Uber Health(患者送迎)戦略 電子カルテに予約患者の搬送スケジュールも組み込む

日本の地域包括ケアシステムの未来

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ヘルステック、ユーザー重視の医療を実現へ Early Stage 米国発
https://www.nikkei.com/article/DGXMZO50199000V20C19A9XY0000/

スーパーシティ スマートシティフォーラム2019
https://www.kantei.go.jp/jp/singi/tiiki/kokusentoc/supercity/supercityforum2019/supercityforum2019.html
Uber Health(患者送迎)戦略
https://www.kantei.go.jp/jp/singi/tiiki/kokusentoc/supercity/supercityforum2019/190629_shiryou_10_03.pdf
経済産業省
https://www.meti.go.jp/policy/mono_info_service/mono/fiber/index.html
新しい「体験」を創造できる企業が勝つ時代
https://www.meti.go.jp/policy/mono_info_service/mono/fiber/pdf/190701seni_kadai_torikumi.pdf
新しい「体験」を創造できる企業が勝つ時代

電子カルテ業界2位ベンダーCernerと提携「Uber Health」
https://www.businessinsider.com/uber-health-integrates-with-cerner-electronic-health-record-system-2019-10
電子カルテに予約患者の搬送スケジュールも組み込む
医師が電子カルテで患者氏名・住所から送迎予約「Uber Health」を直接入力
Uber Healthは2019年末までに乗用車22,000台を確保

米国では交通機関へのアクセスが確保できず、定期受診ができない患者が約360万人おり、健康の社会的決定要因(SDH)で継続的ケアプランが確保できれば、症状悪化による医療コスト1,500億ドルが削減可能と試算されている。

慢性疾患管理を妨げることなく、また救急部門の病院搬送・帰宅搬送のリソースコストが削減できる。

フロリダ州タンパベイにあるBayCareでは、退院決定から帰宅調整までにUber Healthの利用が決定できれば、当日の退院がスムーズに進み業務が65分改善できたと報告されている。

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電子カルテにウーバー(患者送迎)予約を組み込み交通問題を解消
Cerner電子カルテから直接Uber Health(患者送迎)を利用
高齢者が免許返上しても安心。日本登場はいつか。

未来投資会議(第32回) 配布資料
http://www.kantei.go.jp/jp/singi/keizaisaisei/miraitoshikaigi/dai32/index.html
公共交通への将来不安
地方の抱える不安の中で、「公共交通が減り自動車が運転できないと生活できない」という声が大きい。
http://www.kantei.go.jp/jp/singi/keizaisaisei/miraitoshikaigi/dai32/siryou1.pdf

公共交通への将来不安.jpg
75歳以上の交通手段
地方都市圏で、平日外出時の主な交通手段を聞くと、75歳以上でも、自動車という回答が半数を超える。
75歳以上の交通手段.jpg

75歳以上の死亡事故の原因
75歳以上の運転者は、「運転ミス」(操作不適)による事故が最も多い。
75歳以上の死亡事故の原因.jpg

Cerner
https://www.cerner.com/
Uber Health
https://www.uberhealth.com
Integrating with Cerner to Lower the Barrier to Care | Uber Health
https://businesses.uber.com/cerner.html

An integration that lowers the barrier to care
Streamline non-emergency medical transportation (NEMT) using Uber Health, directly from Cerner’s electronic health record (EHR).
Fill out the form below to get in touch.
Uber Health - Cerner.jpg

Uber Health - Cerner2.jpg

Creating connections for better healthcare
The Uber Health and Cerner electronic health record (EHR) integration enables data to flow seamlessly between both systems in a safe and HIPAA-secure manner.

Simplify healthcare access
Unlocks access to on-demand, reliable rides with a global average pickup time of 5 minutes.

Boost patient throughput
Improve appointment adherence and throughput by getting them where they need to be, faster. No more switching tabs or tools.

Save time and money
Auto-populate ride data—name, number, address, and cost—in patient profiles so you can invest in what matters most: patients.

