ehr driven his jan 2016
TRANSCRIPT
EHR driven
Hospital Information Systems Joseph Alexander CEO, dWise Healthcare IT Solutions Pvt Ltd
www.Lifetrenz.com 2
• Network Infrastructure Challenges
• EHR Driven HIS
– Clinical Decision Support
– Evidence based Healthcare Practise
– Drug Information Framework
– Clinical Workflows
– Patient Education
Agenda
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Network Infrastructure Challenges
High Availability of Data & applications –near zero Down time
Data backup & recovery – multiple geographical location
Trained Resources for upkeep
Cost & Data Security
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90% of worlds Healthcare IT spend is in the USA
Cerner Corporation with a $ 2.2 Billion in annual revenues, is the Market leader
What do they do?
•They host 22,000 Servers
•150 million healthcare transaction daily
•On Private Cloud for their Hospital customers
•On Guaranteed SLA’s to their customers
Simplest solution: Follow international Trends
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Why follow International Trends?
The Process has evolved out years(decades) of
work in improving maturity of their
processes
Go right there, rather than re-inventing the wheel from scratch
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How to imitate the trend?
Transfer the Infrastructure challenges to HIS /EHR vendor to a secure Cloud
infrastructure
Tie the vendor on Strong SLAs
Corner the Vendor to a Monthly Subscription model (pay per use – SAAS model) Than a Onetime large payment
& yearly AMC.
The Hospital only takes care of good Internet connectivity within its premises
• Not the Hospitals core-competence anyway
• High Availability
• Data Security …
• Tie then down to free Version updates as part of the Monthly subscription
• Manages this without cabling, using a Secure WiFi access for its employees in the premises
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Other Advantages of Private Cloud based Infrastructure
• Admit Orders
• Lab Orders
• Radiology Orders
• Referral Consults to OP Physicians
ePrescriptions from Neighbourhood Consultants (Physicians) integrates Seamlessly for:
• Context based Patient Education
• Online Appointments to OP/Lab/Radiology depts.
• Patient Pre-Registrations
• Keeping the Patient Demography & Insurance details Updated by the Patients themselves
• Providing Patient access to their Lab/radiology results including view their DICOM Files On the Portal.
• Providing Patients Access to their Health records if necessary
Patient Portals again becomes Seamless if the HIS is EHR driven, engaging the Patients in the following ways:
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Hospital Information System
Hospital Administration – Accounts, Billing,
Payroll…
Clinical Information System
HIS Systems
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Electronic Health records
-Uses Standard Codes, Interoperable, Continuity of care across providers
2010
EHR
Electronic Medical records
-Uses Structured Codes, but not interoperable
2000.
EMR
Patient Health records
– Stores Scanned Images of Clinical documents
1980s
PHR
Evolution of CIS
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• ICD 9 CM, ICD 10, SNOMED
Diagnosis
• ICD 9 CM, ICD 10
Procedures
• RxNORM
Medication
• LOINC
Lab, Radiology & Imaging
• NANDA
Nursing Diagnosis
• NOC
Nursing Observation
• NIC
Nursing Intervention
• HL7
Interoperability b/w systems
• CCR, CCD
Continuity of Care
Standard Codes in EHR
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Drug Information Framework
Drug Hierarchy
Contraindications
Monographs
Patient Education
Dosage Adjustments
Allergens
Branded Drug
Database
Drug Information framework
Key to Clinical decision Support In EHR systems
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Automates Clinician Workflows
• Improving Quality of Care & Clinical efficiency
Extensive clinical Decision support to care team
• Reducing clinical errors
Use of Standards & Structured Codes for Patient Health Records
• Enabling interoperability and exchange of Patient health records between systems or care providers
• Helps Maintain Patients Continuity of care
Helps in Evidence based healthcare Practise
Facilitates context based Patient education
Above all reduce cost of Healthcare Delivery
Why EHR ?
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THANK YOU
Contact Details:
Office : A7, Ganesh Park, Wadgaon Phata, Sinhagad Road, Pune, Maharashtra 411 051. Telefax : +91 20 254350754 Mobile : +91 8600022926 Website : www.yugantarcare.com, E-mail : [email protected] [email protected]