Innovative Instant Messaging Technology HIC 2019 - Melbourne - PowerPoint PPT Presentation

Secure Clinical Communication with Innovative Instant Messaging Technology HIC 2019 - Melbourne 14.Aug.2019 James Tan, Health Informatician Hong Kong Hospital Authority

7,416km from Mel 1,108km 2 7.5M population 2

S omething about HKH ospital A uthority 3

~80,000 staffs 4

44 public Hospitals 5

~30,000 beds 6

47 Specialist Out-Patient Clinics 73 General Out-Patient Clinics 7

~1.7M Inpatient and day patient discharges per year 8

~2.2M A&E attendances per year 9

~10M Specialist outpatient clinic attendances per year 10

35,000 clinical users 17,000 clinical workstations 1 Clinical Management System (CMS) 11

~9M patient records 12

Not too long ago .....

Hong Kong in October 2018 … Mobile Subscriber: 19,366,977 2.5G/3G/4G : 18,573,243 Penetration : 259.9% (Source: Office of the Communications Authority, OFTA)

700% Photo credit: James Tan, August 2017

1.2 Billion 1 Million population users register daily 175 Million 109 daily active users countries 42 Billion 53 message sent daily languages 1.6 Billion $17 Billion pictures shared daily annual budget

In need of a corporate HA Chat Secure platform and Access everywhere encrypted data Message privacy Integrate with other by housing all data HA systems / apps For HA staffs, Connect without corporate-wide phone numbers

Objective of HA Chat “To minimize the risk that HA colleagues send sensitive information using commercial instant messaging tools” Clinical Management & Staff Communication Administrative Communication - In-patient case - Contingency & crisis - Work collaboration discussion - Staff duty - Staff counseling - Community & outreach

Pilot Trial 2016 1,000

HA Chat 2016

Allied Health 13 clinical depts 12 admin units Community & HA Chat 2016 Outreach 9 hospitals 227 312 A&E Contingency & Crisis Medicine 131 Management 62 53 Oncology 159 Staff Support 16 50 Orthopedics Surgery 21

Enterprise Implementation 2017 80,000+

• Encrypted transmission and storage • In-house hosting of messages & media KEY FEATURES • Log-in with staff code • Multiple Devices • Message Recall • Watermarks on sensitive images • Remote wipe • De-registration

Key in OTP Set Passcode Enable Finger-print INSTALLATION

Send a Photo Send a PDF ATTACHMENT

Notification Read message READ MESSAGE

Remove linked device(s) DE-REGISTRATION

(as at 21.Jun.2019) INSTALLATION BY STAFF GROUP No. of staffs No. of installations 16.2% Total: 13,403 (15.4%) 30153 9.1% 6.2% 21471 16529 21.8% 24.8% 54.9% 8319 6868 4874 69.1% 3103 1960 1814 1703 1703 1027 466 322 MEDICAL NURSING AH MGT/ADM SUPPORTING OTHER NON-HA IT

Total Text Msg : 505,858 Total Images : 75,005 MESSAGE SENT BY MONTH 60000 48216 47325 48107 50000 43208 43056 40302 38300 36130 36136 40000 29913 26577 24184 24723 30000 19682 20000 10000 0 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Feb-19 Mar-19 Apr-19 May-19 Jun-19 Text Image (as at 21.Jun.2019)

Key concerns from colleagues: 1. Privacy & Censorship 2. Medico-legal 3. Functionality & Security (Convenience) 4. Mandatory VS Voluntary 5. BYOD & data usage Sociotechnical Sentimental

Way forward Engagement and Promulgation Integration with HA Clinical Systems Verbal ordering with NLP Chabot and A.I. Mandatory rollout

Thank you James Tan Health Informatician Hong Kong Hospital Authority (E) jamestan@ha.org.hk