Technology for Better Healthcare

Technology for Better Healthcare
Electronic Health Solutions
Dr. Zeid AbuGhosh
Chief Medical Officer

www.ehs.com.joCopyright © 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
114,12
9
45,307
113,72
0
105,03
8
-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 KnowledgeEHS
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

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