eHealth 2013 : Do eHealth investments really match consumer expectations?

1. eHealth 2013:Do eHealth investments really match consumer expectations? • Presented by: • Aaron Berk (Director, Advisory, KPMG) • Craig Worden (SVP, Public Affairs, Pollara)

2. Agenda

3. Inspiration for our study: Gauging the Height of the Privacy Hurdle Canadians have long been frustrated by the lack of information integration among health providers. Now, what hurdles does the EHR solution face in its bid to solve this? And, to what degree is privacy – in particular – a hurdle in implementing and leveraging EHRs given the emerging world of social media and app-driven consumer behaviour?

4. Survey Methodology • In March 2013, Pollara conducted an online survey of 1,000 Canadians. • As a guideline, a probability sample would carry margin of error of + 3.1%, 19 out of 20 times • Dataset weighted per Census Data to ensure it represents actual demographic distribution of Canadian population per gender, age, and region.

5. Public Knowledge, Engagement, Support for EHRs But, they believe just 34% of Canadians have an EHR 46% 50% think an EHR regime exists in their province believe theycurrently have an EHR 52% feel 2016 is the right deadline 89% 90% in favour of their province moving to EHRs exclusively believe EHRs will improve health care

6. The Current Hurdle: Privacy/Security Concerns & Demands 98-62% 85% concerned that EHRs will allow personal health info to fall into wrong hands 75% comfortable with various health care providers having EHR access concerned that EHRs will allow personal health info to be lost 60 & 64% 72% 65% & 83% uncomfortable with insurance & employer access, respectively comfortable with provincial & federal health ministry access, respectively Uncomfortable granting access to other gov ministries

7. Public Demand for Control over EHR Access is High Importance of having say in who has access to eHealth record 72% Very Important 25% Somewhat Important

8. But, it Relaxes if it Means… Slower Access to EHR in Emergency 72% 42% Very Important 38% Very Important 25% Somewhat Important Somewhat Important

9. But, it Relaxes if it Means… Slower Implementation of EHRs 72% 38% Very Important 44% Very Important 25% Somewhat Important Somewhat Important

10. But, it Relaxes if it Means… Increased Costs 72% 37% Very Important 45% Very Important 25% Somewhat Important Somewhat Important

11. 81 % of respondents said it’s the Patient’s responsibility to take care of their own healthcare needs Who should be primarily responsible? Almost 50% of respondents said that they did not trust any one of their doctors to have a full understanding of their overall health

12. Who should be primarily responsible? Trust is Key to Consumer buy-in

13. Are Consumer Expectations Disconnected from our eHealth investments?

14. Conditions for EHR Success Building Foundational Components (i.e. registries, standards, etc.) Are we ready for the future of Healthcare? Awareness and Engagement Trust Consumer-focused technology (e.g. smartphone penetration)

15. Increased Consumer Demand for healthcare apps What should we expect to see? Demand for 2-way interaction (not just read only for information sharing) Shift towards personalized care

16. Concluding Remarks

17. ABCD Aaron Berk Director, IT Advisory Craig Worden SVP, Public Affairs KPMG LLP Bay Adelaide Centre 333 Bay Street, Suite 4600 Toronto, ON M5H 2S5 aberk@kpmg.ca 416-777-3217 Pollara Inc. • 1255 Bay Street, Suite 900 • Toronto, ON M5R 2A9 • craigworden@pollara.com • 416.921.0090 x 2235 KPMG LLP, a Canadian limited liability partnership. Contact details