Roma - 14 aprile 2011

Digital Hospital 2.0Digital Hospital 2.0

Il paziente al centro

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Il paziente al centrodell’Ospedaledel futuro

Lorenzo Capodicasa ZemellaHP Technology Consulting

Roma - 14 aprile 2011

HP DIGITAL HOSPITAL POSITIONING

Discovery& DevelopmentDiscovery&

DevelopmentClinical trials

Clinical trials

Mfg & Distribution

Mfg & Distribution

Marketingand salesMarketingand sales

PrimaryCare

PrimaryCare

PaymentPayment

Biotechnology, Pharmaceuticals & Medical DevicesBiotechnology, Pharmaceuticals & Medical Devices Healthcare PayersHealthcare PayersHealthcare Providers

Healthcare Providers

BiotechBiotech PharmaPharma Medical DevicesMedical Devices GovernmentGovernmentPrivate HospitalsPrivate Hospitals

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Research & ManufacturingResearch & Manufacturing ServicesServices

GenomicsGenomics Drug DiscoveryDrug Discovery Medical ImagingMedical Imaging Hospital & Medical

Service Plans

Hospital & Medical

Service Plans

Govt HospitalsGovt Hospitals

BioinformaticsBioinformatics OTCOTC Orthopedic DevicesOrthopedic Devices

SurgicalSurgical

Home CareHome Care

AgrotechAgrotech GenericsGenerics DiagnosticsDiagnostics

BiomaterialsBiomaterials

TelemedicineTelemedicine

ProteomicsProteomics Drug DeliveryDrug Delivery Cardio DevicesCardio Devices

Accident & Health

Insurance

Accident & Health

Insurance

Roma - 14 aprile 2011

HOSPITAL DRIVERS TO CHANGE

• Budget pressureo Patients require a high level care service but budgets are being cut and compressed. The latest advances in

technology, and the design of new process and workflows help to increase productivity, provide a higher quality of care and improve patient safety and satisfaction thus reshaping cost patterns

• Hospitals are changing from episodic to integrated careo Hospital patients often begin at ground zero after admissions, with work-up, diagnosis and then treatment. In the

integrated model a longitudinal medical record follows a patient in time, capturing information on treatments, lab tests, incidents, prescriptions and other data allowing Health Care providers to avoid duplicated tests and services and make more informed decisions

• Focus on acute Clinical Treatments

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• Focus on acute Clinical Treatmentso With the evolution of research many illnesses are becoming chronic and the treatment can be delivered at home

freeing up resources for providing a better treatment to acute pathologies. Tele Medicine and Home care allows this shift in treatments through different methodologies and instruments.

• Integrated Communication and Collaborationo All the people participating in the care cycle of a patient needs to share and be updated with the latest information

about the patient and made to collaborate and communicate efficiently. Integrated communications can be made available to patients at the bed side also for regulatory educational programs for hospitalized students.

• Hospital operations monitoringo Capture, analyze and present real-time performance about clinical, technological and people processes, supporting

continuous improvement for optimal clinical and financial outcomes, real-time performance optimization and risk minimization

• Asset Trackingo Prioritize and minimize Investments in Biomedical Devices by maximizing utilization through real time information on

availability and localization

Roma - 14 aprile 2011

DIGITAL HOSPITAL 2.0: A CLOSER LOOK TO THE VISION

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Roma - 14 aprile 2011

HOSPITAL INFRASTRUCTURE IS FRAGMENTED TODAY

Nurse Call Phone Systems (PBX)

Telephones

DECT/Pager

Door Opener

Intercom

CCTV

AGV (Robot)

Mobile ward round

Paper

Medical Devices

Patient TV

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Light

Blinds

Heating

Facility Control

RFID

WiFi

Client PC

Hospital Applications

Medical Devices

ERP, PACS, CIS, HIS, LAB, DWH

Roma - 14 aprile 2011

INTEGRATED HOSPITAL INFRASTRUCTURE

Patient terminal MDA/PDA

PC Mobile phones(SMS)

IP wirelessphones

Nurses’portal

GSM

PagerIP phones

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Everything over IP – IP Everywhere

LAN/WLAN

IP converterESPA 4.4.4

OPC, SMTP, SMNP

I/O signalconverter

Digital PenPatient monitoringmedical equipment

WiFi tagsFacilitycontrol

HP EnginePACSEPREHCLaboratory etc.

