Innovations in Healthcare

Transcription

1 Innovations in Healthcare

2 Contents Single View Approaches (Initiate) Collaborative Care Self Care Real Time Asset Locator 2

3 Initiate, an IBM Company Information sharing solutions that help build healthcare communities

4 Initiate Systems, an IBM Company Helping build healthcare communities through intelligent information sharing Intelligent information sharing platform and services 2008 KLAS Category Leader for EMPI Enterprise Master Person Index Provider Management Healthcare market expertise Integration Services Physician Outreach Services Business Management Consulting MPI Cleanup Services A Leader in MDM for Customer Data MQ Initiate Systems the most productive live customers. 4

5 Initiate solutions enable information sharing Initiate Patient Initiate Provider Create accurate patient-centric views Route orders & results correctly Understand patient & provider relationships Optimize existing investments Start with one initiative & grow to support many Patient Symptoms Treatment Records Family History Patient Healthcare Data Prescription History Ambulatory Exam Records Admission History Ambulatory Data Initiate Exchange Create competitive advantage with physician loyalty Remove barriers to acute & ambulatory information sharing Close the loop on referrals Deliver richer data to people, processes and tools Provide shared registration at all points of service 5

6 Initiate Provider Create a master provider registry as source of truth INITIATE PROVIDER Establish a master provider registry Locate and link same provider records across systems Create relationships across providers, patients and organizations Automatically resolve provider data issues with custom business rules Manually assign issues for resolution with robust data stewardship tools Benefits Lower cost to manage provider data Fix incomplete and duplicate provider records Keep provider data up to date across systems and credentialing Manage provider and patient data on single infrastructure Increase provider loyalty through more consistent communication 6

7 Initiate Provider Locate & share provider data across systems CREDENTIALING SYSTEM Name: Address: Dr. Debbie Dozier-Becker 9146 E. Via Del Sol Local Identifier: Address 2: Netown, CA /19/ INITIATE PROVIDER PCP SCHEDULING Name: Address: Debbie Becker, M.D E. Via Del Sol Address 2: Netown, CA HIS SYSTEM Name: NPI #: ID#: Name: NPI #: ID#: Deb Becker, M.D. Null Dr. Debbie Dozier Local Identifier: ABC98765 Local Identifier: DBECKER1234 Local Identifier: PIN INFORMATION First: Dr. Debbie Last: Becker Address: 9146 E. Via Del Sol City: Netown State/Zip: CA / Customer Service / Billing Hospital REFERENCE DATA Name: Address: Phone: Debbie Becker 9146 E. Via Del Sol NPI: VR: NPI#: Long Term Care Facility Increase efficiency & reduce cost of locating information 7

8 Initiate Master Data Service Initiate Patient & Initiate Provider DATA QUALITY INITIATE MASTER DATA SERVICES PROFESSIONAL SERVICES Address Standardization INITIATE INSPECTOR DATA STEWARDSHIP Data Scan Country Data Packages Equifax Organization Data INITIATE DATA QUALITY SUITE Profile Cleanse Report INTEGRATION SUITE EID Synchronization Full SDK HL7 Query Adapter Message Broker Suite INITIATE PATIENT INITIATE PROVIDER Basic Support RELATIONSHIPS Patient Registry Document Registry Provider Registry SUPPORT SERVICES Premium Support TOOLS Enterprise Integrator Enterprise Viewer Master Data Extract Workbench Language Packs MPI Clean-Up Install Base Services Patient Premiere Custom Implementation Services 8

9 Collaborative Care

10 The Roadmap to the Connected, Accountable Care Organization Value Interoperability Community Collaboration ACCOUNTABLE CARE Coordinated care Healthcare Analytics Medical Insights Aligned Incentives Population Health Mgmt Empowered Patients Establish Cross Community Relationships Regional Connections between EMRs, Hospitals, Practices TODAY CURRENT STATE Disparate Systems Fragmented Communities Scope of Information Sharing

11 The IBM solution for collaborative care Cloud/SaaS Bi Directional Orders and Results EMR/PMS PHR Patient Consumer Physician Portal Care Team Portal Health Plan Portal (future) Health Analytics and Clinical Decision Support Clinical & Claims Data NCQA PCMH Accountable Care Package FAMS Analytics (future) PQRI quality measures Bio-Surveillance Care Engine Population Care and Patient Risk Stratification & Risk Management HSP (HIE Service Provider) Master Person & Provider Index Policy Repository Document Registry Secure Messaging Audit Log Consent Mgmt Data Repository Security NHIN connectivity CCHIT and EMR Adapters Document and Image Sharing 11 Reference Labs Hospital Systems EMR Shared Registration For EMR & Paper Based Practices Results Delivery Health Plan Claims Tx Pharmacy Systems & PBM

12 Some functionality overview Electronic access to and sharing of patient records Implement electronic clinical delivery tools with CDS Report on core clinical quality measures Proactive/Preventive care Access to and continuity of care Identify and manage patient populations Plan and manage care Self Management support Track and coordinate care Performance measurement and quality improvement Patient education, PHR Health Analytics and Clinical Decision Support HSP (HIE Service Provider)

