Soluciones de SW IBM para una industria con nuevos desafios

Dr. Mariano Groiso Lider de industria de Salud para Sudamerica Hispana

Factores globales que estan llevando a una transformacion de la industria de la salud

Globalizacion

Poder del consumidor

• Competencia a nivel mundial

• Mas comprometidos y demandantes de control sobre su salud

• Cambio en los Modelos de Negocio (turismo medico, clinicas retail, centros de wellness)

Cambios demograficos y de estilo de vida • Poblaciones mas viejas y obesas • Mayores costos asociados • 1.5 billion obesos estimados en 2015

Source: Healthcare 2015: Win-w in or lose-lose?

• 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

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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

Haifa, Israel HIE Interoperability - Images Management

Hursley, UK Healthcare Service Bus - Devices, HL7 V3, CDA

Zurich, Switzerland 3D EHR modeling

Austin, USA Hospital Room Of the Future, RFID - Real Time Location Services

Beijing, China Traditional Chinese and Western Medicine EHRs

La Gaude, France Drug RFID Tracking, Health Analytics

Dallas, USA Health Analytics Center

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Marco de referencia de soluciones de Salud de IBM

Payer Solutions

Provider Solutions

Research

IBM Health Integration Framework

eHealth and Collaborative Care

Enterprise Health Analytics

Clinical and Business Transformation

Public Health Surveillance

Security and Privacy Health Integration Framework Business Partner Ecosystem Health IT Systems Management, Servers, Storage, Communications networks, Security and associated services

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Marco de referencia de soluciones de Salud de IBM

Provider Solutions

Payer Solutions

Health Information Exchange

Patient, BI & Hospital Consumer and Performance Systems Clinician Portal Management Health Hub Implementation (Enterprise Healthcare Medical Image Service Bus/ Asset File Neutral HL7) Management

Research

IBM Health Integration Framework

Security and Privacy Health Integration Framework Business Partner Ecosystem Health IT Systems Management, Servers, Storage, Communications networks, Security and associated services

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Business Partners

Enterprise Health Analytics Solution Overview Healthcare Provider Solutions Business Partners Health Integration Fram ew ork

Enterprise Health Analytics Governance

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. 7

InfoSphere Clinical Analytics Solution Overview 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

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Enterprise Health Analytics Origen de los datos

Mejora Quality de Calidad Improvement

Clinic

X

B

8

X

B

7

X

B

7

X

B

6

Y

B

6

Y

B

5

X

A

5

X

A

4

X

B

4

X

B

3

Y

A

3

Y

A

2

X

A

2

X

A

1

X

A

1

X

A

3C

2C

1C

3C

2C

1C

Local Normalized Vocabulary Vocabulary 8

X

B

7

X

B

6

Y

B

5

X

A

4

X

B

3

Y

A

2

X

1

X

A

3C

2C

1C

A

Disease Cubes

Analisis de Outcomes

Dashboard

Clinic

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Ambiente Analitico

Hospital

Mapeo-Validacion-Normalizacion

Sistemas Separados en Silos

Hospital

Seguridad del Paciente

Operaciones

Performance del Medico

Cuidado y mejoras de operaciones

Analisis

Monitoreo

Consolida los datos de la organizacion en una “Unica fuente de la verdad”

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Business Partner

Clinical and Patient Portals Solution Overview Healthcare Provider Solutions Business Partners Health Integration Fram ew ork

Portales Clinicos y de Pacientes Governance

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.

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Client Win Kaiser Permanente 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

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Client Wins Healthcare Portals and Collaboration

Duke Medical

Univ of Texas Cancer Therapy & Research Center

Richardson Regional Medical Center

Danish eHealth Portal

Mayo Clinic

Healthways

King Faisal Cancer Center

Memorial Health System

UZ Gent University Hospital System

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Healthcare Integration and Interoperability (Health Hub) Solution Overview Healthcare Provider Solutions Business Partners Health Integration Fram ew ork

Healthcare Integration and Interoperability Governance

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.

