1. Innovations in Ehealth &
Informatics
Industry Overview
Pharma IQ Sector Report & Resources:
Interviews with Industry Experts
June 2011
In Association With
Innovations in Ehealth & Informatics
Pharma IQ Resource Pack 2011

2. Contents
Page 3
Healthcare IT: UK a European Leader of Investment
Page 4
Creating a Blueprint for Healthcare Facility Planning,
Construction, Commissioning and Management
Page 6
NHS Reforms: How Do They Measure Up With Other
Systems?
Page 8
Tomorrow's laboratories: Utilising Advanced Diagnostics
and Information Management Technologies
Page 10
Additional Resources
Page 11
Innovations in Ehealth & Informatics Europe 2011
Authors: Andrea Charles & Helen Winsor Pharma IQ 2010 - 2011
Innovations in Ehealth & Informatics
Pharma IQ Resource Pack 2011

3. Healthcare IT: UK a European Leader of Investment
Over the past few years, the UK healthcare IT market has grown exponentially to reach an estimated value
of almost $3 billion (£1.83 billion) in 2011, making it the second largest in Europe after Germany. And it
seems the UK market is set to enjoy more growth than virtually every other region in years to come, though
the entire continent is experiencing a notable upsurge in investment.
According to the latest Ovum forecast, spending on healthcare IT in the UK will have topped $5 billion in
2016, representing cumulated annual growth (CAGR) of 13 per cent from 2010. Experts at the independent
technology analyst identified Britain's rapidly ageing population as the key driver behind increased
investment, as well as the desperate need to reduce costs across the healthcare sector. Cornelia Wels-
Maug, healthcare technology analyst at Ovum, highlighted the fact that of all the regions examined, the UK
would account for the strongest growth over the five-year forecast period.
She explained: "This is primarily because of the National Programme for IT in the NHS, a multi-billion
pound government scheme to implement healthcare IT. A key driver of the investment is the urgent need to
do more with less, due to the ever-increasing number of patients with chronic illnesses as the population
lives longer." Ms Wels-Maug went on to say that the cost of delivering a healthcare service that refuses to
compromise on quality was "spiralling out of control" and that further investment in IT would form a critical
part of the solution.
In Europe as a whole, the Ovum report suggested telehealth, where services such as condition monitoring
are delivered through telecommunications technology, would see most growth, with a CAGR of 15.1 per
cent. This was closely followed by health information exchanges (HIE), with predicted annual growth of 13.2
per cent over the next five years. The key investment areas for the UK, meanwhile, look set to be electronic
health records (EHR) and digital imaging solutions, not least the increasingly in-demand picture archiving
system.
Ms Wels-Maug commented: "Increasing access, accuracy, and availability of healthcare data are absolutely
fundamental to cutting costs. It reduces double testing of patients for various diseases and improves the
overall efficiency of hospitals and surgeries." Another emerging technology is software for mobile apps that
enables patients to monitor their own condition, as well as tools that can stop them from becoming unwell in
the first place. "This is an area where we will see more and more investment. While it is primarily a solution
that younger people will engage with, there is potential for it to be a useful tool in the management and
prevention of diseases," the Ovum analyst explained.
While the UK was found to have the greatest potential for future investment in healthcare IT, all of the
regions analysed in the study were said to be destined for an upsurge. In Germany, the growth rate is
forecast to be 9.7 per cent from 2010 to 2016, while the French market is expected to increase by 9.1 per
cent in the same period. Outside of Europe, North America was found to be looking at a CAGR of 12.7 per
cent, while Australian investment will expand by 9.8 per cent in the same timeframe.
Healthcare providers across the continent are increasingly seeing the future potential of EU-wide e-health
collaboration, with the universal aim of boosting efficiency and improving patient outcomes. As healthcare
IT professionals work toward these goals by carefully selecting, implementing and building upon existing
informatics, investment in the UK and throughout Europe will surely meet, if not exceed, expectations.
Innovations in Ehealth & Informatics
Pharma IQ Resource Pack 2011

