埃森哲-数字医疗科技愿景（英文）-2019.8-33页.pdf

INTO THE NEWDIGITAL HEALTH TECH VISIONAre you ready for whats next in healthcare?THE POST DIGITAL ERA IS UPON USDIGITAL IS NO LONGER A DIFFERENTIATIORIt has become part of everything we do as people and as businesses.However,its impact on the expectations of individual people is changing.People are increasingly expecting healthcare on their own terms,and they expect digital to be the enabler.From using data to understand meal preferences of a patient in hospital,and delivering those meals exactly when they want them,to delivering information through the right channel based on selected preferencesdigital can support delivery of healthcare when,where and how people want it.Healthcare is in a unique place in the“post-digital”world.The industry has recognized that digital must become part of everything it does.And while investments in social,mobile,analytics and cloud(SMAC)technologies are progressing and demonstrating value,leaders must look toward whats next to differentiate in this new era.There is no longer a separation of digital and non-digital.The future will be about full adoption of SMAC and embracing new technologies to transform outcomes and ultimately change lives.Planning today for the post-digital world is critical as healthcare enterprises continue on their digital transformation journeys.This years Accenture Digital Health Tech Vision highlights five emerging trends that will shape healthcare enterprises over the next three to five years:DARQ Power,Get to Know Me,Human+Worker,Secure US to Secure ME and MyMarkets.In each trend,you will see how the maturity of digital technologies across business and society is raising expectations,abilities and risk in healthcare.Fortunately,its an era of equally tremendous possibility.Introduction2 DIGITAL HEALTH TECH VISION DIGITAL HEALTH TECH VISION Digital Health Tech Vision comprises a three-year set of technology trends,which includes our reports from 2018 and 2017.Its important to recognize that this years trends are part of a bigger picture.As healthcare companies continue to grow as digital businesses,they will need to keep up with the latest technologies,as well as continue to master those that have been maturing.These technologies will collectively inform how enterprises build the next generation of business and create paths toward future growth.Introduction2019 Trends Secure US to Secure ME DARQ Power 2018TrendsCitizen AIExtended RealityData VeracityFrictionless BusinessInternet of Thinking 2017TrendsAI is the New UIEcosystem PowerplaysWorkforce MarketplaceDesign for HumansThe Uncharted MyMarketsHuman+WorkerGet to Know MeTHE BIG PICTURE4 DIGITAL HEALTH TECH VISION healthcare executives report that the pace of innovation in their organization has accelerated over the past three years due to emerging technologies.Todays Consumers Reveal the Future of Healthcare2018 Digital Health Tech Vision2017 Digital Health Tech Visionof healthcare executives agree SMAC has moved beyond adoption silos to become part of the core technology foundation for their organization.Related94%80%IntroductionDARQ POWERUnderstanding the DNA of DARQTREND 1:The next set of emerging technologiesDistributed ledger technology(DLT),artificial intelligence(AI),extended reality(XR)and quantum computingcan spark a step change that allows businesses to reimagine entire industries.Years ago,social,mobile,analytics and cloud(SMAC)technologies emerged,allowing businesses to understand their partners and consumers at unprecedented depth.Healthcare enterprises are adopting SMAC as part of their digital transformations,but they have not come as far in adoption maturity as other industries.The adoption of SMAC in healthcare also varies by industry sector.Payers have embraced SMAC to a greater degree than providers over the past decade.A majority of providers are just beginning the journey as they are in early stages of their digital transformations.New technologies are catalysts for change,offering extraordinary new capabilities when applied appropriately.5 DIGITAL HEALTH TECH VISION DIGITAL HEALTH TECH VISION imperative has become stronger for healthcare organizations to adopt technologies that create a digital foundation for the future.Accentures Disruptability Index,which analyzes disruption across 20 industries,puts healthcare among the most vulnerable to future disruption.1 Those most vulnerable to disruption are under pressure to scale new technologies.Some are mastering the new as part of their core business while others are experimenting to learn how these technologies can deliver new sources of value.The most successful healthcare organizations will be those that recognize change is in motion.2 While driving the use of SMAC technologies to maturity in their application to healthcare,they will be thinking aboutand planning forthe future impact of DARQ technology on their enterprises.Trend 1:DARQ Power6 DIGITAL HEALTH TECH VISION DIGITAL HEALTH TECH VISION have the