Himss 2010 Asia Pac 2010
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We are on the verge of a great era of transformation in health care through increased investment in health IT and business intelligence systems. The future will be spearheaded by a better understanding of workflow and providing better access to real-time information about patient care and health system performance. This transformation will lead to a more sustainable, flexible and safer health system where the patient is at the center of care as an active participant.
Himss 2010 Asia Pac 2010
- 1. The Future of Health is in Our HandsIntelligent HealthSteven C. BoyagesCopyright Not for Reproduction 2010
- 2. SummaryWe are on the verge of a great era of transformation in health care through health ITIntelligent InvestmentThe future will be spearheaded by a better understanding of workflowIntelligent WorkBetter access to real time information about patient care and health system performance underpinned by sustained investment in technologyBusiness Intelligence SystemsThis transformation will lead to a sustainable, flexible and safer health system where the patient is at the center of care as an active participantIntelligent Health Care
- 3. Intelligent InvestmentCopyright Not for Reproduction 2010
- 4. Challenges to the health systemRising demandGrowing & ageing populationChronic illness risingHigh levels smoking, obesity, stressHigh consumer expectationsConstrained capacityPatient SafetyWorkforce shortages and attitudesManage demand within finite resourcesCost vsinvestmentNSW spends about 28% of budget on health care1.3 million dollars per hour4
- 5. Investing In Health ITBenefitsImproved automationImproved productivityReduced duplicationImproved safetyImproved patient and staff experienceImproved reach of information and serviceRisksFinancial investment not realisedPoor connectivityLack of common standardsIncreased risk to patientsIncreased staff frustration and lower moraleStaff expectations not realised5
- 6. Investing in Health ITTransformation stepsBuild the case for Why?Build the case for What and in what order (sequence)?But most importantly:Build the case for How?Value propositionPatients, payers, providers, places of care (4Ps)Execution is the keyEvolution as opposed to revolutionEngagement with key staff in designIntegration with key legacy systemsUnderstand complexity and complex systemsCopyright Not for Reproduction 2010
- 7. Health is a complex businessCopyright Not for Reproduction 2008The organisational goals fundamental to Sydney West Area Health Service are clearly outlined in CAREFirst1, to: Provide accessible and appropriate clinical services Design safe, effective and innovative models of care Invest in services that are value for money Advocate a culturally appropriate model of service and community participation Promote a culture of knowledge through teaching and research Develop a highly skilled workforce.
- 8. Sydney West deliversOn a typical day in Sydney West… 2,334 people receive inpatient care 546 people are seen in emergency departments 8,753 out-patient services are provided 1,488 primary care and community health occasions of service are provided, with 129 new referrals 266 occasions of service are provided by community mental health teams.
- 9. Health Operating System-HOSComplex and Connected9
- 10. Current Strategy
- 11. Background
- 13. Intelligent WorkCopyright Not for Reproduction 2010
- 14. How do we evolve and adapt?Copyright Not for Reproduction 2008
- 15. EvolutionIn biology, evolution is the process of change in the inherited traits of a population of organisms from one generation to the nextNatural selection, adaptations Genetic drift, randomThe concept of evolution may be applied to an organisationTraits are the genetic code or constants in health, patient careAdapting to external environmental factorsCopyright Not for Reproduction 2010
- 16. EvolutionCopyright Not for Reproduction 2008
- 17. The Process of AdaptationModels of CareSafetyRedesignInformation and InnovationTechnology InvestmentTeam FirstUnderstanding the way we deliver care at the level of the “cellular unit”, what, how and whoStrong focus at the ward levelCopyright Not for Reproduction 2010
- 18. Something old Constants of healthCopyright Not for Reproduction 2010Patient Centred careHistory, physical, investigationsTeams of health care workersCare in the HomeHospital Setting
- 19. Team FirstCopyright Not for Reproduction 2008WARD
- 20. COMPASSProfessionalSpecialistTeamsRedesign FITBITReFITAudio-video RecordingRolesSOPsPolicyVertical ProcessHorizontal ProcessGeneralistTeamsTeam FirstSocial NetworkingWiki, BlogsCollaborativeTeamsWARDCollaboration ToolsRSS, Sharepoint, GrooveTechnology PlatformsSurface Computing, Bedside WAND DisplayCopyright Not for Reproduction 2010
- 22. LOS
- 23. EUR
- 26. Load Management
- 27. Hospital Bypass
- 28. Dashboard
- 29. Referrals to HealthOne & GPCare Navigation Unit Patient Flow ManagerCopyright Not for Reproduction 2010
- 30. How do we evolve and adapt?Something newCopyright Not for Reproduction 2008
- 31. Business Intelligence SystemsCopyright Not for Reproduction 2010
- 32. Health IT systemsClinicalCorporateIntegrated BI systemsCopyright Not for Reproduction 2010
- 34. Clinical SystemsPatient Administration SystemsElectronic Medical RecordsElectronic RecordsPACS/RISPathology SystemsThese are key building blocks or genetic codeCopyright Not for Reproduction 2010
- 35. Current ApplicationsOrders (Order Entry)
- 36. Current ApplicationsPowerChart (Flow Sheet)
- 38. Current ApplicationsDischarge Summary (eDRS)
- 40. Copyright Not for Reproduction 2008
- 41. Copyright Not for Reproduction 2008
- 43. Mix of Patient & PerformanceManagement tools to support clinical careEMRElectronic Health RecordsBed Board (including LOS enhancements)Ward Activity and Nursing Display (WAND)eConsultsiHandoverTransport bookingInfectious Diseases AlertsPharmtrackUses up to date (near real time information) through CareFirst Dashboard – which includes:Subject Area Dashboards (Patient Safety, Mental Health, Surgery, Nursing, Costing, ED etc.)