4. Creating a Blueprint for Healthcare Facility Planning, Construction,
Commissioning and Management
South Africa's healthcare industry is on the cusp of a revolution. The recently introduced National Health
Insurance (NHI) White Paper lays out a plan which would see the country's under-developed healthcare
system changed beyond recognition over a 14-year period.
In a statement released in October 2010, the director general of South Africa's National Department of
Health, said: "NHI is one of the most ambitious reforms that our government has introduced and
preparatory work for the implementation of the NHI requires a comprehensive and systematic approach."
A recent report from RNCOS, entitled South African Healthcare Market Analysis, noted the healthcare
industry in the country will see huge growth over the coming years, thanks in a large part to these
supportive government policies.
Yet for this growth to be sustainable a coherent plan must be put in place to ensure future needs are met
and the NHI reaches its admirable objectives.
Public and private collaborations
Healthcare in South Africa is currently delivered through both public hospitals and private facilities, a
collaboration which is intended to continue as the NHI develops.
In the preface to the White Paper on the Transformation of the Health System in South Africa, Dr
Nkosazana C Dlamini Zuma, minister for health, noted the pressing need to decentralise the management
of the healthcare system towards a district network to facilitate better planning.
Provincial and district departments will be needed to assist this.
Alongside the development of the NHI will be the National Health Information System, which "will facilitate
health planning and management, and strengthen disease prevention and health promotion in areas such
as HIV/AIDS, STDs and maternal, child and women's health."
In establishing its blueprint for a national health service, South Africa is keen to continue the complimentary
functions of the public and private health care sectors, which it claims is key to "promote equity in service
provision."
However, criticism has previously been levelled against the private sector for what some claim is its
overarching values, which could be of serious detriment to the preparations.
Health Minister Aaron Motsoaledi said currently medical aid was only focussing on curing, rather than
preventing, health problems.
Dr. Humphrey Zokufa, managing director at BHF [Board of Healthcare Funders of South Africa], told The
New Age: "Private healthcare is unsustainable in South Africa. The structure of the system definitely needs
to be reviewed. "
He said the system should include "preventative, curative, chronic, catastrophic and quaternary" care.
Innovations in Ehealth & Informatics
Pharma IQ Resource Pack 2011

5. Creating a Blueprint for Healthcare Facility Planning, Construction,
Commissioning and Management
Creating a plan
South Africa realises if it is to overcome these challenges it must look beyond its borders and learn the
lessons from international efforts.
The director general of the National Department of Health said the United Kingdom's National Health
Service showed how a healthcare system can overcome challenges relating to quality of care, as well as
collaborating with outside bodies, such as the National Institute for Clinical Excellence and the Care Quality
Commission.
An international consultative workshop was convened to seek out any gaps in service offered by public
healthcare facilities.
This leads on to the other objective the authorities are very clear on; the need to get to the heart of the
inequalities which currently exist within the country's healthcare system if the NHI is to ever truly function
correctly.
Working alongside the NHI will be a strengthening plan, "starting with a detailed inventory of both public
and private facilities, including infrastructure, human resources and technology", the African National
Congress explained.
"The inventory will serve to assess the current capacity of the healthcare system to provide services at
different levels, and where this capacity is located. Secondly, it will identify gaps for expansion and facilities
that require refurbishment," it said in a media briefing.
Assessments are also to be made with regard to the financing of district health systems, as well as efforts
to boost access to primary healthcare services – a particular problem in underserved rural areas, which will
be the first to benefit from the scheme. Managers of public healthcare facilities are also to be given greater
autonomy.
Only once this has been done can the commissioning and construction of the new healthcare infrastructure
really begin.
Innovations in Ehealth & Informatics
Pharma IQ Resource Pack 2011

6. NHS Reforms: How Do They Measure Up With Other Systems?
UK health secretary Andrew Lansley recently announced radical reforms to the country's National Health
Service (NHS) aimed at both cutting costs and improving patient care – which some might consider to be
two contradictory claims.
The Health and Social Care Bill 2011 could essentially be said to be reducing layers and bureaucracy in the
NHS through "bring commissioning closer to patients by giving responsibility to GP-led groups",
"streamlining arms length bodies" and "supporting all trusts to become foundation trusts and establishing
independent regulation."
Concentrating on the first point, the bill puts greater responsibility in the hands of GPs by allowing them to
make decisions about which services to provide based on the needs of their local patients, according to the
government.
Reaction
Reactions to the proposals, which were hailed by the UK government as creating a "more patient centric
NHS", have been mixed.
Dr. Michael Dixon, chairman of the NHS Alliance, a body independent of both government and political
parties, said: "Many GPs have been fighting for these reforms for a number of years and after a few false
starts, it is good to see the government is listening and taking the appropriate measures."
Dr. Clare Gerada, from the Royal College of General Practitioners, said "it makes sense" for the power to
commission services to be placed with GPs, however she expressed concerns surrounding the government
was planning on implementing the proposals. Dr. Gerada said efforts must be made to"guard against
fragmentation and unnecessary duplication" and any subsequent negative patient outcomes."
The British Medical Association, meanwhile, expressed similar concerns about fragmentation, and also
raised the issue of price competition which may arise from "forcing commissioners of care to tender
contracts to any willing provider."
Canada
While there are those concerned about the state of the NHS in the UK, internationally there are those who
believe the right steps are being taken.
In Canada the debate is currently raging about the country's universal healthcare system, which according
to research by McCleans magazine now ranks bottom in the world, based on the time it takes patients to
get treatment and the quality of care they receive.
Ken McQueen from the magazine said in comparison with the UK, the Canadian system, doesn't "fare that
well."
Key issues for reform centre around the delivery of primary care services, which are offered by family
physicians and general practitioners. Calls are now being made for these professionals to form primary
health teams, which are able to provide more comprehensive care and a better coordinated service.
Innovations in Ehealth & Informatics
Pharma IQ Resource Pack 2011

