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EMR, EHR & Service Excellence Journey Healthcare ICT Ahmad Yahya Chief Information Officer (A) Sheikh Khalifa Medical City.

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Presentation on theme: "EMR, EHR & Service Excellence Journey Healthcare ICT Ahmad Yahya Chief Information Officer (A) Sheikh Khalifa Medical City."— Presentation transcript:

1 EMR, EHR & Service Excellence Journey Healthcare ICT Ahmad Yahya Chief Information Officer (A) Sheikh Khalifa Medical City

2 Topics Organization Overview EMR Implementation Journey at SKMC. EHR Implementation across SEHA and value proposition Realities of Healthcare

3 About SEHA Abu Dhabi Health Services Company (SEHA) Public Joint Stock Company owned by Govt. of Abu Dhabi. Focus to deliver world class medicine to residents of AD Owns and operates: –12 Healthcare Facilities, 2,644 licensed beds –62 AHCs/PHCs, 2 Blood Bank Centers and Diabetic Clinics. One of the largest employers in Middle East: 16,700 Staff

4 Sheikh Khalifa Medical City-SKMC Largest Hospital & Medical City in UAE Flagship Institution for Public Health System Encompasses several Centers of Excellence. Tertiary Care Teaching Hospital 700 Beds ( 125 Behavioral Sciences) 850K Patient visits, 7K Surgeries, 180K ED Visits 14 Outpatient Specialty Clinics 3,400 FTE (Over 50 Countries Represented)

5 SKMC Accreditations April 2011: The Surgical Pavilion, Medical Pavilion, 14 Outpatient Specialty Clinics and Abu Dhabi Blood Bank are all accredited by Joint Commission International (JCI) June 2009: SKMC is accredited as a Cycle III Chest Pain Center by the Society of Chest Pain Centers (SCPC). SKMC is the first hospital outside the USA to attain this accreditation for its cardiac and emergency services November 2012: Reaccreditation Level IV December 2010: SKMC Laboratory Medicine Department, Abu Dhabi Blood Bank and POC testing are accredited by the College of American Pathologists (CAP) December 2012: Reaccreditation 5

6 Snapshot History & Technology EHR – Pharm, Lab, CPOE, Clinical Doc, Surgery, ED, RIS, PACS ERP-Finance, HR, SCM UC 2000 EHR – Physician Doc. Critical Care, Device Integration JCIA Re- Accreditation CAP Accreditation EHR – Anesthesia ABN BMDI Unified Order Entry eRefferal

7 One Centralized Environment Achieve the eGovernment Vision – One Patient/One Record Enables population health management across the system. Enables chronic disease management across the system System wide reporting capabilities Personal Health Record (National ID, communicate with physicians, schedule appointments and request refills at a countrywide level) Speed to Change Easier to implement government quality/regulatory initiatives across the system Speed to patient safety and Return On Investment (ROI) Easier to maintain/keep up to date Overall Cost Little to no interoperability issues Reduced training costs, particularly for clinicians that practice at multiple facilities Significantly lower Total Cost of Ownership

8 Health Care in the UAE Before SKMC Hospital Mafraq Hospital Al Ain Hospital Now Under process Between 1960 - 1980 Oasis Hospital, First In UAE Old Wards Paper; Paper Everywhere!! Diagnosis - No flow!!! Organized Facilities Health Care Flow Under process After Hospitals New Facilities

9 Technology - Strategic Themes Optimize Patient Flow and Satisfaction – Patient Centric –Evidence Based Medicine/Order Sets/Pathways –Integrated EMR Optimize IT solutions & Provide operational dashboards –Integration, BI, Data Warehouse, Reporting, Six Sigma Enhance IT governance and oversight –COBIT, PMP, ISO 20000 Deliver world class IT service experience to staff: –ITIL, ISO 20000, ISO 27001, PMP

10 IT Strategy Building Block Ancillary Services: Laboratory – Pharmacy – Radiology – Surgery – ED Enterprise Master Patient Index - EMPI Hospital - Inpatient ADT Clinic – Outpatient Core Clinical Inpatient & Outpatient Billing/Patient Accting Enterprise Resource Planning ERP Finance – HR – Supply Chain Enterprise Resource Planning ERP Finance – HR – Supply Chain Enterprise Business Intelligence Performance Point/Anthem / Cerner Health Authority Oracle/AD/UC Infrastructure Ancillary Services : PACS – CVIS – Critical Care – Blood Bank – Cardiology - CSSD EMR Mallafi

