- Most currently installed acute care EHR and health information systems (HIS) and in the United States and Europe are firmly rooted in second-platform client/service technology. The architecture of these systems is dated, does not encourage interoperability, and lacks patient centricity. While these applications manage to generate bills effectively, they do not support the workflow functionality that providers are demanding or the changing needs of accountable care.
In 2016, forward-looking suppliers will begin to bring viable, new third-platform acute care EHR solutions to market, according to IDC Health Insights’ annual top 10 predictions report — IDC FutureScape: Worldwide Healthcare 2016 Predictions.
Existing second-platform EHR suppliers will continue their move to the cloud, adding hosting and SaaS capabilities for core systems and modules, cloud integration capabilities, APIs, and access to data by cloud-based analytics capabilities. Core administrative functions such as registration, accounting revenue cycle management, and financial management will slowly move to the cloud. New capabilities to meet the needs of clinical integration and accountable care, like enterprise scheduling and customer relationship management will be offered as cloud-native SaaS solutions.
Recognizing the limitation of second-platform EHR and HIS solutions, providers are making replacement decisions. Increasingly, providers are looking to invest in next-generation EHR solutions to take advantage of the capabilities available from the cloud, mobile, social, and analytics technology to meet the demands for collaborative and accountable care.
Early adopters will begin to consider third-platform EHR replacements in 2016, and early adopters will begin replacement implementations in 2017. A third-platform EHR replacement market for acute care will be significant by 2019.
The drivers influencing investment in healthcare IT are global in nature. Major themes covered by IDC Health Insights’ top 10 predictions include the critical nature of security and the impact of breaches in healthcare, the availability of third-platform technology and innovation accelerators to enable digital transformation, and the ubiquitous access to mobile technology, the movement toward personalized medicine, and the need for new data sources and advanced analytics including cognitive computing.
The other predictions are:
- Downward pressure of the healthcare economy will increase risk-based contracting to 30% of provider payments by 2017, resulting in premium increases of just 2–3% for 2018.
- By 2018, physicians will use cognitive solutions to identify the most effective treatment for 50% of complex cancer patients, resulting in a 10% reduction in mortality and 10% in cost.
- By 2018, industry cloud creation will be the top market entry strategy for tech providers and industrial companies, as leaders of IT and industry domains unite to tear down traditional barriers to entry.
- By 2018, surgeons will use computer-assisted or robotic surgery techniques to assist in planning, simulating, and performing 50% of the most complex surgeries.
- One out of three individuals will have their healthcare records compromised by cyberattacks in 2016.
- By 2018, because of more frequent drug launches, pharma adoption of global launch sequence optimization solutions will grow by 50%, saving the industry billions in potential lost revenue.
- Virtual care will become routine by 2018, and by 2020, 80% of consumer service interactions will make use of IoT and big data to improve quality, value, and timeliness.
- By 2018, 30% of worldwide healthcare systems will employ real-time cognitive analysis to provide personalized care leveraging patient's clinical data, directly supported by clinical outcomes and RWE data.
- Through 2017, healthcare IT services buyers will consolidate IT services spending in the hands of 5–10 largest service providers for each subvertical (life sciences, payer, and provider) at double the industry growth rates.
The 10 predictions identified by IDC Health Insights clearly show that digital transformation is beyond technology and impacts data, people, processes, and strategy.
Lynne A. Dunbrack serves as Research Vice President for IDC Health Insights.