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Health Knowledge Management
Presented at KMWorld 2012



Guy Shechter @shechter
Office of Medical and Health Affairs
October 19, 2012
@shechter


My Story



   A beginning (2009)



                             A middle (2012)




                                                                                         …




                   Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
@shechter
                                                                                                         Integration of knowledge is
                                                                                                          a critical success factor to
    Acquisitions (2010-2011)                                                                           sustain and accelerate growth.
February 11, 2010    Luceplan S.p.A.            Consumer Luminaires          Iconic brand in the premium design segment for residential applications
                                                                             Somnolyzer 24x7 automated-scoring solution that can improve the productivity of
February 24, 2010    Somnolyzer                 Home Healthcare
                                                                             sleep centers
                                                Patient Care and             Strengthen clinical informatics portfolio with leading Brazilian provider of Radiology
March 26, 2010       Tecso Informática Ltda.
                                                Clinical Informatics         Information Systems (RIS)
                     Street Light Control                                    Strengthen outdoor lighting portfolio with acquisition control portfolio. Street
July 13, 2010                                  Lighting Electronics
                     Portfolio                                               Lighting controls activities of Amplex A/S
                     Shanghai Apex Electronics                               Strengthen portfolio of high-quality transducers aimed at the value segment in
July 28, 2010                                  Imaging Systems
                     Technology Co., Ltd.                                    emerging markets
                                               Patient Care and
August 2, 2010       CDP Medical                                             Expand clinical informatics portfolio in high-growth markets in the area of PACS
                                               Clinical Informatics
                     Burton Medical Products                                 Expand portfolio with leading provider of specialized lighting solutions for
August 20, 2010                                Professional Luminaires
                     Corporation                                             healthcare facilities
                                               Patient Care and              Strengthen clinical informatics portfolio with a leading Brazilian provider of clinical
September 13, 2010   Wheb Informática Ltda.
                                               Clinical Informatics          information systems
                                                                             Expand oral healthcare portfolio with leading manufacturer of professional tooth
October 11, 2010     Discus Holdings, Inc.      Health & Wellness
                                                                             whitening products
December 6, 2010     NCW Holdings Ltd.          Professional Luminaires Expand global leadership position of professional lighting entertainment solutions
                                                                             Strengthen portfolio by becoming a leading provider of patient interaction and
January 6, 2011      medSage Technologies       Home Healthcare
                                                                             management applications
January 5, 2011      Optimum Lighting, LLC      Professional Luminaires Expand portfolio with customized energy-efficient lighting solutions
January 20, 2011     Preethi                    Domestic Appliances          Become a leading kitchen appliances company in India
                                                Patient Care and
March 9, 2011        Dameca A/S                                              Expand portfolio with integrated, advanced anesthesia care solutions
                                                Clinical Informatics
                                                                             Expand capabilities in imaging equipment services, strengthening Philips’ Multi-
June 20, 2011        AllParts Medical           Customer Services
                                                                             Vendor Services business
                                                                             Expand Women’s Healthcare portfolio with a unique digital mammography solution
June 27, 2011        Sectra Mamea AB            Imaging Systems
                                                                             in terms of radiation dose
June 29, 2011        Indal Group                Profess. Luminaires          Strengthen leading position in professional lighting within Europe
                     Povos Electric Appliance                                Expand product portfolio in China and continue to build business creation
July 11, 2011                                   Domestic Appliances
                     (Shanghai) Co., Ltd.                                    capabilities in growth geographies

                                                 Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
@shechter


 Consensus Decision-Making
                        “It was a clunky, byzantine style of governing the Dutch
                        had devised, but in essence each of the seven
                        provinces sent a delegation to the States General of
                        whatever size they chose, though each province had
                        only one vote. The few dozen men sat together around
                        a single table, the title of president passing weekly from
                        one province’s lead delegate to the next. The tricky part
                        was that all decisions required a unanimous vote,
                        which made for intense politicking and few resolutions,
• Opportunities to      something the Dutch seem not to have minded terribly,
  inject knowledge      trusting in the adage that the less the government
  into decision
  making process.       actually did the better.”

• Work under the        Shorto, Russell (2005-04-12). The Island at the Center of the World (pp. 203-
  radar.                204). Random House, Inc.. Kindle Edition.


                               Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
@shechter                                                                         Q3-4 2009


Job Title
Director, Health Information Management




 Improve medical decision making.




