Uli K. Chettipally, MD., MPH. Physician Innovator, Technology Enabled Care
One of my friends who is writing a book asked me if I could write a chapter on the future of hospitals and how they will look and function in the future. I started making some quick mental notes and then I jotted them down on paper. I came up with 99 things that will be different in the Hospital of the Future. Without much ado, here is the first draft of the list. Please add to this list in the comments section.
On-demand access for the patient
1. Access to information
2. Access to care providers
3. Access to family
Expanding and re-imagining the space
4. Making hospital more like home
5. Bringing hospital closer to home
6. Making the home into a hospital
Concentration of care in the Hospital
7. Acute care
8. Complex care
9. High-intensity care
Centers of excellence
10. Specialist physician services
11. Specialty technology services
12. Data science intensive services
Increased information exchange
13. Between doctors and staff
14. Between staff and patient
15. Between staff and patient’s family
Change in work
16. More team-based
17. More technology-driven
18. More patient-centered
Behavioral health services
19. Integrated with other services
20. Part of all services
21. Using technology to nudge behavior
Medical records
22. Ubiquitous
23. Secure and private
24. Patient-controlled
Surgical Operations
25. Less invasive
26. Fast recovery and short length of stay
27. High tech-enabled
Information technology
28. Automation
29. Self-service
30. Allows for up-skilling of staff
Focus on other patient needs
31. Social
32. Emotional
33. Spiritual
Data becomes
34. Real-time
35. Inter-operable
36. Intelligent
Algorithms will provide knowledge
37. Descriptive analytics
38. Predictive analytics
39. Prescriptive analytics
Hospitals buildings will become
40. Smaller
41. More high tech
42. More virtual
Improved efficiency
43. In time
44. In space
45. In effort
Social networks will be used by staff and patients for
46. Marketing
47. Brand building
48. Service rating
Technology will be
49. Wireless
50. Voice enabled
51. Invisible
New science skills in the hospital
52. Data scientist
53. Physician scientist
54. Social scientist
Focus on patient experience
55. Before hospitalization
56. During hospitalization
57. After hospitalization
Improvement in physician performance
58. Burnout reduced
59. Balance fine-tuned
60. Focus on physician experience
Hospital building design
61. Eco-friendly
62. Open layout
63. Closer to Nature
Changes with time
64. Aging population
65. Complexity of procedures
66. New diseases and infections
Payment focused on
67. Quality data
68. Outcomes data
69. Satisfaction data
Customers will find care to be
70. No out of pocket costs
71. More convenient
72. More comfortable
New technologies
73. 3-D printing of organs
74. Augmented and virtual reality
75. Automatic error prevention
Technology framework to include
76. Cloud-based and location agnostic
77. Inter-operable smart electronic health records
78. Sensor agnostic Internet of things
More New Technologies
79. Machine learning and artificial intelligence
80. Mobile monitoring
81. Robot assistants
Staffing changes
82. Increase in higher-skilled
83. Decrease in admin level staffing
84. Increase in hands on care providers
Disappearance from hospitals of
85. Palliative care/hospice beds
86. Medical/surgical beds
87. Observation beds
Medical Transportation
88. Self-driving vehicles
89. Automated triage to the right facility
90. Treatment team in the vehicle
New venues taking patients away from hospitals
91. Stand-alone centers
92. Hospital in homes
93. Nursing homes
Insurance changes
94. Payer/provider partnerships
95. Full risk value-based care model
96. Increase in catastrophic insurance
National networks
97. Specialty-based networks
98. Technology-based networks
99. Payer-based networks
Uli K. Chettipally is a physician, innovator, author, and speaker, passionate about technology-enabled care to improve outcomes. His recently released book, "Punish The Machine! The Promise of Artificial Intelligence in Health Care" is available now. You can read about his work on his website, InnovatorMD.