Technology for Improved Technology for Improved HealthHealth

Tanya Znamenskaya Tanya Znamenskaya Microsoft Industry Manager Central EuropeMicrosoft Industry Manager Central Europe

Healthcare Worker Healthcare Worker ChallengesChallenges

Lots of manual administrative work: 30% Lots of manual administrative work: 30%

Inefficient collaborationInefficient collaboration

Disconnected islands of data Disconnected islands of data

Multiple devices and interfacesMultiple devices and interfaces

Loss of dataLoss of data

FatigueFatigue

Medical Errors!!!Medical Errors!!!

Medication Mgmt– Medical Errors Are an Medication Mgmt– Medical Errors Are an IssueIssueMedication Mgmt– Medical Errors Are an Medication Mgmt– Medical Errors Are an IssueIssue

Germany: 50.000 death Germany: 50.000 death due to medication due to medication

interventioninterventionCzech:57% of hospitals Czech:57% of hospitals report medical errors, report medical errors, 45%unexpected death45%unexpected death

0,5% admitted patients die because of 0,5% admitted patients die because of introgenic damage (i.e. caused by introgenic damage (i.e. caused by

medical interventions); 50% is medical interventions); 50% is avoidable = 0,25% of admitted patients avoidable = 0,25% of admitted patients

die because of avoidable mistakes– die because of avoidable mistakes– Harvard University studyHarvard University study

Italy: there are at Italy: there are at least 14.000 persons least 14.000 persons who die every year who die every year because of adverse because of adverse

eventsevents

UK: 40.000 people UK: 40.000 people annually are dying annually are dying

from the wrong from the wrong diagnosis– diagnosis– British British

Medical JournalMedical Journal

Ensuring

continuity:

Prevention

diagnosis

treatment,

follow up

Microsoft Vision: ICT for Person-Centered Health Microsoft Vision: ICT for Person-Centered Health systemssystemsImproving access, quality and efficiency for everyoneImproving access, quality and efficiency for everyone

Connecting all

the

points of care:

Hospitals

Physicians-GPs

Pharmacies

laboratories

Homes

DOCTOR

PHARMACY

HOSPITAL

LABS

HOME

IT systems can reduce as much as 75 percent of serious medical errors

General Practitioner

Electronic Health record

of each patient

PatientRegional

healthcare services

Community of Specialists

General Practice

http://www.cocoon-health.com/

Cocoon : Building knowledge driven & dynamically adaptive networked communities within European healthcare systems (FP6 507126)http://www.cocoon-health.com/

Clinical and administrative forms automation: Clinical and administrative forms automation: InfoPath’s Split PersonalityInfoPath’s Split PersonalityFor most people… For solution owners…

It’s a design tool enabling rapid solution deploymentIt’s a design tool enabling rapid solution deploymentHandwritingHandwriting

Biometrics includedBiometrics includedDigital Signature includedDigital Signature included

ShareSharePoint Point SiteSite

Typical Hospital ScenarioTypical Hospital ScenarioInfo Info

AccessAccess

InfoPathInfoPath

Information Information CreationCreation

DataDataWarehouseWarehouse

Integration hubIntegration hubBizTalk serverBizTalk server With shared With shared

servicesservices

HL7 CDA XMLHL7 CDA XML

HL7 CDA XMLHL7 CDA XML

HL7 HL7 CDA CDA XMLXML

X Ray,

Surgery

X ray

Remote HospitalDoctor’ office Nurse

Doctor’s home

HL7 CDA XMLHL7 CDA XML

HMS

HL7 CDA XMLHL7 CDA XML

Expand externallyExpand externally

DataDataWarehouseWarehouse

Integration hubIntegration hubBizTalk serverBizTalk server

HL7 HL7 CDA CDA XMLXML

Hospital

Insurance Companies

HL7 CDA XMLHL7 CDA XML

HL7 CDA XMLHL7 CDA XML

Primer Health

Online appointments

Research CentersResearch Centers

Patient PortalPatient Portal

Ingolstadt Trauma CentreIngolstadt Trauma Centre

Customer Profile:Customer Profile:Ingolstadt Hospital is a medical center with Ingolstadt Hospital is a medical center with 1,100 beds that serves a catchment area in 1,100 beds that serves a catchment area in the centerthe center25,000 emergency patients each year25,000 emergency patients each year20 concurrent patient treated in the 20 concurrent patient treated in the emergency wardemergency ward

Business SituationBusiness Situation Staff at Ingolstadt Hospital’s emergency Staff at Ingolstadt Hospital’s emergency

ward manually collected and submitted ward manually collected and submitted patient data to hospital systems. Handling patient data to hospital systems. Handling paper forms and repetitive data entry took paper forms and repetitive data entry took time away from treating patients and time away from treating patients and impeded efficient communication between impeded efficient communication between hospital staff resulting in increased wait hospital staff resulting in increased wait times for patients. times for patients.

