May 2008

Healthcare Industry Challenges & IT Solution Offerings : Faisal M. Paul, Country Manager – HPC & Healthcare Business Development, Hewlett Packard India (Sales) Pvt. Ltd.

Industry forces are converging the Life Sciences and Healthcare Value Chain – the industry convergence is driven by bioscience innovation, increasing healthcare costs, the aging population and technology adoption .

Over and above this, there are changing expectations as patients and individuals want more control and empowerment over their health management.

The life sciences – healthcare value chain is also transforming and the key factors driving the transformation are cost burdens, inefficiencies, quality of care, individual wellness and regulations / compliance.

Technology is at the heart of improving business & health outcomes, and this can be achieved by the following:

1.Acceleration in business growth & speedy innovation to transform health: Some of the areas which can help accelerate business growth being bridge information gap between research and clinical care, power biosciences (genomic and proteomic) research and discovery, speed time to market of new pharmaceutical agents, enable “personalized medicine” through value chain collaboration and empower individuals to manage their health.

2. Lowering costs & Improving operational efficiencies: Lower operational costs increase efficiency in the healthcare business and this can be achieved through reduction in waste�over US$ 1 trillion of health expenditure is waste. Automation of analog manual processes, help address the staffing shortage through improved information capture and sharing. Manage growing data/images driven by eHealth initiatives.

3. Mitigating risks & Improving quality of care: Safe and quality care can be ensured by enablement of right information at the right place at the right time. Improvement of patient safety can be ensured by avoiding medical mistakes which account for over 100,000 deaths per year, combating drug counterfeiting and adhering to increased compliance and regulation mandates.

Digital Hospital
Digital Hospital is a more comprehensive solution that is continuing to grow, addressing safe and quality care and health management. Digital Hospitals are delivering business outcomes today by extending information-enabled process, consolidation and integration of technology and integration and simplification of the processes.

The Digital Hospital solutions overview is as follows:

  • Clinical information automatically captured and fed into electronic patient record.
  • Electronic decision support – accelerating and improving treatment decisions.
  • Interactions between patients and staff are radically improved.
  • Changes in patient conditions can be communicated in real time enabling faster response.
  • Location-based services and WiFi tags helps staff locate resources faster and manage assets better.
  • Bar coding and RFID technologies greatly improve medication administration – one of the most error-prone care procedures.
  • Portable devices and wireless communication extend the organisational boundary, leading to better, more efficient care for chronic-condition patients.
  • Vast amounts of data can be captured for medical research, speeding the creation of new treatments and healthcare delivery options.

The end result is that the patient has a good experience and s/he is happy.

HP-HCIS is designed on an open architecture concept, meaning it can use any of the standard Operating Systems and can be based on any of the main data bases.

Key challenges faced by the healthcare industry today are:

  • Patient safety in hospitals
  • Infrastructure availability and proper deployment
  • Information Lifecycle Management (ILM)

HP over the last decade has developed various solutions to address healthcare industry challenges.
Some of the solutions are as under :

1 HP Healthcare Information System (HCIS)
2. Patient safety by using RFID technology
3. Infrastructure by Digital Hospital Implementation (DHI)
4. ILM by Medical Archival Solution (MAS)
5. Mobility for Health Solutions
6. Electronic Health Record

1. Healthcare Information System:

HP-HIS is the Healthcare Information System that has been developed since early 1990’s. It comprises a series of modules in the different activity areas of a hospital.

HP-HCIS is designed on an open architecture concept, meaning it can use any of the standard Operating Systems and can be based on any of the main databases.

HP-HIS is modular and flexible, and has powerful integration capabilities, which makes it suitable for very different kinds of hospitals and healthcare organisations.

The HP design in Healthcare Information Systems is based on a series of principles that can be summarised in five main areas :

  • The first one is the configuration of the Electronic Health Record as the articulation element of all the value chain of the healthcare system. The basic concept is understanding clinical decisions as the trigger of resource consumption. The health record understood in that way articulates:
    The patient and his/her needs as center of the system
    The main process of the healthcare organisation: prevent, diagnose, treat and rehabilitate
    The relationship between the main process and the supporting processes.
  • The design of the functional processes of the organisation and the requirements of the Information System that must support it and facilitate it. Care process that must respond to the needs of the care continuum, base of a high quality integrated care, with no risks for the patient.
  • The vision of Clinical Management as convergence point between good care and management practices. The information requirements for clinical management are very complex and sophisticated, because they must include information for clinical and management decision making and require, among other things, guaranteeing the reliability of the data that identify a particular patient, his/her diagnosis, treatment and the professional that makes the clinical decision. The reliability of these systems is therefore, a critical factor in Clinical Management.
  • The information system as a generator of decision support information for the different agents that constitute the system or the healthcare organisation: population, patients, professionals and management.
  • The security of the entire system, without doubt is the most critical point of all healthcare information systems.

