Tendencias en Informatica de Salud

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Tendencias en Informatica de Salud Laura Arboleda Healthcare Industry Manager, LATAM Hyland Software

Health IT worldwide is in the midst of a major shift FROM Episodic single-patient care TO Continuous population management Provider-centric Patient-centric Face-to-face Fully virtual Silos Systems/platform Data input Knowledge, insight & automation/suggestive

There remains an unprecedented demand for health information Zettabytes Oncologist Data Liquidity Analytics Patient Surgeon Referring Physician Radiologist Exabytes Genomics Digital Pathology Supporting Content Radiology/Cardiology Imaging Scanned Documents Define outcomes Required for value-based The next 1000 users HIM Petabytes Physician Terabytes

Healthcare Enterprise Information Platform Explained... EIP is a system that makes all clinical content accessible through your EHR Optimizing Electronic Health Records is the key enabler for customers needing to meet new health care objectives. Currently 70 to 75% of electronic records exist in disparate systems outside of the EHR. New methods (like XDS) must be deployed to drive additional content value. Integrating documents with imaging is a key to driving optimized value. New reimbursement models will drive additional healthcare content adoption. VNA is a key database platform for the future. OPTIMIZE Enterprise Information Platform Deliver unparalleled content and imaging management solution to address clinical, financial, and operational needs to empower, inform, and simplify healthcare organizations around the world

Departmental ologies are plagued with silos of Information Silos of vendor locked and blocked information with PHI exposure in every department Mobile access Limited access for clinicians Departmental silos Access controlled by applications Migrations every 5, 8 and 15 years Ophthalmology Dermatology Radiology Cardiology Multiple DR plans PHI exposure Vendor lock Vendor block Endoscopy Pathology

Interoperability is forefront in departmental ologies needs Sharing information and promoting collaboration internally and externally Roadblocks to Interoperability Custom interfaces can be cost prohibitive Each sharing instance may require individual, proprietary visualization tools based upon specialty which can make image exchange difficult. Need to control security and privacy risks Requires standards-based technology Beware of custom software creating a snowflake. Dermatology Hospital #1 Ophthalmology Pathology Cardiology Hospital #N Endoscopy Radiology Imaging Centers Urgent Care, etc.

Typical healthcare delivery organization s situation BEFORE an EMI Strategy Mobile access Limited access for clinicians Dermatology Multiple viewing requirements Departmental silos Access controlled by applications Endoscopy Ophthalmology Radiology Cardiology Unchecked costs by proprietary applications Surgery Vendor lock and block Pathology Multiple migrations every 5, 8, and 15 years WOUND Care ED Ultrasound Result: a failed solution driving cost, complexity, and limited access

Industry perspective: What is a VNA? Consolidates imaging information throughout the enterprise Basic benefits of a VNA Neutral Standards-based service bus Service-oriented architecture (SOA) Platform: Much more than an archive, a platform enables Open architecture: Based on standards or standards-based interfaces Accepts data irrespective of source: Source and format should blur and become unimportant Sharing: Data becomes liquid Originating source(s) are changeable: Customer has choice and control to change data sources and consumers

Enterprise imaging management strategy from Hyland AFTER EMI from Hyland Healthcare Mobile access Single point of access for clinicians EHR integration for access control Cardiology Radiology Consolidated storage focus Single DR plan, supporting a BC plan for multiple applications Dermatology Pathology Simplified migrations with cost removal Disk to disk Ophthalmology Ultrasound App to app Data refresh Significant security improvement that manages PHI exposure Endoscopy Wound Care Provides a path to deconstruct PACS and reduce costs ED Desktop access Surgery Result: A complete patient-centered integrated EMI solution across the enterprise

The solution: Empower, Inform, and Simplify Content and Imaging Management Hyland OnBase EHR Enterprise Imaging

First Principles Leverage Portfolio of Best-of-Breed Components Deliver an Integrated ECM-EMI Solution Vendor Neutrality, Interoperability & Data Liquidity Availability, Performance & Scalability