                 Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
@shechter                                                                         Q3-4 2009


Job Title
Director, Health Information Management



 Improve upon existing practices of
 using medical knowledge to inform
     decision making at Philips.



                 Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
@shechter                                                                         Q3-4 2009


Job Title
Director, Health Information Management



 Improve upon existing practices of
 using medical knowledge to inform
     decision making at Philips.



                 Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
@shechter                                                                         Q3-4 2009


Job Title
Director, Health Information Management



 Improve upon existing practices of
 using medical knowledge to inform
     decision making at Philips.
                                                                  ➥ Strategy
                                                                  ➥ R&D
                                                                  ➥ Marketing
                                                                  ➥ Sales

                 Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
@shechter                                                                         Q3-4 2009


Job Title
Director, Health Information Management



 Improve upon existing practices of
 using medical knowledge to inform
     decision making at Philips.
                                                                  ➥ Strategy
                                                                  ➥ R&D
                                                                  ➥ Marketing
                                                                  ➥ Sales

                 Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
@shechter                                                                         Q3-4 2009


The Path to Personal Knowledge




                 Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
@shechter


Medical Affairs
Helping Philips succeed
Focused on activities that will ultimately improve
the customer experience



Establish a clinical and economic
evidence base that differentiates our
products, services and solutions in
the markets we serve

Assist in value claims, by providing
our product groups with substantiated
clinical and economic evidence


                           Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
Informing our medical consciousness
 Resources dedicated to our critical areas of focus




                                   Eric Silfen – Chief Medical Officer
                                                                                     Inform, socialize,
Medical expertise
                            Demonstration of proof: Evidence-Based Value               influence, and
 & knowledge
                                                                                           change

Medical Science     Clinical Regulatory     Clinical Research     Health Economics   Operations & Health
 Liaison & KOL             Affairs               Services         & Reimbursement       Knowledge
 Management                                                                            Management




 Kevin Appareti       Terry Sweeney            Mark Aloia          Laurel Sweeney       Guy Shechter
Health Knowledge Management
Enabling stronger coordination and collaboration



We are challenged with the same
core issues around disease
states, reimbursement and regulatory
approvals

Critical to have a function focused on
developing the optimal way to
manage and harvest the collection of
critical data and raw information
@shechter                                                                         Q1 2010




            Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012         15
@shechter                                                                         Q2 2010


Internal Workshop




                 Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012         16
@shechter                                                                         Q4 2010


Interactivity Between People and Content
Where are we know?
                                                     • Global collaboration survey
                                                     • Don’t forget the workers’
                                                       councils.
                                                     • Distribution to more than
                                                       100k employees
                                                     • 10% response rate




                  Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
@shechter

      Philips overall is seen as moderately collaborative both
      in the Healthcare and Non-Healthcare sectors.

           100%

              80%

                                                                                                                              Top 3 Box
              60%                                                                                                           Healthcare 26%
                                                                                                                          Non-Healthcare 38%

              40%

              20%

                0%
                           1       2                   3              4               5              6              7     8      9        10
                      Not at All                                                                                                      Extremely
                     Collaborative                    Healthcare (N=3,625)                        Non-Healthcare (N=5,226)           Collaborative
Q3: How collaborative of an organization is Philips?
*Significant difference at a 95% confidence level
                                                    Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
@shechter

     When looking at their immediate teams,
     employees consider them to be much more
     collaborative than Philips overall.
          100%

            80%

            60%                                                                                                           Top 3 Box
                                                                                                                        Healthcare 57%
                                                                                                                      Non-Healthcare 66%
            40%

            20%

              0%
                         1       2                  3             4               5              6              7     8      9        10
                    Not at All                                                                                                    Extremely
                   Collaborative                    Healthcare (N=3,634)                      Non-Healthcare (N=5,232)           Collaborative

Q4: How collaborative is your team?
*Significant difference at a 95% confidence level
                                                Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
@shechter

     There is a great desire to find the right people to
     collaborate with, discover new things and bring
     disparate ideas and people together.

