"Platforms" for Accountable Care – A "Must Have", Not Just a "Nice to Have"

Vince Kuraitis JD, MBA

Better Health Technologies, LLC

http://e-CareManagement.com blog

(208) 395-1197

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Gang of Four

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A Decade of Opening Up Platforms to 3rd Party App Developers

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What’s a Platform?

In any platform system, there are three types of components: (1) the complements, which exhibit high variety and high

rates of change over time; (2) the core components, which remain stable as the

complements change; and (3) the interfaces, which are the design rules that allow the

core and the complements to operate as one system. Both the core components and the interfaces are relatively long-lived, hence part of “the platform.”

Source: http://hbswk.hbs.edu/item/6025.html

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Platforms Get Enormous Value From 3rd Party Developers

Adapted from: http://www.smartgridnews.com/artman/publish/News_Commentary/The-Smart-Grid-Ecosystem-What-a-Platform-Approach-Could-Mean-to-Innovation-Security-and-More-1199.html

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Electronic Medical Record (EMR) Functionality1/Value Pre-2009

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Quantity1. EMR functions adapted from DesRoches,C. et. al., C. "Electronic Health Records in Ambulatory Care -- A National Survey of Physicians" NEJM; July 3, 2008

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Electronic Health Record (EHR) Functionality2/Value 2010-2015

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2. For an explanation and description of Stages 1-3 Meaningful Use (MU) criteria, see

https://www.cms.gov/EHRIncentivePrograms/30_Meaningful_Use.asp#BOOKMARK6

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Scenario 1:Health IT Platforms3 of the Future

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3. Health IT platform functions adapted from Mandl, K. and Kohane, I. "No Small Change for the Information Economy" NEJM; March 26, 2009

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Scenario 2:Health IT Platforms3 of the Future

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3. Health IT platform functions adapted from Mandl, K. and Kohane, I. "No Small Change for the Information Economy" NEJM; March 26, 2009

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Platforms in Health Care:A “Nice to Have” or a “Must Have”?

• Under what conditions could you believe that health IT “products” are sustainable?– That one company can develop all needed functionality

(apps), and– That Health IT will become a winner-take-all market

• Single payer, or

• One vendor’s product adopted by (practically) all providers in a regional market

• Not likely. Interoperable platforms are a “must have”.

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Implications?

• Care providers: recognize inevitable migration beyond an Enterprise EMR

• Health plans:– Evolving business strategies dependent upon

availability of clinical data and analytics– Achievable without platform architecture?

• Investors: anticipate inevitable disruption of current HIT architecture; issue is when, not whether

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Explore the evolution of platform architecture, business ecosystems, and clinical care delivery

Attend in-person or via webinar: http://himssconference.org/ecollaboration/default.aspx