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The digital hospital of the future

deloitte | June 4, 2022 | 354 views | Read Time : 02:00 min

The digital

​As the cost of care continues to rise, many hospitals are looking for long-term solutions to minimize inpatient services. Learn how technology and health care delivery will merge to influence the future of hospital design and the patient experience across the globe in this report developed by Deloitte US.

Five use cases for the digital hospital of the future

The future of health care delivery may look quite different than the hospital of today. Rapidly evolving technologies, along with demographic and economic changes, are expected to alter hospitals worldwide. A growing number of inpatient health care services are already being pushed to home and outpatient ambulatory facilities. However, many complex andv very ill patients will continue to need acute inpatient services.

With aging infrastructure in some countries and increased demand for more beds in others, hospital executives and governments should consider rethinking how to optimize inpatient and outpatient settings and integrate digital technologies into traditional hospital services to truly create a health system without walls.

To learn what this future of health care delivery may look like, the Deloitte Center for Health Solutions conducted a crowdsourcing simulation with 33 experts from across the globe. Participants included health care CXOs, physician and nurse leaders, public policy leaders, technologists, and futurists. Their charge was to come up with specific use cases for the design of digital hospitals globally in 10 years (a period that can offer hospital leaders and boards time to prepare).

The crowdsourcing simulation developed use cases in five categories

Redefined care delivery 

Emerging features including centralized digital centers to enable decision making (think: air traffic control for hospitals), continuous clinical monitoring, targeted treatments (such as 3D printing for surgeries), and the use of smaller, portable devices will help characterize acute-care hospitals. 

Digital patient experience

Digital and artificial intelligence (AI) technologies can help enable on-demand interaction and seamless processes to improve patient experience. 

Enhanced talent development

Robotic process automation (RPA) and AI can allow caregivers to spend more time providing care and less time documenting it. 

Operational efficiencies through technology

Digital supply chains, automation, robotics, and next-generation interoperability can drive operations management and back-office efficiencies. 

Healing and well-being designs

The well-being of patients and staff members—with an emphasis on the importance of environment and experience in healing—will likely be important in future hospital designs.

Many of these use-case concepts are already in play. And hospital executives should be planning how to integrate technology into newly-built facilities and retrofit it into older ones.

Technology will likely underlie most aspects of future hospital care. But care delivery—especially for complex patients and procedures—may still require hands-on human expertise.


Laying the foundation for the digital hospital of the future

​Building a digital hospital of the future can require investments in people, technology, processes, and premises. Most of these investments will likely be upfront. In the short term, hospital leadership may not see immediate returns on these investments. In the longer term, however—as digital technologies improve care delivery, create operational efficiencies, and enhance patient and staff experience—the return result can be in higher quality care, improved operational efficiencies, and increased patient satisfaction.

These six core elements of an enterprise digital strategy can help you get started as you begin to push your hospital into the future

Create a culture for digital transformation

It is essential that senior management understands the importance of a digital future and drives support for its implementation at all organizational levels.

Consider technology that communicates

Digital implementation is complex. Connecting disparate applications, devices, and technologies—all highly interdependent—and making certain they talk to each other can be critical to a successful digital implementation.

Play the long game

Since digital technologies are ever evolving, flexibility and scalability during implementation can be critical. The planning team should confirm that project scope includes adding, modifying, or replacing technology at lower costs.

Focus on data

While the requirements of data interoperability, scalability, productivity, and flexibility are important, they should be built upon a solid foundation of capturing, storing, securing, and analyzing data.

Prepare for Talent 2.0

As hospitals invest in exponential technologies, they should provide employees ample opportunities to develop corresponding digital strategies.

Maintain cybersecurity

With the proliferation of digital technologies, cyber breaches can be a major threat to hospitals of the future. Executives should understand that cybersecurity is the other half of digital implementation and allocate resources appropriately.

