hitachi data systems - computerworldweb.idg.no/app/web/online/event/hw/2011/rs.pdf · •© 2011...
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© Hitachi Data Systems Corporation 2011. All Rights Reserved.
Hitachi Data Systems
Vendor Neutral Healthcare Solutions –
Unlock potential from data to outcomes
15 November, 2011
Raj Singh
Solutions Lead
e-Health & Life Sciences - EMEA
•© 2011 Hitachi Data Systems
Agenda
Hitachi Data Systems & Healthcare market presence
Understanding the Healthcare Challenges
Clinical/Non-Clinical Solutions & Capabilities
1
2
3
4 Klinikum Wels Case Study
Hitachi, Ltd. (NYSE:HIT/TSE:6501)
Founded in 1910 910 subsidiaries
390,000 employees
Over 700 PhDs
Total FY09 sales of $112.2B
FY10 R&D Investment: $4.3B
Approx. 40% in Information Systems and Telecommunications
Approx. $5.6B in cash
One of the
world’s largest integrated electronics companies
One of the
Storage System Technologies
RFID Solutions
Biotechnology
Nanotechnology
Networking
Thermo-Nuclear Fusion
Electron Microscopy
4
Hitachi Commitment to Healthcare
• Maintaining a clean,
constant environment HitachiAir Conditioning
• Viewing activity
within the brain:
Optical topography
• Testing and analyzing
in the laboratory and
surgery
• Advice on management,
and change in the
organization
• Essential services from the data center: Reliable,
efficient storage designed for clinical and workflow data
applications to provide information at the point of care • Control and monitor access to
buildings, equipment and confidential patient records: Hitachi VeinID biometrics
• Training and presenting to
staff, digital signage,
ultrathin displays,
projectors &
Hitachi Starboard
• Advanced diagnostics:
• Hitachi MR, CT and ultrasound
• Specialist solutions for elastography and
sonography
• Track, trace and
monitor with
integrated RFID
technology
• Advanced cancer treatment
Hitachi proton beam
therapy
6
Clinical Data Is Growing at Extraordinary Rates
The amount of healthcare data
being generated quadruples every
two years * National Institutes of Health, 2009
Many decisions are made at a
departmental level without
consideration for the enterprise,
and so creating disparate
information silos
Radiology
Pharmacy
Emergency
Laboratory
Pathology
7
Challenge: Most of it is Unstructured Data
Unstructured content grows faster
than traditional information or
structured content
70% of Healthcare related data is
unstructured
Unstructured data is growing at 10x
the rate of structured data
• How to gain value from this data and
turn it into useable information
• How to scale and support different
workloads without more or larger silos
8
•
For the Healthcare Enterprise It Means
A single point of access for healthcare staff
A patient-centric view of information
Access to the data needed to make patient care decisions
Infrastructure to implement healthcare transforming technologies
A Growing Demand to Access All Relevant Patient Data
Laboratory IS
Microbiology
Radiology IS
Emergency
Pharmacy
Nursing
Blood Bank
Accounts
Payable
ADT
Registration CPOE
9
Evolving Regulatory Requirements
•
For the Healthcare Enterprise It Means
Medical needs and even geographical requirements could
require data be stored for 30+ years.
Complicated management of data destruction policies
Data encryption and security becomes more difficult with data
mobility
Laboratory IS
Microbiology
Radiology IS
Emergency
Pharmacy
Nursing
Blood Bank
Accounts
Payable
ADT
Registration CPOE
•© 2011 Hitachi Data Systems
Agenda
Hitachi Data Systems & Healthcare market presence
Understanding the Healthcare Challenges
Clinical/Non-Clinical Solutions & Capabilities
1
2
3
4 Klinikum Wels Case Study
11
Hitachi: Delivering on the Vision of IT Agility
A successful thought leader in storage technology
The world’s only vertically-integrated storage company
Focused on delivering a vision for Healthcare that is:
• Virtualised
• Automated
• Cloud-ready
• Sustainable
• Open
“Organisations are
looking at ways to cut
costs, better utilise
assets, and reduce
implementation and
management time and
complexity.
Virtualization addresses
all of these concerns.”