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Uber Health and Cerner Announce Plan to Help Consumers Gain Easier Access to Medical Appointments
New integration will allow clinicians to order ride requests for patients
https://www.globenewswire.com/news-release/2019/10/28/1936452/0/en/Uber-Health-and-Cerner-Announce-Plan-to-Help-Consumers-Gain-Easier-Access-to-Medical-Appointments.html

October 28, 2019 11:00 ET | Source: Uber for Business
LAS VEGAS, Oct. 28, 2019 (GLOBE NEWSWIRE) — Today, Uber Health and Cerner Corporation (Nasdaq: CERN), a global health platform and innovation company, announced the two companies will work together to help reduce transportation barriers that can lead to delayed care, poor management of chronic conditions and declining health outcomes for patients. With this agreement, providers can license Uber Health’s non-emergency transportation solutions, which can be added into the Cerner electronic health record (EHR) and directly into the hands of providers to help them more effectively manage challenges their patients face.

“Joining forces with Cerner marks a new chapter for Uber Health and our mission to provide accessible, efficient transportation for patients and caregivers,” said Dan Trigub, Head of Uber Health. “Reliable transportation to and from appointments can help reduce operating costs, patient no-show rates and help improve patient outcomes. Our goal is to simplify the way healthcare providers can access transportation options — and our work together will accomplish just that.”

An estimated 3.6 million patients reportedly cannot access healthcare due to lack of transportation, which can lead to more emergency room visits and hidden costs for patients, caregivers, providers and insurers. Incorporating social needs directly into existing advanced health care technology can help solve for missed appointments and delayed treatment. With this agreement, providers will be able to license from Uber Health the tools to book transportation directly from the Cerner EHR. A patient’s information – name, phone number and pick-up address – will auto-populate from Cerner technology directly into a ride request with Uber.

“Our work with Uber Health will give health systems more resources to address some of their patient’s challenges in accessing the healthcare they need,” said John Gresham, Senior Vice President of Health Networks, Cerner. “Building on more than 40 years of healthcare expertise, Cerner is taking on some of the industry’s biggest challenges to help improve access to healthcare, create better health outcomes and lower costs for patients and health systems.”

Uber Health launched in March 2018 to broaden Uber for Business’s suite of enterprise solutions and support its vision to meet the transportation needs of businesses across industries. By leveraging Cerner’s platforms and solutions – containing the health information of approximately 200 million people and accessed daily by millions of clinicians – healthcare providers can reinvest resources into care.

“Uber Health has helped BayCare to improve continuity of care for our patients,” said Craig Anderson, Director of Innovation at BayCare, a Cerner client. “Patients who have received transportation via Uber have expressed how helpful it has been due to the timeliness of the driver’s arrival. Specifically, when looking at hospital throughput, Uber Health has been a tremendous asset to BayCare. Our ‘discharge order to door’ time has improved by 65 minutes due to our ability to provide an Uber ride for patients that are in need.”

Uber Health’s app will soon be available for integrated use with Cerner’s EHR for U.S. providers, where Uber services are available. For more information, please visit our site.

About Cerner
Cerner’s health technologies connect people and information systems at more than 27,500 contracted provider facilities worldwide dedicated to creating smarter and better care for individuals and communities. Recognized globally for innovation, Cerner assists clinicians in making care decisions and assists organizations in managing the health of their populations. The company also offers an integrated clinical and financial system to help manage day-to-day revenue functions, as well as a wide range of services to support clinical, financial and operational needs, focused on people. For more information, visit Cerner.com, The Cerner Blog or connect on Facebook, Instagram, LinkedIn, Twitter or The Cerner Podcast.

Cerner Media Contacts:
Austin Cozzolino, Public Relations, (816) 786-2154, Austin.Cozzolino@cerner.com

About Uber Health
Uber Health is a HIPAA-secure solution that allows healthcare providers, non-emergency medical transportation brokers, and others within the continuum of care to arrange rides for those who need it most. Uber Health helps reduce barriers to care and supports improved health outcomes by delivering more efficient, flexible, and transparent mobility solutions. Over 1,000 healthcare organizations like ALC Solutions, Cerner, Boston Medical Center, and MedStar trust Uber Health to provide reliable transportation to those they care for. For more, visit uberhealth.com.

