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Care beyond technology The clinical digital transformation Ron Linder

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Page 1: Care beyond technology The clinical digital transformation ... · In Vitro Fertilization (IVF) ... Asia pacific 23% e-health AGR 21% e-health AGR. 14 EMR Adoption by territory –Europe

Care beyond technology

The clinical digital transformation

Ron Linder

Page 2: Care beyond technology The clinical digital transformation ... · In Vitro Fertilization (IVF) ... Asia pacific 23% e-health AGR 21% e-health AGR. 14 EMR Adoption by territory –Europe

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Selected by the Ministry

Of Health and Clalit

HMO to be the Israeli

hospitalization National

Medical Record.

Elad Health was

established in 2004.

Part of Elad Group, 37

years in the IT business.

Installed

Chameleon in 75%

of Israeli hospitals.

Leading provider of

Chameleon Electronic

Medical Record.

Page 3: Care beyond technology The clinical digital transformation ... · In Vitro Fertilization (IVF) ... Asia pacific 23% e-health AGR 21% e-health AGR. 14 EMR Adoption by territory –Europe

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The Chameleon Vision

Our Vision improve our customers’ quality of medical

services by delivering high quality Electronic

Medical Record solution based on Israeli

technology and healthcare knowledge at a

reasonable timeframe & cost of ownership

Page 4: Care beyond technology The clinical digital transformation ... · In Vitro Fertilization (IVF) ... Asia pacific 23% e-health AGR 21% e-health AGR. 14 EMR Adoption by territory –Europe

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Documenting the patient clinical journey from admin to discharge

The ChameleonElectronic Medical Record /

Electronic Patient Management

What is Electronic Patient

Management ?

Enabling the patient 360 view @ point of care for the caregivers

Collecting vital clinicalinfo from medical devices to the patientrecord

Connectivity to decision support/alert systems

Page 5: Care beyond technology The clinical digital transformation ... · In Vitro Fertilization (IVF) ... Asia pacific 23% e-health AGR 21% e-health AGR. 14 EMR Adoption by territory –Europe

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Daycare

units

Chameleon delivers

complete medical

center coverage

Chameleon covers large set of

medical specialties

ER

In Patient

Wards

Operation

&

Recovery

Out patient

Clinics

Dialysis

Rehabilitation

Obstetrics

Oncology

and more…

Page 6: Care beyond technology The clinical digital transformation ... · In Vitro Fertilization (IVF) ... Asia pacific 23% e-health AGR 21% e-health AGR. 14 EMR Adoption by territory –Europe

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Complete Medical Center Coverage

Specialty Units

Pre-operative

care

In-PatientOut-

patient Clinics

Daycare units

Operating Theater

The Chameleon EMR

Page 7: Care beyond technology The clinical digital transformation ... · In Vitro Fertilization (IVF) ... Asia pacific 23% e-health AGR 21% e-health AGR. 14 EMR Adoption by territory –Europe

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Clinical admission

Internal Wards

Surgery wards

Heart Centers

Recovery

Obstetrics

Gynecology

Pediatrics

In-

Patient

Wards

Page 8: Care beyond technology The clinical digital transformation ... · In Vitro Fertilization (IVF) ... Asia pacific 23% e-health AGR 21% e-health AGR. 14 EMR Adoption by territory –Europe

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Emergency Rooms

Operating Rooms

Intensive Care

Obstetric departments

Neonatal care

Oncology

Rehabilitation

Specialty

Units

Page 9: Care beyond technology The clinical digital transformation ... · In Vitro Fertilization (IVF) ... Asia pacific 23% e-health AGR 21% e-health AGR. 14 EMR Adoption by territory –Europe

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Dialysis Centers

Oncology

In Vitro Fertilization (IVF)

Psychiatrics

Phototherapy

Sleep Lab

Child Development Centers

Daycare

units

Pre-

Operative

care

Pre–op clinics

Anesthesia

Page 10: Care beyond technology The clinical digital transformation ... · In Vitro Fertilization (IVF) ... Asia pacific 23% e-health AGR 21% e-health AGR. 14 EMR Adoption by territory –Europe

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Cardiology

Cardiothoracic Surgery

Dermatology

Endocrinology

Gastroenterology

General Surgery

Gynecology

Infectious Disease

Mental Health

Nephrology

Neurology

Urology

Vascular Surgery

Out-

Patient

Clinics

Genetics

Neurosurgery

Obstetrics

Occupational Therapy

Oncology

Ophthalmology

Orthopedics

Physical Therapy

Pediatrics

Psychiatry

Respiratory Therapy

Rheumatology

Sleep Lab

Sports Medicine

Page 11: Care beyond technology The clinical digital transformation ... · In Vitro Fertilization (IVF) ... Asia pacific 23% e-health AGR 21% e-health AGR. 14 EMR Adoption by territory –Europe

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Paperless Electronic Patient ManagementThe patient in the center

Discharge

Inpatient

Recovery Unit

Out-patient

Pre Operative

Operation Room

Page 12: Care beyond technology The clinical digital transformation ... · In Vitro Fertilization (IVF) ... Asia pacific 23% e-health AGR 21% e-health AGR. 14 EMR Adoption by territory –Europe

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Interoperability – sharing the patient clinical

info securely between care givers and

hospitals

Interoperability Layer

ENSEMBLE

CHAMELEONChameleon EMR

Hospital Systems

HIE HL7 DICOM BAPI XML SOAP FHIR

Admin Labs PACS ERP/Billing DSS BI Medical devices

National Systems Patients info Statistics info Research info Reports

Page 13: Care beyond technology The clinical digital transformation ... · In Vitro Fertilization (IVF) ... Asia pacific 23% e-health AGR 21% e-health AGR. 14 EMR Adoption by territory –Europe