11 Buy-In and Deployment of EMR Leadership Support & Buy-in critical Physicians Engagement is a Must - Champions Do Not Automate Paper – Order Sets. Planned Measurements and Outcomes. Workflow & Process mapping (Before and After) Communication (Clinician Engagement, Early and often) Project Teams: –Application –Technology –Clinical Transformation –Training

12 Oracle (ERP) HR Finance Malaffi (Cerner) - EHR Medical Rec. Scheduling Registration Radiology Retail Pharm Pharmacy Lab CPOE Material Mgt GL & AP Billing Meditech Material Mgt Pharmacy Lab Order Entry Great Plains GL & AP HR (limited) Payroll Billing Surgery Emergency Nursing Doc Physician Doc Phase 2a – Dec. 2009 Phase 1 – July 2008 Oct. 09 Implementation Strategy Phase 2b Nov 2010 2011 Critical Care CVIS Registration

13 Application & Training Teams Application Specialists –Design, Build, Validate –Integration & Interface –Implementation –Support Over 50 Trainers & 12 Training Rooms Over 2900 clinical staff trained

14 Technology Team Service Desk & Desktop Support Back Office Systems Network and Telecommunication (UC) Wireless Deployment (Mobility). New Desktop Look & Feel Intranet Collaboration/Workflows Enhanced Security.

15 Malaffi Devices 250 Workstation On Wheels (WOW) 200+ Tablets - Utilized by physicians, Nurses, and Patient Experiece staff 200+ wall-mounts carefully distributed across SKMC 1000+ PCs and 900+ Printers/Scanners

16 Clinical Transformation & Communication Team Patient Workflow –Review & Design –Process improvement Evidence-Based Order Sets Device Road Show Comms Development and Distribution –Patients, Staff and the Project Team –Newspaper Ads & Press Releases Long term view

17 Malaffi is the EMR composed of… * Not a comprehensive list of features/functions Patient Demographics Test Orders Interfaces to Medical Equipment such as Laboratory Instrumentation and Bedside Medical Devices (e.g., Monitors, Ventilator's, etc.) Emergency Department & Operating Theatre Tracking Boards and Documentation Medication Ordering and Administration Details-eMAR Test Results Health Reminders, Monitors, and Alerts

18 Medication Process Improvement (Patient Safety) The Old Fashioned Way The New and Improved Method Hand Written Prescriptions Printed Prescriptions

19 Malaffi Benefits & Business Imperatives Improve Patient Care - One Patient…One Record Patient Safety Reduce Medical Errors Care Delivery Increase Physician Access to Clinical Information at the Point of Care Enables chronic disease management across the system (continuum of care) Increase Efficiencies/Cost Effectiveness Turnaround time Improve Response Time to Patients Resource Consumption Eliminate Redundant Test and Data Collection

20 PACS & CPACs PACS HIS Integrated and direct feed into EMR. Voice recognition: Radiologists report directly in EMR. Images stored electronically, viewed on any computer. System available 24 hours a day within health system CPACS Images from ALL sites available, irrespective of the source. Inter-facility proxy reading. Inter-facility second opinion, on the fly. Acts as online back-up of local images on central archive. Eliminate need for duplicate exams

21 Current: Centralization of Images

22 ehealth One Patient…One Record

23 EMR, EHR & Service Excellence Journey Healthcare ICT Ahmad Yahya Chief Information Officer (A) Sheikh Khalifa Medical City US Electronic Medical Record (EMR) Adoption Model Industry standard Healthcare Information and Management Systems Society (HIMSS) Analytics Model for Electronic Medical Record (EMR) adoption

24 Asia Pacific EMR Adoption Model SEHA Facility Scores (as of Jan 2013) Mafraq – 5.32 SKMC – 5.33 Corniche – 6.-008 Pilot Madinat Zayed – 6.008 Tawam – 6.008 Al-Ain – 6.008 Al-Rahba – 6.008

25 Realities to Deal With Healthcare is becoming borderless. Patient experience will matter. Payment will be linked to value. Social care will blend with healthcare. Enterprises will need to focus on sustainability.

26 Thank You!

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