Uber Health Media Contact:
press@uber.com

Uber And Cerner In Deal To Ease Medical Transportation
https://www.forbes.com/sites/brucejapsen/2019/10/28/uber-and-cerner-in-deal-to-ease-medical-transportation/

Uber announces integration with Cerner EHR system for U.S. providers
https://www.fiercehealthcare.com/tech/uber-announces-integration-cerner-ehr-system-for-u-s-providers

Uber Health is integrating with Cerner’s EHRs so providers can set up rides for their patients
https://www.businessinsider.com/uber-health-integrates-with-cerner-electronic-health-record-system-2019-10

Uber app to integrate directly into Cerner’s EHR so providers can schedule transportation for patients
https://medcitynews.com/2019/10/uber-app-to-integrate-directly-into-cerners-ehr-so-providers-can-schedule-transportation-for-patients/
Uber and Cerner jointly announced on Monday that Uber’s app will now directly integrate into Cerner’s electronic health record so that care teams will be able to schedule patients for pick-up and drop-off for their non-emergency medical appointments.

Cerner partners with Uber Health: 5 things to know
https://www.beckershospitalreview.com/ehrs/cerner-partners-with-uber-health-5-things-to-know.html

1. Under the partnership, providers will be able to schedule Uber transportation for patients directly from the Cerner EHR to help patients get to their appointments.

2. The patient’s information, including name, phone number and pick-up address, will automatically transfer into the Uber ride request directly from Cerner’s platform.

3. With the collaboration, Cerner and Uber Health aim to reduce transportation barriers than can cause delayed care, poor management of chronic conditions and declining health outcomes for patients.

“Our work with Uber Health will give health systems more resources to address some of their patient’s challenges in accessing the healthcare they need,” said John Gresham, senior vice president of health networks at Cerner, according to a news release emailed to Becker’s Hospital Review.

4. Uber launched Uber Health in 2018 and features a HIPAA-compliant platform that allows healthcare providers, payers and others to schedule, manage and pay for rides for patients, according to the release.

5. Uber and Cerner’s integration will soon be offered to U.S. providers where Uber services are available.

 

 

 

 

患者中心医療に必要なこと、米国で着々と進むヘルスケアリテライゼーション
ウェルネス業界は4.2兆ドル産業で今後2年間で12.8%成長が予想されている。

Amazon, Google, Chick-fil-A,and Wal-Mart
遠隔医療(Doctors on Demand、One Medical、TeleDoc、OneDrop、American Well)

RIDE-HAILING IN HEALTHCARE: Uber and Lyft are aiming to solve the $150 billion annual problem of US medical transport — here’s why automakers should enter the fray
https://www.businessinsider.com/ride-hailing-in-healthcare-report-business-insider-intelligence-2019-8

Uber, Lyft want in on the health care market
https://www.healthnetco.com/post/uber-lyft-want-in-on-the-health-care-market

Uber & Lyft Enter The Health Care Market
https://www.openminds.com/market-intelligence/executive-briefings/uber-lyft-enter-the-health-care-market/

How Uber and Lyft Became Major Players in the Healthcare Space
https://medium.com/swlh/how-uber-and-lyft-became-major-players-in-the-healthcare-space-38a06285e890
CareMore and Lyft
In January 2016, Lyft announced their partnership with National Medtrans Network through which they would pilot Lyft Concierge, a web-based product allowing organizations to request Lyft rides for Medicaid enrollees in New York and Medicare Advantage beneficiaries in California. The California pilot program involved CareMore, a network model health maintenance organization operating Medicare Advantage plans. In an article in the Journal of the American Medical Association, Sachin Jain, the CEO of CareMore, and his colleagues discussed the early success of the pilot. Based on 479 rides given from from May 2016 to June 2016, average wait times fell by 30%, average per-ride costs fell by 32.4%, composite patient measures yielded an 80.8% satisfaction rate. CareMore also saved $1 million by switching to Lyft.

Lyft Business | Healthcare
https://www.lyftbusiness.com/industries/healthcare

Get patients everywhere their care takes them

Organizations across the healthcare ecosystem rely on Lyft’s scale and expertise to provide easy, reliable rides for their patients.

