Hôpital & transformations | Équipes, parcours & numérique — Pharmageek

Healthcare's top revenue generators...

Les hôpitaux affichent une dette massive. Que pensez-vous de la situation ?
Au préalable, je crois qu’il est juste et nécessaire de rappeler que l’évolution des dépenses de santé a depuis quelques années été maîtrisée à un rythme de l’ordre de 2,5 %, du fait notamment du ralentissement de l’innovation thérapeutique de masse et de la démographie médicale. En second lieu, les hôpitaux se sont beaucoup restructurés et ont fait preuve de capacités d’innovation et d’adaptation absolument remarquables, par exemple pour la prise en charge des malades du sida.

Néanmoins, les investissements massifs auxquels ils ont procédé pèsent sur les résultats…
Il faut bien comprendre que les investissements sont nécessaires sur le plan technique, médical, immobilier et social pour transformer un système lourd et complexe comme l’est l’hôpital. Cela étant, il faut analyser, hôpital par hôpital, si les objectifs d’économie sont bien au rendez-vous et si l’offre de soins s’améliore pour le patient. Tout l’enjeu est là.

N’est-ce pas forcément le cas ?
Quand on compare notre système de santé par rapport à celui de pays proches, on remarque que la capacité hospitalière est supérieure, ce qui signifie que l’offre de soins en hôpital peut être améliorée et rationalisée. Mais il faut aller plus loin, et ne pas cibler uniquement le système hospitalier si l’on veut vraiment dégager des économies.

Comment procéder ?
La réduction des dépenses ne peut pas se faire de manière uniforme en pesant sur les hôpitaux sans transfert d’activité vers l’ambulatoire, sinon cela aurait pour effet de pénaliser les plus fragiles ou les plus actifs. Je pense qu’il est nécessaire de repenser l’ensemble du système de soins, et donc d’inclure dans ce mouvement la médecine de ville.

Quels bénéfices peut-on en attendre ?
De nombreuses activités faites aujourd’hui en hospitalisation devront se faire demain en ville en coordination avec l’hôpital. Bien sûr pour la chirurgie ambulatoire, en retard aujourd’hui du fait des cloisons étanches entre systèmes de soins, mais sans doute aussi pour certains traitements du cancer encore largement assurés dans les établissements et qui pourront se faire demain à domicile ou en hospitalisation de jour dans le cadre de réseaux de soins. Avec un tel schéma, tout le monde est gagnant. L’hôpital, car il peut fournir de meilleurs services, les personnels, qui peuvent se recentrer sur leurs tâches et valoriser leurs parcours professionnels, mais aussi le patient, qui aspire de plus en plus à une prise en charge à domicile.

Le budget de la Sécurité sociale serait-il aussi gagnant ?
Oui. Des marges considérables peuvent être dégagées, au vu des exemples étrangers et de l’évolution des techniques, à travers la réorganisation de l’offre de soins, même si c’est plus difficile à quantifier qu’une baisse uniforme des dépenses de 2 ou 3 % dans le cadre de l’Ondam.

Reste à faire tomber les barrières administratives…
La solution pour un meilleur pilotage de l’offre de soins implique de faire tomber les barrières et de fluidifier les parcours de soins entre médecine de ville, hôpital, soins de suite et médico-social. Or aujourd’hui, ce n’est pas le cas et le système reste cloisonné, avec d’un côté l’assurance maladie qui est en charge globalement de la médecine de ville et de l’autre, le secteur hospitalier qui relève d’un pilotage étatique, par le ministère de la Santé et les ARS dans les territoires. Résultat : faute d’une véritable articulation, ce sont les hôpitaux qui doivent, en cas de carence de la régulation de la médecine de ville, prendre en charge les patients, par exemple en cas de difficultés dans la permanence des soins, de délais d’accès excessifs à certains examens complémentaires ou de rareté des praticiens à tarifs opposables.

Social media’s rise in popularity has sparked some concerns for the healthcare industry in the past, but it seems that a happy balance has been found between privacy and outreach. Over the past several years, the number of healthcare professionals using social media has grown significantly, and their timing is perfect.