          100%

            80%

            60%

            40%

            20%

              0%
                         Find the      Discover    Tie together       Extend the          Respond              Do        Collaborate    Broadcast
                       right people   new things    threads of        opportunity           more            searches         with      information
                         to talk to   (N=2,881)    information            for            thoroughly         on topics    colleagues    (N=2,682)
                        (N=2,993)                    (N=2,885)       collaboration        (N=2,820)          (N=2,774)   outside my
                                                                        (N=2,891)                                         country
                                                                                                                          (N=2,790)
Q16: What are the key things you would want to be able to do?
Summary of Top 2 Box for importance of factors.                                                                    Healthcare
                                             Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
@shechter

     Similarly, externally they believe email, in-person meetings,
     Communicator and conference calls along with Connect
     Webmeeting are the most effective.
            100%


             80%


             60%


             40%


             20%


               0%
                      Connect Mail/   In-person   Connect Chat/     Conference       Connect           Connect          SharePoint   Connect Us/   Yammer
                        Outlook/       meeting    Communicator         call         Webmeeting         Meeting            Sites      SocialCast
                         Email

                                                                                        Healthcare                             Non-Healthcare

Q24: Rate the following tools/methods for collaboration external to your immediate team but within Philips . Top 3 Box
(Scale “0” being the least effective and “7” being the most effective)
*Significant difference at a 95% confidence level
                                                  Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
@shechter                                                                             Q2 2011


HKM – Social Collaboration
Strategies, processes and tools for creating, sharing, and applying medical
knowledge to improve decision-making

• First, organic: Yammer
• Then, orchestrated: SocialCast


• “I’m on Facebook, but I don’t
  understand why I would use this
  at work”




                          Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
@shechter                                                                              Q2 2011


HKM – Structured Clinical Data
Strategies, processes and tools for creating, sharing, and applying medical
knowledge to improve decision-making


• Electronic data capture
                                                                  Medical Advisory Networks
• Cross-business clinical trial registry
• Medical terminology and ontologies


• “I don’t want other BUs and/or sales to
  have this information”




                            Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
@shechter                                                                              Q2 2011


HKM – Medical Advice Networks
Strategies, processes and tools for creating, sharing, and applying medical
knowledge to improve decision-making

• Digital capture for medical advisory events
• Medical Affairs Theater                    Medical Advisory Networks
     • Search and seek transcription
• AdvisoryNet Platform


• “Must be simple to use, like e-mail”




                           Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
@shechter                                                                               Q2 2011


HKM – (un)Structured Non-Clinical Data
Strategies, processes and tools for creating, sharing, and applying medical
knowledge to improve decision-making


•   Research contracts and projects
•   Install base
•   Document libraries
•   Non-enterprise search

• “Where do I find this again?”




                             Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
@shechter


Where are we today?

• People. Process. Tools.
• Tools. People. Process.
   – Predict
   – Surprise


• Behavior change is hard.
• Trans-theoretical model of
  behavior change (Prochaska 1977)                                                                     Maintenance

                                                                                              Action

                                                                                Preparation

                                                        Contemplation

                                Pre-
                                contemplation



                      Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
@shechter


For more information:


Guy Shechter, PhD MBA
Sr. Director, Global Operations - Medical Affairs
Philips Healthcare

    guy . shechter @ philips . com

    @shechter




                      Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012

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Health Knowledge Management - KM World 2012