8 of 10 patients prefer Lyft
Patients prefer Lyft to traditional healthcare transportation. Boost patient satisfaction while helping more people get care they need.

Lyft helps curtail no shows
Reduce patient no show rates below the national average. Capture lost revenue from missed medical appointments with reliable rides from Lyft.

Reduce costs by 32% on average
Reduce costs with a more efficient healthcare transportation solution, while gaining visibility into your spend.

Lyft Concierge
Lyft Concierge gives you access to our network of 1.9M+ drivers. Scheduled and on-demand Lyft rides reduce costs, increase efficiency, and improve your patient experience.
Lyft Business-Healthcare.jpg

DENVER HEALTH Chief Experience Officer

DENVER HEALTH Chief Experience Officer.jpg

 

 

 

高齢者の移動手段確保に向けた最近の動きについて

 

 

 

「ポピュレーション・ヘルス」モデルへの移行
https://wp.me/p6NPV7-4xA
ウーバーとリフト、「病院への送迎」は活路となるか
https://wp.me/p6NPV7-4xx

 

地域医療連携推進法人や社会福祉連携推進法人の可能性!
例)さがみメディカルパートナーズ 給食サービスの共同利用、患者・利用者の送迎一元化
https://wp.me/p6NPV7-4la

 

小売り施設内に医療施設・薬局も併設

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高齢者をイオン九州やイオンモールの店舗まで送迎し、フードコートなどの広い場所を活用して健康チェックや体操を行い、実際の買い物を通して歩行訓練や認知機能訓練を実施。 

 

 

 

In Dallas, Georgia, Walmart Unveils Enhanced Store Experience and First-Ever Walmart Health Center
https://corporate.walmart.com/newsroom/2019/09/13/in-dallas-georgia-walmart-unveils-enhanced-store-experience-and-first-ever-walmart-health-center

Walmart Health Center.jpg

CVS、WALGREENS、WALMARTの健康管理重視の店舗比較

CVSのHEALTHHUBオープン 慢性疾患が多い都市に続々開設中

CVSのヘルスケアリテライゼーション成果

大手チェーン台頭 茨城県内中小薬局、生き残り模索 リアルに進む米CVS「MINUTE CLINIC」の日本版

イオン増収増益 経常利益は過去最高を更新

豪州版ヘルスケアリテライゼーション コンビニで医薬品販売の検討

 

Uber Health(患者送迎)戦略 電子カルテに予約患者の搬送スケジュールも組み込む

アマゾン、AWSで営業利益の7割を稼ぐ 医療情報システム向けも好調

1位の座を巡りウォルマートと競争激化とのこと。
AWSで営業利益の7割を稼ぐアマゾン躍進に揺るぎなし。
医療情報向けも電子カルテの巨人CernerとAI開発で強み。

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アマゾン踊り場、純利益4%増 柱のクラウド競争激化
https://www.nikkei.com/article/DGXMZO47808310W9A720C1000000/
>クラウドサービス「AWS」部門の売上高は37%増の83億8100万ドル。営業利益は29%増の21億2100万ドルで、営業利益全体の7割近くを稼いだ。人工知能(AI)を使ったデータ解析などの需要が伸びた。

広告好転のアルファベット、「敵」はアマゾンと独禁当局
https://www.nikkei.com/article/DGXMZO47811460W9A720C1000000/

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医療情報システム向け「Amazon Web Services」利用リファレンスの公開
https://aws.amazon.com/jp/blogs/news/aws-medical-information-guidelines-jp/
クラウドでの医療提供者と保険会社
https://aws.amazon.com/jp/health/providers-and-insurers/
AmazonのAWSクラウドサービスで医療データの保存、保護、最適化
https://aws.amazon.com/jp/blogs/architecture/store-protect-optimize-your-healthcare-data-with-aws/
Why Cerner Chose AWS to Power its Machine Learning and Artificial Intelligence, AWS San Francisco Summit 2018
https://aws.amazon.com/jp/solutions/case-studies/Cerner/