7. Predicting Physical Stability of Amorphous Solid Dispersions
NHS Reforms: How Do They Measure Up With Other Systems?
The separated nature of the territories means each is implementing its own series of reforms, although the
creation of accountable teams providing healthcare services is a central theme. The changes are being
supported by the Primary Healthcare Transfer Fund.
Robin Osborn, vice-president and director of The Commonwealth Fund's international programme, told the
Montreal Gazette that the reforms being proposed in the UK were positive in that they gave more control to
doctors, but again expressed concerns it could adversely damage the service.
"The UK is on many levels a real success story," she said
Australia
The subject of making smaller, more localised groups accountable for healthcare was also raised in
reforms suggested by Australia's former prime minister Kevin Rudd.
Under the plans, Rudd suggested four hospitals should group together into trusts and take on responsibility
for care in their regions, as they are likely to have better localised knowledge.
Stephen Leeder, director of the Menzies Centre for Health Policy at the University of Sydney, writing in the
Australian, suggested in fact these networks should include GPs and other care providers to offer a greater
picture of the situation.
"Network health boards should be composed with great care, preferably being depoliticised, and avoiding
deeply vested and conflicting interests," he added.
Canada and Australia's healthcare systems do differ from the NHS in many ways, one of which being that
they are less well established. However, the proposed reforms in all three systems suggest providing care
for local populations through groups led by local GPs is an emerging trend, which many believe if managed
properly could improve patient care
Innovations in Ehealth & Informatics
Pharma IQ Resource Pack 2011

8. Tomorrow's Laboratories: Utilising Advanced Diagnostic and
Information Management Technologies
As increasing value is placed on laboratory data due to cost pressures and the need for tangible results, it
is becoming key concern of healthcare organisations to ensure that this information is stored in a safe and
easy-to-access environment.
Both public and private sector organisations are searching for the best ways to ensure their lab is
optimising the business value of lab data and information to accelerate innovation, reduce risk and improve
operational efficiencies.
As with any industry, the need for constant innovation in this field is great, and the future of laboratory data
and information management was recently spelled out in a report by healthcare market research publisher
Kalorama Information entitled Laboratory Information Systems (LIS / LIMS) Markets.
The report focuses on the market for LIS for clinical healthcare labs and pharmaceutical drug discovery
laboratories and provides market size and forecast data, as well as analysis of suppliers competing in the
LIMS market, and an overview of the industry and important trends.
According the report, tomorrow's laboratories will utilise advanced diagnostic and information management
technologies, such as digital pathology and molecular studies. They will require sophisticated, fast, easy-to-
use and most importantly interoperable laboratory information systems to handle the resulting more
complex and high volume data.
The analyst predicts that the market for LIS in the clinical laboratory will grow in the six per cent range
annually in the next few years from $800 million (£492 million) in 2010.
Also, as labour accounts for more than 60 per cent of the cost of producing test results, the organisations
estimate that automation and better information management systems can reduce the number of hands-on
procedures in a lab and optimise efficiency.
Many operations are still using manual processes for tasks such as collecting, analysing and reporting data,
and it is estimated that more than two-thirds of laboratories operate with less than half of their instruments
interfacing with an LIS.
However, with growing pressures to cut costs, increase efficiencies and quality of care, and report test
results in real time, Kalorama says that labs need to plan for more sophisticated LIS if they want to remain
competitive.
Bruce Carlson, publisher of Kalorama Information, explained: "The vendors with a long-term view are
developing a next-generation of LIS that will meet the needs that even many of today's systems cannot
provide.
"Hospitals are rapidly automating, and clinical lab information systems will need to offer features such as an
interface with electronic charting, electronic medical records (EMRs), real-time data integration, reporting,
analytics and data visualisation, and insurance billing software."
Innovations in Ehealth & Informatics
Pharma IQ Resource Pack 2011