Spotlight

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St. Jude Children's Research Hospital, founded by the late entertainer Danny Thomas, is one of the world's premier centers for the research and treatment of pediatric cancer and other catastrophic childhood diseases. St. Jude is the first and only pediatric cancer center to be designated as a Comprehensive Cancer Center by the National Cancer Institute. Children from all 50 states and from around the world have come through the doors of St. Jude for treatment, and thousands more around the world have benefited from the research conducted at St. Jude - research that is shared freely with the global medical community. St. Jude is the only pediatric cancer research center where families never pay for treatments that are not covered by insurance. No child is denied treatment because of a family's inability to pay.

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Tomorrow Health Modernizes Home-Based Care Operations For Medicaid Managed Care Plans

prnewswire | March 31, 2023

Tomorrow Health, an innovator in home-based care, announced novel technology to improve home-based care operations for Medicaid managed care organizations. Helping MCO care coordinators move beyond analog fax and phone workflows for home-based care, get up-to-the minute insight into order status and better manage members with complex cases, the new offering ensures essential healthcare can reliably be both delivered and coordinated in the home. Created to provide publicly funded insurance coverage to low-income Americans, Medicaid is the second largest source of health insurance in the U.S., with nearly 83 million enrolled members. Adults with chronic conditions make up roughly 40 percent of the Medicaid patient population. Historically, Medicaid members have been more vulnerable to higher rates of chronic conditions, such as asthma, diabetes, endocrine disorders and hypertension. Seven million seniors are covered through Medicaid and receive services such as home healthcare and medical equipment to support long-term care needs. Medicaid members often experience difficulties accessing life-improving medical equipment, like hospital beds, oxygen equipment, nebulizers, insulin pumps, in a timely manner. Care coordinators play a vital role in facilitating Medicaid members' physical and mental health, housing, crisis, and employment needs. In managing home-based care services, care coordinators are dedicated support for members who are the entry point for specific problems. They often rely on manual phone and fax communication with members' care teams, medical equipment suppliers, and care providers, and as a result, have little-to-no visibility into an order status or progress, lack information on past and existing referrals, and have no systematic way to collect regulatory forms. By partnering with Medicaid MCOs, Tomorrow Health can streamline the workflow of the home-based care ordering process through modern day technology. Commercially sponsored Medicaid plans are monitored and graded on cost control, quality of care, and member satisfaction. Tomorrow Health's technology adds an extra layer of efficiency to meet these metrics by providing coordinators with important DME order-related information such as: referring provider details, product category estimated delivery date, confirmed delivery date, cancellation reasons, among others. Tomorrow Health's technology creates a tailor-made, one-stop-shop for coordinators at Medicaid MCOs who are managing multiple member cases. "The Medicaid patient population has unique health and social needs, and requires high-touch care teams to manage all facets of the home-based care experience. Care coordinators act as lifelines for Medicaid MCO members, and often don't have the technology tools they need to ensure timely home-based care is delivered in a member's home," said Vijay Kedar, CEO and Co-Founder, Tomorrow Health. "With one in four aging seniors requiring some form of home-based care, our technology can simplify a disjointed ordering and management process for Medicaid MCOs, drive down costs, and most importantly, deliver high-quality home-based care to those most in need." Tomorrow Health's technology is fully customizable for the Medicaid MCO population, depending on the plan and state. About Tomorrow Health Tomorrow Health builds technology that improves the way home-based care is ordered, delivered, and paid for. Today, the home-based care ecosystem is fragmented, confusing, and expensive, costing the healthcare system billions of dollars annually. Tomorrow Health manages and improves every step of the process, using technology-driven matching and considering quality, specialization, insurance coverage, and geography to pair patients with appropriate suppliers of more than 40,000 products and services. As a result, Tomorrow Health reduces the time it takes to coordinate and deliver home-based care for the one in four Americans who need it, from prescription, to reimbursement, to patient outcomes - ultimately leading to improved patient health results and lowered costs. Tomorrow Health partners with more than 125 leading health plans and health systems nationwide, including Pennsylvania's Geisinger Health Plan, and is backed by Andreessen Horowitz, BOND, Obvious Ventures, BoxGroup, Rainfall Ventures, and Sound Ventures.

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