SolutionSolution Windows XP Tablet PC, InfoPath, SharePoint Windows XP Tablet PC, InfoPath, SharePoint

Portal. Portal.

eHealth Interoperability platform: eHealth Interoperability platform: Askelpios HospitalAskelpios Hospital Cooperation with Intel Cooperation with Intel

and Microsoftand Microsoft Integration of Smart Integration of Smart

Card with EPRCard with EPR GP using admission GP using admission

portal to access portal to access patient examination patient examination resultsresults

Using common Using common infrastructure AD infrastructure AD services and securityservices and security

Integration with Integration with “Functional Divisions” “Functional Divisions”

Azzixy: Washington Hospital CentreAzzixy: Washington Hospital Centre Customer ProfileCustomer Profile

- - largest teaching hospital with 250.000 patients annuallylargest teaching hospital with 250.000 patients annually

ProblemProblem- 300 isolated data islands in different formats- 300 isolated data islands in different formats

SolutionSolution-- Real-time Repository for electronic medical records Real-time Repository for electronic medical records- collects and stores data from all medical systems (images, video etc)- collects and stores data from all medical systems (images, video etc)- 13 TBD online data per hospital growing 4 TBD annually- 13 TBD online data per hospital growing 4 TBD annually- 0,2 sec web access via MS ASP.NET- 0,2 sec web access via MS ASP.NET

- customized view on a patient (cardiology, neurology etc, specific)- customized view on a patient (cardiology, neurology etc, specific)

BenefitsBenefits- - improved customer careimproved customer care

- 3 mil annual savings in a single department with manual - 3 mil annual savings in a single department with manual process automationprocess automation

- 13 months of implementation and development- 13 months of implementation and development

Virtual Health Community: Clalit Health Services Virtual Health Community: Clalit Health Services Israel. Web services for Healthcare Israel. Web services for Healthcare Customer ProfileCustomer Profile

second largest world health organizationsecond largest world health organizationprovides services to 3.7 million clients through 1,200 clinics and provides services to 3.7 million clients through 1,200 clinics and medical centers, 80 medical labs and 35 imaging institutions.medical centers, 80 medical labs and 35 imaging institutions. The organization employs approximately 5,500 doctors, 8,500 nurses, The organization employs approximately 5,500 doctors, 8,500 nurses, 1,500 lab technicians, 1,000 pharmacists, 1,800 medical experts and 1,500 lab technicians, 1,000 pharmacists, 1,800 medical experts and 4,500 administrators4,500 administrators

Customer Problem:Customer Problem:Different systems, lack of integration and data exchangeDifferent systems, lack of integration and data exchangeNeed to collect data from various legacy systems without changing Need to collect data from various legacy systems without changing themthem

Solution:Solution:dMotion Middleware (Local SI – NESS) based on MS.NETdMotion Middleware (Local SI – NESS) based on MS.NETWeb Services Integration based on standards: SOAP, XMLWeb Services Integration based on standards: SOAP, XML

The Project to End All The Project to End All ProjectsProjects

English NHS National Programme for ITObjectives: Remove data duplication, share info, improve quality by

moving away from paper recordsProject Duration: 2003-2013Total budget: USD 11 Bn

Components:Components: National Care Records System (NCRS) – live! Choose and Book – live! Picture Archiving and Communications system Electronic Transfer of Prescriptions Updating of infrastructure – broadband (N3) – partial 5 regional information systems to be integrated with the national system

Real Time CollaborationReal Time Collaboration

John ousins@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 IntuitiveMore Intuitive User Interface User Interface

Portals Portals andand

Web servicesWeb services

Microsoft Business Solutions: How to Microsoft Business Solutions: How to measure hospital efficiencymeasure hospital efficiency

Financial managementFinancial management including specific including specific

legislation for legislation for healthcarehealthcare

ControllingControlling Asset managementAsset management Invoicing, receivables Invoicing, receivables

and health insuarance and health insuarance Payables and purchasing Payables and purchasing

managementmanagement Internal requests, order Internal requests, order

forms and approval forms and approval processesprocesses

Pharmacy (internal & Pharmacy (internal & commercial)commercial)

Catering (incl. electronic Catering (incl. electronic orders)orders)

Increased security of Increased security of informationinformation

Hospital Information systemsHospital Information systems

Clinical information systems Enterprise resource planning

Czech Republic:Czech Republic:Nemocnice Nemocnice Na HomolceNa Homolce controlling – management of the hospital „by one controlling – management of the hospital „by one

number“ – flexible matrix of key performance number“ – flexible matrix of key performance indicatorsindicators

Easy reporting: # of admissions, # of interventions, Easy reporting: # of admissions, # of interventions, # of days treatments, average length, breakdown of # of days treatments, average length, breakdown of the main diagnoses, mortality, referrals, type of the main diagnoses, mortality, referrals, type of admissions, bed occupancy, average length of admissions, bed occupancy, average length of treatmentstreatments

„„the doctors should treat, not be administrative the doctors should treat, not be administrative forces“forces“

ROI achieved during one yearROI achieved during one year: 36% surplus: 36% surplus improvements in communication with health improvements in communication with health

insuarance companiesinsuarance companies

Microsoft in HealthcareMicrosoft in Healthcare NHS UK (England)NHS UK (England) Leuven Hospital BelgiumLeuven Hospital Belgium Asclepius Hospital GermanyAsclepius Hospital Germany Cambridge Hospital, Medical Research Centre UKCambridge Hospital, Medical Research Centre UK Washington Hospital CentreWashington Hospital Centre Madrid Healthcare Madrid Healthcare ””1177” – Emergency system Sweden1177” – Emergency system Sweden Children Regional Medical Centre – USChildren Regional Medical Centre – US Guy’s and St Thomas’ Hospital NHS Trust –UKGuy’s and St Thomas’ Hospital NHS Trust –UK Copenhagen HospitalCopenhagen Hospital Arfox Healthcare -SAArfox Healthcare -SA East Anglia Ambulance TrustEast Anglia Ambulance Trust Inland Imaging Centre Spokane, USInland Imaging Centre Spokane, US IMS Health UKIMS Health UK Clalit Health Services IsraelClalit Health Services Israel Emergency system IsraelEmergency system Israel Private Medical Centre Moscow Private Medical Centre Moscow

© 2005 Microsoft Corporation. All rights reserved.This presentation is for informational purposes only. Microsoft makes no warranties, express or implied, in this summary.