According to research by the Pew Internet Project, 72 percent of Internet users searched online for health information in the past year. Whether they’re looking up health insurance options, locating the best nearby hospital, or just educating themselves about particular medications, consumers have forced the healthcare industry to embrace social platforms.

At the same time, healthcare professional and institutions are using different social media tools to reach, educate, and inspire their patients. Let’s look at how they’re doing it.

Sunnybrook Hospital

Hospitals are making incredible use of Twitter’s real-time stream. Live-tweeting a risky procedure such as brain surgery might seem crazy, but for the medical team at Henry Ford Hospital in Detroit it was an incredibly rewarding and enlightening experience. While performing surgery on a patient, doctors discussed the procedure with more than 1,900 people following along on Twitter.

More recently, Sunnybrook Hospital in Toronto took to the platform to live tweet heart surgery. Not only does this help to demystify what happens in the operating room, but it also helps raise awareness about specific medical conditions. Twitter followers were able to tweet questions to doctors in real-time and get immediate answers right from the operating room in both cases.

Rush University Medical Center

In addition to managing a presence on Twitter and Facebook, the Rush University Medical Center also gets personal through blogging. Rush InPerson is a forum for doctors, nurses, professors, students, and patients to share their experiences about life at the medical center in Chicago. The posts include interviews with hospital staff, patient testimonials, historical updates, and other valuable information for patients.

Rush also manages a separate blog which is more of a resource for journalists, bloggers, and other individuals interested in health care updates from the medical center. Rather than showcasing personal updates from actual team members, however, the Rush News Blog is operated by the Rush Media Relations team. Managing two separate blogs might not be feasible for every business, but it’s a great way to highlight different voices while making sure the right information is shared with the appropriate audience.

Mayo Clinic

It shouldn’t come as a surprise that we’ve included the Mayo Clinic, which has long been seen as the flagship example for social media in the health care industry. Not only was it one of the first to offer online resources for patients, but it also launched the Mayo Clinic Center for Social Media, a program aimed at improving the use social networks for better global health.

In addition to being active on Facebook, Twitter, and YouTube, the Mayo Clinic has also adopted newer services like Pinterest into its outreach strategy. The brand has amassed almost 11,000 followers on Pinterest with 21 boards and more than 600 Pins. The variety of its Pins shows that it can appeal to a wide range of interests — from general health and fitness to more specific conditions like diabetes and concussions.

Advocate Health Care

Not every healthcare-related company has time to write long-form articles or develop an in-depth, multi-platform social media strategy. But that doesn’t mean you can’t take advantage of any form of social media. After having success with Pinterest,Advocate Health Care turned to Instagram as the next logical step for its outreach strategy. The brand’s first major campaign, #StoriesoftheGirls, coincided with Breast Cancer Awareness month and encouraged women to upload photos of their “best girl moments” using the hashtag.

The goal of this campaign was to raise awareness for breast cancer and prevention, as well as Advocate’s services. “We knew being on Instagram would be an easy way to get women to share their pictures,” explained Stephanie Johnson, Advocate’s director of public affairs. Within the first week, more than 100 women had uploaded photos. Not only did it help to drive awareness, but it also gave Advocate a better look at who its patients are.

These are only a handful of the ways the healthcare industry is using social media to connect with patients and provide ongoing education to the public. As social media continues to evolve, its adoption by health professionals and patients will only grow. Make sure that you’re ready to grow with them by understanding not only how the public consumers health information, but what type of information they’re looking for and on which platform.

Par le biais d'une note adressée le 28 avril dernier à l'ensemble des directeurs d'hôpital de l'Assistance publique-hôpitaux de Paris (AP-HP), le Directeur général (DG), Martin Hirsch, entend mettre en œuvre "une vérification générale" de la conformité...

From our genomes to Jawbones, the amount of data about health is exploding. Bringing on top Silicon Valley talent, one NYC hospital is preparing for a... (In #healthcare, the struggle is to get health records digitized and keep them private.

Scott Erven, Head of information services for Essentia Health, found that hospital equipment is incredibly hackable.