Ryan Hamilton, SVP of Population Health at Cerner, describes how Cerner uses AWS and big data to gain actionable, real-time insights, simplifying healthcare delivery while reducing costs for payers, providers, and patients. Cerner, one of the leading suppliers of health information technology (HIT) solutions, chose AWS for its global reach and breadth of services, including machine learning and artificial intelligence.

https://aws.amazon.com/jp/compliance/medical-information-guidelines/

“アマゾン” の検索結果 – 九州医事研究会ニュース
https://qmir.wordpress.com/?s=アマゾン

アマゾン、AWSで営業利益の7割を稼ぐ 医療情報システム向けも好調

電子カルテデータを活用する新事業

さて、数年後の勝者はどこになるか。なんだかんだ業界一のレコメンデーションをもち消費データに強いアマゾンかなあ。

・EHRベンダーの巨人Cerner、業界2位Epic、3位Allscriptsの動向
・AppleのiPhoneツール「Health Records」
・Amazonの「Amazon Comprehend Medical」
・Googleの「Cloud Healthcare API」
・薬局データ、検査ラボデータから患者の記録を集めるEvolent Health

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The Investment Opportunities in Electronic Health Records – Barron’s
https://www.barrons.com/articles/electronic-health-records-investing-51558130302

2017-01-19-remote-diagnostics

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Amazon Comprehend
https://aws.amazon.com/jp/comprehend/

Amazon Comprehend Medical を使用して、構造化されていないテキストから複雑な医療情報を抽出することができます。このサービスは、医師のメモ、治験の総括報告書 、患者の健康記録などのさまざまな情報源から、病状、投薬、投薬量、強さ、頻度などの医療情報を特定することができます。Amazon Comprehend Medical では、抽出した投薬と試験、治療、および分析をより簡単にするための手順についての情報の間にある関係を見出します。例えば、このサービスは、構造化されていない臨床メモから特定の投薬に関連する特定の投薬量、強さ、および頻度を識別できます。

新機能 – Amazon Comprehend Medical – ヘルスケア業界のお客様のための自然言語処理
https://aws.amazon.com/jp/blogs/news/amazon-comprehend-medical-jp/
Amazon Comprehend Medicalを用いた臨床実体の抽出及び可視化
https://aws.amazon.com/jp/blogs/news/extract-and-visualize-clinical-entities-using-amazon-comprehend-medical/
Amazon Comprehend MedicalとAmazon Rekognitionを使用した医療画像の匿名化
https://aws.amazon.com/jp/blogs/news/de-identify-medical-images-with-the-help-of-amazon-comprehend-medical-and-amazon-rekognition/

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iOS – ヘルスケア – Apple(日本)
https://www.apple.com/jp/ios/health/
iPhoneの「ヘルスケア」Appでヘルスケアレコードを読み込む
https://support.apple.com/ja-jp/guide/iphone/import-health-records-iphb607cf170/ios

「ヘルスケア」Appの「ヘルスケアデータ」画面。「アクティビティ」、「マインドフルネス」、「栄養」、「睡眠」のカテゴリが表示されています。右上にはプロフィールボタンがあります。下部には左から順に、「今日」、「ヘルスケアデータ」、「ソース」、「メディカルID」タブがあります。

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Google「Cloud Healthcare API」
https://cloud.google.com/healthcare/
Cloud Healthcare API documentation
https://cloud.google.com/healthcare/docs/
Google Cloud for Healthcare: new APIs, customers, partners and security updates
https://blog.google/products/google-cloud/google-cloud-healthcare-new-apis-customers-partners-and-security-updates/

サノフィとグーグル、AIによる新薬開発で提携
https://www.nikkei.com/article/DGXMZO46333760Q9A620C1000000/
製薬大手の仏サノフィ グーグルと糖尿病治療で提携
https://www.nikkei.com/article/DGXLASGM31H6R_R00C15A9EAF000/
サノフィとグーグルが新しいヘルスケアイノベーションラボを開発
http://www.ehealthnews.eu/industry/5881-sanofi-and-google-to-develop-new-healthcare-innovation-lab

 

Evolent Health
https://www.evolenthealth.com/

Evolent Health.jpg

Value-Based Care News Digest – June 2019
https://knowledge.evolenthealth.com/home/value-based-care-news-digest-june-2019

