Digital Transformation & The Anywhere Clinical Desktop
DIGITAL CHANGE IS COMING
eHealth records coming to emergency departments in NSW
BETTER INFORMED = BETTER OUTCOMES
6 AGENDA • Welcome and introductions • Perspectives from the Health Sector • Pain points and challenges • Developing the business case for change • How to get there • A Day in the Life… What does “Good” look like? • What next? • Q&A
JOINING US TODAY… • Andrew Fox – Director End User Computing and Mobility for ANZ, VMware • David Lennon – Managing Partner Business Aspect • Janet Brimson – Partner Data & Analytics, Business Aspect • Nathan Wittke - Manager, Strategic Partners, End User Computing, VMware
PERSPECTIVES ON THE HEALTH SECTOR From our experiences in the industry • BA and VMware real life stories
9 WHY ARE WE HERE • Extend on these perspectives • Identify the areas of real pain in Health business and ICT • Discuss the areas of highest priority • Discuss a solution that meets many needs
PAIN CHAIN (tech inhibitors) Already time poor individuals… Limited System System Limited Inaccurate Mobile Speed Access Resources Information Options
CHALLENGES YOU SEE EVERY DAY 81% • Fragmented poorly coordinated care • Clinicians & Care teams over worked of healthcare IT • Need for Robust access to information operating budget is spent on infrastructure • Need for agile access to that information • Limited resources
12 THE VALUE OF DIGITAL CHANGE… SYSTEM PATIENT IMPROVED ACCESS OUTCOMES DIAGNOSTICS CLINICAL SECURELY SHARE ENABLING WORKFLOW INFORMATION TECHNOLOGIES
13 BETTER CLINICAL, PATIENT & BUSINESS OUTCOMES
14 What are your priority areas of pain with Health ICT? Lets have a discussion….
THE ANYWHERE CLINICAL DESKTOP Imagine a desktop that moves with you: • Logged in and working as soon as you are in the room • Sharing results with patients on their own device without craning over your shoulder • User access & security, desktops & mobile devices all coming together in one seamless eco-system The Reality is Here: • The Digital Clinical Workspace that moves with care providers throughout their day
SO WHAT IS THE BUSINESS CASE Infrastructure Management • Find clinical efficiencies Domains Domains Domains Domains (eg. different Virtual Devices (eg. people s (eg. Emergency) (eg. general wards) hospitals & bedside and homes • Improve speed to treat specialist services) • Provide better patient service Roles Access to the right information & Roles (eg. Community Roles Roles • Increase systems usability (eg. Patients & Health Workers, (eg. Admintrators) (eg. Clinicians) systems at the right time Carers) Emergency Workers) • Reduce infrastructure costs Mobility Mobility Mobility • Improve identity management Anywhere, anytime on any device Mobility (eg. Moving from (eg. Smart watches (eg. Patient records (eg. iPads & tablets Desktop to mobile & smart phones updated anywhere, - supplied or BYOD on the wards and online forms on managing Clinical anytime on any • Streamline security for home support) admission) scheduling) device) • Minimise infrastructure complexity Security
OUTCOMES CARE TEAMS PATIENT BUSINESS • More time caring for • Better service • Effective resource patients use • Better • Quicker access to • Simplify systems understanding of clinical information care & medications complexity • Just in time access • Connected to the • Greater risk & to information & information security relevant systems experience management • Revenue savings
