1. Technology for Improved Health Tanya Znamenskaya Microsoft Industry Manager Central Europe

2. Healthcare Worker Challenges Lots of manual administrative work: 30% Lots of manual administrative work: 30% Inefficient collaboration Inefficient collaboration Disconnected islands of data Disconnected islands of data Multiple devices and interfaces Multiple devices and interfaces Loss of data Loss of data Fatigue Fatigue Medical Errors!!! Medical Errors!!!

3. Medication Mgmt– Medical Errors Are an Issue Germany: 50.000 death due to medication intervention Czech:57% of hospitals report medical errors, 45%unexpected death 0,5% admitted patients die because of introgenic damage (i.e. caused by medical interventions); 50% is avoidable = 0,25% of admitted patients die because of avoidable mistakes– Harvard University study Italy: there are at least 14.000 persons who die every year because of adverse events UK: 40.000 people annually are dying from the wrong diagnosis– British Medical Journal

4. Ensuring continuity: Prevention diagnosis treatment, follow up Microsoft Vision: ICT for Person-Centered Health systems Improving access, quality and efficiency for everyone Connecting all the points of care: Hospitals Physicians-GPs Pharmacies laboratories Homes DOCTOR PHARMACY HOSPITAL LABS HOME IT systems can reduce as much as 75 percent of serious medical errors

5. General Practitioner Electronic Health record of each patient Patient Regional healthcare services Community of Specialists General Practice http://www.cocoon-health.com/ Cocoon : Building knowledge driven & dynamically adaptive networked communities within European healthcare systems (FP6 507126) http://www.cocoon-health.com/

6. Clinical and administrative forms automation: InfoPath’s Split Personality For most people…For solution owners… It’s a design tool enabling rapid solution deployment Handwriting Biometrics included Digital Signature included

7. Share Point Site Typical Hospital Scenario Typical Hospital Scenario Info Access InfoPath InformationCreation DataWarehouse Integration hub BizTalk server With shared services With shared services HL7 CDA XML X Ray, Surgery X ray Remote Hospital Doctor’ officeNurse Doctor’s home HL7 CDA XML HMS HL7 CDA XML

8. Expand externally Expand externally DataWarehouse Integration hub BizTalk server HL7 CDA XML Hospital Insurance Companies HL7 CDA XML Primer Health Online appointments Research Centers Patient Portal

9. Ingolstadt Trauma Centre Customer Profile: Ingolstadt Hospital is a medical center with 1,100 beds that serves a catchment area in the center 25,000 emergency patients each year 20 concurrent patient treated in the emergency ward Customer Profile: Ingolstadt Hospital is a medical center with 1,100 beds that serves a catchment area in the center 25,000 emergency patients each year 20 concurrent patient treated in the emergency ward Business Situation Business Situation Staff at Ingolstadt Hospital’s emergency ward manually collected and submitted patient data to hospital systems. Handling paper forms and repetitive data entry took time away from treating patients and impeded efficient communication between hospital staff resulting in increased wait times for patients. Staff at Ingolstadt Hospital’s emergency ward manually collected and submitted patient data to hospital systems. Handling paper forms and repetitive data entry took time away from treating patients and impeded efficient communication between hospital staff resulting in increased wait times for patients. Solution Solution Windows XP Tablet PC, InfoPath, SharePoint Portal. Windows XP Tablet PC, InfoPath, SharePoint Portal.

10. eHealth Interoperability platform: Askelpios Hospital Cooperation with Intel and Microsoft Cooperation with Intel and Microsoft Integration of Smart Card with EPR Integration of Smart Card with EPR GP using admission portal to access patient examination results GP using admission portal to access patient examination results Using common infrastructure AD services and security Using common infrastructure AD services and security Integration with “Functional Divisions” Integration with “Functional Divisions”

11. Azzixy: Washington Hospital Centre Customer Profile - largest teaching hospital with 250.000 patients annually Customer Profile - largest teaching hospital with 250.000 patients annually Problem - 300 isolated data islands in different formats Problem - 300 isolated data islands in different formats Solution - Real-time Repository for electronic medical records - collects and stores data from all medical systems (images, video etc) - 13 TBD online data per hospital growing 4 TBD annually - 0,2 sec web access via MS ASP.NET Solution - Real-time Repository for electronic medical records - collects and stores data from all medical systems (images, video etc) - 13 TBD online data per hospital growing 4 TBD annually - 0,2 sec web access via MS ASP.NET - customized view on a patient (cardiology, neurology etc, specific) - customized view on a patient (cardiology, neurology etc, specific) Benefits - improved customer care Benefits - improved customer care - 3 mil annual savings in a single department with manual process automation - 3 mil annual savings in a single department with manual process automation - 13 months of implementation and development - 13 months of implementation and development

