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Dr NT Cheung Head (IT & Health Informatics) & CMIO, HA Consultant(eHealth), FHB
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Disruption
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eHealth in the HA The Ongoing Journey
1990 1991 1995 2000
2003 2004 2006 2008 2009 2010 2016
“Green fields” Patient administration + Departmental systems Clinical Management System (CMS) CMS Phase II
• Electronic Patient Record (ePR) eSARS ePR Image Distribution PPI ePR sharing CMS Phase III Filmless HA Inpatient MOE HK-wide eHR Sharing System
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CMS - An essential clinical tool
11M patients
380M episodes of care
2B laboratory results
423M radiology studies
723M drug items
14M transactions / day
Sub-second response time
7x24 >99.98% uptime since live run
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End User Devices
Applications
20,000 workstations2,500 devices
110 applications850 services6000 datasets
Servers1100 middleware servers450 database servers
Infrastructure5 data centresHong Kong wide network
CM
S
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Health Informatics in HA 3 Basic Steps
Build the electronic patient record• Comprehensive• Standardized & structured• Accessible
Support the processes of care• Enter once, use many• Do the right thing• Targeted clinical effort
Improve quality & safety• Specific Q&S programs• Measure & monitor• Continuous improvement
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CMS eReferral Letter
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Increasing utilization of CMS eReferral
Num
ber o
f Ref
erra
l Let
ters
70,000
75,000
80,000
85,000
90,000
May Jun Jul Aug
1. Rollout new “To” field and address generator to all hospitals on 10-Nov-20142. Rollout enhanced “Reason for referral” to all hospitals on 11-May-2015
4%
10%
7% 12%
>90% of internal referrals use eReferral
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Closed Loop Inpatient Medication Management (IP-MOE)
• Electronic Prescribing
• Prescription vetting & dispensing
• Barcoded administration
• Medication Reconciliation
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Information Flow
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Clinical Data Analysis Reporting System
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Number of CDARS Requests 2003-2015
0
100000
200000
300000
400000
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
3009542749 48276
6363877549
96787
143392
178721
211990
243197
281212300193 308019
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Management Information Portal
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CMS IV - the 4 P’s
• Paperless• Protocol driven• Personalised• Closed loop communications
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IT a Key Enabler for HA Strategy 2017-22
Service Delivery
Financial Provision
People Management
IT Enablement & Innovation
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Health Informatics in HA 3 Basic Steps
Build the electronic patient record• Comprehensive• Standardized & structured• Accessible
Support the processes of care• Enter once, use many• Do the right thing• Targeted clinical effort
Improve quality & safety• Specific Q&S programs• Measure & monitor• Continuous improvement
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Health Informatics in HA The 4th Step
Build the electronic patient record
Support the processes of care
Improve quality & safety
Enable new models of service deliveryMake data actionable
Engage patients in their own care
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Community Health Call Centre Services
18
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Service development journey
Patient Support Call Centre (PSCC)
• 2009 High Risk Elderly (HARPPE) proactive calls
• 2011 Chronic Disease Management - DM patients with suboptimal disease control
Mental Health Direct(MHD)
• 2012 – 24-hour advisory hotline
service by psychiatric nurses– “Telecare” service targeting
patients with severe mental illness
• 2014 Defaulter tracing service
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Chronic Disease Management- DM Program
Additional 0.23% point* reduction in HbA1c
Improvement in Behaviours
Improvement in HbA1c
20
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Technology to Idea
Idea to Prototype
Prototype to Project
Vendor
Competitor
Open source
Community
Market
Research
University
ecosystem
Selection
Develop
Activate Transformation
The Innovation Funnel
Geek ProjectsDevelop new technology vision into HA solution prototype
Explore technology beyond vendor
Deploy prototype into projects
21
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Geek Project iBeacon Indoor Navigation
Low-cost- HK$ 60 / iBeacon
Support iPhone/Android Phones- via Bluetooth connect
Indoor navigation- Auto-detection of user’s location- Visual and voice guidance- Shortest route to the destination
22
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HA mobile apps for patients and staff
24
TouchMed(Prescription Queuing)
HA Touch
(General Info)
BookHA(SOPD Booking)
easyGO
(Wayfinding pilot)
HRApp(App for HA staff)
mSHR(Staff medical record)
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Order MedicationsReview
Results
Order Investigations
Diagnosis and Treatment
Mobile CMS
Mobile Album
MobileRadiology
MobileLab Result
MobileRadiology
Mobile Prescription
Mobile Clinical Camera
Mobile Memo
Mobile Care PlanMobile Clinical Forms
Mobile DxPxMobile Clinical Requests
Mobile AllergyMobile Notes
25
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HA Chat
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A&E Dashboard
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Bed Occupancy Dashboard
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MIPO Admission Block Alert
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Transforming Healthcare Delivery
• CMS will continue to enhance the quality, safety and efficiency of HA care
• More use of data to drive timely clinical and management action
• IT innovations will improve the patient and staff experience
• IT will enable new models of service delivery