Gartner
12
Admissions
Hospital Information Systems Patient Administration
Community-wide Scheduling
HR & Staffing Functions
Finance & Administration
Clinical Information Systems Laboratory Information Systems
Pharmacy Systems
Quality Outcomes & Abstracting
Clinical Research Systems
To Provide the Right Data in the Right Place at the Right Time to improve delivery of High-Quality Patient Care
Point-of-Care Systems Patient Care Systems
Order Entry (OE)
PACS & Radiology
Cardiology
Patient Tracking
Doctors’ Notes
Patient Treatment
Care Monitoring
Support Services
Electronic Prescribing
Laboratory
Patient Discharge
EPR
Information at the Point of Care
13
Back Office
Systems
Disparate Data Silos That Neither Share nor Integrate
Hospital
Information
Systems
eMail Clinical and Non Clinical Applications HR &
Finance
Document
Management
Systems
Integration and Data Sharing
Utilisation of asset and cost of
ownership
Laboratory IS
Microbiology
Radiology IS
& PACS
Emergency
Pharmacy
Nursing
Blood Bank
Accounts
Payable
ADT
Registration CPOE
Challenges
Departmental systems with islands of storage and access points
No Patient-Centric view of information
Integrating services require complex and multiple data interfaces
Legacy system lock-in
Complex data management & low utilisation leads to higher cost
of ownership.
14
Virtualised
Pool of
Storage
Hospital
Information
Systems
Tier 1
Tier 2
Tier 3 Tier 3
How to eradicate Silo’s to enable integration…… ……And why is Storage Virtualisation so important?
Relocate/
Clone/Backup
Integrate
Migrate
Tier 4
Back Office
Systems
Hospital
Information
Systems
eMail Clinical and Non Clinical Applications HR &
Finance
Document
Management
Systems
Laboratory IS
Microbiology
Radiology IS
Emergency
Pharmacy
Nursing
Blood Bank
Accounts
Payable
ADT
Registration CPOE
New
System
Resultant Benefits
Placement of data becomes “application independent”
Vastly improves utilisation of existing assets
Facilitates data sharing for existing and new hospital applications
Provides non-disruptive migration paths
Reducing cost and complexity across multiple disciplines (ROI & ROA)
Simplifies management of storage assets
15
Back Office
Systems eMail HR &
Finance
Document
Management
Systems
Virtualised
Pool of
Storage
Hospital
Information
Systems
Tier 1
Tier 2
Tier 3 Tier 3
How to cope with that growing mountain of data
Tier 4
Hospital
Information
Systems
Laboratory IS
Microbiology
Radiology IS
& PACS
Emergency
Pharmacy
Nursing
Blood Bank
Accounts
Payable
ADT
Registration CPOE
Hitachi Content
Platform
Consolidated
Search & Retrieval
Hitachi Content Platform - Preserve, Protect & Optimise
P
21 May 21 2036
May
Protection
Policies to enforce document retention,
authentication & file replication combine to
secure valuable digital assets
Immutability and Retention
Write once, read many file system
Encryption of Data at Rest
Transparently encrypts all content,
metadata and search index
X X X X X X X X X
X X X X X X X X X
X X X X X X X X X
Shredding Guarantees the contents of an object are
permanently removed (scrubbed)
De-Duplication & File Compression
Enables greater storage efficiencies,
scalability and enhances TCO
Single Archive Name Space
Open and easy to navigate with
standard tools and applications
16
Virtualised
Pool of
Storage
Hospital
Information
Systems
Tier 1
Tier 2
Tier 3 Tier 3
The final leap – Application Independence for all your clinical information
Tier 4
Hospital
Information
Systems
Laboratory IS
Microbiology
Radiology IS
& PACS
Emergency
Pharmacy
Nursing
Blood Bank
Accounts
Payable
ADT
Registration CPOE
Hitachi Content
Platform
17
Our Healthcare Vision
HTML DICOM
HL7
XML PDF XLS HTML HL7 HL7 XML JPEG
Laboratory IS
Microbiology
Radiology IS
& PACS
Emergency
Pharmacy
Nursing
Blood Bank
Accounts
Payable
ADT
Registration CPOE
18
Store, share and view any type of medical image/report
acquired from any type of device
independent of manufacturer
anywhere within the hospital\clinic
using a completely open standards approach
Single Unified Patient Record
19
Radiology
PACS
Pathology
CIS
RIS
PAS/HIS
Cardiology
PACS
Virtualised
Storage
Hitachi Clinical Repository
20
HCP
Web
Portal
Dicom
Connector HL7
•Hitachi Clinical Repository
XML
PACS XDS
XDSi
HIS/PAS
RSI/xIS
EMR/EPR
Integration
USP/AMS
Image (Dicom)
Image (XML)
Image (Dicom)
Image (XML)
HNAS
Image (Dicom)
Image (XML)
•Database •Data
Discovery
•PACS & Radiology
FC HTTP CIFS
•Business
•Intelligence
Hitachi Clinical Repository
21
Hitachi Clinical Repository - Process Overview
EPR/EHI
HL7
Connector
Web
Server
XDS
Connector
Dicom
Connector
→ ADT Create
→ ADT Update
→ ADT Merge
← ORU Image Availability
Dicom 3.0
→ C-Store
→ C-Find
→ C-Get/C-Move
← Storage Commit
XDS.b/XDS-I.b Option
← Provide & Register (REP)
→ Provide & Register (Source)
← Retrieve (REP)
← Register (REP)
Image Review Option
a) Thumbnails
b) Jpegs (fast, not diagnostic)
c) Full Dicom (Part10 data)
d) Dicom via ActiveX viewer
A
B
C
SQL D/B
Hitachi
Content
Platform
HCR
22
Turning Data into Information…...
