Post on 07-Dec-2014
description
Dr. Mariano Groiso
Lider de industria de Salud para Sudamerica Hispana
Soluciones de SW IBM para una industria con nuevos desafios
2
Factores globales que estan llevando a una transformacion de la industria de la salud
Cambios demograficos y de estilo de vida• Poblaciones mas viejas y obesas• Mayores costos asociados• 1.5 billion obesos estimados en 2015
Poder del consumidor• Mas comprometidos y demandantes de control sobre su salud• Mayor conocimiento de los riesgos y efectos adversos con mayores expectativas de calidad del servicio
The Changing Nature of Disease• Mayor incidencia de enfermedades cronicas,
que suman el 60% de las 58 millones de muertes por año
• 75% de los recursos de salud son consumidos por paciente cronicos
Globalizacion• Competencia a nivel mundial• Cambio en los Modelos de Negocio
(turismo medico, clinicas retail, centros de wellness)
Source: Healthcare 2015: Win-w in or lose-lose?
3
Tecnologias Emergentes de Salud• Redes Sociales de Salud
• Telemedicina/Consulta Remota
• Home Care/Monitoreo Wireless
• Historia Clínica Unica Nacional (EHR)
• Sensores de Cuerpo /CarpetasMágicas /Radiofrecuencia / Ultrasonido
• Coach Digital de Salud/Puntos al consumidor
• Realidad Virtual/Cirugía Robot/Fitness Wii/ Teléfonos Mobiles con acceso historia clínica
• Watson
4
IBM Healthcare Research y Software Labs
Hursley, UK Healthcare Service Bus- Devices, HL7 V3, CDA
Haifa, Israel HIE Interoperability - Images Management
Beijing, China Traditional Chinese and Western Medicine EHRs
Zurich, Switzerland 3D EHR modeling
Austin, USA Hospital RoomOf the Future,RFID - Real Time Location Services
La Gaude, France Drug RFID Tracking,Health Analytics
Dallas, USA Health AnalyticsCenter
5
Marco de referencia de soluciones de Salud de IBM
Provider Solutions
Research
Health ITSystems Management, Servers, Storage, Communications networks, Security and associated services
IBM Health Integration Framework
Payer Solutions
Security and Privacy
Health Integration Framework Business Partner Ecosystem
eHealth and Collaborative Care
Enterprise Health Analytics
Clinical and Business Transformation
Public Health Surveillance
6
Provider Solutions
Research
Health ITSystems Management, Servers, Storage, Communications networks, Security and associated services
IBM Health Integration Framework
Payer Solutions
Security and Privacy
Health Integration Framework Business Partner Ecosystem
IBM Health Integration Framework
Health Information Exchange Health Hub
(Enterprise Service Bus/HL7)
Patient, Consumer and Clinician Portal
Healthcare Asset Management
BI & Performance Management
Medical Image File Neutral
Hospital Systems Implementation
Marco de referencia de soluciones de Salud de IBM
7
Enterprise Health Analytics Solution Overview
Enterprise Health Analytics
Solucion• Enterprise data warehouse,
herramientas y capacidades para agregar y analizar datos a traves de la organizacion de salud para mejorar los resultados clinicos y de negocio.
• Dashboards para seguridad del paciente, calidad, investigacion y operaciones.
Governance
Health Integration Framew ork
Business Partners
Healthcare Provider Solutions
Business Partners
8
Activos integrados para un CDW:• Server + Clinical Data Warehouse
+Solution Templates + Tools + Dashboards
Caracteristicas Unicas:
• Crea un registro longitudinal con informacion de internacion, consultorios externos, especialidades y ambulatorios
• Agnostico del sistema de origen• Anonimizacion de pacientes • Validacion de datos• Mapeo de vocabulario de datos• Uso de Estandares
InfoSphere Clinical AnalyticsSolution Overview
9
Mapeo-Validacion-N
ormalizacion
Origen de los datos
Consolida los datos de la organizacion en una “Unica fuente de la verdad”
Disease Cubes
Hospital
Hospital
Clinic
Clinic
Analisis
Operaciones
Sist
emas
Sep
arad
os e
n Si
los
C3 C2 C1
XXYXXYXX
87654321
BBBABAAA
C3 C2 C1
XXYXXYXX
87654321
BBBABAAA
C3 C2 C1
XXYXXYXX
87654321
BBBABAAA
C3 C2 C1
XXYXXYXX
87654321
BBBABAAA
Am
biente Analitico
LocalVocabulary
Dashboard
Seguridad del Paciente
Analisis de Outcomes
Quality Improvement
Performance del Medico
Mejora de Calidad
Cui
dado
y m
ejor
as d
e op
erac
ione
s
Monitoreo
C3 C2 C1
XXYXXYXX
87654321
BBBABAAA
C3 C2 C1
XXYXXYXX
87654321
BBBABAAA
NormalizedVocabulary
Enterprise Health Analytics
10
Clinical and Patient PortalsSolution Overview
Portales Clinicos y de Pacientes
Solucion• Portal web que provee acceso a datos
clinicos, financieros y administrativos de distintas aplicaciones.
