EiTESAL eHealth Conference 14&15 May 2017 Deployment of converged e health platform Presenataion By IDS

1. Deployment of Converged eHealth platform
Patient-Driven Healthcare Services
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Practical Approach

2. “The greatest barrier to e-Health is the difficulty for
consumers to find accurate and reliable information, the
two critical indicators of e-Health information quality are
source credibility and information completeness..”

3. Wearables
eHealth Market Definition - Egypt
Remote Monitoring
mHealth
Healthcare IT
Video
Telemedicine
• Professional Apps
• Consumer Apps
• Mobile Services
• Mobile Devices
• Video Diagnostic Consultation
• Remote Doctor/Specialist
Services
• Distance Learning/Simulation
• Retail Telehealth
• Tele Imaging
• Home and Disease Management
Monitoring
• Activity Monitoring
• Diabetes Management
• Wellness Programs
• Remote Cardiac ECG
• PERS
• Medication Management
• Electronic Health Records (EHR)
• Health Information Exchange (HIE)
• Patient Portals
• Hosted Cloud Infrastructure
(Not included in this Scope)

4. Benefits to Providers:
- Cost reduction
- Resource
mobilization
- Improved clinical
outcomes
Benefits to Payers:
- Consumer base expansion
- Volumes growth via online
consultations coverage
- Claims reduction due to
shorter hospital stay
Benefits to Consumers:
- Improved access to
medical
professionals
- Increased ownership
of one’s own health
Benefits for Stakeholders in deploying eHealth

5. Forces Driving the eHealth Market - Egypt
Socio-
Economic
Systemic
Government
and
Regulatory
Technological
• Increasing incidences of Non-
Communicable Diseases.
• Rising preference for
information and technology
among patients, providers and
government.
• Rising per-capita expenditure
adding to desire for better
healthcare.
• Increased access to providers in
resource limited settings.
• Low occupancy of hospital beds
seen with deployment of Health
solutions.
• Clinicians extending services via
telemedicine and mHealth. Local
eHealth business ventures being
initiated, increasing customer
base.
• Patient awareness results in
informed decision making.
• Improved health outcomes seen
through widespread adoption of
mHealth and Tele-medicine.
• Customised Healthcare IT
solutions being used for
improved patient care
management in hospitals.
• Increasing competition among
healthcare businesses and
providers to gain first movers’
advantage.
• Recent amendments in the
National Insurance Plans.
• Governments offering support via
Public- Private- Partnerships for
advancement in patient care.
• Governments taking eHealth
initiatives, identifying
stakeholders and drafting
strategies for medium, long term
healthcare goals.

6. Forces Restraining eHealth Market - Egypt
Economic
Infrastructure
and Workforce
Government
and Regulatory
Technological
• Lack of operational funds,
several start-ups remain at
the pilot stage.
• Requests for Subscription
fees drives away users who
prefer free services.
• Budget constraints discourage
investment in sophisticated IT
tools and applications
• Infrastructure of local
healthcare facility unable to
adopt EHR for supporting the
healthcare systems.
• Clinicians and other
healthcare workers remain
reluctant to use eHealth
systems. They feel such
systems hinder their clinical
time.
• Low bandwidth speed and
connectivity in rural/ remote
regions.
• Incessantly, unavoidable high
cost of equipment
• Very few mHealth products
that do not rely on smart
phone.
• Interoperability continues to
be a hurdle
• Investment is a tough
business decision for
government bodies.
• They see eHealth as a
promising opportunity but
are simultaneously under
pressures of rising cost and
low availability of funds.

7. Healthcare IT Structural Framework of an EHR solution
EMR
• Patient details
• Clinical information
• Pharmacy
• Billing
CDSS CPOE ICD
EMR
• Patient details
• Clinical information
• Pharmacy
• Billing
CDSS CPOE ICD
EMR
• Patient details
• Clinical information
• Pharmacy
• Billing
CDSS CPOE ICD
Electronic Master Patient Index (EMPI)
UserInterface
UserInterface
Electronic Health Record (EHR)
Information inputs are derived from laboratories, Picture
Archiving and Communication Systems (PACS), radiology,
ERP, and payers.
The system is built on a national communication network.
Standards and definitions are agreed upon by all
stakeholders.
Web portal
CDSS, CPOE, and ICD are a number of applications contribute to the EMR.
Key: CDSS – Clinical Decision Support System; CPOE – Computerized Physician Order Entry; ICD – International
Statistical Classification of Diseases and Related Health Problems

8. Healthcare IT Core Benefits of an EMR or EHR
EMR/ EHR benefits extend from individual to
community
Cost reduction for both
patients and providers
Complete view of the
patient‘s medical
history
Improved data storage
and accessibility
Availability of larger
volumes of organized
data
Improved patient
management
Reduction in medical
errors
More efficient and effective healthcare delivery

9. Healthcare IT Framework of a Health Information Exchange
(HIE)
Patients
Health Information
Exchange
National Partners
National Health
Information Network
Regional Partners
Regional Community
Labs
Regional Pharmacies
Health Insurance
Companies
Regional Clinicians
Hospital Hospital
Labs
Clinicians in
Hospitals
Healthcare Communities
Regional Hospitals

10. Healthcare IT Health Information Exchange- Core Benefits
Patients
• Decreases chances of
errors in treatment
• Offers access to
patients’ history
• Regularly updates data
• Facilitates data
exchange, improves
quality of data exchange
• Offers access to health
information.
Healthcare
Communities
• Improves collection of
data
• Facilitates statistical
analysis
• Maintains patients’
information in an
easily accessible
format.
• Provides
interoperability among
EHRs maintained by
individual providers.
Regional Partners
• Assists in tracking
progress made by the
individual hospitals
and other providers.
• Increases efficiency by
eliminating
paperwork.
• Reduces health related
costs.
• Aids in
epidemiological
studies.
National Partners
• Helpful in enhancing
technical health
infrastructure
• Leverage
improvements in
healthcare at National
and State-levels.
• Health Information Exchanges are a common healthcare platform needed to connect various
stakeholders for storing, finding and using information (from cradle to grave) of every individual.
• Interoperability is key to bring several improvements in the healthcare delivery system.