capabilities to build immersive and intelligent worldsDiscover new drugs and materialsTransform global cybersecuritySolve problems intractable with todays computersARTIFICIAL INTELLIGENCEREALITY(VIRTUAL,AUGMENTED,ASSISTED,ETC)QUANTUM COMPUTINGDISTRIBUTED LEDGER TECHNOLOGYTransact without middlemen or trusted third partiesOn-demand and hands free informationNew,immersive environmentsMake the benefits of analytics more widely availableScan unprecedented amounts of dataAutomate business functionsSelf-executing smart contractsLarge-scale collaboration and transaction among strangersDAQRDARQ technologies are poised to become the foundation for next-generation products and services.Healthcare leaders in the DARQ-driven future will be prepared to combine and exploit those competencies as the technologies reach enterprise-level maturity.SEEING INTO THE DARQTrend 1:DARQ PowerDARQ technologies and some of the capabilities they enable8 DIGITAL HEALTH TECH VISION before DARQ technologies have reached full maturity,healthcare enterprises can see the value on the horizon.Whether lowering the cost of care,improving labor productivity or enabling better experiences for consumers and partners,regardless of training or intent,DARQ potential runs deep.To take advantage of the transformational new capabilities that DARQ technologies will offer,payers and providers must explore the possibilities now:In the future,distributed ledger technology,such as blockchain,will be an important part of healthcare payments and identity management.Healthcare enterprises can reduce waste,save costs and increase quality of care by using DLT to create a trusted set of data so that people can act on the information rather than having to go back to the source of truth to verify its authenticity.DLT shows great promise for qualifying individuals for insurance benefits,identifying patient payment obligations and credentialing providers,rather than clinicians having to go through a similar process across multiple care settings.The Professional Credentials Exchange(ProCredEx)is a distributed ledger program that cutsfor providers and organizations vetting providersthe time,cost and complexity associated with the credentialing process.3 The Synaptic Health Alliance intends to use DLT to create a cooperatively owned provider data exchange to collect and share changes to provider data,starting with demographics.When asked to rank which of the DARQ technologies will have the greatest impact on their organization over the next three years,41%of healthcare executives ranked AI number one.AI has perhaps the greatest number of emerging use cases in healthcare.The constellation of artificial intelligence technologies is already having tremendous impact on labor,a substantial line item in healthcare.AI is used in contact centers,for payment activities,medical chart reviews and it can help patients take part in self-service.Healthcare organizations are using the full collection of AI technologies to change how we interact with doctors.AI will augment diagnosesit can already identify diseases based on facial features,4 retina scans,X-rays and speechand it can even help patients to self-diagnose before they walk through the doors of the doctors office.Froedtert Health and the Medical College of Wisconsin Health Network partnered with Buoy to deliver an interactive digital tool that allows users to enter their symptoms and receivein real timepersonalized analysis and recommendations for care options.Buoy uses an algorithm to listen and calculate input,and it gets smarter as more people use the tool.5 DLTAITrend 1:DARQ Power9 DIGITAL HEALTH TECH VISION reality shows the highest adoption of DARQ technologies with 38%of healthcare organizations having adopted XR across one or more business units.XR allows machines to operate cognitively,as humans do,and it allows people to interact naturally with technology.The technology makes immersive experiences commonplace and it solves for time and distance,making each factor less relevant.Cedars-Sinai is using XR for pain management.By using XR to teach patients how to better cope with pain through breathing techniques and positive thinking,they were able to reduce pain by 24%after 10 minutes.6 Cleveland Clinic and Zygote Medical Education are using virtual reality to move clinical anatomy curriculum out of the cadaver lab and into a virtual environment.Students can use their mobile devices to access precise 3D models of anatomy and connect with peers all over the world.7 Healthcare organizations will be making quantum leaps in the future,using the technology to crunch complex data sets,such as DNA data,to enable more personalized medicine and interactions.For instance,quantum tech gurus at Accenture and 1QBit collaborated with biotechnology innovator Biogen to develop a first-of-its-kind quantum-enabled molecular comparison application that could significantly improve advanced molecular design to speed up drug discovery for complex neurological