The health crisis has prompted several transformations, including those related to the health sector. In a recent study, the Montaigne Institute made several proposals to accelerate digital transformation within the French healthcare system. The CNAM (National Health Insurance Fund) identified during the health crisis more than 500,000 teleconsultations in one week versus 11,000 teleconsultations in normal times. Proof that a real digital transformation can take place if healthcare professionals are equipped with high-performance means and knowledge related to technologies and artificial intelligence.
Evangelism is necessary for healthcare professionals but also for patients so that connected objects, data, analysis services and applications interact in a smarter, faster and more precise way, transforming the entire healthcare industry. . Where clear and personalized dashboards simplify doctors’ work and help them analyze their patient data in real time. And where the generalization of remote patient monitoring and virtual coaching reduces complications due to chronic diseases.
Beyond this progression, digital has also made it possible to preserve a social bond during confinement, and the emergence of numerous exchange applications (WhatsApp, Messenger, Zoom, Skype) have positioned digital as a major player in the fight against the isolation of the sick and the elderly.
Health a priority for governments
The health crisis has highlighted the need to tackle problems of access, quality and cost of health care without delay. In 2019, 100 million euros were planned to accelerate the digital transformation of healthcare establishments and 50 million for the deployment of telemedicine.
Connected health makes it possible to connect doctors to data, patients to medical establishments and establishments to networks, with the aim of strengthening the quality of care provided. The more these interconnections increase, the better and more reliable the results will be for patients. Interconnections today boosted by the rapid expansion of the Internet of Things (Internet of things, IoT) which connects large sets of connected objects, sensors, software and networks. It is estimated that the French e-health market will reach 4 billion euros in 2020.
In France, the computerization of health records timidly began in 1970 and in 2018 led to the creation of the Shared Medical Record (DMP) which had 6 million patients, 6 months after its official launch. However, according to a study by the URPS (Regional Union of Health Professionals), the shared medical file was used by only 1% by liberal doctors in Ile-de-France. Unlike telemedicine, which has convinced the most recalcitrant doctors with an increase in its use estimated at 79%.
Technological challenges to overcome for effective e-health
On the issue of technological brakes, the explosion of data is undeniably a subject that concerns the connected health sector. Efficiently transmitting patient data from all health services to the right professional at the right time remains a challenge. Today, healthcare leaders are leveraging devices to identify opportunities to generate actionable knowledge. Subjected to big data analysis techniques, these groupings of individual data reveal unexpected trends, profiles and ideas to improve the quality of care.
This aggregation and cross-referencing is also made possible by interoperability. The Healthcare Information and Management Systems Society (HIMSS) defines interoperability as “The extent to which systems and devices can exchange data and interpret that shared data”. The lack of interoperability between devices and systems persists today, because the latter remain closed and / or contain non-standardized data. In addition, providers of new technologies entering the healthcare market continue to produce closed IoT devices, making it even more difficult to share the data generated.
The 900 billion GB of health data generated annually and the 73 million connected health objects worldwide are an opportunity for players in the sector. Despite the agreement of French deputies on the use of the StopCovid application, a digital tracking system dedicated to the fight against Covid-19, the use of this data represents a real societal issue but faces a major difficulty : 53% of French people are against an obligation to install the application and 64% of French people are afraid of the misappropriation of their digital identity. Recent events, notably linked to the wave of international cyberattacks against hospitals, have reinforced this feeling of distrust. Building digital infrastructure must, of course, be based on robust cybersecurity and strong privacy protections. The architecture must integrate the security and data governance requirements for different users, applications and devices, considering the management of authentication and validation. These tools can help healthcare organizations design and deploy a multi-faceted security approach that includes identity and access management, encryption, proactive security analysis, and network security.
If the healthcare market is therefore ready to take a leap forward, its complete digital transformation will require crossing a new threshold. To operate a real transformation, healthcare companies must in particular bridge the digital divide that separates them from IT transformation, through the modernization of infrastructure and the complete digitalization of services. A study by Vanson Bourne also interviewed health business leaders, and 60% of them said that their company is struggling to adapt to digital transformation. It is therefore the CIOs who have the difficult task of meeting these technological challenges in order to create a connected health ecosystem and to enter fully into the digital era.
By Grandstand by Antonin Teyssier, Director Health Sector, at Dell Technologies