and a trauma center could help reduce
avoidable transfers costing nearly $6000
each. 2 Mobile and social apps will provide
greater convenience to the US doctors
who own iPhones or iPads, and increasingly use them in clinical practice.
In a theme consistent throughout the
summit, the group challenged themselves
to be change agents to find a unified way
to bring information to the care team.
A high performing organization depends more than ever on
fully committed and engaged employees.
when the incentives change, and the
incentives once again focus on providing quality healthcare, then people will
Advances in Imaging
On the imaging technology side, industry
observers expect growth in 4D imaging
(three physical dimensions and time)
across ultrasound, CT, and MR. Also on
the horizon is better interaction with 3D
images—using special glasses to view an
image as a hologram, moving it with a
device similar to a motion controlled
video game controller, looking around
and through it, examining a cancer to
understand its vascularity, and virtually
dissecting it out preoperatively.
Molecular agents will enhance exploration of disease functionality: Is a prostate or breast tumor of a type that needs to
be treated? Exactly how much rheumatoid
arthritis is present in a joint (because even
disease without symptoms continues joint
destruction)? Is a stenosis in a coronary
artery actually restricting blood flow?
Imaging will also provide more
quantitative rather then merely qualitative information. In addition, imaging
modalities will have increasing capability to couple diagnostics and treatment.
Image guided biopsies are already common, as are gamma knife treatments for
pain and minimally invasive emboliza-tions and ablations. Future prospects
include MR guided focused ultrasound
for procedures such as removing uterine fibroids without inserting a catheter. There is also innovation around
visualizing anatomy by combining
modalities—MR, PET-CT and X-ray,
molecular imaging and pathology—to
support better diagnostic decisions.
Computer aided diagnostics (CAD)
already exists in mammography and in
measuring ECGs; future possibilities
include measuring the severity of
Alzheimer’s disease and creating disease,
patient, and weight specific exam pro-
tocols. The potential for computers to
help is potentially unlimited, observed
The People Side: Driving High
Technology is only part of the equation in facing a changing world. A
high performing organization depends
more than ever on fully committed and
engaged employees. Change in the composition of the workforce is unmistakable. The median age of hospital CEOs
has increased dramatically in the past
decade, according to Yaffe & Company’s
annual executive compensation survey.
In 2002, the average age was 51, with
six years of service. By 2011, the average age was 57 with an average of seven
years of service. 6 Meanwhile, the overall workforce is changing dramatically.
In 2002, the US was adding 10 working
age people for every senior citizen; by
2023, there will be 10 people wishing to
retire for each new working age person.
By 2020, Generation Y (Millennials) will
comprise half the workforce, and Baby
Boomers 22%. 7 See Table 1.
Studies show surprising similarities
between Baby Boomers and Millennials
TABLE 1. Trend in Workforce Composition
Share of Workforce
Age Range Today