conditions such as multiple sclerosis,Alzheimers,Parkinsons and Lou Gehrigs Disease.XRQUANTUMAll four DARQ technologies are,or will be,powerful on their own.But as they advance,they will push each other forward further.Already,early pairings reveal game-changing combinatorial effects for healthcare.Trend 1:DARQ Power10 DIGITAL HEALTH TECH VISION healthcare executives are currently experimenting with one or more DARQ technologies.The Symphony Post-Acute Network incorporated AI and machine learning to improve care for its 80,000 patients,using a cloud-based AI engine to drive predictions and recommendations based on its existing patient data.8 The resulting insights led to a drop in readmission rates from 21%to less than 19%a huge reduction in a key success metric in healthcare,at a cost savings of more than$13,000 per patient.9The Intelligent Payer:A Survival GuideIntelligent Payer:Health Management Reimagined Healthcare:Walking the AI Talkof healthcare executives believe the combination of DARQ technologies will have a“transformational”or“extensive”impact on their organization over the next three years.Related89%68%AI IMPROVES OUTCOMESTrend 1:DARQ PowerGET TO KNOW MEUnlock unique consumers and unique opportunitiesTREND 2:Data captured in the digital and physical worlds,along with related data sets(e.g.demographics,sociographics),can converge to create a technology identity for an individual.Healthcare leaders can use peoples technology identities to create a new generation of offerings and experiences.The digital revolution introduced technology identities as part of an emerging feedback loop,one that first began to show potential via personalization efforts.Thanks to ecosystem connections,healthcare organizations are increasingly using these identities to deliver more personalized and individualized services.For instance,Kinsas connected thermometers let customers track their fevers via a smartphone app;Clorox paid to license the information,using it to direct ads to US ZIP codes where people had more fevers(and potentially more need for disinfecting wipes).No personally identifying information was ever shared.10 Now,in the post-digital era,organizations have greater opportunity to use technology identities and insights to shift from one-off transactions to ongoing customized relationships with individualized experiences.The sets of technologies people use are now so integrated into their lives that they have become a part of their identities.11 DIGITAL HEALTH TECH VISION DIGITAL HEALTH TECH VISION has an ongoing data stream from medical records,technology devices,claims,past preferences for services,biology and more.This data is the cornerstone of delivering personalized healthcare on a persons own terms.Think of the possibilities for personalized medicine with the help of genetic sequencing.The human genome comprises more than 3 billion DNA pairs.The genome can be used to identify abnormalities,genetic variants,disorders and more within a matter of hours.Clinicians can interpret the genomic data to target interventions and therapies for that individual.11When healthcare organizations gain the ability to create one-to-one relationships with individual healthcare consumers,they become each individual persons ongoing,trusted healthcare partner.Organizations will achieve this by understanding the technology people use and how they use it,creating the insights needed to integrate seamlessly into the persons life.WHO ARE WE SERVING?Trend 2:Get to know me13 DIGITAL HEALTH TECH VISION if a healthcare provider has a“digital phenotype”for every patient12 one snapshot that captures indirect healthcare data from technology-based interactions(e.g.online search history,app usage,social posts)and correlates it with health events.The digital phenotype has the potential to help providers predict health-related behaviors and risks and also diseases for that person and others like them.For example,a multinational technology company partnered with an academic medical center to examine the health relatedness of searches in the remote past and within seven days of an emergency room visit.Interestingly,more than half of those who participated in the study had searched online for content related to their chief complaint within the week prior to their emergency room visit.13 By tapping into peoples digital phenotypes,providers and other allied health organizations can anticipate needs and intervene with care at the time of need,potentially preventing an emergency room visit.Healthcare startup Ginger.io years ago began studying the potential of passively connecting data from an individuals smart phone to ultimately create a personal health profile.Healthcare and academic leaders quickly began piloting the technology to monitor and support mental health patients with digital interventions,to identify post-operative patients that require the most follow-up care and to predict the pain levels of patients with arthritis.14 Now,the Ginger.i