  • 1. Health Knowledge Management Presented at KMWorld 2012 Guy Shechter @shechter Office of Medical and Health Affairs October 19, 2012
  • 2. @shechter My Story A beginning (2009) A middle (2012) … Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
  • 3.
  • 4. @shechter Integration of knowledge is a critical success factor to Acquisitions (2010-2011) sustain and accelerate growth. February 11, 2010 Luceplan S.p.A. Consumer Luminaires Iconic brand in the premium design segment for residential applications Somnolyzer 24x7 automated-scoring solution that can improve the productivity of February 24, 2010 Somnolyzer Home Healthcare sleep centers Patient Care and Strengthen clinical informatics portfolio with leading Brazilian provider of Radiology March 26, 2010 Tecso Informática Ltda. Clinical Informatics Information Systems (RIS) Street Light Control Strengthen outdoor lighting portfolio with acquisition control portfolio. Street July 13, 2010 Lighting Electronics Portfolio Lighting controls activities of Amplex A/S Shanghai Apex Electronics Strengthen portfolio of high-quality transducers aimed at the value segment in July 28, 2010 Imaging Systems Technology Co., Ltd. emerging markets Patient Care and August 2, 2010 CDP Medical Expand clinical informatics portfolio in high-growth markets in the area of PACS Clinical Informatics Burton Medical Products Expand portfolio with leading provider of specialized lighting solutions for August 20, 2010 Professional Luminaires Corporation healthcare facilities Patient Care and Strengthen clinical informatics portfolio with a leading Brazilian provider of clinical September 13, 2010 Wheb Informática Ltda. Clinical Informatics information systems Expand oral healthcare portfolio with leading manufacturer of professional tooth October 11, 2010 Discus Holdings, Inc. Health & Wellness whitening products December 6, 2010 NCW Holdings Ltd. Professional Luminaires Expand global leadership position of professional lighting entertainment solutions Strengthen portfolio by becoming a leading provider of patient interaction and January 6, 2011 medSage Technologies Home Healthcare management applications January 5, 2011 Optimum Lighting, LLC Professional Luminaires Expand portfolio with customized energy-efficient lighting solutions January 20, 2011 Preethi Domestic Appliances Become a leading kitchen appliances company in India Patient Care and March 9, 2011 Dameca A/S Expand portfolio with integrated, advanced anesthesia care solutions Clinical Informatics Expand capabilities in imaging equipment services, strengthening Philips’ Multi- June 20, 2011 AllParts Medical Customer Services Vendor Services business Expand Women’s Healthcare portfolio with a unique digital mammography solution June 27, 2011 Sectra Mamea AB Imaging Systems in terms of radiation dose June 29, 2011 Indal Group Profess. Luminaires Strengthen leading position in professional lighting within Europe Povos Electric Appliance Expand product portfolio in China and continue to build business creation July 11, 2011 Domestic Appliances (Shanghai) Co., Ltd. capabilities in growth geographies Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
  • 5. @shechter Consensus Decision-Making “It was a clunky, byzantine style of governing the Dutch had devised, but in essence each of the seven provinces sent a delegation to the States General of whatever size they chose, though each province had only one vote. The few dozen men sat together around a single table, the title of president passing weekly from one province’s lead delegate to the next. The tricky part was that all decisions required a unanimous vote, which made for intense politicking and few resolutions, • Opportunities to something the Dutch seem not to have minded terribly, inject knowledge trusting in the adage that the less the government into decision making process. actually did the better.” • Work under the Shorto, Russell (2005-04-12). The Island at the Center of the World (pp. 203- radar. 204). Random House, Inc.. Kindle Edition. Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
  • 6. @shechter Q3-4 2009 Job Title Director, Health Information Management Improve medical decision making. Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
  • 7. @shechter Q3-4 2009 Job Title Director, Health Information Management Improve upon existing practices of using medical knowledge to inform decision making at Philips. Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
  • 8. @shechter Q3-4 2009 Job Title Director, Health Information Management Improve upon existing practices of using medical knowledge to inform decision making at Philips. Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
  • 9. @shechter Q3-4 2009 Job Title Director, Health Information Management Improve upon existing practices of using medical knowledge to inform decision making at Philips. ➥ Strategy ➥ R&D ➥ Marketing ➥ Sales Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
  • 10. @shechter Q3-4 2009 Job Title Director, Health Information Management Improve upon existing practices of using medical knowledge to inform decision making at Philips. ➥ Strategy ➥ R&D ➥ Marketing ➥ Sales Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
  • 11. @shechter Q3-4 2009 The Path to Personal Knowledge Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
  • 12. @shechter Medical Affairs Helping Philips succeed Focused on activities that will ultimately improve the customer experience Establish a clinical and economic evidence base that differentiates our products, services and solutions in the markets we serve Assist in value claims, by providing our product groups with substantiated clinical and economic evidence Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