18 So where do things go wrong in Healthcare ICT projects? Lets have a discussion….
ROADMAP Adoption Gate the Plan and Execute and Project Prep Change Look for process & systems standardisation Aim for seamlessness - reduce friction costs Keep the sponsor informed – risks, change, process
“GATE” YOUR PROJECT 1. Sponsorship – must have interest 2. Money – sponsor must have budget 3. User Readiness – users must be ready for change 4. IT Resources – resources need to be Kumar Chatani, Executive Vice available, be made available or be President and Chief Information procured Officer, Mount Sinai Health System, New York
PLAN AND PREPARATION 1. Audiences: Who are you enabling? 2. What devices do they like to use in these places? 3. Environment: Where are you enabling them? 4. Process & Context: What they need to do when they get there? 5. What systems do they access now/what’s missing - any pain points? 6. Security requirements per staff, patient and carer roles
PROJECT EXECUTION 1. Coordinated delivery and rollout 2. Device alignment to context 3. Centralised deployment 4. Training and handover for support staff
ADOPTION & CHANGE: BENEFITS REALISATION 1. The software they use is not changing 2. Communicating the benefits of change 3. Providing strong support on rollout and hypercare 4. Measuring the difference
24 OUTCOME: SIMPLE, SECURE & TAILORED TO CLINICIAN AND PATIENT OUTCOMES • Improving health care outcomes • Access to the right information quickly • Supporting time poor people • Getting tech out the way to get on with it • Governance and Security assured
A Day in the Life… What does “Good” Look Like?
THE DIGITALLY ENABLED CLINICIAN 8:30AM 7:00AM At the hospital, Dr. Hoskin taps his ID Dr. Hoskin logs into his MacBook to check badge on the integrated card reader at his his patient list for day accessing the hospitals office workstation and immediately resumes EMR system. his EMR session and prepares for rounds. 10:30AM 11:30PM Dr. Hoskin gets a call patient slipped Dr. Hoskin grabs an iPad and logs in and injured himself. Using his with his credentials. He is able to MacBook he accesses the digital engage a patient in their treatment image and consults online with plan at bedside showing them their orthopedic surgeon - decides bone is latest lab result. not broken. Avoid trip to hospital. 1:15PM 1:30PM Dr. Hoskin uses his ID badge to log into a Dr. Hoskin is at lunch at a local Café shared clinical workstation in his recently when he receives an email on his admitted patients room and immediately BYO Phone that the lab results he shares the lab results. From there Dr was waiting on are now available. He Hoskin starts his afternoon rounds. heads back to begin his rounds.
THE DIGITALLY ENABLED CLINICIAN 7:00AM Dr. Hoskin logs into his MacBook to check his patient list for day accessing the hospitals EMR system.
THE DIGITALLY ENABLED CLINICIAN 8:30AM At the hospital, Dr. Hoskin taps his ID badge on the integrated card reader at his office workstation and immediately resumes his EMR session and prepares for rounds.
THE DIGITALLY ENABLED CLINICIAN 10:30AM Dr. Hoskin grabs an iPad and logs in with his credentials. He is able to engage a patient in their treatment plan at bedside showing them their latest lab result.
THE DIGITALLY ENABLED CLINICIAN 1:15PM Dr. Hoskin is at lunch at a local Café when he receives an email on his BYO Phone that the lab results he was waiting on are now available. He heads back to begin his rounds.
THE DIGITALLY ENABLED CLINICIAN 1:30PM Dr. Hoskin uses his ID badge to log into a shared clinical workstation in his recently admitted patients room and immediately shares the lab results. From there Dr Hoskin starts his afternoon rounds.
THE DIGITALLY ENABLED CLINICIAN 11:30PM Dr. Hoskin gets a call patient slipped and injured himself. Using his MacBook he accesses the digital image and consults online with orthopedic surgeon - decides bone is not broken. Avoids a trip to hospital.
WE ARE HERE TO HELP • Design a POC to demonstrate the We are making a difference with: value of the Anywhere Clinical Desktop NSW eHealth SA Health • Develop your: WA Health • Deployment strategy National Disability Insurance Agency • Mobility strategy Metro Health South & North • Security strategy Sunshine Coast PHN • Plan your Anywhere Clinical Desktop Metropolitan Fire & Emergency Experience Services Board
QUESTIONS?
CONCLUSION • See a live demonstration of The Anywhere Clinical Desktop at the Data#3 stand - Stand 1 • Next Steps 1:1 meetings with David Lennon – Tuesday @ HIC from 1:00pm • Prize draw winner announced Thank you
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