DIGITAL HOSPITALADAPTING TO THE NEW HEALTHCARE LANDSCAPE

Olivier CrolyCOCIR Business and Innovation Committee  eHealth MemberVP & GM Healthcare IT Europe, GE Healthcare

TRENDS IMPACTING HEALTHCARE EFFICIENCY

CliniciansShortageCliniciansShortage

Specialized HospitalsSpecialized Hospitals

Operating CostsOperating Costs Quality & RegulatoryQuality & Regulatory

•Regionalization of care services•Development of care networks

Patient CareReimbursement

Outcome driven care management

Radiologist shortage (e.g. 20% in Western Europe)

Understaffed rural areas 

Clinical staff costs   x10 capital costs

Increasing IT resources needs

Care complexity driving specialization

GPs driving care pathways (e.g. UK commissioners)

Patient demanding higher quality

Increasing risks of legal actions (e.g. radiation exposure)

HOSPITAL OF THE FUTURE

• Specialized •Acute• Less beds • Integrated into territory based healthcare 

Hospitals need to evolve beyond traditional boundaries

HOSPITALS HAVE BEEN DIGITISING AND CREATING DATA FOR THE LAST 20+ YEARS

Digital Hospitals to align to the new Healthcare 

Hospitals have focused on digitising

systems within independent organisations…

resulting in silos preventing sharing of information

acrossorganisationalboundaries

Hospital 1EMR

PACS

LIS Hospital 2EMR

PACS

LIS

Hospital 3EMR

PACS

LIS

MANAGING HEALTH REQUIRES SHIFT FROM EPISODIC TO INTEGRATED CARE

Integrating care demands breaking down traditional silos

CONNECTING PROVIDERS AND SYSTEMS REQUIRES FOCUS ON INTEROPERABILITY

Focus on open standards  Engage with key industry & government standards bodies

Proven connectivity through open standards &

established APIs

Using open standards helps drive collaborative ecosystems

VENDOR NEUTRAL ARCHIVE – A FOUNDATION FOR DIGITAL HOSPITAL

Vendor Neutral Archive

BuildsPatient History

BuildsPatient History

Stroke Networks

Stroke Networks

Mammoscreening Mammo

screening

Cross-site ReportingCross-site Reporting Oncology

NetworksOncology Networks

SharesClinical

Information

SharesClinical

Information

ConsolidatesImaging

Silos

ConsolidatesImaging

Silos

Web WorkflowEngines

Referral – GP Access

Referral – GP Access

Cardio Endos Vis. LightRadio Patho

Multiple sitesMultiple sourcesMultiple vendors

Enterprise‐regional Patient Information 

repository (Aka VNA)

MODEL FOR INFORMATION MANAGEMENT

Cross‐Enterprise Patient Information RepositoryMulti‐PID (MPI), gateway to image exchange 

Enterprise Multi‐specialty Archive Connecting to ‘Ologies, Patient registry

Enterprise DICOM Archive Multi‐PACS, cardiology  

Departmental Archive DICOM/HL7 Archive 

VNA – Level 1 PACS Independence

VNA – Level 2Enterprise Imaging consolidation

VNA – Level 3Enterprise-wide clinical data consolidation

VNA – Level 4Regional patient history

VNA Value

DIGITAL HOSPITAL PART OF COLLABORATIVE CARE NETWORKS

DepartmentSub Specialty imaging

X‐HospitalsFederated Organizations

CommunityUnaffiliated Professionals

HospitalCross Departments

Develop care networks efficiency

Improve care pathways & patient satisfaction

Maximize clinical productivity

Optimize  regional care quality & throughput

Organ

isationa

l Outcomes

Vendor Neutral Archive

WALDVIERTEL REGION ‐ AUSTRIA

Objectives:• Longitudinal patient record • Cross‐hospital order workflow• Cross‐hospital reading workflow• Local RIS workflow

• 4 Hospitals with 225,000 exams/year• 4 Outpatient centers with 50,000 procedures/year

• Cross Enterprise Reporting across the locations

• Various RIS and PACS instances

Collaboration8 organisations collaborating, leveraging specialties, covering second opinions and out of hours reading

Workload balance

Intelligent order and exam assignment through a global worklist across all sites

Save investment

Local systems continue to serve and act as backup system

The results expressed in this document may not be applicable to a particular site or installation and individual results may vary. This document and its contents are provided to you for informational purposes only and do not constitute a representation, warranty or performance guarantee. GE disclaims liability for any loss, which may arise from reliance on or use of information, contained in this document

“Our goal is a longitudinal patient record across our hospitals and outpatient centers – thus improving our quality of care and reducing our costs.”‐ Alexander Bernegger, PACS Project Leader Waldviertel

SOUTHWESTERN ONTARIO:  REGIONAL VNAREGIONAL PUBLIC AUTHORITY

• Common repository (3.2 M exams/year) for 30 hospitals

• Heterogeneous RIS/PACS systems (GE, AGFA, McKesson, Philips, Carestream, Ramsoft, Sectra)

• IHE standards + MPI across all locations• Web access to images and reports 

SWODIN eliminated 60,000 to 90,000 exams annually (2‐3%total exams) ‐ savings from $2.1 million to $4.5 million per year –along with elimination of unnecessary radiation dosage to patients.

INFOWAY

DIGITAL HOSPITALS REDEFINED

Together, we can help hospitals reach the next digital evolution

11 Hospitals have been undergoing digitisation for the last 20+ years

22Public health requires delivering better outcomes for both patients and healthcare systems

33Digital hospitals should break data silos and join collaborative care networks through open standards

THANK YOU FOR YOUR ATTENTION!