our approach to integrating the healthcare enterprise...our approach to integrating the yolanda van...
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Our approach to integrating the
Yolanda van DintherPhilips HealthcareFebruary 2010
Our approach to integrating the Healthcare enterprise
Contents
• Introducing Philips Healthcare
• Providing integrated solutions
– IHE
– Ease of use
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– Field Data analysis
• Conclusions
Philips is a global leader in healthcare and well-being
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Philips Healthcare: a global leader for 100 years
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35,000 employees in over 100 countries
Global development and manufacturing sites
Our portfolio
General X-ray Cardio/Vascular X-rayUltrasoundComputed TomographyMagnetic Resonance Imaging
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Magnetic Resonance Imaging Nuclear Medicine Positron Emission TomographyRadiation Therapy PlanningCardiac and Monitoring SystemsHealthcare ITRespiration SystemsCustomer Services
Contents
• Introducing Philips Healthcare
• Providing integrated solutions
– IHE
– Ease of use
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– Field Data analysis
• Conclusions
Philips Healthcare transforming
From Philips Medical Systems…
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…To Philips Healthcare
CARECYCLES
Example from the Cardiology Care Cycle
• D2B = Door-to-balloon, issue: time is muscle
• D2B is a time measurement in emergency cardiac care:
– Starting with patient's arrival in the ER
– Ending when the blood vessel is opened in the cath lab
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– Ending when the blood vessel is opened in the cath lab
• Process optimization throughout, e.g.:
– Prehospital informationin ambulance (ECG)sent to the hospital forearly diagnosis
Providing integrated solutions: workflow
1. Interoperability is key for our products– International Standardization: DICOM, HL7– IHE: workflow standardization
2. Ease of use
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2. Ease of use– UI standardization– Focus on defining the right workflow
3. Field Data analysis– To optimize the workflow
Enabled by a generic software platform
• Implementing the interoperability requirements
• Providing generic UI and workflow
• Providing (remote) utilization
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and service information
And…
• Providing generic image manipulation
• Providing generic storage solution
Contents
• Introducing Philips Healthcare
• Providing integrated solutions
– IHE
– Ease of use
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– Field Data analysis
• Conclusions
About IHE
• Integrating theHealthcareEnterprise
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• Started in 1998
• Providing a framework forseamlessly passing healthinformation via computersystems within and acrossall units of the healthcareenterprise
It’s all about workflow
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Examples of modeled workflows
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Radiology: SWF: Scheduled Workflow
patientinformation
imagesretrieved
report
report
Registration
FilmLightbox
report ReportRepository
DiagnosticWorkstation
HIS
PACS
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imagesstored
examination orders
retrieved
procedurescheduled
Prefetch any relevantprior studies
modalityworklist
Orders Placed
Orders Filled
Film
FilmFolder
Image Manager& Archive
Modalityacquisitionacquisitioninin--progressprogressacquisitioncompleted
acquisitioncompleted
imagesprinted
AcquisitionModality
RIS
PACS
Benefits of IHE
• Unifies the workflows in and across hospitals
• Enables multi vendor interoperability
• Simplifies testability of total solutions
• Solves issues in DICOM and HL7 standards
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• Solves issues in DICOM and HL7 standards
Contents
• Introducing Philips Healthcare
• Providing integrated solutions
– IHE
– Ease of use
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– Field Data analysis
• Conclusions
The old Philips style….
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The new Philips style…
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Workflow across products: RIS/PACSenables CDS (Clinical Decision Support)
knowledge extraction
scheduling
protocolingreporting
results delivery
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knowledge discovery and data mining
apply best practices
knowledge extraction
positive patient ID
image acquistion
image storage
reading
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Contents
• Introducing Philips Healthcare
• Providing integrated solutions
– IHE
– Ease of use
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– Field Data analysis
• Conclusions
Field Data analysis
• Recording service & utilization data in the log files• Retrieving the utilization data in hospital network
and across hospitals (with remoting solutions)• Using tool from TUE to analyse the data:
ProM: Framework for Process Mining
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ProM: Framework for Process Mininghttp://prom.win.tue.nl/tools/prom/
ProMhospital data warehouse
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Utilization overview
ProMise
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Contents
• Introducing Philips Healthcare
• Providing integrated solutions
– IHE
– Ease of use
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– Field Data analysis
• Conclusions
Concludingly….
• Philips changed from system provider intosolutions provider
• Standardization helps us (DICOM, HL7, IHE)• Workflow focus in Philips on harmonization,
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• Workflow focus in Philips on harmonization, definition, testing, measuring and optimizing
• Question:Can scheduling theory help usto predict workflow efficiency?