13 IBM Solution Health Analytics and Clinical Decision Support IBM HSP, including: Initiate Master Patient Index Document Repository and Document Registry Access Control repository and enforcement (Consent management) Apelon Distributed Terminology Services for terminology management and enforcement Secure Message repository Standard interface adapters for XDS, PIX, PDQ, and HL7 v2. IBM CC Analytics, including: Cognos Business Intelligence as the framework for delivering reports to users A set of data marts to support primary focus area dashboards and analytic reporting A set of Extract, Transform and Load (ETL) processes to ingest Measures, Supporting Facts, Care Considerations, and Reference Data from flat files generated from ActiveHealth s ODS. Tivoli Directory Server, acting as the user directory for both the IBM HSP and Cognos DataPower XML Security Gateway HSP (HIE Service Provider)

14 ActiveHealth Solution ActiveHealth CareEngine and CareEngine platform, including: The ActiveHealth HIE adapter to exchange clinical data, claims data, and Care Considerations with the IBM HSP The ActiveHealth user directory, implemented using Microsoft Active Directory Active Patient Portal (MyActiveHealth) Active Health performance measures Active CareTeam PHR Patient Physician Portal Health Analytics and Clinical Decision Support Care Team Portal

15 Self Care Remote patient monitoring by wireless Bluetooth technology and mobile phones with Personal Care Connect allowing chronic patients and the elderly to stay at home

16 Guiding principles: The IBM Health Information Exchange Solution is Physician friendly: Last mile connectivity services are efficiently installed, reliable and cost effective Flexible exchange: Solution supports document exchange based on IHE profiles and HL7 CDA/CCD document formats Standards-driven: Support for industry accepted healthcare IT, transaction and content standards Patient-centric: Patients can access to their own information, and control access EMR agnostic: Connect standards-compliant vendors through standard interfaces Scalable: Hosted, software-as-a-service model based on scalable IBM middleware (Initiate EMPI, WebSphere Application Server, DB2 Universal Database) Secure: Security based on industry standards and best practices from the transport layer to the application layer

17 IBM Real-Time Asset Locator in Healthcare

18 An Overview of Enterprise Asset Management What is it: Defibrillator, Infusion pump, hospital bed, fire-extinguisher, generator Operational Status (working, in repair, broken) Lifecycle History (purchase, service, useful life) Contract Information (lease, warranty, service) Where is it: Location OR, ED, Stock Room, Soiled Linen Closet, Over Ceiling Tiles History is tracked as Assets move from location to location Tracking can be automated through RTAL (Real-time Asset Location WiFi, UltraSound, InfraRed, etc.) What should I do to it: Service Requests & Work Orders Mechanism for authorizing/performing work and capturing steps and costs Track when work was performed and outcome

19 Need for Real-time Asset Location Hospitals misplace or lose 10-20% of an estimated $750 million of their valuable medical equipment annually, wasting staff and patient time and incurring costly replacement charges. (Frost & Sullivan) Hospitals can t find 15% - 20% of the device they own (Arthur Gasch, Medical Strategy Planning) Assets are retired if they cannot be found twice in a row for Maintenance (Client) We bought back one of our infusion pumps from of the web. One of our techs picked it from the trunk of a car at the local mall (Client) Equipment moving from patient to patient without decontamination has become a significant issue in infection control

20 Issue: Lack of visibility impacts productivity and costs Excess Expense & Capital Expenditure Do I over-procure mobile assets? How much safety stock do I maintain? Am I paying excessive amounts for rental equipment? Asset damage and loss How much equipment do I lose annually? Can losses be reduced? Operational Efficiency Are my staff spending valuable time searching for equipment to do their job? Is product impacted by asset misallocation? Are audit, validation and compliance procedures easy to carry out? Asset Utilization Do I know my asset utilization rate? How do I set reasonable targets for utilization?

21 RTAL Use Cases in Healthcare Tracking Mobile Assets/Equipment Compliance/Maintenance beds, infusion pumps, defibrillators High Value computer on wheels, laptops, mobile clinical assets Customer Immediacy wheelchairs, beds, portable commodes One of a kind/low quantity bladder scanner, cameras Improve billing consistency for specialty equipment Tracking Patients Increase ROI throughput in Radiology, OR and ED Customer Satisfaction - responsiveness Infection containment Tracking Staff Improve billing consistency for care provided Infection containment Efficiently optimize scare critical resources (workflow) Certification levels for equipment maintenance

22 Equipment Availability and Management (Min/Max) Nurse checks availability of key equipment at the beginning of the shift to match patient needs. Equipment availability is visible showing inventory levels for several assets. 1 The Asset Management System charges the appropriate department for use of the assets. 4 2a Asset identified as mal-functioning by pressing a button 2 New patient requires an infusion pump. Asset movement automatically triggers par level check and causes a new work order to be generated to rebalance assets. 3 Assets are moved to rebalance inventory. As a result of the assets movement, location information is updated in Asset Management System.

23 Jia Tian Hua Healthcare improves patient safety, staff efficiency and customer experience with sensor solutions Background: This platform will allow the group of hospitals that include Da Gang Hospital, located in Da Gang, near Tianjin, China, to greatly improve its safety, efficiency and patient experience. The initial purchase order covers a Starter Kit for 1st batch of 5 hospitals; customer is planning to install the solution in 50 hospitals in Solution: The objective is to sensor enable a series of hospital management applications, such as patient tracking and care, drug tracking and dispensation, asset tracking, on top of IBM s software platform and Foxconn s, a business partner s hardware and applications. Benefits: Increased staff efficiency reduce search time for mobile assets Improved asset utilization since assets can easily be located by staff Improve patient safety by verifying that the correct drugs and doses are administered to patients Better customer experience through staff workflow optimization