Market Guide for Digital Health Platform for Healthcare Providers
To keep pace with changing business, clinical and consumer expectations, healthcare provider CIOs are shifting from monolithic IT to a digital health platform (DHP) architecture. CIOs can use this research to identify the capabilities and vendors best suited to their digital transformation journey.
Overview
Key Findings
- Healthcare providers are shifting from their current monolithic, EHR-centric IT application suite to successfully navigate changing business, clinical and consumer requirements.
- The digital health platform (DHP) is an architectural approach that delivers unique contextualized digital experiences to a range of users and an application portfolio that is more modular and adaptable to business change.
- The digital giants and healthcare specialized vendors have launched a range of cloud-first platforms that can liberate and connect siloed application data, provide prebuilt digital business capabilities and include tools to compose new digital experiences for end users.
Strategic Planning Assumption
By 2024, healthcare providers that have adopted a DHP approach will outpace competition and partners by 80% in the speed of digital transformation and new feature implementation.
Market Definition
This document was revised on 11 October 2021. The document you are viewing is the corrected version. For more information, see the Corrections page on gartner.com.
Digital health platform (DHP) technologies enable a new architectural approach to rapidly deploying digital capabilities using modern cloud services. DHP-enabling technologies and services combine three key elements:
- A healthcare data fabric that provides data connectors and clinically relevant data models that help liberate siloed application data from operational systems
- A library of prebuilt software components, application modules, or packaged business capabilities (PBCs) that providers can leverage to create new digital experiences and composing applications
- Composition tools that enable providers to build tailored digital experiences across a broad range of stakeholders
DHP technologies and services, when properly deployed, enable healthcare organizations to be more proactive and agile in how they source and implement new business capabilities in support of digital transformation and optimization. The DHP architectural approach represents a major shift in how provider organizations will build and buy applications and digital services. The vendors in the market offer elements enabling the DHP across three layers (see Figure 1).
These DHP-enabling elements include:
- An integrated data fabric layer that providers use to connect and interface with existing healthcare applications to deliver data and metadata management for the other layers.
- A packaged business capability layer where applications and data are repurposed using published APIs and/or standards-based interfaces. These PBCs become a library of business functions providers can draw from to orchestrate or compose into new applications. PBCs are provided directly by vendors or through application marketplaces, and can also be obtained from partners or custom developed by providers in-house using tools delivered within the composition layer.
- A composition layer where providers connect and orchestrate PBCs and data into new digital experiences that have much-improved user interfaces (UIs)/user experiences (UX). Providers create these end-to-end experiences to meet clinical or operational workflow needs and reduce screen time wherever possible. The composition layer includes tools that support low-code development and rapid deployment of new applications.
Cloud Service Providers and EHR Vendors Are Starting to Become More Open
We are seeing healthcare providers increasingly making a shift to cloud. We have seen cloud service providers (CSPs) – such as Amazon Web Services (AWS), Google and Microsoft – position healthcare-provider-specific cloud software in response to provider’s needs. These healthcare-specific technologies and services include capabilities that increase data liquidity across operational systems and aim to solve one of the industry- defining problems – the limited interoperability and poor usability of core clinical systems of record.
A number of companies featured in this Market Guide have been leaders across other industries outside of healthcare or have delivered clinically focused digital healthcare products and services for some time. These organizations also help providers to navigate regulatory requirements across many global regions (e.g., GE Healthcare, Philips). These established healthcare IT vendors build from a large footprint through products spanning medical devices, imaging solutions, patient monitoring and, more recently, healthcare command centers.
Additionally, we have noted a refreshing change from the tightly controlled and highly monetized integration challenges we have seen with EHR megasuite vendors in the last decade. The strategic partnerships forming between the CSPs and health systems, such as Kaiser Permanente moving IT services to Microsoft Azure, indicate a willingness to be "all in" on public cloud and API-centric.
EHR Megasuite Vendor Aspirations Are Adjusting
EHR megasuite vendors are also starting to use public cloud to deploy new capabilities, although vendor opinions appear to vary on how the digital giants will influence healthcare (see quotes below). One example is Cerner’s shift to embracing cloud and its partnerships with Xealth to develop digital health solutions for clinicians. Also, Allscripts extended its partnership with Microsoft to enable cloud-based health IT solutions. In the next three years, we foresee more increased focus on capabilities outside the core EHR from the EHR vendors as they build on their core competencies of health record capture and data processing.