Collaborative Health Tanya Znamenskaya Microsoft Senior Business Developer Central Europe
Common Health Care Industry Pains Health Plans • Cost pressures • Regulatory compliance • Plan consolidation • Product innovation • Lack of IT integration • Poor communication tools • Rising costs • Staffing issues • Agility & innovation • • Loss of compliance Regulatory records Patients Pains • Wrong diagnosis • Wrong prescriptions Pharma, Bio-Tech, • Long awaited results Medical Devices • Patent expiration • Product development pipeline • Pressure from Insurers, Health Plans, Gov’t & Consumers • Sales force effectiveness • Medicare drug debate Providers • Quality of care and patient safety • Regulatory compliance (JCAHO, HIPAA) • Reduced reimbursements • Application integration • Availability & retention of staff
Patient Care v New balance between reactive (in patient care) and proactive (outpatient assistance) approach: 40% in patient care v The assimilation and analysis of information from a wide variety of sources that is interpreted, acted upon, and disseminated by skilled . professionals v Effective communication and collaboration with patients, colleagues, and the extended care team is central to providing safe, high quality, and satisfying healthcare.
Collaborative Health Overview Integrated infrastructure where physicians, nurses, and administrators share and collaborate on information in a seamless manner that revolves around a patient thru the continuum of care. Collaborative Healthcare Scenarios: • Clinical and Administrative Forms Automation • Electronic Patient records • Healthcare Portals & Collaboration • Real-Time Communications • Business Intelligence • Healthcare Integration
Clinical and administrative forms automation: Info. Path’s Split Personality For most people… Handwriting Biometric included Digital Signature included For solution owners… It’s a design tool enabling rapid solution deployment
Info. Path in Healthcare… Data Warehouse HL 7 CDA XML Info Access Biz. Talk Server Info. Path HL 7 CDA XML Information Creation HL 7 CDA XML Share. Point Site
Ingolstadt Trauma Centre l Customer Profile: l Business Situation Ingolstadt Hospital is a medical center with 1, 100 beds that serves a catchment area in the center 25, 000 emergency patient each year 20 concurrent patient treated in the emergency ward Staff at Ingolstadt Hospital’s emergency ward manually collected and submitted patient data to hospital systems. Handling paper forms and repetitive data entry took time away from treating patients and impeded efficient communication between hospital staff resulting in increased wait times for patients. l Solution Microsoft® Office Professional Edition 2003 and running on Microsoft Windows® XP Tablet PC Edition. The new solution replaces paper documents with XML-based forms created with Microsoft Office Info. Path™ 2003 and stored using Microsoft Office Share. Point™ Portal Server 2003.
Real Time Collaboration
John Cousins@cardiologyassociates. com
John Cousins , MD
John Cousins, MD
I see mediastinal widening and hylar adenopathy.
I’d have to go with Sarcoid in this case.
Here’s a good reference on sarcoid
More Intuitive User Interface Portals and Web services
Washington Hospital Centre l Customer Profile l Problem l Solution - Real-time Repository for electronic medical records - largest teaching hospital with 250. 000 patients annually - 300 isolated data islands in different formats - collects and stores data from all medical systems (images, video etc) - 13 TBD online data per hospital growing 4 TBD annually - 0, 2 sec web access via MS ASP. NET l Benefits - improved customer care - 3 mil annual savings in a single department with manual process automation - 13 months of implementation and development
Grenoble Teaching Hospital Patient record system l Customer profile - 8. 000 staff employees - 150. 000 patients annually -triple vocation: diagnosis and treatment of patients, teaching, and research. 30 hospitals uses GTH services l Business Situation l Solution Description l The hospital wanted to increase the effectiveness of its portal solution, Crist@l. Net, which shares information between health professionals, in order to support the sharing of patient records. Patient record migration from client/server architecture 64 bit MS Data Centre Web based architecture with Microsoft. NET Backend EAI with Biz. Talk Server 2004 Benefits: 40%perfomance gain 9 months of implementation
Virtual Health Community: Clalit Health Services Israel l Customer Profile Second WW health services provider to 3. 7 million clients through 14 hospitals, 1, 200 clinics and medical centers, 80 medical labs and 35 imaging institutions. Customer Problem: Different systems, lack of integration and data exchange Need to collect data from various legacy systems without changing them l Solution: Migration from 2 IBM Mainframe and SUN e 1000 Informix to MS 64 bit Data Centre for customer record and central registry and financial resources on line access with Middleware based on MS. NET Web Services Integration based on standards: SOAP, XML l Benefit: 25% performance increase, 67% cost reduction
Microsoft in Healthcare l l l l NHS UK (England) Leuven Hospital Belgium Lan Dill Hospital Germany Madrid Healthcare ” 1177” – Emergency system Sweden Washington Health Centre Children Regional Medical Centre – US Guy’s and St Thomas’ Hospital NHS Trust –UK Copenhagen Hospital Arfox Healthcare -SA East Anglia Ambulance Trust Inland Imaging Centre Spokane, US IMS Health UK Clalit Health Services Emergency system Israel Private Medical Centre Moscow
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