GSM

Nurse call

Roma - 14 aprile 2011

Patient bedsideinteractive services &CommunicationsPoint of Care

Patient bedsideinteractive services &CommunicationsPoint of Care

Tele MedicineCollaboration and Monitoring solutionsRemote Medical

Tele MedicineCollaboration and Monitoring solutionsRemote Medical

PACS Networking and Distribution

Workstations solutions

PACS Networking and Distribution

Workstations solutions

HP DIGITAL HOSPITAL FRAMEWORK

Hospital messaging & alertsMobile nurse call and Nurse PortalReal Time location Services

Hospital messaging & alertsMobile nurse call and Nurse PortalReal Time location Services

Distributed InformationElectronic WhiteboardsKiosks, Point of

Distributed InformationElectronic WhiteboardsKiosks, Point of

Vertical ApplicationsHER, EMR

Vertical ApplicationsHER, EMR

Digital and Biometric SignatureDigital and Biometric Signature

Infrastructure SecurityRFID enabled asset tracking

Infrastructure SecurityRFID enabled asset tracking

Facility Control and Facility Control and

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Point of CareMobile DevicesPoint of CareMobile Devices

Remote Medical EquipmentAppliance Control

Remote Medical EquipmentAppliance Control

solutions

Medical Archiving Solution

solutions

Medical Archiving Solution

Server & StorageServer & Storage

Networking IP & Optical wired and wirelessNetworking IP & Optical wired and wireless

Digital Hospital Integration Engine

ServicesMedical team assembly

ServicesMedical team assembly

Kiosks, Point of AssistanceDigital Signage

Kiosks, Point of AssistanceDigital Signage

Data Center FacilitiesData Center Facilities

IP TelephonyIP Telephony Contact CenterContact Center

PCs, Thin Clients & WorkStationsPCs, Thin Clients & WorkStationsPrinters & PaperlessPrinters & Paperless

Unified Communicationsand Collaboration

Unified Communicationsand Collaboration

Application IntegrationWorkflows, BPM

Application IntegrationWorkflows, BPM

CCLLOOUUDD

CCLLOOUUDD

VVDDII

VVDDII

Biometric SignatureStrong Authentication

Biometric SignatureStrong Authentication

Facility Control and Environment monitoring

Facility Control and Environment monitoring

Roma - 14 aprile 2011

DIGITAL HOSPITAL BUSINESS VALUE FRAMEWORK

EXECUTIVE KPIs(Direction)

CORE KPIs(Direction)

EXECUTIVE KPIs(Direction)

CORE KPIs(Direction)

ULTIMATE BUSINESS GOAL

COST CONTAINMENT---------------------------

Cut Operating Expense

COST CONTAINMENT---------------------------

Cut Operating Expense

HIGH QUALITY PATIENT CARE AT REASONABLE COST

QUALITY OF CARE----------------------------

Minimizing Medical Errors

QUALITY OF CARE----------------------------

Minimizing Medical Errors

COMPLIANCE----------------------------

100% compliance

COMPLIANCE----------------------------

100% compliance

COST-------------

5% Decrease

COST-------------

5% Decrease

ERROR RATE---------------

Errors: 0% in 5 years

ERROR RATE---------------

Errors: 0% in 5 years

LENGTH OF STAY

----------------------------

LENGTH OF STAY

----------------------------

VIOLATION RATE

-------------10% Decrease

VIOLATION RATE

-------------10% Decrease

PATIENT THROUGHPUT---------------

Increase: 10% per year

In-patients per bed per

year------------------

In-patients per bed per

year------------------

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BUSINESS INITIATIVES(Strategy/Priority Language)BUSINESS INITIATIVES(Strategy/Priority Language)

OPERATING KPIs-------------------------------PROCESS/FUNCTION

OPERATING KPIs-------------------------------PROCESS/FUNCTION

Reduce Complexity and

Cost of IT Infrastructure

Datacenter Economics aligned to Dynamic

Business Needs

Technology & Information Governance

HP SOLUTIONINITIATIVES

• Decrease costs per bill and per claim• Decrease cost of compliance --------------------Process Design

••••-----------------------

• Adhere to all compliance requirements• Reduce cost of IT• Integrate Information• Secure Information-----------------------

IT Solutions Implementation in time, inbudget

5% Decrease5% Decrease

Cut Enterprise Costs

Adopt IT forProcess and Productivity

Improvement

Offer more patient care options every year --------------------Collaborative Treatment Teams

SecurityService Mgmt

Mobility

Errors: 0% in 5 yearsErrors: 0% in 5 years

Create Innovative, Error-proof, more Productive Digital Clinical

Processes

• 100% compliance• 100% Data Integration• Use of analytics in ALL decision making--------------------Disease Mgmt.

Business Intelligence & Analytics, Integration

Unified Communication

& Messaging

Clinical Productivity Increase 10%--------------------Clinical & Patient communications

----Decrease

----Decrease

10% Decrease10% Decrease ----------Increase----------Increase

Roma - 14 aprile 2011

THE DIGITAL HOSPITAL PARADIGM

PEOPLEPEOPLE

SERVICESSERVICES

TECHNOLOGYTECHNOLOGY

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Digital Hospital Value Proposition:

Supporting the continuum of patient care with clinical solutions and the pervasive integration of technology and data, enabling a real-time

information environment and intelligent, automated workflow

Roma - 14 aprile 2011

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