Digitized health

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  • Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice. Frank Wang WW Lead, Healthcare and Life Sciences HP Printing and Personal Systems Digitized Healthcare From Big Paper to Big Data
  • Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.2 The Opportunity to Transform HealthcareEcosystemintegration Quality of care and outcomes Todays healthcare Collaborative healthcare Transformative healthcare Low High LowHigh Integrated healthcare Culture of best-practices Stand-alone IT Best of breed Fragmented systems Integrated EMR, EHR, PMS, CPOE Real-time alerts HIE/improved access to data Tight linkage between physicians & hospitals in different provinces Care collaboration Regional, state and national RHIOS, NHIN Patient access to data Population Healthcare Management Personalized/evidence- based clinical decision support Patient engagement Different providers will be at different stages Data silos, many papers, miscoding, comorbidity
  • Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.3 Impact to Costs/Security/Control/Quality of Care Data/information outside the clinical system Caregivers still overwhelmed by paper Exposure to protected health information (PHI) violations Patient discharge information confusing Coordinating Care Outside the Four Walls EMR is Not Enough! Pharmacy Clinical Care Radiology Legal Health Information Management Physician Offices Home Care / Hospice Reference Lab Audits Human Resources Patient Accounting Billing / Payables Patient Registration Patient Discharge Faxing Paper forms Handwritten External documents Legacy records
  • Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.4 90% data is untapped for KPIs and analytics Needle Stick Injury Rate Reintubation Rate Ventilator Associated Pneumonia (VAP) Blood Stream Infection Due to Central Line Urinary Catheter Related Infection Overall Employee Satisfaction Patient Satisfaction Standardized mortality rate (SMR) Iatrogenic Pneumothorax Decubitus ulcer Length of Stay ICU readmission rate Patients' Fall Rate Medication error Adverse Events/Error Rate Key Performance Indicators (KPIs) Transaction Records Qualitative Human Data Quantitative Machine Data Admission notes Discharge summaries Progress notes Imaging study results Consultant reports Financial & Operational Transactions Medication records Laboratory results Physiologic testing Biometric sensors RFID tags Partial Intelligence
  • Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.5 Electronic Medical Records Need More To Deliver the True Benefits to Patients Untamed Technologies Enhance EMR and Related Clinical Systems
  • Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.6 Search & Retrieve documents Manage Clinical and Revenue Cycle Processes Structured and Unstructured Big Data Analytics Automatically generate output (Discharge Notes) Create Personalized Patient Engagement Plan Manage Document Retention Requirements Capture Big Paper documents with your MFPs
  • Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.7 Autonomy ECM Suite At a Glance Windows Outlook Web Tablet Mobile Cloud - MFP Uncover connections and insights Faster processes More accurate More responsive Improve operations, Reduce costs Enhance patient satisfaction Reduce storage costs Enhance compliance IDOL - Content Integration/Enterprise Search Admissions documents Test results EHR Billing AP / AR Call Centers Patient Surveys Grant Mgmt. Human Resources HP Process Automation - Workflow & BAM - E-Forms - Digitized paper forms Capture & Digitize Automate Processes Document & Email Mgmt. Enterprise Search Information Governance HP Intelligent Universal Search - Search across diverse repositories, formats - Meaning based analysis HP WorkSite - Integrate documents and e mails - Secure Collaboration - Mobility - capture HP Records Manager (TRIM & Control Point) - Policy based governance - Records Management: - Retention & Disposition HP Teleform - Digitize content - Identify forms/docs - OCR - Extract data
  • Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.8 Let your MFP captures Big Paper Simplify your workflows NewCustomerApplication Finda Form Addto CustomerApplication Finda Brochure SubmitEmploymentApplicationExpenseRe-imbursement Scan a new customer application form Add a scan to an existing customer file Find and print a form Scan and submit expense re-imbursements Find and print a brochure Scan a new employment application Logged in: Kelly Thompson Admit new patient Find a form Scan and e mail Find a brochure Add to patient file Expense reimbursement Add a scan to an existing patient file Scan admissions documents Scan to patient file and e mail Find and print patient education notes Patient Management - New Patient Admissions - Patient Survey - Clinical Procedure workflows - Patient discharge workflows - Patient discharge instructions Information Management - Patient Forms - Unified Patient File - Physician Notes - Clinical Narrative - Disease and Wellness Care Collateral
  • Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.9 Serviceability Improvements Integrated IT support. Network Management, and proactive alerting. High Capacity Cartridges. Field Service and support. Ease of Hot-Swap device support. Centralized configurations.Consolidated Footprint Single device replaces fax, label printer, and wristband printer. Also provides copy, print, and scan. Multiple Paper Tray support. Decreased desktop real-estate requirement. Improved Patient Experience Color Photo Printing Support. Addition of color Precautionary codes. Simplified admission processing. HP Officejet Pro X Healthcare Focus Lower Cost of Ownership Lower Acquisition cost than multiple thermal devices. Lower cost of wristband/label printing. Lower Annual Service Cost. Simplified Help desk troubleshooting.
  • Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.10 Let your Healthcare Analytics search the Big Data Translate data into clinical insights HP IDOL + Patient Communications Clinical Narratives Transactional Data IT/OT WebSchedules 400+ Connectors EMR Lab Pharmacy ADT Payer RIS/PACS Billing Documents Knowledge Discovery HAI Detection Compliance Reporting Predictive Analytics Best Practices + Best Experiences Hypothesis Generation Search Medical Guidelines Provider Collaborations Industry Literature Healthcare Taxonomies Medical Codings Clinical Classifiers Healthcare Visualizations Medical Workflow UI
  • Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.11 Structured and unstructured information 413.9 NOS angina pectoris
  • Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.12 The nuances of clinical documentation Institutional Memory Context Heart attack mentioned in History of Present Illness Heart attack mentioned in Family History Meaning (in ED triage notes) DOB to indicate Date of Birth DOB to indicate Difficulty of Breathing Negation The patient denied shortness of breath or chest pain
  • Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.13 Approaches to unstructured information Text processing technologies: keyword, NLP, probabilistic Taxonomies, ontologies, lexicons: SNOMED, UMLS, ICD9/10, RxNorm, LOINC Clinical documentation: encounter / admission / progress / procedure notes, discharge summaries, test results Formal published medical knowledge: literature (PubMed), protocols, guidelines Unconventional sources: Social media, call center transcripts
  • Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.14 Healthcare Analytics Use Cases Clinical chart review is necessary for: Compliance Reporting: Clinical Quality Measures (CQMs) , Core Measures Quarterly, PQRS, eRx reporting, Hospital Inpatient Quality Reporting Program, CHIPRA, (Childrens Health Insurance Program Reauthorization Act), ACO Programs Public Health Data: Syndromic surveillance, CDC, cancer registries, immunization reports, adverse drug events Research: Cohort identification, recruitment of eligible subjects Manual chart review is labor intensive, time consuming, and has hum