other sources of data  Physician free-text dictation  Patient generated health data from wearables  Genomics  Physiological monitoring data  Publicly available environmental data  Credit card and loyalty card purchasing data  Detailed patient histories from mobile apps: Symptoms OTC medications Side effects Diet Exercise Activities Habits Stress Moods Sleep

9CONFIDENTIAL AND PROPRIETARY I © 2016 Gartner, Inc. and/or its affiliates. All rights reserved. D. Berwick et al. "The Triple Aim: Care, Health, And Cost," Health Affairs, May 2008.

10CONFIDENTIAL AND PROPRIETARY I © 2016 Gartner, Inc. and/or its affiliates. All rights reserved.  Descriptive: how are we doing?  Operations continuous process improvement  Outcomes assessment and metrics  Predictive: who is at risk?  Financial and clinical: readmission  Real-time surveillance: sepsis  Prescriptive: what do we do now?  Creating the knowledge of superior care Analytics

11CONFIDENTIAL AND PROPRIETARY I © 2016 Gartner, Inc. and/or its affiliates. All rights reserved.  Professional diagnosis & treatment recommendation  Literature review findings  What do other patients like me say?  What are my own preferences?  (In the US) what is my after-insurance cost? Enhanced Consumer and Patient Decision Making

12CONFIDENTIAL AND PROPRIETARY I © 2016 Gartner, Inc. and/or its affiliates. All rights reserved. From internetretailer.com and onlineuniversities.com

13CONFIDENTIAL AND PROPRIETARY I © 2016 Gartner, Inc. and/or its affiliates. All rights reserved. Gartner delivers the technology-related insight necessary for our clients to make the right decisions, every day. Richard Gibson MD PhD Research Director Questions ? Musings on the Future of Healthcare Information Technology