• Integracion Real-time usando SOA• Multi-vendor• Multi-system
• Comunicaciones unificadas para los medicos, staff y pacientes.
• Reduce o elimina el tiempo de procesamiento de formularios.
Governance
Health Integration Framew ork
Business Partners
Healthcare Provider Solutions
Business Partner
11
Beneficios• 3 millones de usuarios
registrados
• Implementacion mas grande del mundo de un EMR civil
• Mas de 10 millones de tests vistos por sus miembros
• Casi 3.6 million mensajes de miembros transmitidos online a los proveedores de servicios de salud
• 2.7 million Rx
Client WinKaiser Permanente
12
Client WinsHealthcare Portals and Collaboration
King FaisalCancer Center
Memorial HealthSystemDuke Medical
Univ of TexasCancer Therapy &Research Center
Mayo Clinic
Richardson RegionalMedical Center
Healthways UZ Gent University Hospital System
Danish eHealth Portal
13
Healthcare Integration and Interoperability (Health Hub)Solution Overview
Healthcare Integration and Interoperability
Solucion• Integracion e intercambio de gran
performance de info clinica, de negocio y administrativa a traves de la organizacion de salud.
• Cumple con HL7 V2, V3 Clinical Document Architecture, Continuity of Care Record.
• Servicios de routing y transformacion.
Governance
Health Integration Framew ork
Business Partners
Healthcare Provider Solutions
14
Health Information ExchangeSolution Overview
Health Information Exchange
Solucion• Intercambio de informacion de salud a nivel comunidades locales, regionales
e internacionales.• Basado en Integrating the Healthcare Enterprise (IHE) standards• Repositorio y Registro de Documentos• Servicios de Localizacion de Registros• Accesos y consentimiento• Servcios de mensajeria• Monitoreo Real-time para bio-surveillance o salud publica
Governance
Health Integration Framew ork
Business Partners
Healthcare Provider Solutions
1515
Escenario HIE de intercambio de documentos
EMREMR
Physician Office
EHR System
Teaching Hospital
Community Hospital
Lab Info. System
Retrieve Document
Provide & Register Document
Register DocumentQuery Document
Document Registry
Document Repository
Document Repository
ED System
14355M8354673993
L-716
A87631
Patient Identity Manager
Audit record repository
EHR System
Community Document Repository
HIE Community Hub
HL7-CDA Gateway
16
Client Win: Health Information Exchange for MedVirginia RHIO
Desafios del cliente
• Vision de de Virginia central de ser la comunidad de salud mas conectada electronicamente de los USA
• Acelerar el procesamiento de discapacidades.
• Proveer intercambio seguro de informacion de salud entre medicos, hospitales, pacientes, laboratorios y farmacias, sin importar locacion o aplicacion.
Acciones
• El primer Exchange de Historias clinicas para una agencia del gobierno americano.
• Conecta de modo seguro MedVirginia y la U.S. Social Security Administration.
• Integra los resultados clinicos, historia de medicaciones, alergias y datos de laboratorio.
Beneficios• Verifican los beneficios de incapacidad en
minutos en vez de meses.• Mejoran la exacititud y bajan costos.• Reducen tiempo esperando por las
historias clinicas.
