| 00:00:00 | AND I AM NOT TALKING ABOUT COMPUTER SYSTEMS. |
| 00:00:03 | ECONOMIC AND LOGISTICAL SYSTEMS IN HOW THE WORLD OPERATES. |
| 00:00:09 | WE HAVE DESIGN AND BUILD MOST OF THE SOCIAL SECURITY SYSTEMS OF THE WORLD. |
| 00:00:14 | THE CENTRAL BANKING SYSTEMS OF THE WORLD. |
| 00:00:17 | WE ARE DOING RUSSIA'S CENTRAL BANKING SYSTEM AT THIS POINT IN TIME. |
| 00:00:22 | RETAIL, TRANSPORTATION, SPACE -- APOLLO 13. |
| 00:00:26 | WE HAVE LEARNED A LOT ABOUT WHAT IS REQUIRED TO DO A SYSTEM THAT IS A WELL FUNCTIONING, RESILIENCE, AND RELIABLE. |
| 00:00:35 | FIRST, I WILL FIND A SYSTEM THAT I WANT YOU TO THINK ABOUT THIS IN THE CONTACT -- I WILL DEFINE A SYSTEM AND THEN I WANT YOU TO THINK ABOUT THIS AND THE CONTEXT OF HEALTH CARE. |
| 00:00:48 | IT MUST SERVE A PURPOSE OR GOAL -- BUT A MAN ON THE MOON. |
| 00:00:55 | SECOND, ITS ELEMENTS MUST BE CONNECTED. |
| 00:00:58 | THIRD, IT MUST BE ABLE TO KNOW THE STATUS OF ITSELF AND ITS CRITICAL COMPONENTS. |
| 00:01:05 | FINALLY, THE SYSTEM MUST BE ABLE TO ADAPT AS CONDITIONS CHANGE, OFTEN IN REAL TIME. |
| 00:01:12 | VIEWED AGAINST THESE FOUR SIMPLE CHARACTERISTICS, EVERY WELL FUNCTIONING SYSTEM LOOKS ABOUT THE SAME. |
| 00:01:19 | AN ATM SYSTEM LOOKS LIKE A PUBLIC SAFETY SYSTEM, OR LIKE THE APOLLO MISSION THAT SET THE ASTRONAUTS TO THE MOON AND BROUGHT THEM BACK SAFELY, EVEN THOUGH THEY CALLED HOUSTON WITH A BIT OF A PROBLEM. |
| 00:01:33 | FROM A SYSTEM POINT OF VIEW, THE A VERY SIMILAR. |
| 00:01:37 | IT BECOMES CLEAR WHAT OTHER SYSTEMS ARE IN CRISIS -- WHY OTHER SYSTEMS ARE IN CRISIS, LIKE THE ONE WE ARE FOCUSING ON TODAY, THE AMERICAN HEALTH-CARE SYSTEM. |
| 00:01:49 | WHEN IT COMES TO HEALTH CARE IN AMERICA, WE NEED TO PUT THE WORD SYSTEM IN QUOTATION MARKS. |
| 00:01:56 | IT IS NOT A SYSTEM. |
| 00:01:57 | IT IS A COLLECTION OF COTTAGE INDUSTRIES COINCIDENTALLY RUNNING INTO EACH OTHER FROM DAY-TO-DAY. |
| 00:02:04 | IN THEORY, EVERYONE WOULD AGREE ON THE PURPOSE -- IF WE SAID THAT THE PURPOSE OF THE HEALTH- CARE SYSTEM IS TO PROVIDE PATIENT CARE IN A HIGH-QUALITY, AFFORDABLE WAY FOR ALL OF OUR CONSTITUENTS, AT YOUR CITIZENS, MY EMPLOYEES, I THINK THERE IS INSTANTANEOUS AGREEMENT. |
| 00:02:22 | WE CAN ARGUE HOW MUCH TIME IT IS ABOUT THE QUALITY OF CARE FOR OUR CONSTITUENCIES. |
| 00:02:38 | A SYSTEM DESIGN POINT MATTERS. |
| 00:02:42 | YOU OPTIMIZE AROUND THE DESIGN POINT. |
| 00:02:45 | IN THE SPIRIT OF ECONOMICS, WE ALL HAVE TO PAY. |
| 00:02:48 | YOU WILL HEAR LATER, I AM A VERY BIG PAYER IN THE HEALTH-CARE SYSTEM. |
| 00:02:53 | BUT YOU NEED TO ENVISION THE END STATE, BECAUSE THAT IS WHERE YOUR DESIGN IS, IN THE END STATE. |
| 00:03:01 | THE GOVERNOR MENTIONED THE BLUEPRINT FOR HELD IN A IN VERMONT. |