9. Tomorrow's Laboratories: Utilising Advanced Diagnostic and
Information Management Technologies
He noted that LIS will need to reach into multiple systems to gather data, for example in a clinic or a
hospital which does not have a complex laboratory, but has small POC analysers throughout the facility.
In this case, the important challenge would be to move the results from the analysers to a patient's EMR,
which will become more easily achievable as more disciplines come online.
Additionally, as both pathology and molecular biology are becoming increasingly automated and digitised
as products become more economically viable due to rising volumes, this is helping to fuel the growth of
LIS.
At the moment, few LIS vendors currently offer products that are specifically designed to handle molecular
diagnostics and pathology, and this is another issue which needs addressing in the months and years
ahead.
It is clear that there is some way to go before there is widespread use of LIS, but once the platform begins
to expand the global storing and sharing of data is likely to be a far smoother and more effective process.
Innovations in Ehealth & Informatics
Pharma IQ Resource Pack 2011

10. Additional Resources
INTERVIEW The Peaks and Troughs of Applying New Healthcare Technology
With Simon Mortimore, Head of Information Services, University College London Hospitals
NHS Foundation Trust
In this podcast, Simon Mortimore explains exactly what management information
strategy is and why it’s necessary. He reflects on the slight resistance from hospital
personnel to new technology usage, but on the general willingness by patients to
take this on board…
INTERVIEW EU: RENEWING HEALTH Update 2011
With Claus Duedal Pedersen, Head of Centre for Clinical Innovation Odense University
Hospital
Claus Duedal Pedersen, Head of Centre for Clinical Innovation Odense University
Hospital speaks about effectively utilising telemedicine and increasing pan-
European patient-provider cooperation through RENEWING HEALTH (REgioNs
of Europe WorkINg together for HEALTH).
INTERVIEW Some Secrets to Success of iPad Application in E-Health
With Neal Mullen, Group Deputy Director of ICT, St. Vincent’s Healthcare Group
"The successes we’ve encountered, we certainly have a new client base that we
didn’t really have before. We have a whole new range of clinical personnel that
would have been maybe considered siloed end users. They wouldn’t have been
heavily involved in the IT roadmap,"
INTERVIEW The Potential for EMR to Reduce Medical Errors Needs More Exploration
With Neal Mullen, Group Deputy Director of ICT, St. Vincent’s Healthcare Group
In this podcast Uwe Buddrus Managing Director of HIMSS Analytics Europe, talks
to Andrea Charles from Pharma IQ, about the need for KPI-based benchmarking
for healthcare providers and shares his advice for organisations working with
limited IT capabilities, or those who aren’t very far along in terms of EHR
adoption.
Innovations in Ehealth & Informatics
Pharma IQ Resource Pack 2011

11. Innovations in E-Health & Informatics Europe conference is the latest in IQPC's global series of healthcare
technology events!
Healthcare providers across the continent are looking forward to the day when EU-wide e-health collaboration is
a reality, when data can flow freely yet securely across institutional and international boundaries, thus
increasing efficiency and improving patient outcomes-and healthcare IT and informatics personnel are working
toward this goal by the careful selection, implementation and improvement of informatics.
At Innovations in E-Health & Informatics Europe, our pan-European expert speaker faculty will show you
how to:
-Practice advanced interoperability and seamless information management by aligning your ICT to
existing and emerging standards with Bernd Blobel of the eHealth Competence Center, University Hospital
Regensburg
- Implement the latest innovations: hear about pilot projects run by Claus Duedal Pedersen at Odense
University Hospital, Alberto Sanna at Scientific Institute San Raffaele, Otto Larsen at NSI and more in 5 best-of-
breed case studies
-Institute the best techniques for information security, disaster management, data recovery and patient
privacy: Catherine Chronaki of HL7 and FORTH and Neal Mullen of St.Vincent’s Healthcare Group show you
how
- Effectively align your informatics with your EHR: benchmark your deployment with Uwe Buddrus of
HIMSS Analytics Europe
- Get the budget and support you need for your informatics deployment from both upper management
and clinicians with the help of University College London Hospitals NHS Foundation Trust’s Simon Mortimore.
Registration are now open! To reserve your place simply go online at www.ehealthinformatics.eu ,
call +44 (0)207 368 9300 or email enquire@iqpc.co.uk.
Register today and save up to £300 per person! Click Here
The Expert Speaker Faculty includes:
•Bernd Blobel, Head, eHealth Competence Center, University Hospital Regensburg (Germany)
•Sally Stansfield, Executive Director, Health Metrics Network, World Health Organization (Switzerland)
•Otto Larsen, Director, NSI (National Sundheds-IT) (Denmark)
•Uwe Buddrus, Managing Director, HIMSS Analytics Europe (Germany)
•Alberto Sanna, e-Services for Life & Health Director, Scientific Institute San Raffaele (Italy)
•Simon Mortimore, Head of Information Services, University College London Hospitals NHS
Foundation Trust (England)
•Claus Duedal Pedersen, Head of Centre for Clinical Innovation, Odense University Hospital (Denmark)
Innovations in Ehealth & Informatics
View the full Module List Click Here Resource Pack 2011
Pharma IQ