“the*future*is*already*here*—** it's*justnotvery*evenly ... · copyright©*...
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Copyright © 2016, Oracle and/or its affiliates. All rights reserved. |
“The future is already here — it's just not very evenly distributed”
William Gibson
Jonathan Sheldon, PhD Global Vice President Healthcare Health Sciences Global Business Unit February 25, 2016
Copyright © 2016, Oracle and/or its affiliates. All rights reserved. |
Safe Harbor Statement The following is intended to outline our general product direcUon. It is intended for informaUon purposes only, and may not be incorporated into any contract. It is not a commitment to deliver any material, code, or funcUonality, and should not be relied upon in making purchasing decisions. The development, release, and Uming of any features or funcUonality described for Oracle’s products remains at the sole discreUon of Oracle.
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Copyright © 2016, Oracle and/or its affiliates. All rights reserved. |
The Healthcare Storm
Precision Medicine Healthcare
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Copyright © 2016, Oracle and/or its affiliates. All rights reserved. |
The Healthcare System is Broken
• 700,000 emergency department visits and 120,000 hospitalizaUons are due to ADEs annually
• At least 40% of costs of ambulatory (non-‐hospital seangs) ADEs are esUmated to be preventable
• $290 billion annual cost of MedicaUon non-‐adherence
• 836,000 of 7 million 30 day hospital readmissions annually are preventable
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hgp://www.cdc.gov/MedicaUonSafety/basics.html NaUonal Quality Forum, PrevenUng Readmissions whitepaper Nov 2010 New England Healthcare InsUtute (NEHI) whitepaper: Thinking Outside the Pillbox, August 2009
Copyright © 2016, Oracle and/or its affiliates. All rights reserved. |
The Shim Total Public and Private Accountable Care Organiza=ons, 2011 to January 2015
64 70 72 84
174 219
322 336
447 458 472 490
621 633 647 657
744
0
100
200
300
400
500
600
700
800
Q1 2011
Q1 2012
Q1 2013
Q1 2014
Q1 2015
Total A
COs
1 2
2 1
3
7
3
5 3
4
27
1
9 25
7
1 6
5
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Clinic IDN Standalone
6 5 4 3 2 1 0
Aggressiveness of Organiza=ons’ PHM Efforts
How many types of risk-‐bearing programs are organizaUons engaging in?
Source: “PopulaUon Health Management PercepUon 2015: Which Vendors Stand Out?” KLAS report, June 2015
Number of Program Types
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klasrpt_Pop_Health_PercepUon_2015_-‐_Full_Report
Copyright © 2016, Oracle and/or its affiliates. All rights reserved. |
The Healthcare Storm: Precision Medicine Can Fix It
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Lower Cost
Improve Outcomes
Precision Medicine
Healthcare
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Copyright © 2016, Oracle and/or its affiliates. All rights reserved. |
Precision Medicine: Delivering on the Promise Life Sciences PerspecUve Healthcare PerspecUve
137
73% 42%
13%
A New Landscape for the Pharmaceu=cal Industry PMC research illustrates the biopharmaceuUcal industry’s deep commitment to personalized medicine.
of all drugs in development are
personalized medicines.
of oncology drugs in development are
personalized medicines.
Personalized medicines represent 13% of all approved medicines.
approved medicines have genomic informaUon in
their label.
Source: Biopharmaceu2cal Companies’ Personalized Medicine Research Yields Innova2ve Treatments for Pa2ents. PMC/PhRMA, 2015.
30%
Heart Pa=ent Hospitaliza=on Rate Documented when geneUc informaUon was used in dosing warfarin
15%
Colorectal Cancer 5-‐year Survival Rate Following discovery of molecular receptors associated with tumor growth
2x
Myelogenous Leukemia 5-‐year Survival Rate Following introducUon of imaUnib, a targeted therapy
34%
Chemotherapy Use If women with breast cancer received geneUc tesUng prior to treatment
$604M
Colorectal Cancer Costs If metastaUc colorectal cancer paUents received geneUc tesUng prior to treatment
17K
Strokes Prevented If a geneUc test was used to properly dose blood thinners
Personalized Medicine Improves Health Outcomes
Personalized Medicine Can Make The Health System More Efficient
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hgp://www.personalizedmedicinecoaliUon.org/Userfiles/PMC-‐Corporate/file/PMC_2015_annual_report.pdf
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NaUonal Interest
China Qatar
Great Britain
United States
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Our PerspecUve: Precision Medicine Enables PopulaUon Health
Precision Medicine PopulaUon Health
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Oracle Healthcare: A Solid FoundaUon Built to Scale • Enterprise grade • Fit for Purpose • Flexible
MulU-‐Structured Data Sources
Data Management
ApplicaUon Enablement
Oracle Healthcare Founda=on
PRIVACY SECURITY
AcquisiUon
AggregaUon
Integrity
OrganizaUon
Readmission Preven=on
Chronic Disease Care Gaps
Risk Stra=fica=on
Performance Quality Tracking
Cost Analysis
Precision Medicine
Financial Clinical Admin Omics
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Precision Medicine is Becoming the New Norm
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