Increased Visibility into Value-Based Performance Results in $2.1M in Additional Pay for Performance
https://www.healthcatalyst.com/success_stories/improving-value-based-performance-utmb
23 of 32 performance measures—nearly 72 percent—have improved, including:
Chronic diabetes care performance.
・39.2 percent relative increase in completion and documentation of an annual foot exam.
・18 percent relative decrease in the number of patients with poor HbA1c control.
・9.8 percent relative increase in the number of patients with diabetes achieving blood pressure control.
Chronic heart disease performance.
・18.6 percent relative improvement in blood pressure screening and follow-up.
・9.5 percent relative improvement in patients with chronic heart disease achieving blood pressure control.
・5.6 percent relative increase in the number of patients with high cholesterol who receive a prescription for an appropriate statin medication.
Immunizations and screening.
・34.7 percent relative improvement in the number of adults who are up-to-date with tetanus, diphtheria, varicella, pneumococcal, influenza, and herpes zoster/shingles.
・5.8 percent relative improvement in adult body mass index (BMI) screening and follow-up.
・5.3 percent relative improvement in BMI assessment in children.

 

 

テック産業がヘルスケア分野へ続々参入(米国)
https://www.jetro.go.jp/biz/areareports/2019/7f61e78818a383cd.html
ヘルスケアは3兆ドル市場
「デジタルヘルス」や「ヘルステック」とは、最新のテクノロジーとヘルスケアが交わる分野を指す。米国では近年、このデジタルヘルス・ヘルステック分野で、大手テック企業やスタートアップの動きが盛んだ。マッキンゼーの分析によると、ヘルスケアのデジタル化指数(注1)は22産業中19位と、デジタル化が遅れているため、目覚ましく進歩する人工知能(AI)を応用できる可能性が大きい。また、米国の医療費は約3兆ドル(注2)と、市場規模も大きい。

 

 

米国EHR導入率 1位ワイオミング州78.6%、ベンダーはエピックで13.5%
https://wp.me/p6NPV7-1KI

患者ポータル厳選TOP10ベンダー
https://wp.me/p6NPV7-1MX

米国EHR満足度調査
https://wp.me/p6NPV7-Ey

米国電子カルテシェア 各州別ベンダー別TOP5
https://wp.me/p2Xv05-cA

PHR普及を成功させる3つのポイント
https://wp.me/p2Xv05-oZ

2015年はエピックの年
https://wp.me/p2Xv05-88

英国、ジャンクフード関連広告は午後9時以降禁止に
https://wp.me/p6NPV7-3W9

消費データに基づくヘルスケア体制「Retailization of Healthcare」(医療のリテライゼーション)
https://wp.me/p6NPV7-4aY

医療の質とP4P、消費データや地域情報(住居の環境データ等)まで把握したアウトカム評価
https://wp.me/p6NPV7-4bG

1日分消費カロリーを超える食事には高い税を設ける 消費税の次は「シュガータックス(砂糖税・ソーダ税)」
https://wp.me/p6NPV7-3Tu

「消費者が実際に動くこと(行動経済学)」患者エンゲージメント
https://wp.me/s6NPV7-medisafe

電子カルテデータを活用する新事業

200床以下病院の電子カルテベンダー別シェア

米国の急性期病院の78%が200床以下の病院。
その200床以下の病院の電子カルテベンダー別シェア。
1. Epic 25.8%
2. Cerner 24.6%
3. MEDITECH 16.6%
4. CPSI 10.8%
5. McKesson 4.6%
6. MEDHOST 4.0%
7. Allscripts 3.5%
8. athenahealth 1.6%

ach_ehr

“200床以下病院の電子カルテベンダー別シェア” の続きを読む

200床以下病院の電子カルテベンダー別シェア

米国EHR満足度調査2016

下記2点を追加

・米国EHR満足度調査2016  なぜエピックの満足度が高いのか?(記事参照)
・医療制度世界ランキングにブルームバーグ2016最新調査を追加 日本は5位

ehr_us

“米国EHR満足度調査2016” の続きを読む

米国EHR満足度調査2016