- 44. Links to hundreds of pre-populated Business Objects Reports (no performance issues)(a) Patient Care(b) Performance Mgmt35
- 45. (b) Performance MgmtEnterprise Level36
- 46. (b) Performance MgmtMix of Dashboards, Reports and Queries through an AHS Portal“Traditional” KPI DashboardsAdminBed Reporting
- 47. Health Entity RegistrationAd-hoc ReportingControlled Business Objects Universes
- 48. SQL Server Reporting / Analytic ServicesPublished / Static ReportsOperational / Subject Area Dashboards and Drilldowns37
- 49. Bed Board38
- 51. Real Time Health SystemsDefinitionResponsiveAgileAvailableFlexibleTimelyReal timeNear Real timeCapabilityPatient CareSafetyDecision supportOutcomes ResearchPatient LogisticsPerformance ManagementStateArea basedHospital/cluster/networkModality (scheduling)Bedside40
- 52. Unified | …To Data FUSIONLabsCardiologyProcedure DocumentationMedication AdministrationElectronic Medical RecordOR ManagementEmergency DepartmentPathologyImagingHemodynamicsCPOEPharmacyDictationMedication DispensingPACSChartingClinical NotesOrdersVIEWERSFUNCTIONSDATA COREMobile DataICU/Critical CareAdvanced AnalyticsImage DistributionRISNursing Workflow/ DocumentationAmalgaAmalgaAmalgaContract ManagementRevenue ManagementBed ManagementFinancial/ERPEnterprise SchedulingBusiness Decision SupportInventoryDocument ImagingPhysician PracticeClaims ManagementRegistrationStaff/Nurse SchedulingOutcomes ManagementTranscriptionPurchasingAccess ManagementMedical RecordsCodingCall Management Microsoft Amalga is the new way to capture, consolidate, store, access and quickly present data in meaningful ways
- 53. Business Intelligence SystemsAllows leveraging of existing investment in legacy systemsIntegrates patient level and performance level informationAllows Flexibility and AgilityReal TimeRapid developmentCultureGovernanceCopyright Not for Reproduction 2010
- 54. Intelligent Health CareCopyright Not for Reproduction 2010
- 55. Patient ExperienceCopyright Not for Reproduction 2008
- 56. Evolutionary PressuresCopyright Not for Reproduction 2010Patients as partners in healthHealth information and navigationPersonal health recordsGreater expectations of citizens
- 57. Improving Staff ExperienceDesktopThin ClientTelephoneVoceraMobileComputer On Wheels (COW)
- 58. Intranet, tablets, blogs and wikisCopyright Not for Reproduction 2010
- 59. Improving Staff ExperienceLithgow Hospital Wireless LAN
- 60. SummaryWe on the verge of a great era of transformation in health care through health ITIntelligent InvestmentThe future will be spearheaded by a better understanding of workflowIntelligent WorkBetter access to real time information about patient care and health system performance underpinned by sustained investment in technologyBusiness Intelligence SystemsThis transformation will lead to a sustainable, flexible and safer health system where the patient is at the center of care as an active participantIntelligent Health Care
- 61. Future Health CareUnderstanding the way we do our workTechnology simplifying work flowImproving patient experienceAssuring patient safetyCopyright Not for Reproduction 2010
- 62. Copyright Not for Reproduction 2010