11. mHealth- Ecosystem in Egypt
Regulatory Bodies
Payment (out-of-pocket OR
health insurance)
Device Manufacturers
Patient
Doctors, Nurses
Healthcare storage, analytics
server
Data collection using mobile
phones
Authentication/
encryption
Central server of
network vendors
Intervention
Data Collection
Service from Mobile
Network Operators
Data Transmission
The mHealth Ecosystem is
complex, with multiple
stakeholders playing crucial
roles

12. Healthcare IT Patient Portal - Framework
Profile
Includes patient’s basic
demographic information,
which can be modified by
the patient.
List of eVisits/ eAppointments
Chronological record of the patient’s upcoming and old visits, including
chief complaints, name of the provider, status of the visits and amount
charged for each visit. New visits can be added by both patient and
provider.
Test Results
Chronological record with name of each
recommended pathological and radiological test.
Also includes test results uploaded by the labs and
information on amount charged
For Patient Education
Important information shared by the
providers to educate patients about
nutrition and diet, common ailments,
specific diseases or conditions or
preventive care.
Medication
Contains prescribed list
of medication with their
dosage.
Profile
Picture
Billing
Includes comprehensive
list of all charges and
credits associated with the
patients, that can be paid
online.
Direct Chat
Instant messaging service
for emergencies or quick
information on ailments or
medication.
Contact Us
To let patients contact
providers or the vendor if
they have any other
requirement.

13. Healthcare IT- Patient Portals- Benefits
FOR HOSPITALS
• Strengthen provider-patient relationship and boost
patient retention
• Provide real-time health monitoring
• Engage patients
• Increase revenue
• Attract new patients
• Prevent medical errors and improve quality of care
• Reduce time spent on follow-up and administration
FOR PROVIDERS (PHYSICIANS, PHARMACISTS, DIAGNOSTIC LABS
AND IMAGING CENTRES):
• Improve the operational efficiency as patients register online
before visiting
• Act as a platform for patient engagement which improves
patient satisfaction and health outcomes
• Enable easier patient co-pays and deductibles collection
increasing cash flow of businesses
FOR HEALTHCARE PAYERS (EMPLOYERS OR HEALTH
INSURANCE COMPANIES):
• Act as a digital interface with the members
• Enable customer resource management (CRM) features
and functions with plan members
• Enable easy access to claims history and explanation of
benefits
• Help in reducing overall costs and time
FOR PATIENTS:
• Request or book appointments with providers saving time
• Avail detailed and customised reports
• Get continuous medical guidance
• Pay medical bills online
• Gain information Get a personalised experience
• n for better decision making.
PATIENT PORTALS

14. Practo Converged eHealth Platform

15. Practo
Hospital and Clinic Management

16. Practo Patients’ Portal

17. Practo Ray for Healthcare Service Provider
Clinic Management System

18. Practo Mobile Application

19. Practo Online Consultation

20. Practo Hospital Management Solution
Made Easy

21. Practo Insta Process Flows

22. Practo Insta Packages

23. Multi-Center Hospitals & Polyclinics
23
Apache / Postgres SQL / Application
Common Database across all clinics
Center 1 Center 2 Center 3
Central Server
• We support multi-center operations of hospitals or
clinics through our single server approach.
• Unique Medical Record number for the patient across
the hospitals which facilitates complete medical
history tracking of patients.
• In this model there is no real distinction between
various centers. It is as if all centers are located
together and operate on the same common rate
plans and common administration.
• Each center will operate independently with no
access to data of other centers.
• For chain of hospitals we recommend they take
dedicated communication links between the centers
and for OP clinics, Internet based communication will
suffice.

24. ROLES AND RIGHTS
• Roles with access controls
can be defined and users
are assigned to the roles
• Specific rights can be
defined within those roles
(like who can give
discount, who can sign-off
lab reports, etc.)
REMOTE MONITORING
AND ALERTS
• Remote monitoring of
server, database and
backup
• Alerts if performance
starts to fall
DIGITAL CERTIFICATE
• Remote internet access to
Insta HMS possible only
through digital certificates
• The access to the system
from outside hospital
network is through 128 bit
encryption
AUDIT TRIAL
• For all billing, inventory,
clinical, lab, radiology and
services transactions
• For all master rate
transactions
Insta HMS is the enterprise-class multi-layered information security solution well suited to group
hospitals, which had to be highly scalable to keep up with our growth and also offer secure remote
access to hospital network users accessing sensitive business applications and data.
Multi Layered Security Features

25. Healthcare providers need to deliver quality service at optimal costs.
Shifts Healthcare system from ‘pay for service’ to ‘pay for performance.’
Significance of predicting patient risk is fast becoming the key to true preventive
healthcare – a possibility that Practo assures with Querent.

26. Practo Querent (How it works)

27. Medical Trends and Analytics

28. Medical Trends and Analytics

29. eHealth Platform Deployment

30. Thank You