Changing Processes in Hospitals with mhealth. Prof. Dr.-Ing. Wolfgang Riedel Institute for Hospital Administration, Braunschweig, Germany

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1 Changing Processes in Hospitals with mhealth Prof. Dr.-Ing. Wolfgang Riedel Institute for Hospital Administration, Braunschweig, Germany

2 IfK Institut for Hospital Managment Prof. Dr.-Ing. Wolfgang Riedel Braunschweig, Germany

3 IfK Institut for Hospital Managment Prof. Dr.-Ing. Wolfgang Riedel

4 IfK - Institut for Hospital Management ICT IT HIS, EHR, Digital Archive (DMAS), PACS, PDMS, Mobile-IT Radiology, Laboratory, Dienstplanung, Zeitwirtschaft Process Optimization Communication IP-Kommunikationssysteme: TK-Anlagen, VoIP, Wireless-VoIP, Video, Patientenlösungen (Telefon, TV, Internet), ehealth, Telemedizin Networks Speech, Data, Video Networks: LAN, WLAN UCC: Unified Communications and Collaboration Medical Equipment Radiology, Laboratory, POCT PDMS, Monitoring 4

5 Today s mhealth apps are made for consumers/patients not for professionals Managing Medical Conditions 3% Alerts/Awareness 3% Diagnosis Tools 4% CME 7% Fitness & Nutrition 9% Other 10% Wellness 14% Medical Reference 29% Health Tracking Tools 21% Base: All mhealth applications from Windows Marketplace for Mobile; Top 100 most popular mhealth applications from BlackBerry App World, PocketGear, Handango; Top 200 most popular mhealth applications from Android Market, Apple App Store. Other includes Patients Health Record, Medication Compliance, Remote Monitoring, Remote Consulting, Emergency, Logistical support, etc. Source: research2guidance

6 Are physician ready for change? Smartphone and tablet penetration among physicians in % % 91% 6 81% 5 67% % 84% 2 62% 1 54% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Sources: 1 Google/Manhattan Research, 2 Manhattan Research, 3 Google/Manhattan Research, 4 Float Mobile Learning, 5 Prism Healthcare, 6 EPG Media, 7 EPG Media, 8 DocCheck, 9 - DocCheck

7 Mobile App is not enough What is the right strategy for mobile Health? Hospitals have to choose the right mobile strategy and platform Hospitals have to choose the right mobile applications Hospitals have to change their processes for mobile applications

8 ICT current issues IT Medical Technology? Communication / Collaboration 8

9 What is the right strategy for mhealth? IT (EHR) GUI App-Integration Mobile-Apps Communication / Collaboration WLAN / LAN Conferencing Collaboration Locating Alerting Mobile Mobile Devices Tablet, Smartphone MDM BYOD Medical Product? Medical technology Security EN MIT = Medical Technology and

10 IT-Concept Example (SAP based)

11 Philosophy Healthcare ICT Monolith? versus Best of Breed EHR, PDMS, RIS, PACS, Patientenakte PACS RIS

12 IT-Situation Archive Paper dominated as well: Archive Patient Records (Ist-Situation)

13 ICT - Information and Communication Hype-Topics of 2014 in Healthcare for Hospitals: How do the Hospital Information Systems in the future look like? How are the main IT-supported processes designed? Which is the role of Mobility? 13

14 ICT - Information and Communication As in other countries there is also in Germany a trend towards regional, hospital-wide IT solutions Convergence of medical technology, Life-Science and IT Medical Equipment? Information Technology 14

15 Mobile Computing im Gesundheitswesen so: or so: 15

16 Mobile Computing Why Mobile Computing? - Zugriff auf Online-Akte, ortsunabhängig - Datenerfassung am Point-of-Care - Verzicht auf Papier - etc. Process Optimization is necessary! Not every device is suitable for each process! 16

17 Communication changes? Various communication channels Different Systems Problem: Too many devices and different user interfaces

18 Which is the best mobile device? Quelle: Intel

19 Welches Gerät wofür? Quelle: Intel

20 EHR - Mobile Data Access Mobile Infrastructur is neccessary!

21 Touch and App My Philosophy: the personal mobile device will prevail, but which one? die richtigen Anwendungen entstehen gerade erst. Integrationplatforms (Frameworks) are neccessary! Choose the right device für each process 21

22 Open, flexible architecture

23 SAP EMR Unwired

24 Strategy: ICT and UCC IP-Communication: Communications und Collaboration im Healthcare System 24

25 ICT-Strategy UCC: Unified Communications und Collaboration - UC Devices : Example: Avaya Flare 25

26 Process Optimization with Mobile Devices: which processes are relevant for the success of a hospital? Patient Workflow Computerized Physician Order Entry (CPOE) Quality Assurance Medication, Drug Safety No Use of Paper Documentation, Online-Documentation, Medical Reports, Time Management, Medical Controlling, Integration of Medical Technology, User Authentification (Single-Sign-On)?

27 Prozessoptimierung Quelle: imatis.com 27

28 Benefit of Mobile Processes (Ex.) Process Benefit Priority Initial Medical Examination : medium + Time Management: high +++ Mobile EHR (Documentation): High +++ Nursing Documentation: high +++ Order-Entry (Communication): high +++ Viewing (PACS): high +++ Pharmaceuticals / Medical History: high +++ Medication: high +++ Patient Dismissal: medium + Patient Information: high +++

29 Benefit of Mobile Processes (Ex.) Process Benefit Priority Delivery Service: high +++ Menu Acquisition: high +++ Medical Technology and Services: medium ++ Patient Internet Services: low --

30 Current Process (Ex.)

31 Mobile Process (Ex.)

32 Economic Efficiency of Mobility

33 Mobile Strategy and Integration Platform for Healthcare

34 Mobility? HIS APP Read - Write DB Only Reading? Read / Write?

35 IT-Architecture for Mobility Mobile EHR mobile PACS Transportservice MT/BT Data Patient Informatio n Special Applications others Integrationplatform proprietary proprietary proprietary proprietary HL7 / IHE EHR / Archive healthengine EHR PACS Transport - Services Technik MT/BT Data Patient Information... SAN SAN NAS PACS

36 The health engine as a heart of flexible networking dynamisch Portal, Apps Mobile Intranet, Extranet Mitarbeiter Personalisierung Patient Anfragen Anmeldung Akteneinsicht B2C B2B Fach- Applikationen Capture, Deliver KIS RIS/LIS PACS BI CRM Office/ SAP Scanning EFA 2.0 (IHE) EPA 291a EGA (Patient) Telemedizin IV-Prozesse (med/adm) Service- Infrastruktur EAI, Semantik Manage Enterprise Information Management (ECM 2.0) Prozessmanager - Integrationsplattform Standard-, Kundenspezifische- und IHE-Prozesse. MVZ/Facharzt/ Pflege/Belegarzt (MicroNova/DGN) Analytik Evaluation Basis- Services Store, Preserve Universelle Patientenakte (EFA 2.0 IHE) MPI Policy PDF & Signatur Service Archiv, ILM Records Mgt. MDK- Management Cloud Services stabil Storage HSM SAN NAS PACS NAS CAS Business/IT Consulting Business Process Management Business Engineering Project- und Change Management

37 IfK - Institut for Hospital Management Contact: Prof. Dr. Wolfgang Riedel IfK Institut für Krankenhauswesen, Braunschweig - Germany Mail: Tel. +49 (531) Fax. +49 (531) More Webpages: 37

38 Thank you for your attention Any Questions? Prof. Dr.-Ing. Wolfgang Riedel Institute for Hospital Management - IfK D Braunschweig - Germany Tel. +49 (531)

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