| 00:03:05 | THERE IS A PATIENT CENTERED MEDICAL HOME THAT WE WERE PROUD TO BE A PARTICIPANT IN, IT IS FREE TO EVERYONE. |
| 00:03:18 | PEOPLE ARE HEALTHIER. |
| 00:03:20 | COSTS ARE DOWN. |
| 00:03:22 | AND IBM BENEFITS BECAUSE WE HAVE A HEALTHY WORK FORCE AND OUR COSTS GO DOWN. |
| 00:03:30 | IT MAKES A LOT OF SENSE. |
| 00:03:32 | WE ARE HAPPY TO BE PARTICIPATING IN THOSE KINDS OF PARTNERSHIPS. |
| 00:03:36 | THE SERVICES ARE FREE TO ALL OF THE PATIENTS IN THE SYSTEM. |
| 00:03:40 | THE KEY TO PATIENT-CENTERED HEALTH CARE IS WELLNESS AND PREVENTION. |
| 00:03:46 | I WILL REPEAT THAT BECAUSE IT SEEMS LIKE MANY DAYS WE FORGET. |
| 00:03:50 | IT IS ALL ABOUT WELLNESS AND PREVENTION. |
| 00:03:53 | AT IBM, WE HAVE SUBSTANTIALLY RESHAPED OUR HEALTH CARE PROGRAM. |
| 00:03:58 | WE PROVIDE HEALTH CARE COVERAGE FOR 450,000 EMPLOYEES, RETIREES AND THEIR FAMILIES IN THE 50 UNITED STATES. |
| 00:04:06 | WE'RE ONE OF THE FEW EMPLOYERS THAT STILL PROVIDES RETIREE HEALTH CARE, AT A COST OF $1. |
| 00:04:13 | 2 BILLION ANNUALLY. |
| 00:04:18 | IN 2004, WE PIONEERED A WELLNESS INCENTIVES FOR EMPLOYEES. |
| 00:04:23 | IBM HAS SEVERAL WELLNESS PROGRAM REBATES AVAILABLE TO THE WORK FORCE AND RETIREES. |
| 00:04:30 | THEY FOCUSED ON EXERCISE, EATING, OF WEIGHT-LOSS, SMOKING, RISKS AND CHILDREN'S HEALTH. |
| 00:04:39 | AS A RESULT, IBM EMPLOYEES HAVE BECOME HEALTHIER, OUR COSTS ARE RISING MORE SLOWLY THAN OTHER CORPORATIONS IN THE PUBLIC SECTOR, AND UP, BY THE WAY, WE SAVED ABOUT $190 MILLION. |
| 00:05:01 | DO I HAVE TO WORRY ABOUT THIS? |
| 00:05:08 | [RINGING NOISE] |
| 00:05:10 | THERE IS A LOT OF SECURITY AROUND, SO I THINK I AM OK. |
| 00:05:16 | IT IS EASIER TO GET INTO THE GIANTS STADIUM. |
| 00:05:22 | I THINK NO MATTER HOW MUCH WE IMPROVE THE CARE IN THE SYSTEM, AS A COMPANY, AS A COMMUNITY, OR AS A STATE, IT WILL ALWAYS BE LIMITED BECAUSE IT IS NOT INTERCONNECTED. |
| 00:05:35 | THE SYSTEM IS INTERCONNECTED AND TO END. |
| 00:05:37 | IN MANY AREAS OF LIFE, THIS KIND OF CONNECTIVITY IS SO BASIC THAT WE SIMPLY TAKE IT FOR GRANTED. |
| 00:05:44 | CONSIDER BANKING. |
| 00:05:45 | WE TAKE IT FOR GRANTED THAT WE CAN TRANSFER FUNDS AND MAKE PAYMENTS BETWEEN INSTITUTIONS. |
| 00:05:52 | IN RETAIL, WE TAKE IT FOR GRANTED THAT WE CAN USE THE SAME BILLING AND PAYMENT SYSTEM WHETHER YOU ARE IN A STORE, ON THE WEBSITE, OR ANYWHERE IN THE THE WORLD. |
| 00:06:04 | THAT IS BECAUSE THE INFORMATION FLOW -- WHEN I TALK ABOUT INFORMATION FLOW I AM NOT TALKING ABOUT BITS OF WIRE. |
| 00:06:13 | I AM TALKING ABOUT THE PROCESSES AND PROTOCOL THAT ALLOWS INFORMATION TO FLOW FREELY AND BE SHARED. |
| 00:06:22 | HEALTH CARE IN AMERICA, YOU WOULD AGREE, FAILS THE TEST OF A WELL FUNCTIONING SYSTEM. |
| 00:06:29 | MANY OF THE COMPONENTS OF HEALTH CARE WERE NOT INSTRUMENTED. |
