Top Banner
SUPPORTING INTEROPERABILITY AND TECHNOLOGY MIGRATION AT YOUR HOSPITAL
21

Supporting Interoperability and Technology Migration at Your Hospital

Jan 22, 2018

Download

Healthcare

Spok
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: Supporting Interoperability and Technology Migration at Your Hospital

SUPPORTING INTEROPERABILITY AND TECHNOLOGY MIGRATION AT YOUR HOSPITAL

Page 2: Supporting Interoperability and Technology Migration at Your Hospital

2

AGENDA

The evolution of healthcare

Healthcare technology and challenges today

Leveraging your investment in legacy technology

Smoothing technology migrations

Preparing for the future

Page 3: Supporting Interoperability and Technology Migration at Your Hospital

3

HEALTHCARE HAS CHANGED

Healthcare used to be simpler

Today, things are much more complex

• See 1-2 doctors per visit• Paper charts follow the patient

• Many sources of information: EHR, IoT, wearables• Many beeps and buzzes• Several specialists forming a care team• Many different ways to reach each person

Page 4: Supporting Interoperability and Technology Migration at Your Hospital

4

EVOLUTION OF HEALTHCARE IN THE U.S.

Medicare and Medicaid signed into

law1950s

1960s

1960s –present

Pagers change critical communications

Proliferation of department-specific systems and PBXs

The birth of the electronic health record (EHR)

Patient monitoring devices keep the pace

1970s

1960s –1970s

Page 5: Supporting Interoperability and Technology Migration at Your Hospital

5

EVOLUTION OF HEALTHCARE IN THE U.S.

On-call scheduling gets smart

Nurse! Nurse call technology puts patients’

needs first

HIPAA + HITECH signed into law

Smartphones put apps at our fingertips

1980s

PACS pivot radiology from film to digital

images

1980s

1980s –1990s

2000s

1990s

Page 6: Supporting Interoperability and Technology Migration at Your Hospital

6

THE HEALTHCARE TECHNOLOGY LANDSCAPE TODAY

Page 7: Supporting Interoperability and Technology Migration at Your Hospital

7

THE IMPORTANCE OF INTEROPERABILITY AND INTEGRATION

Page 8: Supporting Interoperability and Technology Migration at Your Hospital

8

HEALTHCARE CHALLENGES TODAY

• How do we provide better, faster patient care while reducing costs?

• Is our patient information secure?

• How is our payment model going to change with healthcare reform?

Organizational Challenges Tactical Challenges

• How do we incorporate new technology without hindering workflows?

• What if my physicians all want to receive messages on a different device?

• How do we get actionable information out of our EHR and into physicians’ and nurses’ hands?

Page 9: Supporting Interoperability and Technology Migration at Your Hospital

9

INTEGRATION WITH INFORMATION SYSTEMS

SMTP: Generic text-based messaging

HL7: Healthcare-specific formatted messaging

API: Programmed integrations

URL: Launch of 3rd-party application with

or without context

MODES OF INTEGRATION

Page 10: Supporting Interoperability and Technology Migration at Your Hospital

INTEGRATION WITH A VARIETY OF INPUTS AND OUTPUTS

Flexibility of Inputs

MODES OF INTEGRATION• SMTP• HL7• API• URL

Flexibility of Outputs

Page 11: Supporting Interoperability and Technology Migration at Your Hospital

11

INTEROPERABILITY WITH LEGACY TECHNOLOGY

Goals: Protect your investments and extend their value

Millions of pagers still in hospitals

Legacy nurse call and patient monitoring systems prevalent and critical

Legacy technologies in process of evolving

Page 12: Supporting Interoperability and Technology Migration at Your Hospital

12

Patient, short of breath, hits nurse call

Communications platform messages assigned nurse with context

Page 13: Supporting Interoperability and Technology Migration at Your Hospital

13

INTEGRATION WITH MODERN TECHNOLOGY

Goal: Consolidate legacy and modern technologies onto a single platform, while limiting disruption seamlessly maintaining and/or enhancing your workflows

Which of the following hospital systems are currently integrated with your communications infrastructure?

EHR Secure text Messaging

Nurse call Patient monitoring

Emergency response

Critical Test Results Management

Bed management

Staff contact directory

Operator console

On-call scheduling

73% 54% 47% 36% 36%

31% 31% 30% 26%29%

Page 14: Supporting Interoperability and Technology Migration at Your Hospital

14

Intern orders portable chest X-ray

Radiologist sees new pneumothorax

Critical test alert goes to intern

5MIN

Escalated to resident

Page 15: Supporting Interoperability and Technology Migration at Your Hospital

15

Patient short of breathBlood pressure: 110/60Temperature: 102.5°Respiratory rate: 27 bpmHeart rate: 105 bpm

Rapid response team ordered

Sepsis possible

Nurse Supervisor

Critical Care RN

Respiratory Therapist

Page 16: Supporting Interoperability and Technology Migration at Your Hospital

16

Automated messages to transport, valet, and environmental services

Page 17: Supporting Interoperability and Technology Migration at Your Hospital

17

HEALTHCARE IN 2020 - PREDICTIONS

mHealth

3D Printing

Telemedicine

Interoperability

Value-based healthcare (fee-for-value)

Artificial intelligence spending to hit $46 billion

80% of healthcare data to travel through the cloud

Patient-centered and outcome-based delivery models

Page 18: Supporting Interoperability and Technology Migration at Your Hospital

18

RECENT SURVEY RESULTS

Page 19: Supporting Interoperability and Technology Migration at Your Hospital

19

Time

Tech

no

logy

Co

mp

lexi

tyBRIDGING THE GAP

You are here

Page 20: Supporting Interoperability and Technology Migration at Your Hospital

20

Smoothing technology migration

Creating a path to the future

Protecting your investment

KEY TAKEAWAYS