The Health IT environment is complex, fragmented and difficult to navigate. This presentation by Zebra Medical Vision CEO Elad Benjamin aims to help HIT consumers, providers and participants make sense of this complex environment. It provides a framework for categorizing companies into one of six categories, thereby assisting in understanding their value proposition and place in the clinical and financial chain.

1. Making Sense of the Healthcare
IT Landscape
Elad Benjamin
CEO
Zebra Medical Vision

2. It’s a Jungle Out There…
• Over 1,000 exhibitors at HIMSS 2015
• Extremely fragmented market
• Unclear boundaries and division of responsibilities
between market participants
– Difficult to differentiate between companies and products
– Company claims are typically heavily discounted by providers
• Financial interests are not aligned between all
constituents
• Interoperability is difficult, despite standards
• Messaging across many companies is nearly identical
• Can be overwhelming to make sense of it all…

3. When looking at a company, how can
you tell what they actually do?

4. • We’ve divided the market to six categories*
• Determining where a company belongs, helps
understand their basic value proposition and
place in the financial food chain
• Remember – many companies offer products
across multiple categories
* These categories purposely simplify the complex structure of the HIT market, and it is understood that there are numerous exceptions and outliers

5. The Six Healthcare IT Vendor Groups
Builders
Integrators
Communicators
Reporters
Teachers
Aggregators

6. Builders
• Companies and products that create the basic
IT building blocks for providers
• These can be departmental or hospital wide
information systems or derivatives thereof
– CIS, LIS, HIS, RIS, CVIS, EMR, EHR, etc
• They represent the tools that manage, run,
report and control the day to day operations
of care providers

7. Integrators
• Connect the myriad of systems, devices and
providers
• They can be niche products for particular types of
information, or large scale integration engines for
enterprise interoperability
• Strong integration engines can create smooth,
seamless working environments, whereas poor
engines actually hurt performance and make it
impossible to be efficient in the long term

8. Reporters
• Companies or products that assist in meeting
regulatory or governmental reporting or
certification requirements
• These include, among others:
– PQRS
– QMPS
– CAHPS
– GPRO
– Meaningful Use
• Well integrated and robust solutions can have
significant revenue impact on institutions

9. Communicators
• Provide channels of communication between
the various HIT participants
• These can be for care management,
compliance, triage, telemedicine, education or
other needs
• Efficient communicators can significantly
boost patient engagement, as well as create
trust and accountability between patients,
physicians, providers and payors.

10. Aggregators
• Infrastructure solutions that help
organizations consolidate large quantities of
disparate data into one common platform
• They often include hardware components,
hosting and storage
• Some provide middleware layers that assist in
indexing and structuring data for easier use by
3rd party tools

11. Teachers
• Analyze the vast amount of data stored in
consolidated or disparate platforms
• Provide clinical, financial or other insights
based on data
• Some focus on specific data types, hospital
departments or IT activity, while others
attempt to create insights based on multiple
types of HIT data

12. Government
Patients
Payors
Providers
Builders
Departmental or
hospital wide
information systems,
decision support
systems, management
systems
Reporters
PQRS, QMPS, CAHPS,
GPRO, Meaningful use
Integrators
Connect disparate systems,
machines to systems,
providers to each other,
Both niche and enterprise
players
Communicators
Provider – patient
Payor – patient
Patient – physician
Physician – payor
Provider – payor
Teachers
Analyze data to
produce Clinical,
financial, operational
insights
Aggregators
Provide data
Infrastructure, HW,
SW, storage, hosting
Big Data
= Flow of information
Healthcare IT – Flow of Information

13. To Sum It Up…
• A complex business environment has created
a complex myriad of solutions
• Hopefully over time, the HIT market will
mature, and more straightforward roles &
responsibilities will emerge
• In the meantime, we hope we’ve helped you
make sense of some of it!