soluciones de swg para una industria con nuevos desafíos

Dr. Mariano Groiso

Lider de industria de Salud para Sudamerica Hispana

Soluciones de SW IBM para una industria con nuevos desafios

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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?

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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

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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

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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

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Provider Solutions

Research

Health ITSystems Management, Servers, Storage, Communications networks, Security and associated services


Payer Solutions

Security and Privacy

Health Integration Framework Business Partner Ecosystem


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

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Enterprise Health Analytics Solution Overview


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

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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

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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

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LocalVocabulary

Dashboard

Seguridad del Paciente

Analisis de Outcomes

Quality Improvement

Performance del Medico

Mejora de Calidad

Cui

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NormalizedVocabulary


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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


Business Partners


Business Partner

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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

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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

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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


Business Partners


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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


Business Partners


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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

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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.

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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

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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

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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

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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.

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Partner

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Preguntas

Dr. Mariano Groiso

Healthcare Industry Executive,

Spanish South America

[email protected]

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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

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• 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

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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.

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Partner

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• 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

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