Digital Hospital is the new patient-centric paradigm for advanced healthcare

1. Roma - 14 aprile 2011
Digital Hospital 2.0
Il paziente al centro
dell’Ospedale
del futuro
Lorenzo Capodicasa Zemella
HP Technology Consulting
www.ehealthforum.it 1

2. Roma - 14 aprile 2011
HP DIGITAL HOSPITAL POSITIONING
Discovery& Clinical Mfg & Marketing Primary
Payment
Development trials Distribution and sales Care
Healthcare
Biotechnology, Pharmaceuticals & Medical Devices Healthcare Payers
Providers
Biotech Pharma Medical Devices Private Hospitals Government
Genomics Drug Discovery Medical Imaging Govt Hospitals Hospital & Medical
Service Plans
Proteomics Drug Delivery Cardio Devices Home Care
Accident & Health
Bioinformatics OTC Orthopedic Devices Telemedicine Insurance
Agrotech Generics Diagnostics
Surgical
Biomaterials
Research & Manufacturing Services
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3. Roma - 14 aprile 2011
HOSPITAL DRIVERS TO CHANGE
• Budget pressure
o Patients require a high level care service but budgets are being cut and compressed. The latest advances in
technology, and the design of new process and workflows help to increase productivity, provide a higher quality of care
and improve patient safety and satisfaction thus reshaping cost patterns
• Hospitals are changing from episodic to integrated care
o Hospital patients often begin at ground zero after admissions, with work-up, diagnosis and then treatment. In the
integrated model a longitudinal medical record follows a patient in time, capturing information on treatments, lab tests,
incidents, prescriptions and other data allowing Health Care providers to avoid duplicated tests and services and make
more informed decisions
• Focus on acute Clinical Treatments
o With the evolution of research many illnesses are becoming chronic and the treatment can be delivered at home
freeing up resources for providing a better treatment to acute pathologies. Tele Medicine and Home care allows this
shift in treatments through different methodologies and instruments.
• Integrated Communication and Collaboration
o All the people participating in the care cycle of a patient needs to share and be updated with the latest information
about the patient and made to collaborate and communicate efficiently. Integrated communications can be made
available to patients at the bed side also for regulatory educational programs for hospitalized students.
• Hospital operations monitoring
o Capture, analyze and present real-time performance about clinical, technological and people processes, supporting
continuous improvement for optimal clinical and financial outcomes, real-time performance optimization and risk
minimization
• Asset Tracking
o Prioritize and minimize Investments in Biomedical Devices by maximizing utilization through real time information on
availability and localization
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4. Roma - 14 aprile 2011
DIGITAL HOSPITAL 2.0: A CLOSER LOOK TO THE VISION
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5. Roma - 14 aprile 2011
HOSPITAL INFRASTRUCTURE IS FRAGMENTED TODAY
Nurse Call Patient TV Door Opener
Phone Mobile ward round
Intercom Systems
CCTV (PBX)
AGV (Robot) Telephones Paper
DECT/Pager
Medical Devices
RFID
WiFi
Client PC
Hospital
Applications
Light
Blinds
Heating
Facility Control
ERP, PACS, CIS, HIS, LAB, DWH
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6. Roma - 14 aprile 2011
INTEGRATED HOSPITAL INFRASTRUCTURE
Patient terminal IP phones IP wireless MDA/ PC Mobile Pager Nurses’
phones PDA phones portal
(SMS)
GSM
OPC, SMTP, SMNP LAN/WLAN
HP Engine
PACS
IP converter I/O signal EPR
ESPA 4.4.4 converter EHC
Laboratory etc.
Nurse call Patient monitoring Facility Digital Pen WiFi tags
medical equipment control
Everything over IP – IP Everywhere
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7. Roma - 14 aprile 2011
HP DIGITAL HOSPITAL FRAMEWORK
Hospital messaging & Infrastructure
Vertical PACS
Distributed alerts Tele Medicine Security
Applications Patient bedside Networking and
Information Mobile nurse call and Collaboration and RFID enabled
HER, EMR interactive services Distribution
Electronic Nurse Portal Monitoring asset tracking
&
Whiteboards solutions Workstations
Digital and Real Time location Communications
Kiosks, Point of Remote Medical solutions Facility Control and
Biometric Signature Services Point of Care
Assistance Equipment Medical Archiving Environment
Strong Medical team Mobile Devices
Digital Signage Appliance Control Solution monitoring
Authentication assembly
Application Integration Unified Communications
Workflows, BPM Digital Hospital Integration Engine and Collaboration
IP Telephony Contact Center
C Networking IP & Optical wired and wireless
L V
O Server & Storage Printers & Paperless PCs, Thin Clients & WorkStations D
U I
D Data Center Facilities
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8. Roma - 14 aprile 2011
DIGITAL HOSPITAL BUSINESS VALUE FRAMEWORK
ULTIMATE BUSINESS GOAL HIGH QUALITY PATIENT CARE AT REASONABLE COST
COST CONTAINMENT COMPLIANCE QUALITY OF CARE PATIENT THROUGHPUT
EXECUTIVE KPIs
--------------------------- ---------------------------- ---------------------------- ---------------
(Direction)
Cut Operating Expense 100% compliance Minimizing Medical Errors Increase: 10% per year
In-patients
LENGTH OF
VIOLATION per bed per
CORE KPIs COST ERROR RATE STAY
RATE year
(Direction) ------------- --------------- ------------------------
------------- ------------------
5% Decrease Errors: 0% in 5 years ----
10% Decrease ----------
Decrease
Increase
Adopt IT for Create Innovative, Error-proof,
BUSINESS INITIATIVES Cut Enterprise
(Strategy/Priority Language) Process and Productivity more Productive Digital Clinical
Costs
Improvement Processes
• Adhere to all compliance requirements
• Decrease costs per • Reduce cost of IT Clinical
• 100% compliance Offer more patient Productivity
bill and per claim • Integrate Information • 100% Data care options every Increase 10%
OPERATING KPIs • Decrease cost of • Secure Information Integration year --------------------
compliance • Use of analytics in -------------------- Clinical &
------------------------------- -------------------- ----------------------- ALL decision making Collaborative
PROCESS/FUNCTION IT Solutions Implementation in time, in Patient
Process Design -------------------- Treatment Teams communications
budget Disease Mgmt.
Datacenter
Reduce
HP SOLUTION Economics Technology & Business Intelligence Security Unified
Complexity and
INITIATIVES aligned to Information & Analytics, Service Mgmt Communication
Cost of IT
Dynamic Governance Integration Mobility & Messaging
Infrastructure
Business Needs
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9. Roma - 14 aprile 2011
THE DIGITAL HOSPITAL PARADIGM
TECHNOLOGY
SERVICES
PEOPLE
Digital Hospital Value Proposition:
Supporting the continuum of patient care with clinical solutions and the
pervasive integration of technology and data, enabling a real-time
information environment and intelligent, automated workflow
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10. Roma - 14 aprile 2011
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