clinical computing secure, reliable technology that improves clinical workflow at the point of care

Clinical ComputingSecure, reliable technology that improves clinical workflow at the point of care

James Kavanagh, Health Solutions ArchitectMicrosoft Australiajamesk@microsoft.com

Challenges & Opportunities

Opportunity for Clinical

Computing

Existing Challenges• Cost of operations• Security risks• Misalignment to clinical

needs• Lack of staff & resources

Emerging Challenges• Delivering care in new

contexts• Clinical need for point-of-care

access to information• Staff mobility• Next generation workforce

Opportunities• New integrated devices• National eHealth Strategy • State led clinical +

infrastructure investment• Maturity of enterprise

infrastructure software

Clinical Computing Interactions

Clerical

/ Administ

rative

(eg. Pati

ent Admiss

ion,

Administrati

on)

Shared W

ard Computer

(eg. Inpati

ent ward, n

ursing

station) Bedsid

e Console

(eg. Pati

ent Enterta

inment,

Consulta

tion / Educa

tion)

Specifi

c Purp

ose Computer

(eg. Su

rgica

l syste

ms, Radiology

viewer) Mobile

In-H

ospita

l Devic

e

(eg. Sp

ecialist

rounds,

aged ca

re

nursing) Mobile

In th

e Community

(eg. Community

Nursi

ng, Home

Monitorin

g)

Small

Practice

Computer

(eg. General

Practice

, Pharm

acy)

Phone / Remote

(eg. On ca

ll, remote ac

cess)

Clinical Workflow ImprovementsClinical

Documents & Practice

Management

Patient Education

Mobile Image Consult

Electronic Health Records

Order Entry

Medication Management

Clinical Computing

Linking Applications & Infrastructure

Common Needs

Device characteristics

Input and visualisationPhysical

Workflow

Security

Management

Connectivity and mobility as standardMaintains context linked to the clinical application(s)

Access control with single sign-on & smart cardsProtection from threats & security vulnerabilities

Ability to rapidly deploy new capabilitiesReliable, controlled and safe

Clinical ComputingCapabilities:• Mobility to allow clinicians, nurses and

managers to access information from any device, any where

• Security that provides end-to-end defense-in-depth protection and management visibility and response to threats

• Identity services that enable pervasive single sign-on across new and existing systems, including smart card access

• Management, monitoring and virtualisation capabilities that support the complete lifecycle of physical and software assets

• Cloud & hosted service delivery options

From the budget papers:Queensland budget includes $87.1 million in 2009/2010 for clinical systems that will contribute to an EMR, plus a further $86 million for ICT supporting infrastructure

Vision for the Statewide Electronic Medical Record:

“ The eMR will deliver key functionality to the clinician’s desktop [...] coupled with critical Administration and Support systems”

The entire solution will be implemented via a Supporting Infrastructure, both hard (connectivity, data centres, security) and soft (standards, information architectures, information policy, business intelligence). “

- Ray Brown, Tam Shepherd

Competitive Landscape

HEALTH INTEGRATION

Open Health Tools

Connected Health Medical Grade NetworkClinical CollaborationHealth

Knowledge Driven HealthiPhone for PhysiciansSmarter Health

Clinical ComputingClinical Collaboration & CommunicationsClinical IntelligenceCare Network Integration

Resources

15th to 23rd September Email your partner account manager

http://www.microsoft.com/industry/healthcare/technology/default.mspx