| 00:06:39 | FROM INSURERS TO DOCTORS, TO EMPLOYERS, IT IS IMPOSSIBLE TO KNOW WHAT COMPLEMENT'S WHAT THE CURRENT STATUS IS. |
| 00:06:52 | IT COULD BE A PROCEDURE, A PAYMENT SYSTEM, YOU JUST DO NOT KNOW. |
| 00:06:55 | THERE IS A COLOSSAL WASTE OF TIME AND MONEY. |
| 00:07:00 | THERE ARE ALSO INCONSISTENCIES IN QUALITY. |
| 00:07:04 | IF YOU EVER SEE SOMEONE WHO COMES OUT OF SURGERY, THEY HAVE A MAGIC MARKER ON THEM. |
| 00:07:13 | A FRIEND OF MINE HAD A MARK ON HIS LEG. |
| 00:07:17 | I SAID, "THAT IS VERY SOPHISTICATED, TO HAVE TO USE A MAGIC MARKER TO MAKE SURE THEY OPERATE ON THE RIGHT LEG. |
| 00:07:29 | " I MEAN, YOU CANNOT MAKE THAT UP. |
| 00:07:34 | I KNOW YOU'RE ASKING YOURSELF THIS. |
| 00:07:38 | IS THE HEALTH-CARE SYSTEM IN YOUR STATE READY FOR WHAT IS COMING? |
| 00:07:44 | BECAUSE DEMAND IS ONLY GOING TO INCREASE. |
| 00:07:47 | POPULATION GROWTH, AGING BABY BOOMERS, AND URBANIZATION CONTINUING TO MARCH ON, WILL REQUIRE FAR MORE DIGITAL CAPACITY THAN WE HAVE. |
| 00:08:01 | IT IS NOT OF A CALL TO SEE WHY WE FIND OURSELVES IN THE CURRENT CRISIS REGARDING HEALTH-CARE COSTS. |
| 00:08:08 | ITS THE STATE HARDEST OF ALL, AS YOU KNOW. |
| 00:08:11 | HEALTH-CARE COSTS ARE EXPECTED TO EXPLODE BY 70% IN THE NEXT DECADE. |
| 00:08:17 | THAT OUTPACES ANY FORM OF GDP ASSUMPTIONS ONE COULD RATIONALLY MAKE. |
| 00:08:22 | IF YOU AGREE FOR THE NEED FOR A TRUE HEALTH CARE SYSTEM, HOW DO WE GET THERE? |
| 00:08:35 | A LITTLE STATEMENT ON WHY A COMPUTER GUY IS TALKING ABOUT THIS STUFF. |
| 00:08:41 | IBM WORKS WITH THE TOP 10 HOSPITALS IN THE UNITED STATES, THE TOP 20 HEALTH INSURANCE COMPANIES, THE TOP 30 PHARMACEUTICAL COMPANIES, AND 18 OF THE TOP 20 BIOTECH SPIRIT WE HAVE A SIMILAR RELATIONSHIPS IN WESTERN EUROPE, CANADA, SINGAPORE, CHINA, INDONESIA, AND I COULD WALK YOU THROUGH LATIN AMERICA. |
| 00:09:03 | WE HAVE A VALIDATED MUCH OF WHAT IS REQUIRED FROM A SMARTER HEALTH CARE SYSTEM. |
| 00:09:10 | THIS IS NOT ABOUT A COMPUTER CHIP. |
| 00:09:12 | IT IS NOT ABOUT A SERVER OR A ROUTER. |
| 00:09:16 | IT IS NOT EVEN ABOUT THE ELECTRONIC MEDICAL RECORD, WHICH EVERYBODY WANTS. |
| 00:09:24 | THAT IS NOT ENOUGH. |
| 00:09:25 | IT IS IMPORTANT, BUT NOT ENOUGH. |
| 00:09:27 | IT IS ABOUT THE DATA. |
| 00:09:31 | ON THIS PLANET, IT IS BECOMING INCREASINGLY MORE INTERCONNECTED. |
| 00:09:36 | WE ARE CAPTURING DATA IN UNPRECEDENTED VOLUME. |
| 00:09:39 | IN JUST THREE YEARS, THE TRAFFIC IS EXPECTED TO BE ONE ZETA BITE. |
| 00:09:53 | THAT IS ONE FOLLOWED BY 21 ZEROS. |
| 00:09:58 | WE ARE CAPTURING IT FROM EVERY KIND OF SYSTEM OR EVENT IMAGINABLE, SUPPLY CHAINS, AND TRAFFIC FLOWS, WEATHER PATTERNS, WATER SYSTEMS, INDIVIDUALS USING SOCIAL AND MEDIA NETWORKING EVERY DAY. |
| 00:10:15 | THE MOST IMPORTANT POINT ABOUT THIS IS NOT HOW MUCH DATA THAT THERE IS. |