Full Clinical & Non-Clinical Repository for all departments
Central Image and Data Storage with performance & availability
Standards based architecture DICOM/HL7/IHE supporting all Image & Data Types
Integrated Web Viewer for EPR/EMR Integration - Optional
Highly Scaleable, Vendor Neutral Long Term Repository
Turning Data Information…
Information leads to better decision making…
In turn, improving patient outcomes!
23
Consolidate Data
Centralized enterprise wide
management of any type of clinical
data generated by a healthcare
institution
Improve the organization,
accessibility, discoverability and long
term value of data through metadata
indexing
Enable a facility wide central
repository of intelligent data that can
be viewed as a single longitudinal
patient record via an enterprise
health record (EHR)
Metadata
Index metadata and store it in a single
content repository, facilitating
consistency of updates and changes to
the information.
Enables improved data quality
management, an enterprise
perspective of the patient's data and a
sharing of this data.
Developing a metadata repository
improves the interoperability of
information and virtualizes data within
and between systems
Enhances clinical efficiencies, reduces
healthcare delivery costs and improves
patient care decisions.
Our Healthcare Vision Addresses Real-world Challenges
•© 2011 Hitachi Data Systems
Agenda
Hitachi Data Systems & Healthcare market presence
Understanding the Healthcare Challenges
Clinical/Non-Clinical Solutions & Capabilities
1
2
3
4 Klinikum Wels Case Study
Hospital Grieskirchen
Location Grieskirchen
• Since January 2008: One hospital on four sites
• 1000 bed Hospital in Wels merged with 260 bed
Hospital in Grieskirchen and 60 bed Psychiatric
Hospital in Wels
• 1,349 beds with over 80.000 inpatients per year
• 37 departments, 26 different specialties
• 37 outpatient departments with approx. 290.000
outpatient visits /yr
• 30.000 operations and 2.600 births per year
• Number of staff is 3.800 (including 500 doctors
and 1200 nurses)
• Budget: approx. 288 million Euro
The largest Convent Hospital in Austria and the 5th largest Hospital in Austria
Private Clinic PKA
Location Wels
Psychiatric Clinic
Location Wels Main Clinic Wels-Grieskirchen
Location Wels
Main Clinic
Wels-Grieskirchen
Location Grieskirchen
Facts about Klinikum Wels Grieskirchen A Cooperation of Fraternities Kreuzschwestern / Franziskanerinnen
27
Official
Austrian
eHealth
architecture
Portal
local
eHealth
Extranet RIS/
PACS
(DICOM
Long
Term
archive)
Data search
& Analytics
SOARIAN
CIS
(Physician
Letter /
Results)
Laboratory
Information
System
Virtualised Storage
Environment
ICO
Appl.
Non-
Dicom
archive
Klinikum Wels Affinity Domain
Receipts' archive
& SAP DB
archiving
SUN JAVA CAPS 6
Meta Data Robot
Custom Meta Data
& Object Archive
Hospital Portal / Search Engine
Hitachi Case Study – Klinikum Wels, Austria
Pathway
Adm.
IHE
R
epository
Hospital
Example: EHR for Nursing Homes and General Practioners
Patient
GP
Registration Befunde
Dis.
EHR Portal
GP
Webportal IHE
Repository
HCP
Results Results