  • 13. Informing our medical consciousness Resources dedicated to our critical areas of focus Eric Silfen – Chief Medical Officer Inform, socialize, Medical expertise Demonstration of proof: Evidence-Based Value influence, and & knowledge change Medical Science Clinical Regulatory Clinical Research Health Economics Operations & Health Liaison & KOL Affairs Services & Reimbursement Knowledge Management Management Kevin Appareti Terry Sweeney Mark Aloia Laurel Sweeney Guy Shechter
  • 14. Health Knowledge Management Enabling stronger coordination and collaboration We are challenged with the same core issues around disease states, reimbursement and regulatory approvals Critical to have a function focused on developing the optimal way to manage and harvest the collection of critical data and raw information
  • 15. @shechter Q1 2010 Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012 15
  • 16. @shechter Q2 2010 Internal Workshop Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012 16
  • 17. @shechter Q4 2010 Interactivity Between People and Content Where are we know? • Global collaboration survey • Don’t forget the workers’ councils. • Distribution to more than 100k employees • 10% response rate Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
  • 18. @shechter Philips overall is seen as moderately collaborative both in the Healthcare and Non-Healthcare sectors. 100% 80% Top 3 Box 60% Healthcare 26% Non-Healthcare 38% 40% 20% 0% 1 2 3 4 5 6 7 8 9 10 Not at All Extremely Collaborative Healthcare (N=3,625) Non-Healthcare (N=5,226) Collaborative Q3: How collaborative of an organization is Philips? *Significant difference at a 95% confidence level Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
  • 19. @shechter When looking at their immediate teams, employees consider them to be much more collaborative than Philips overall. 100% 80% 60% Top 3 Box Healthcare 57% Non-Healthcare 66% 40% 20% 0% 1 2 3 4 5 6 7 8 9 10 Not at All Extremely Collaborative Healthcare (N=3,634) Non-Healthcare (N=5,232) Collaborative Q4: How collaborative is your team? *Significant difference at a 95% confidence level Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
  • 20. @shechter There is a great desire to find the right people to collaborate with, discover new things and bring disparate ideas and people together. 100% 80% 60% 40% 20% 0% Find the Discover Tie together Extend the Respond Do Collaborate Broadcast right people new things threads of opportunity more searches with information to talk to (N=2,881) information for thoroughly on topics colleagues (N=2,682) (N=2,993) (N=2,885) collaboration (N=2,820) (N=2,774) outside my (N=2,891) country (N=2,790) Q16: What are the key things you would want to be able to do? Summary of Top 2 Box for importance of factors. Healthcare Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
  • 21. @shechter Similarly, externally they believe email, in-person meetings, Communicator and conference calls along with Connect Webmeeting are the most effective. 100% 80% 60% 40% 20% 0% Connect Mail/ In-person Connect Chat/ Conference Connect Connect SharePoint Connect Us/ Yammer Outlook/ meeting Communicator call Webmeeting Meeting Sites SocialCast Email Healthcare Non-Healthcare Q24: Rate the following tools/methods for collaboration external to your immediate team but within Philips . Top 3 Box (Scale “0” being the least effective and “7” being the most effective) *Significant difference at a 95% confidence level Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
  • 22. @shechter Q2 2011 HKM – Social Collaboration Strategies, processes and tools for creating, sharing, and applying medical knowledge to improve decision-making • First, organic: Yammer • Then, orchestrated: SocialCast • “I’m on Facebook, but I don’t understand why I would use this at work” Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
  • 23. @shechter Q2 2011 HKM – Structured Clinical Data Strategies, processes and tools for creating, sharing, and applying medical knowledge to improve decision-making • Electronic data capture Medical Advisory Networks • Cross-business clinical trial registry • Medical terminology and ontologies • “I don’t want other BUs and/or sales to have this information” Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
  • 24. @shechter Q2 2011 HKM – Medical Advice Networks Strategies, processes and tools for creating, sharing, and applying medical knowledge to improve decision-making • Digital capture for medical advisory events • Medical Affairs Theater Medical Advisory Networks • Search and seek transcription • AdvisoryNet Platform • “Must be simple to use, like e-mail” Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
  • 25. @shechter Q2 2011 HKM – (un)Structured Non-Clinical Data Strategies, processes and tools for creating, sharing, and applying medical knowledge to improve decision-making • Research contracts and projects • Install base • Document libraries • Non-enterprise search • “Where do I find this again?” Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
  • 26. @shechter Where are we today? • People. Process. Tools. • Tools. People. Process. – Predict – Surprise • Behavior change is hard. • Trans-theoretical model of behavior change (Prochaska 1977) Maintenance Action Preparation Contemplation Pre- contemplation Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012
  • 27. @shechter For more information: Guy Shechter, PhD MBA Sr. Director, Global Operations - Medical Affairs Philips Healthcare  guy . shechter @ philips . com  @shechter Philips Healthcare, Medical Affairs, Guy Shechter, October 19, 2012

Editor's Notes

  1. Improve the customer experienceEstablish clinical and economic evidence base that differentiates our products, services and solutionsValidated through: measuring the percent of product groups requiring clinical and / or economic evidence that support our value claims