INFOGRAPHIE - En mettant la main sur la Générale de santé, déjà leader en France, Ramsay Santé détiendra près de 115 établissements et affichera un chiffre d'affaires de l'ordre de 2,2 milliards d'euros.

A new study shows that only 4 of the US News Top 10 Hospitals have a patient-centric digital presence. The study Aligning Patient Needs with Online Capabilities: What Healthcare Reform Means for Your Hospital Website looked at the top 50 hospitals, as listed on the US News and World Report, and examined their online offerings to see how well they serve the digital patient. The study was done by Evolve Digital Labs.

Only 4 of the top 10 in the US News list also made the Top 10 for being patient-centric online. Mayo Clinic ranked number one.

Watch the full video interview with Lee Aase, Director of the Social Media Center at Mayo Clinic, to hear his tips.

What does a hospital’s online capabilities have to do with healthcare reform, you might ask.

Well, healthcare providers are now held accountable for comprehensive healthcare and are expected to demonstrate a commitment to providing patients with long-term health solutions, both in the facility and online.

The digital patient is tech-savvy, looking for health information online and often uses a mobile device to find what they want:

The digital patient movement is growing rapidly – witness the LinkedIn Group that has more than 25,000 members.

Yet the majority of healthcare providers are lagging behind other industries in providing easy-to-use, interactive web-based services to patients.  Where are the majority of these hospitals falling down?

•  Only 1 in 5 has online preregistration documents to save the patient time when checking in Tweet this
•  2 out of 3 fail to offer rehab or aftercare information  Tweet this
•  Nearly 1 in 3 does not support online bill pay  Tweet this
•  Almost half of do not support prescription refills online Tweet this
•  Almost 1 in 5 (18%) has on-site errors that hinder the patient experience Tweet this

MobileHealthNews.com reports that in although the number of mobile apps developed by hospitals is currently north of 220, very few of these apps help users access their medical records, refill prescriptions, or securely message their physicians.

Download the full report to see how all the hospitals on the list ranked.>>

Why Does All This Matter?

The authors of the book, Engage! Transforming Healthcare Through Digital Patient Engagement, explain that most patients forget or misunderstand more than 80% of what a doctor tells them during a visit.

“Using their own employees, IBM studied patient retention of instructions given by their physicians. The employees forgot more than 60% of what they were told within one day, despite being healthier and smarter than the average citizen.”

As patients we clearly need after-visit information. We’re going online looking for places where we can access content that answers our questions. If 2 out of 3 fail to provide this information then we’re stuck in a system of disconnected visits with no online support that fails to make use of the tools available to us as patients.  These tools could not only improve our relationship with our health providers, it could make our journey to health so much easier and more effective.

And it would be amazing to have it delivered by our own trusted healthcare providers, so that we don’t have to go searching on our own.

La réorganisation de l'Hôpital devrait venir de préférence de l'intérieur.

Doctors are sporting a new accessory in the emergency room.

L'Observatoire mondial de la e-santé, créé par l’Organisation mondiale de la santé (OMS), et divers projets de l’OCDE misent sur le potentiel des technologies d’information et de communication (TIC) pour améliorer la qualité et l'efficacité des soins de santé. Le développement de la e-santé fait donc partie des préoccupations de l’Europe. Un rapport de la Commission européenne rendu public fin mars présente les résultats et conclusions relatifs au déploiement et à l'adoption des TIC et des applications de santé en ligne dans les hôpitaux des 28 États membres de l'UE, d'Islande et de Norvège. Il est basé sur les données de deux enquêtes hospitalières ayant recueilli des informations dans près de 1800 établissements de court séjour.

Even hospitals with the sturdiest reputations are having a hard time extending their digital presence and offering expertise beyond the confines of a brick-and-mortar hospital, according to a new report from Evolve Digital Labs.

This first-of-its-kind report, "The Digital Health of Today's Best Hospitals," evaluates the online presence and patient use of digital assets or websites from some of the top hospitals in the country, as identified by U.S. News & World Report. Hospitals and health systems analyzed include Massachusetts General Hospital in Boston, UPMC in Pittsburgh, Hospital of the University of Pennsylvania in Philadelphia and University of Texas MD Anderson Cancer Center in Houston, among many others.

