1. Georgia central EmR project Steering committee, 29th of August, Tbilisi.
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2. Our project mission
Improve care by making patient data accurate and available for clinicians
Emergence of better informed, more choices, and empowered patients
Emphasis on preventive care rather than just cure
Shift in alternative care models to reduce costs
Increase in shared IT services for clinics and hospitals
There is an emergence of better informed and empowered patients due to mobile devices and social media with greater opportunity to choose, creating competition and alternative communication channels
Growing availability of intelligent analysis and management tools for patient and medical information is leading to a paradigm shift with growing emphasis on wellness and prevention care rather than just cure for both Providers and Payers, increasing the need for information access
Due to cost pressures there is a shift in alternative care models from the costly hospital inpatient setting which now needs information technology to support and needs to be integrated back into the continuum of care.
The lines continue to blur between healthcare Providers and Payers due to mergers, acquisitions, partnerships and new business opportunities
Large Payers are moving to become technology suppliers to Providers and/or others for such applications as care management and wellness in addition there is an increase in Provider to Provider shared services
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3. Georgia National/Regional Healthcare Key Objectives
NATIONAL EMR
International Standards Compliant Archive
Best of Breed Infrastructure Technology
NATIONAL VNA
Medical Image Repository for enhanced Patient Mobility
Unified Viewer enabling the future e.g. TeleRadiology
NATIONAL ANALYTICS
Business Intelligence, Reporting & Analysis Modules
Predictive Health, Controlling $, Targeted Campaigns
SINGLE VENDOR
A proven & packaged solution managed by one vendor
Reduced complexity of services & ongoing support
FUTURE READY
Integration Portfolio enables new eHealth services
wHospital Framework is Modular = Enable When Ready
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4. The Healthcare Ecosystem
Consumers
Providers
Government
Hospitals
Insurance
Doctors Office
Everyone does… but its each healthcare providers view of their relevant data…
Citizens
Diagnostic Center
Healthcare
Life Sciences
Pharmacies
Medical Research
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5. Interconnectivity of Healthcare is the Key
Smaller Hospitals
Larger Hospital
HIS
Smaller Hospitals
Smaller Hospital
Smaller Hospitals
Commercial
Cloud
Larger Hospital
HIS
Affinity Domain #2
Central EMR
Smaller Hospitals
Commercial
Cloud
Central HIS
HIS
Affinity Domain #3
Larger Hospital
HIS
Smaller Hospitals
Affinity Domain #1
National Cloud
Commercial Clouds Will Form – They Must Be Able To Share
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6. National Healthcare Ecosystem (Initial Phase)
EMR
Citizen Mobile Wallet
Citizen Portal
Citizens of Selected Hospital
Central EMR
Business Intelligence Reports (10)
10 Doctors (Non-Hospital)
1 Large Hospital
5 Pharmacies
Representatives of Min. of Health
HL7 Integration & Manual EMR WebForm
GP Portal
ePrescriptions
Introduce eHealth to a limited community of actors to prove the architecture, workflows and user experiences (UI). Ensures higher success for the wider rollout to a region/nation
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7. Topics to be discussed
After phase one - funding the next activities
Connect next hospitals and clinics to national EMR
Change Management
Image archive and sharing
Creation of Center of excellence
University program
Transformation continuation
Mobile care further development
Integration to ePrescription
Doctors appointments
Pills taking reminders
Decision support
Predictive analytics
Home care and TeleCare
Chronicle disease Management
There is an emergence of better informed and empowered patients due to mobile devices and social media with greater opportunity to choose, creating competition and alternative communication channels
Growing availability of intelligent analysis and management tools for patient and medical information is leading to a paradigm shift with growing emphasis on wellness and prevention care rather than just cure for both Providers and Payers, increasing the need for information access
Due to cost pressures there is a shift in alternative care models from the costly hospital inpatient setting which now needs information technology to support and needs to be integrated back into the continuum of care.
The lines continue to blur between healthcare Providers and Payers due to mergers, acquisitions, partnerships and new business opportunities
Large Payers are moving to become technology suppliers to Providers and/or others for such applications as care management and wellness in addition there is an increase in Provider to Provider shared services
© Copyright 2013 EMC Corporation. All rights reserved.

8. The end result
There is an emergence of better informed and empowered patients due to mobile devices and social media with greater opportunity to choose, creating competition and alternative communication channels
Growing availability of intelligent analysis and management tools for patient and medical information is leading to a paradigm shift with growing emphasis on wellness and prevention care rather than just cure for both Providers and Payers, increasing the need for information access
Due to cost pressures there is a shift in alternative care models from the costly hospital inpatient setting which now needs information technology to support and needs to be integrated back into the continuum of care.
The lines continue to blur between healthcare Providers and Payers due to mergers, acquisitions, partnerships and new business opportunities
Large Payers are moving to become technology suppliers to Providers and/or others for such applications as care management and wellness in addition there is an increase in Provider to Provider shared services
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10. INTEGRATED PATIENT RECORD SOLUTIONS
DOCUMENT IMAGING FOR MEDICAL RECORDS
MEDICAL IMAGE SHARING AND MANAGEMENT
VIRTUAL PATIENT INFORMATION REPOSITORY
Unlock the information in paper-based patient records
Expand the
patient record with collaboration and analytics.
Consolidate, access, share and manage medical images
INTEGRATED PATIENT RECORD SOLUTIONS
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11. Citizen Mobile EMR – Sample Screens
Prescription Issued to Citizen, Accessed on Phone, Data pulled from HIP, GPS and Maps linked to Dispensary Locations
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12. Citizen Mobile EMR – Sample Screens
Arrived at drug dispensary, Fulfilled by Chemist, Contactless Payment, Written back to Central EMR, Receipt Stored on Device
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13. HIP PatientViewer Workflow Screenshot
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14. Predictive Health (HIP & Greenplum)
Linked to data collected from all activities (hospital, outpatients, chronic conditions) the HIP grows…
Patient Records Digitisation
Mobile Working
EPR
Patient Portals
COST TO SEQUENCE
ONE GENOME
FELL FROM
€80M IN TO €8K IN 2011
Clinical Processes
Telemedicine
Medical Imaging
Gene Sequencing
HIP
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15. Healthcare Business Analytics
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