17
Solution Stack Product Mix – HIF for Providers
CCOWJSR168 supportLotus Health Care Accelerator
HL7 Message TransformationsCIM, Msg Flows, CDAXDS, ATNA, PIX/ PDQ
Pre Built Scorecards, Dashboards, Reports
Assets
InfoSphere MDM (eMPI version)InfoSphere Information ServerRelated Products
WebSphere Process Server (future BPM support for eReferrals)
Tivoli MonitorTAMBE
InfoSphere Data ArchitectInfoSphere Data AnalyzerInfoSphere Data StageInfoSphere Quality StageInfoSphere MetaDataInfoSphere MDMWebSphere Portal ServerTIMTAMiLog/Jrules
Advanced Package
WebSphere Portal Server V6.1Tivoli Access ManagerTivoli Identity Manager
WebSphere Application Server V6.1WebSphere Message Broker V6 or V7WebSphere MQ V6
InfoSphere Clinical AnalyticsHealth Plan Data Model V7.xCognos 8.x BI
Base Runtime
Healthcare Portals(Clinical/Patient)
Enterprise Integration & Interoperability
Clinical Business Intelligence-Health Analytics – Payer/Provider
18
WebSphere Sensor Event Server
WebSphere Portal Server(Healthcare Portal)
Cognos(Enterprise BI and Performance Mgmt Apps)
Hospital Systems(EPIC, Cerner, McKesson, Cardinal)
WebSphere ESB
Location Awareness Services(RTLS Location)
Maximo(Enterprise Asset Management)
IBM HL7 Connector
Zigbee
Helicom ZebraWhereNet
Ultra Wide Band
Ultrasound Infrared
RadienceCentrak
WiFi
AeroScoutEkahau.
Barcode Passive RFID
Gen2 StandardUHF, HF
ERP, WMS, HR Supply Chain
ERP Connectors
WebSphere Process Server(Process Choreography)
Complex Event Processing Reporting
Traceability Services(EPCIS, Dashboards)
Data Capture
Patient Workflow Applications
Real Time Location Services
19
3000 equipment items in 500 bed hospital.
Staff in psychiatric ward.
NIH funded mass casualty study with MIT and Harvard.
ED patients Clinician logon-logoff in patient room.
Patient charts in 300 bed hospital
Patients and Staff in ED.
Patients in Staff in Emergency clinic.
Patients and staff in OR. Second Seton deployment. 1500 equipment items in 250 bed hospital.
Client WinsRTLS deployment en 40+ hospitals desde 2006
20
Health Integration Framework DomainHealth Plans (Isapres)
Modernizacion de Sistemas Core de los Health Plans• Mejora eficiencia y flexibilidad de los sistemas de seguros de salud
(proceso de claims, enrolamiento de miembros).
Health Plan Analytics• El analisis de la informacion de un health plan para mejorar la salud
de sus miembros y los outcomes de los servicios de salud.
Health Plan Member 360 (Single View)• La consolidacion de informacion de fuentes dispares para construir
un entendimiento de todas las actividades de los miembros desde una perspectiva individual.
20
Partner
21
Preguntas
Dr. Mariano Groiso
Healthcare Industry Executive,
Spanish South America
mgroiso@cl.ibm.com
22
Healthcare Software Solutions Overview Provider
• Clinical and Patient Portals• Real Time Asset Location• Healthcare ESB• Initiate Exchange/HIE• Asset Management for Hospitals• Patient Centered Medical Home• Medical Image Cloud• ECM for Healthcare (Datacap)• Medical Record Text Analytics• BAO for Healthcare• Pathways
22
• Health Plans• Core Systems Modernization• Member 360, Provider 360• Health Plan Analytics• Service Management• Security Authentication and Access• ECM for Healthcare (Datacap)• Initiate Patient•Inititate Provider•Initiate Exchange / HIE
• Life Sciences•SCORE•Asset Management• Performance Management•Track & Trace
23
Health Integration Framework DomainHealthcare ProvidersEnterprise Health Analytics
• The aggregation and analysis of information across a healthcare enterprise, to improve clinical, financial or administrative outcomes and results.
Patient and Clinician e-Views (portals)• Using a portal-based user interface for the aggregation of
information across a healthcare and life sciences enterprise, to create custom views depending on role and providing new services.
Clinical Integration and Interoperability (HL7 ESB)• The integration, exchange, and sharing of information across a
healthcare organization. This can involve the integration of multiple systems within a single hospital, or within an integrated delivery network.
Health Information Exchange (HIE)• The exchange, sharing and usage of information across multiple
healthcare organizations, regions, or communities of interest.
23
Partner
24
• Enables complex, strategic initiatives
• Prescribes a drug
• Delivers a prescription
• Processes a claim
• Accesses clinical information
• Connects with physicians
• Creates a client-centric commercial lab
• Creates a national EHR
Client Wins Initiate
24