Digitized Healthcare: From Big Paper to Big Data
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This document discusses trends in digitizing healthcare, including adopting electronic medical records and mobile health technologies. It describes investment in healthcare IT in various countries and regions, focusing on China. The opportunities of transforming healthcare through more integrated systems with better quality of care and outcomes are outlined. The document promotes using multifunction printers and analytics platforms to capture paper documents, simplify workflows, and unlock insights from structured and unstructured clinical data through searching, automated outputs, and personalized patient engagement.
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Digitized Healthcare: From Big Paper to Big Data
- 1. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice. Frank Wang WW Healthcare and Life Sciences HP Digitized Healthcare From Big Paper to Big Data
- 2. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice. ConvergingtrendsofAPJhealthcareITinvestment (AdoptedfromIDC) Business drivers IT investment trends Patient centricity to deliver integrated care, patient safety and quality of care in all markets Adopting EMR, PHR and related technologies; level of maturity varies with early and better adoption at mature markets and slow and mostly home grown systems in emerging markets Mobile health due to relatively large and rural population and increasing population migration in emerging markets Adopting telemedicine, remote patient monitoring and associated technologies especially in emerging markets Healthcare Provider Agility to deliver better outcome of patient care and reduced healthcare spending in all markets Developing analytics including clinical, administrative and financial management. Adoption will follow the transaction systems Reduced delivery costs and improved productivity for all markets embrace e-health initiatives in several countries Cloud, SaaS, improvement of ADT workflow and paper digitization
- 3. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.3 Country Profile: China • Huge territory, large and rapidly aging population, tremendous unmet medical needs, largest emerging market, No. 2 overall IT spending having just surpassed Japan in 2012 • Healthcare delivery quality varies from very basic to very advanced region to region • Healthcare funding predominantly driven by Government ($124 B committed since 2008 Healthcare Reform); Healthcare IT investment with significant growth trajectory; IT investment needs vary greatly region to region Business Drivers Key Initiatives and IT Investment • Healthcare Reform funding focus on significant rural hospital infrastructure upgrade • Well funded public metropolitan hospitals under pressure to deliver efficiency and performance • National Healthcare Standards to close the gap of healthcare outcome in different populations • Health Digitization calls for PHR and national eHealth agenda • National Health Insurance System • National Basic Medicine System • New Rural Cooperative Healthcare • RHIO • Mobility to accelerate in hospitals • Home-grown EMR, HIS, CIS, PACS • Telemedicine • Significant IT spending will still go into hardware procurement
- 4. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.4 The Opportunity to Transform HealthcareEcosystemintegration Quality of care and outcomes Today’s 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
- 5. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.5 Impact to Costs/Security/Control/Quality of Care • Data/information outside the clinical system • Caregivers still overwhelmedby 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
- 6. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.6 … 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
- 7. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.7 Electronic Medical Records Need More To Deliver the True Benefits to Patients “Untamed Technologies Enhance EMR and Related Clinical Systems”
- 8. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.8 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 MFP’s
- 9. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.9 Let your MFP captures Big Paper Simplify your workflows NewCustomer Application FindaForm AddtoCustomer Application FindaBrochure Submit Employment ApplicationExpenseRe-imbursement Scananewcustomer applicationform Addascantoanexisting customer file Findandprint aform Scanandsubmit expense re-imbursements Findandprint abrochure Scananewemployment 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
- 10. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.10 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.ConsolidatedFootprint • 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.
- 11. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.11 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
- 12. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.12 Breakthrough enablers for new analytics approach • Break the data silos with integrated platform for structured and unstructured data • Get unprecedented insights by uncovering hidden concepts, patterns and relationships from 90% of data • Simplify data analytics with intuitive UI and visualization designed for healthcare professionals
- 13. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.13 Copyright © 2013 HP Autonomy. All rights reserved. Other trademarks are registered trademarks and the properties of their respective owners. Information transformed to enable success • Improve reimbursements and quality of KPIs with comprehensive and contextually relevant insights • Reduce costly and error prone manual overhead with intelligent search and automation • Lower financial, operational and compliance risks with effective reconciliation to proactively uncover errors
- 14. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.14 HP Healthcare Analytics platform unlocks full data value Built for unstructured and structured clinical data Core Capabilities: • Integrated modular platform for variety of use cases • 400+ data connectors and 150+ data types • Rapid identification of concepts, patterns and relationships • Conceptual search on all data • Advanced security for compliance Healthcare specific capabilities: • SNOMED CT taxonomy with 344K+ concepts and 2M terms • Integrated ICD codes • Intuitive workflow UI and visualization for healthcare applications Intelligent search and actionable Insights powered by HP IDOL (Intelligent Data Operating Layer)
Hinweis der Redaktion
- Frank
- We view the Provider IT journey as a 4 step process – beginning with Todays relatively standalone and fragmented Healthcare that then moves to an integrated and collaborative care model and that over time will become an accountable care model standard. Current Status:$6.5 trillion global spend on healthcare117.9% of GDP in US 2009-20133$1.2 trillionin waste in US alone2$200B in over-testing US alone2Forcing Structural Changes:Pay-for-Service Pay-for-outcomeAccountable CarePopulation & Evidence Based Medicine
- The adaptation of CPOE was intended to reduce the use of paper-based information capture and archiving. However, CPOE only captures a central core of information within its parameters. As we still see, paper is bridging many gaps via faxing, pre-printed forms, documents and communications coming in and sent outside the system. There are many legacy patients that still have paper records that pre-date EHR implementations that need to be integrated. All of this information drives the clinical and business workflow processes that are time-critical to the patient and the organization.
- Key points to highlight:OXP integration coupled with HPAC enables - personalized “jobs” to be presented as single buttons to each user based on their role - sophisticated workflows , capture functions are all enabled by a single push button - while some other vendors claim to have this level of integration (and do sometimes) this is a single vendor integrated solution fully tested by HPThe top right button on the OXP screen says search/print from WorkSite. This is unique functionality to HP/Autonomy.Use this to actually search the document management system, preview documents and print any document on the MFP – another form of pull printingUse cases:You arrive at a remote office. Your files are synched wirelessly but then you want to print a document (maybe for an important presentation. With this solution any MFP becomes a print kiosk – no more figuring out how to map the local printers to your device, find the closes printer and its name . ID , etc – just search, preview and print (a recent documents feature shows on the second animated screen illustrates that your most recent docs are always available)You are in a conference room in a big meeting – no PC with you . You need to get a document - go to any device, log in search and printForms library: store all forms in a worksite folder. Now every employee can search for and print forms on demandCollateral library: again with widely distributed retail operations and collateral changing all the time every MFP is a collateral production station – put all collateral in WorkSite (which can could as the document management / portal for marketing anyway - and the latest version will always be available ) only the latest versions are visible) and you are set
- Achieve Improved Reimbursements and Quality KPIs using advanced analytics that understands 100% of clinical record including unstructured clinical notes. Gaininsight and develop new clinical, operational, and quality measures not possible with tradition financial reporting and analytics tools.HPHCA automates reportgeneration and integrates all available enterprise data (both structured data, and clinical narratives).Reduce costly manual labor intensive chart abstraction tasks in the areas of auditing, research, and quality reporting.HPHCA instantly locates clinical concepts,improving both efficiency and accuracy, and enabling greater chart abstraction functionality.Reduce Medical Miscoding: Both under and over-coding have substantial financial impact including under-reimbursement, liability from RAC audits, and inaccuratecase-mix determinations affecting hospital operations.compreeHPHCA reconciles coding with clinical documentation, revealing discrepancies and improving accuracy before audits occur.