12. Virtual Health Community: Clalit Health Services Israel. Web services for Healthcare Customer Profile second largest world health organization provides services to 3.7 million clients through 1,200 clinics and medical centers, 80 medical labs and 35 imaging institutions. The organization employs approximately 5,500 doctors, 8,500 nurses, 1,500 lab technicians, 1,000 pharmacists, 1,800 medical experts and 4,500 administrators Customer Profile second largest world health organization provides services to 3.7 million clients through 1,200 clinics and medical centers, 80 medical labs and 35 imaging institutions. The organization employs approximately 5,500 doctors, 8,500 nurses, 1,500 lab technicians, 1,000 pharmacists, 1,800 medical experts and 4,500 administrators Customer Problem: Different systems, lack of integration and data exchange Need to collect data from various legacy systems without changing them Customer Problem: Different systems, lack of integration and data exchange Need to collect data from various legacy systems without changing them Solution: dMotion Middleware (Local SI – NESS) based on MS.NET Web Services Integration based on standards: SOAP, XML Solution: dMotion Middleware (Local SI – NESS) based on MS.NET Web Services Integration based on standards: SOAP, XML

13. The Project to End All Projects English NHS National Programme for IT Objectives: Remove data duplication, share info, improve quality by moving away from paper records Project Duration: 2003-2013 Total budget: USD 11 BnComponents:  National Care Records System (NCRS) – live!  Choose and Book – live!  Picture Archiving and Communications system  Electronic Transfer of Prescriptions  Updating of infrastructure – broadband (N3) – partial  5 regional information systems to be integrated with the national system

14. Real Time Collaboration

17. John ousins@cardiologyassociates.com

18. John Cousins, MD

24. I see mediastinal widening and hylar adenopathy.

25. I’d have to go with Sarcoid in this case.

26. Here’s a good reference on sarcoid

27. More Intuitive User Interface Portals and Web services

30. Microsoft Business Solutions: How to measure hospital efficiency Financial management Financial management  including specific legislation for healthcare Controlling Controlling Asset management Asset management Invoicing, receivables and health insuarance Invoicing, receivables and health insuarance Payables and purchasing management Payables and purchasing management Internal requests, order forms and approval processes Internal requests, order forms and approval processes Pharmacy (internal & commercial) Pharmacy (internal & commercial) Catering (incl. electronic orders) Catering (incl. electronic orders) Increased security of information Increased security of information Hospital Information systems Clinical information systems Enterprise resource planning

34. Czech Republic:Nemocnice Na Homolce controlling – management of the hospital „by one number“ – flexible matrix of key performance indicators controlling – management of the hospital „by one number“ – flexible matrix of key performance indicators Easy reporting: # of admissions, # of interventions, # of days treatments, average length, breakdown of the main diagnoses, mortality, referrals, type of admissions, bed occupancy, average length of treatments Easy reporting: # of admissions, # of interventions, # of days treatments, average length, breakdown of the main diagnoses, mortality, referrals, type of admissions, bed occupancy, average length of treatments „the doctors should treat, not be administrative forces“ „the doctors should treat, not be administrative forces“ ROI achieved during one year: 36% surplus ROI achieved during one year: 36% surplus improvements in communication with health insuarance companies improvements in communication with health insuarance companies

35. Microsoft in Healthcare NHS UK (England) NHS UK (England) Leuven Hospital Belgium Leuven Hospital Belgium Asclepius Hospital Germany Asclepius Hospital Germany Cambridge Hospital, Medical Research Centre UK Cambridge Hospital, Medical Research Centre UK Washington Hospital Centre Washington Hospital Centre Madrid Healthcare Madrid Healthcare ”1177” – Emergency system Sweden ”1177” – Emergency system Sweden Children Regional Medical Centre – US Children Regional Medical Centre – US Guy’s and St Thomas’ Hospital NHS Trust –UK Guy’s and St Thomas’ Hospital NHS Trust –UK Copenhagen Hospital Copenhagen Hospital Arfox Healthcare -SA Arfox Healthcare -SA East Anglia Ambulance Trust East Anglia Ambulance Trust Inland Imaging Centre Spokane, US Inland Imaging Centre Spokane, US IMS Health UK IMS Health UK Clalit Health Services Israel Clalit Health Services Israel Emergency system Israel Emergency system Israel Private Medical Centre Moscow Private Medical Centre Moscow

36. © 2005 Microsoft Corporation. All rights reserved. This presentation is for informational purposes only. Microsoft makes no warranties, express or implied, in this summary.