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Health Information Exchange Solution Overview Healthcare Provider Solutions Business Partners Health Integration Fram ew ork

Health Information Exchange Governance

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

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Escenario HIE de intercambio de documentos Patient Identity Manager A87631 M 8354673993

14355

L-716

EMR

Physician Office

Co mmunity Do cument Repository

ED System Document Registry

Document Repository

EHR System Register Document

HL7-CDA Gateway

Query Document Retrieve Document

EHR System

Community Hospital 15

Lab Info. System

Document Repository

Provide & Register Document

Teaching Hospital Audit record repository

HIE Community Hub

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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

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.

• 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.

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Solution Stack Product Mix – HIF for Providers

Base  Runtime Advance d  Package

Clinical Business  Intelligence-Health  Analytics – Payer/ Provider

Enterprise Integration &  Interoperability

Healthcare Portals

InfoSphere Clinical Analytics Health Plan Data Model V7.x

WebSphere Application Server V6.1 WebSphere Message Broker V6 or V7

WebSphere Portal Server V6.1 Tivoli Access Manager

Cognos 8.x BI

WebSphere MQ V6

Tivoli Identity Manager

InfoSphere Data Architect

Tivoli Monitor TAMBE

WebSphere Process Server (future BPM support for eReferrals)

InfoSphere Data Analyzer

(Clinical/Patient)

InfoSphere Data Stage InfoSphere Quality Stage InfoSphere MetaData InfoSphere MDM WebSphere Portal Server TIM TAM iLog/Jrules

Related  Products

InfoSphere Information Server

InfoSphere MDM (eMPI version)

Assets 

Pre Built Scorecards, Dashboards, Reports

HL7 Message Transformations

CCOW

CIM, Msg Flows, CDA

JSR168 support Lotus Health Care Accelerator

XDS, ATNA, PIX/ PDQ

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Real Time Location Services WebSphere Process Server (Process Choreography)

WebSphere Portal Server

Cognos

Maximo (Enterprise Asset Management)

(Healthcare Portal)

ERP, WMS, HR Supply Chain

(Enterprise BI and Performance Mgmt Apps)

ERP Connectors

WebSphere ESB

Patient Workflow Applications

Location Awareness Services

Traceability Services

(RTLS Location)

(EPCIS, Dashboards) Data Capture

Complex Event Processing

Hospital Systems (EPIC, Cerner, McKesson, Cardinal)

IBM HL7 Connector

Reporting

WebSphere Sensor Event Server

Zigbee

Helicom Zebra WhereNet

Ultra Wide Band

Ultrasound

Infrared

Radience Centrak



WiFi

AeroScout Ekahau .

Barcode

Passive RFID

Gen2 Standard UHF, HF

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Client Wins RTLS deployment en 40+ hospitals desde 2006

3000 equipment items in 500 bed hospital.

ED patients

Clinician logon-logoff in patient room.

Patient charts in 300 bed hospital

Staff in psychiatric ward.

Patients and Staff in ED.

Patients in Staff in Emergency clinic.

NIH funded mass casualty study with MIT and Harvard.

Patients and staff in OR.

Second Seton deployment. 1500 equipment items in 250 bed hospital.

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Health Integration Framework Domain Health Plans (Isapres)

Partner

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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Preguntas Dr. Mariano Groiso Healthcare Industry Executive, Spanish South America [email protected]

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Healthcare Software Solutions Overview  Provider • Health Plans • Clinical and Patient Portals • Core Systems Modernization • Real Time Asset Location • Member 360, Provider 360 • Healthcare ESB • Health Plan Analytics • Initiate Exchange/HIE • Service Management • Asset Management for Hospitals • Security Authentication and Access • Patient Centered Medical Home • ECM for Healthcare (Datacap) • Medical Image Cloud • Initiate Patient • ECM for Healthcare (Datacap) •Inititate Provider • Medical Record Text Analytics •Initiate Exchange / HIE • BAO for Healthcare • Life Sciences • Pathways •SCORE •Asset Management • Performance Management •Track & Trace

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Health Integration Framework Domain Healthcare Providers Enterprise Health Analytics • The aggregation and analysis of information across a healthcare enterprise, to improve clinical, financial or administrative outcomes and results.

Partner

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

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Client Wins Initiate • Enables complex, strategic initiatives • Prescribes a drug • Delivers a prescription • Processes a claim • Accesses clinical information • Connects with physicians • Creates a national EHR • Creates a client-centric commercial lab 24

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