| 00:10:19 | THE IMPORTANT POINT IS WHAT THE DATA CAN TELL US. |
| 00:10:22 | TO CAPTURE THAT, WE NEED TO DIVE DEEPER. |
| 00:10:26 | WE NEED TO MOVE FROM BIG DATA TO SMARTER DATA. |
| 00:10:30 | THAT IS WHY ANALYTICS ARE SO KEY. |
| 00:10:38 | ANALYTICS ARE MATHEMATICAL ALGORITHMS. |
| 00:10:42 | THEY DETECT PATTERNS, PATTERNS AND HEALTH CARE, PATTERNS OF FRAUD. |
| 00:10:51 | IT IS THE CONTEXT OF THE DATA. |
| 00:10:53 | IN NEED TO SEE WHAT RELATES TO, AND YOU NEED TO SEE IT IN REAL TIME SO THAT YOU CAN MAKE THE NECESSARY ADJUSTMENTS, NOT DO SO AFTER THE FACT. |
| 00:11:06 | WHAT HEALTH CARE INFORMATION TECHNOLOGY WILL DO FOR DOCTORS' MINDS IS WHAT THE X-RAY DID FOR THEIR VISION. |
| 00:11:11 | IT IS GOING TO CHANGE THE WAY THEY LOOK AT THINGS PINPOINTEDS. |
| 00:11:22 | THAT IS THE PROMISE OF A SMARTER PLANET AND A SMARTER HEALTH-CARE SYSTEM. |
| 00:11:28 | INSTEAD OF EMPLOYING 15 TESTS, DO THE ANALYSIS AND DO THE RIGHT TEST. |
| 00:11:33 | LET'S TALK ABOUT SMARTER HEALTH CARE, AND LET ME GIVE YOU SOME EXAMPLES. |
| 00:11:36 | I WOULD LIKE TO DO THIS BY EXAMPLE PURSES DRONING ON FROM A SYSTEMS PERSPECTIVE. |
| 00:11:43 | LET'S TALK ABOUT -- VERSES DRAWING ON FROM A SYSTEM PERSPECTIVE. |
| 00:11:51 | LET'S TALK ABOUT PENNSYLVANIA. |
| 00:11:54 | THEY HAVE REDUCED THE COST OF CARE AND IMPROVED THE QUALITY OF CARE. |
| 00:11:57 | THEY HAVE AN INNOVATIVE APPROACH IN THE COMMUNITY. |
| 00:12:05 | THERE INTERCONNECTED CARE UNITS THAT WERE EXTREMELY WELL. |
| 00:12:09 | IN NORTH CAROLINA, THE UNIVERSITY OF NORTH CAROLINA USED ANALYTICS TO IMPROVE THE QUALITY OF PATIENT CARE, SUPPORT RESEARCH, AND MANAGE CHRONIC ILLNESS. |
| 00:12:26 | IN MASSACHUSETTS, THE UNIVERSITY OF MASSACHUSETTS IS BUILDING EXTERNAL HEALTHY INFORMATION EXCHANGES THAT WILL CENTRALIZED PATIENT ANIMATION AND PROVIDE A REGISTRY -- PATIENT INFORMATION AND PROVIDE A REGISTRY THAT WILL ALLOW DOCTORS TO IMPROVE CARE AND REDUCED COSTS. |
| 00:12:46 | I CAN GIVE YOU TONS OF EXAMPLES HERE AND AROUND THE WORLD. |
| 00:12:50 | AT IBM, WE ARE WORKING WITH THE MAJOR PRIMARY-CARE SOCIETIES, THE AMERICAN MEDICAL ASSOCIATION OF COLLEGES, THE AMA, AND MANY FORTUNE 500 COMPANIES TO IMPROVE EFFICIENCY. |
| 00:13:18 | VISITS TO THE EMERGENCY ROOM WERE DOWN 50%. |
| 00:13:22 | THERE WAS A 40% REDUCTION IN HOSPITALIZATION FOR INDIVIDUALS WITH CHRONIC DISEASES SUCH AS ASTHMA. |
| 00:13:29 | AS YOU KNOW, ONE OF THE BIGGEST COST TO THE SYSTEM IS PEOPLE RANDOMLY GOING TO THE E. |
| 00:13:35 | R. TO RECEIVE PRIMARY CARE. |
| 00:13:36 | THERE ARE TONS OF EXAMPLES OF THIS, BUT IT IS NOT JUST IN HEALTH CARE. |
| 00:13:41 | GOVERNORS, YOU HAVE TO DEAL WITH ALL OF THESE THINGS. |
| 00:13:45 | I WILL GIVE YOU A COUPLE OF EXAMPLES |
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