Technology for Better Healthcare

Technology for Better Healthcare

Electronic Health Solutions

Dr. Zeid AbuGhosh

Chief Medical Officer

www.ehs.com.jo Copyright © 2015 - Electronic Health Solutions (EHS). All rights reserved


If asked,

An average person would say

that his or her priorities are

Health Education Work



• Growing population

• Economic constrains

• Aging population

• Shortage of healthcare professionals

• Epidemics

19%

13%

9% 8% 7% 5%

5%

34%

Jordan Death by Cause

Cronary Heart Disease

Stroke

Hypertension

Diabetes Mellitus

Road Traffic Accidents

Low Birth Weight

Influenza & Pneumonia

Othe



21%

12%

8% 8% 6% 6%

4%

34%

UK Death by Cause

Cronary Heart Disease

Stroke

Influenza & Pneumonia

Lung Cancers

Alzheimers/Dementia

Lung Disease

Colon-Rectum Cancers

Other

-Source: WHO (2010 Data), World Bank, UNESCO, CIA and individual country databases for global health and causes of death.

- Other reasons include 42 other reason for ach country

22%

8%

8% 7% 6% 4%

3%

42%

USA Death by Cause

Coronary Heart Disease

Alzheimers/Dementia

Lung Cancers

Stroke

Lung Disease

Diabetes Mellitus

Colon-Rectum Cancers

Other

17%

14%

8% 7% 5% 4%

3%

43%

Qatar Death by Cause Road Traffic Accidents

Coronary Heart Disease

Diabetes Mellitus

Hypertension

Kidney Disease

Other Injuries

Stroke

Other

Death by Cause in 4 Different Countries Including Jordan



Growing population reflects in tough challenge in providing better healthcare services

37.30% 59.50%

3.20%

Below 15 yrs Between 15 & 64 yrs Above 65 yrs

37.3% of population in Jordan are under the age of 15 yrs.

Which will magnify the burden on Healthcare Services in the

coming years.

Age expectancy in Jordan for both genders have increased from 54 yrs in the year 1961 to 74.3 yrs in 2012 .

54 yrs

74 yrs

1961 2012

37% The life expectancy in Jordan

has increased by 37% between the years 1961 and

2012



MOH RMS JUH KAUH KHCC

Beds

Total Number of beds

7,951

Public Healthcare in Jordan

4,836 1,718 544 683 170



Crowded

No Automation

-clinical -Financial -Administrative

Statistics are manual

Delivered late with little room for adjustments

Need for business process empowerment

to improve doctor patient experience

Poor integrated medical services

No continuity of care

In Jordan, the current Public

Sector Healthcare systems

The need to

create, integrate

and optimize

the healthcare

system proved

to be necessity



Our Vision “To transform and sustain a continuously improving healthcare system

in Jordan by leveraging technology”

EHS a private owned company funded by the government for serving

Public Healthcare projects

Our Stakeholders

Customizing VistA to the local health sector needs and requirements

Computerizing the Kingdom’s public

health sector.



Addressing the challenges of Jordan's public health sector according to the Royal direction

Selecting VistA (Veterans Association platform) which is an open source,

clinically driven, patient centric system

Establishing EHS and creating Hakeem program as it’s first initiative that aims to deploy

Electronic Health Records across Jordan’s public health

sector civil and military Hospitals and clinics



EHS Goals

Improved Healthcare

Cost Effectiveness

Reporting Raising the

Level of Profession

Build Local Capacity

Through the implementation of Electronic Health Records

Improve safety, quality of care and better chronic diseases management

through medication control such as

integrating BCMA

Optimize facility workflow to improve the quality of patient care through the

integrated workflows, paperless documentation,

electronic results and interlocution referrals

Minimize patients’ waiting time through

implementing queuing and appointment

systems and integrating with the CSPD



A positive patient experience in

hospitals and clinics.

Healthcare, to patients it means

Bar Code Medication Administration (BCMA) reduces medication administration errors.



Improve resources utilization by electronically archiving patient records

Minimize patient waiting time and optimize facility workflows

No more medication waste

Integrate

preventative healthcare tools such as clinical reminders



Improving patient and provider interaction

and communication, as well as health care

convenience

Healthcare, to doctors it means

Better clinical decision making

Help providers to effectively diagnose

patients, reduce medical errors, and provide safer

care through access to patient’s health records



Electronic Health Record that include patient’s history, diseases and procedures.

Clinical reminder alert the ordering provider of critical

lab results drug interactions.



32,793

24,409

12,363 16,565

2011 2012

38,494

27,767

9,498 9,825

Reducing repetition of Lab Tests Less Waste

Decreasing Inpatient Admissions Less Cost

Improving Care Management More Outpatient Visits

-24%

-28%

The Value of Saving in Medication Consumption

The Value of Saving in Radiology Films

-26%

(MRI) (CT Scan)

2011 2012

114,129

45,307

113,720

105,038

-51%

(X-ray)

Optimal recourse utilization by reducing

operating cost.



No. of Visits/ Physician

No. of Medications Orders/ Physician

Tracking Efficiency of Operations



Supporting Research and Decision Making

Creation of a comprehensive

database of patients.

Support the decision-making

process, research and scientific

studies by providing necessary

and periodic statistics

Develop the necessary policies

for the advancement of

healthcare in Jordan

Provide the latest references

and research in the medical

field.



EHS Technology

Architecture

NBN

RMS

JUH

KHUH

KHCC

Hospitals

Comprehensive Clinics

Primary Clinics

Data Center Disaster

Recovery

Site Optimization Tools : Space Planning, Furniture Queuing PAS Standard Technology: PC, Thin Clients Network Devices Medical Technology: Unit Dose Imaging (PACS) BCMA Efficiency: Call Center Integration with Stakeholders Online (SMS Extinctions) Biometrics Devices

Site Infrastructure

MO

H



Prince Hamzah Hospital

and Amman Comprehensive Clinic

A successful implementation of the

pilots phase

A comprehensive rollout plan

2009 2011

The implementation of the pilots phase facilities took

significant steps in developing systems and software

that are compatible with the requirements and usage

of the system in Jordan





All inclusive EHS Mission

EHR

Education Knowledge EHS Mission

EHS considered is mission to be all inclusive in covering deploying EHR, extending Education and creating Knowledge



There is a rising opportunity in Jordan and MENA Region in area of health informatics.

EHS aims to build local capacity through

on three fronts.

Complete Degree Courses in

Informatics in Partnership with Universities

Elective Courses in Informatics in Partnership with Universities

Hakeem Academy to provide training and courses in Informatics

EHS will provide to IT, Medical, Medical Aligned Services and Biomedical Engineer students the following courses: Methods and concepts of health informatics.

"VistA“ system applications.

Clinical transformation.

Areas of Education



Creating efficient operations to cater for the rapid growth in population

Growing population

Helping to mitigate top causes of death

Preventable Death Causes

Infusing technology to improve patient experience

Putting Patient First

THANK YOU

Health & Medicine

Technology for Better Healthcare