Here are 10 key findings and points of analyses from the report.

1. Even top brands struggle. Derek Mabie, president of Evolve, said the most remarkable finding from the report is how top healthcare brands struggle to expand their presence on digital platforms or meet consumers' expectations for mobile access ...

2. Key findings. The study analyzed 57 hospitals from January 2013-January 2014. ..

The analysis found:
•    49 percent of hospitals lacked a mobile patient website
•    67 percent failed to offer online rehabilitation and aftercare information
•    Only 1 in 5 had online pre-registration to reduce patient wait time
•    Nearly 1 in 3 failed to facilitate online bill pay
•    At least 18 percent had onsite errors that hindered the patient experience
•    Nearly 1 out of 2 hospitals did not support post-prescription refill requests online

3. Barriers systems face. Mr. Mabie recognizes some barriers that may hold hospitals or health systems back in their digital efforts. "Clinical oversight of content is probably a barrier.... 
4. The need for digital governance. Mr. Mabie also says the report highlights the need for digital governance across healthcare organizations to fill the communication gap between patients, clinicians, health IT experts, marketing and communication teams...

5. The top 10 patient-centric hospital websites, according to the report, are:

•    Mayo Clinic (Rochester, Minn.)
•    Cleveland Clinic
•    University of Texas MD Anderson Cancer Center (Houston)
•    Massachusetts General Hospital (Boston)
•    UPMC (Pittsburgh)
•    Duke Medicine (Durham, N.C.)
•    Thomas Jefferson University Hospital (Philadelphia)
•    Massachusetts Eye and Ear (Boston)
•    The Mount Sinai Medical Center (New York City)
•    Florida Hospital (Orlando)
6. Determining patient-friendliness. To determine whether a website was patient-friendly, the study looked for websites that offered options to complete medical forms before appointments, make appointments, request refills, pay medical bills, view medical records and/or tests and view discharge and rehabilitation information. ..

7. Google results and brand reach. Search result rankings are one component of a hospital's brand reach score. ...

8. Mayo Clinic did best in search results. ..

9. There is a distinction between patient- and brand-centric website content, and some hospital websites can cross this line without even knowing it ...

10. The link between digital presence and spending. Hospitals' subpar digital presence isn't so much the result of hospitals' crunched finances, but more about leaders thinking money spent on website development is not worth it. "I'd say if they truly understand ROI and their ability to capture metrics, most would invest at much greater level," says Mr. Mabie. "It's the most scalable way to reach people.

Nous nous sommes dans un précédent article intéressé à la révolution green en marche y compris dans le secteur de la santé, mais quelle est l’impact de cette nouvelle tendance et ses bénéfices ?

Sur les réseaux sociaux aussi, Necker assure sa mission d’assistance publique. Une présence animée par le service de communication dirigé par Claudine Tanguy. Depuis 2011, date de l‘ouverture des comptes, son équipe tisse des liens de proximité avec désormais plus de 3 000 likers sur Facebook et presqu’autant de followers sur twitter.

A travers @hopital_necker  ou facebooknecker, l’institution parisienne donne une image humaniste des soins. 

La Fédération de l'hospitalisation privée (FHP), qui défend 1.100 établissements de santé privés à but lucratif, saisit ce matin l'Autorité de la concurrence. « Nous sommes victimes de fortes discriminations de la part de l'Etat qui favorise les établissements publics, annonce aux « Echos » Jean-Loup Durousset, le président de la FHP. Ces discriminations sont tellement généralisées qu'elles constituent selon nous une politique d'affaiblissement du secteur privé. » 

La deuxième édition des Salons de la Santé et de l’Autonomie se tiendra du 20 au 22 mai 2014 à Paris. Un évènement dont le Club Digital Santé sera partenaire avec notamment l'organisation d'une ren...

L’hôpital 2.0 est déjà une réalité et la tendance va très certainement s’accélérer avec la démocratisation des objets connectés. Mais les hôpitaux, le personnel et les infrastructures réseau, sont-ils bien préparés ?