The product is very modular and flexible, and has powerful integration capabilities, which makes it suitable for very different kinds of hospitals and healthcare organisations.

This can be verified because there are installations of big public hospitals (more than 1300 beds), medium sized hospitals and foundations (around 500 beds) and smaller public and private hospitals (between 100 and 200 beds), altogether more than 100 references using some HP-HCIS version.

Its modularity allows customers to keep modules of their information system from vendors different from HP and still have a very solid and integrated system. This integration features also allows us to insert independent modules in installations where the main system is from another provider.

2. Patient Safety during care delivery in Hospitals
Patients safety is a major concern in Hospitals across the world hence JCAHO (Joint Commission on Accreditation of Healthcare Organization ) had come out with goals to keeping patients more safe in all healthcare institutions.

The seven goals proposed by JCAHO are:

  • Accuracy of patient identification
  • Better communication between medical staff
  • Prescriptions of high-risk medicine
  • Reduce mistakes of location and procedure for patients
  • Usage safety of transfusion liquid pump
  • Clinical alarm system
  • Lower the risk of infection through healthcare

These can be achieved by implementing some simple solutions like Patient Verification, Bedside Clinical Process and Medicine Management.

3. Digital Hospital Infrastructure
The Digital Hospital Infrastructure solutions include:

  • IP platform that include access to patient data at point of care, digital dictation, web collaboration, soft phones and telephones used as paging systems.
  • ]Wireless delivery of X-ray and other data to physicians tablet and laptop PCs.
  • Radio-TV systems, AV equipment, HP Infopaq medical terminals and HP PCs for the Medical School.
  • Network design, architecture, security, testing and implementation all managed by HP.
  • Integrate HP Medical Data Assistance system to all the Hospital Departments .
  • 99.999% availability of the core system.

Patient Portal Setup:

When patients come to the hospitals for getting life saving medical treatment, they expect transparency and information sharing on what care is being provided to them .

The patients also feel the need for entertainment, communication, and access to own patient information or other hospital information.
A secure and efficient way for the clinicians to use the same terminal for accessing clinical systems like EPR or Patient Chart.

4. Information Lifecycle Management – HP Medical Archiving Solution

The HP Medical Archiving Solution provides long-term archiving to imaging centers, hospitals, hospital networks and research affiliates for retri and transmission of medical images and documents.

Healthcare organisations are looking for solutions that will help them deal with growing volumes of image data. For many, medical image management and picture archival communications systems are the answer.

The HP Medical Archiving Solutions offer real-time diagnostic image systems with storage, retri and communications systems for archived images, reports and exam results.

The solutions provide economical, petabyte-scalability for secure and reliable transmission of digital images and other information .

These solutions enable your organisation to:

  • Accelerate patient care while complying with ethical and regulatory requirements for privacy and security.
  • Obtain affordable long-term storage of patient studies, regardless of size.
  • Share your infrastructure to house image types used in different picture archiving and communication systems (PACS) applications.
  • Integrate data from health information systems, such as patient records and insurance data, into your solution.
  • Migrate images from other vendor PACS to a centralised, consolidated, single repository.

5. Mobility Solutions for Healthcare

HP mobility solutions for the healthcare industry enable organisations to get the information you need, whenever and wherever you need it.

Few things are less mobile than paper medical records. They are cumbersome, bulky and awkward to use. And they drain precious time from your practice.

HP wireless networking solutions enable health professionals to stay connected and productive anytime, anywhere, using intelligent, secure, automated functionality.

HP wireless technologies for healthcare industries allow your organisation to:

  • Access, share and update information securely wherever you are � home, hospital or office
  • Connect to printers, scanners and other peripherals without cords or cables.

6. Electronic Health Records

The HP solutions for Electronic Health Records help healthcare organisations use their data to improve health and streamline operations.

Healthcare and research organisations generate tons of data each year. Preparing these patient records and administrative data so that they can be shared, can delay access to information by days, sometimes weeks.

HP and its partners offer secure, easy-to-deploy solutions for electronic health records that transform the way data is gathered and processed.

These solutions enable your organisation to:

  • Handle, compile and share information simply and more efficiently.
  • Make certain that data is available whenever and wherever it is needed.

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