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Trend of moving from HIMSS Stage 0 (LIS, RIS, PHIS) to stage 7 ‘end to end’

clinical EMR in the following territories:

EMR global market - the transformation growth

Canada W/E Europe & Africa

18-22%e-health AGR

Asia pacific

23%e-health AGR

21%e-health AGR

Page 14: Care beyond technology The clinical digital transformation ... · In Vitro Fertilization (IVF) ... Asia pacific 23% e-health AGR 21% e-health AGR. 14 EMR Adoption by territory –Europe

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EMR Adoption by territory – Europe & Canada

Page 15: Care beyond technology The clinical digital transformation ... · In Vitro Fertilization (IVF) ... Asia pacific 23% e-health AGR 21% e-health AGR. 14 EMR Adoption by territory –Europe

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EMR Adoption by territory - Asia

Page 16: Care beyond technology The clinical digital transformation ... · In Vitro Fertilization (IVF) ... Asia pacific 23% e-health AGR 21% e-health AGR. 14 EMR Adoption by territory –Europe

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Chameleon Unique Values

Chameleon offers best of breed clinical

patient management solution with

powerful customization and

interoperability capability.

Chameleon covers hospitalization wards,

day care units, outpatients clinics and

large set of specialties under one unified

record.

Chameleon standardizes medical

processes, introduces affordable

implementation projects and affordable

Cost of Ownership.

Chameleon is highly customized locally

to meet specific requirements and

expectations.

Chameleon documents the patient

clinical journey at the point of care and

delivers true continuum of care. It

improves the patient safety.

Chameleon projects create unified &

integrated medical record, leading the

hospital toward HIMSS stage 6/7

standards.

Page 17: Care beyond technology The clinical digital transformation ... · In Vitro Fertilization (IVF) ... Asia pacific 23% e-health AGR 21% e-health AGR. 14 EMR Adoption by territory –Europe

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In 2012Chameleon was selected by Clalit HMO

to be their Unified Medical Record

across 14 hospitals.

During 2018Chameleon was selected by the Ministry

Of Health to be the Israeli National

Medical Record.

The Israeli National Medical Record

Page 18: Care beyond technology The clinical digital transformation ... · In Vitro Fertilization (IVF) ... Asia pacific 23% e-health AGR 21% e-health AGR. 14 EMR Adoption by territory –Europe

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Case StudyClalit Health Management Organization

Unified Chameleon EMR

across 14 hospitals

8 General Hospitals-Acute Care

1 Children's Medical Center

2 Geriatric Centers

1 Rehabilitation Center

2 Psychiatric Centers

Unified Chameleon EMR

implemented in 4 years

More then

6.5Mdigital records

opened Since 2012

About 250 Wards,

450 Ambulatory

Clinics

7 Labor

and Delivery Rooms

24,000Users

JCI

accreditation

Page 19: Care beyond technology The clinical digital transformation ... · In Vitro Fertilization (IVF) ... Asia pacific 23% e-health AGR 21% e-health AGR. 14 EMR Adoption by territory –Europe

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Category Reference Size

Large medical

centers

Sheba M.C

Rabin M.C

Sourasky M.C

2000 beds

1200 beds

1200 beds

Private

hospitals

Herzeliya M.C

Assuta hospital group

Hospital networks Clalit HMO 8 acute hospitals

1 Paediatric hospital

2 Geriatric hospitals

2 Psychiatric hospitals

Paediatric

hospitals

Schneider hospital 220 beds

Oncology

divisions

Sourasky M.C

Sheba M.C

Over 50,000 treatments

per year

Rehabilitation

centers

Luewenstein rehabilitation

hospital

270 beds

Geriatric

centers

Shoham geriatric hospital 600 beds

Obstetrics

Divisions

Seroka MC, Sheba MC,

Rabin MC etc..

13 obstetrics centers.

The Chameleon Experience

Page 20: Care beyond technology The clinical digital transformation ... · In Vitro Fertilization (IVF) ... Asia pacific 23% e-health AGR 21% e-health AGR. 14 EMR Adoption by territory –Europe

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The Chameleon market share in Israel

26%

4%

6%

13%17%

23%

11%

Expected

to be

90%by 2023

Governmental geriatric /

psychiatric - planned to

Implement Chameleon

Governmental acute

care - Implementing

Chameleon

Private Acute Care

hospitals - Using

other solutionsClalit HMO acute care &

geriatric hospitals -

Using Chameleon

Private ambulatory

centers - Using

Chameleon

Private Acute Care

hospitals - Using

Chameleon

Governmental acute

care hospitals - Using

Chameleon

Page 21: Care beyond technology The clinical digital transformation ... · In Vitro Fertilization (IVF) ... Asia pacific 23% e-health AGR 21% e-health AGR. 14 EMR Adoption by territory –Europe

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The Chameleon Transformation

Unified medical record.

Unified medical processes & patient

360 View for the care givers.

Patient documentation @ the point of

care using mobile devices.

Connectivity to Decision Support

Systems.

Physician Order entry, medication

delivery & e prescription.

Medical devices and machinery

connectivity.

Page 22: Care beyond technology The clinical digital transformation ... · In Vitro Fertilization (IVF) ... Asia pacific 23% e-health AGR 21% e-health AGR. 14 EMR Adoption by territory –Europe

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The Chameleon - Czech Version

Page 23: Care beyond technology The clinical digital transformation ... · In Vitro Fertilization (IVF) ... Asia pacific 23% e-health AGR 21% e-health AGR. 14 EMR Adoption by territory –Europe

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The Chameleon - Czech Version