integrated health information to examine, empower and engage
TRANSCRIPT
AGENDA: Healthcare Technology
The Current trends in Healthcare technology• Paperless Healthcare Environment
Web-based Systems, E-Prescriptions, E-Consulting, E-Referrals & Online appointments, video conferencing,
remote monitoring for healthcare. • Online health records and Clinical Decision Support System (CDSS)• Mobile based solutions
Seamless integration with web systemsRemote monitoring & Telemedicine
• Patient Empowerment & EngagementMore informed treatmentFocus on patient oriented health systems
INTRODUCTION – H – Connect Cloud
• A Cloud based Health Information Software as a Services• For Multiple healthcare stakeholders viz. Patients, Doctors,
Hospitals, Laboratories and all others.
• Electronic Ecosystem to build a universal Electronic Health Record and Health information exchange.• Deliver care through information technology• Enhance health research, analysis & compliance • Improve efficiency, quality and reduce cost of healthcare.• Lay foundations for a healthier society
AGENDA: Healthcare Technology
The Challenges in Current Health Care Systems
• Limited or No benefits to the PatientLack of Patient Satisfaction focusLow or Non-existent Customer Relationship Management
• Lack of Interoperability and CoordinationInter – Organization – Branches, associated and group hospitals Intra – Organization - laboratory, radiology, etc.
• Limited Data Available for Research purposesUnstructured Medical Data, lack of standardization, etc.
• Technical Requirements and HasslesServers, Storage, Infrastructure and Maintenance Costs
H-CONNECT : THE STRUCTURE
Mandatory Health
Reporting
Health Data
Standardization
Patient Portal
PHR - Personal Health
Record
E-Health Governance
Public Health Analysis
Mandatory Lab Reporting
Storage and Retrieval
Research Tools and
Analysis
Health ResearchOrganizations Hospital
Patient
PublicAgencies
ReferenceLabs
Payers
Physicians/Practices
ImagingCenters
H-Connect Facilities
H-CONNECT USER FLOW
Laboratory Physician views reports and history.
The Doctor Orders test online test
Report CollectionDoctor
Consultation
Patient will view reports in PHR & also his previous medical records
x
BUT, STILL WHY H-CONNECT ?
Doctors at remote location, will access patient health record in Hconnect and plan the treatment options
Medical data from hospital is directly reflected in patient account
H-CONNECT DELIVERABLES
Customer Relationship Management
Health analytics
Health content Data standardization
Personal Health Record
1. CUSTOMER RELATIONSHIP MANAGEMENT
Communication module• Critical/Alert SMS to critically ill patients
• Reminder SMS/Email to patients to repeat the test.
• Special SMS to “Advised/Recommended” patients.
• Promotional offers for targeted customers to attract more
patients and create brand awareness.
• Provide them health and fitness tips for creating an additional
value add.
• Increase business through a chained CRM cycle
• Set up the SOP to perform CRM cycle
2. HEALTH ANALYTICS
• Critical alert profiling
• Abnormality profiling
• Demographic view
• Epidemiology study
• Health trends
• Interactive charts
• Gain predictive analysis
3. HEALTH CONTENT
• Health profiling
• Health education
• Regular health tips
• Recent health trends
• Self-care materials
4. DATA STANDARDIZATION
• HIPAA compliance
• HL7 compliance
• Follow ICD-10, SNOMED-CT, LOINC etc
• Unified health report
• Standardized data analysis to perform successful CRM
5. PERSONAL HEALTH RECORD (PHR)
• Secure PHR for lifelong• Complete medical data• View, share, print and
download reports at home• Emergency medical card• Health alert• Test information• Health tracker• Medical condition• Medication• Allergy• Diet and Exercise• Health summary• Health education and tips• Upcoming appointments• Health calculator• Family history
Web and Mobile app
APPROACH TO IMPLEMENTING H-CONNECT
• Commercial agreement
• Need assessment
• Development
• Technical implementation
• Beta deployment
• Free Training
• Go live
FEW BENCHMARKS
ROI : 86.57 %
Therefor for 296 patient : 222000 Rs.
Cost of 1 test : 750 Rs.
No. of Patient came back to repeat test : 296
Total SMS cost: 2535 Rs.
Total no. of SMS sent : 8449No. of SMS failed : 647
PORTAL ACCESS
1. Lab Portal: • Reports• Analysis and Communication
module
2. Doctor Portal• Reports• Patient summary
3. Patient Portal• Comprehensive Personal Health
Record
DATA ANALYTICS: CRM
Customer Relation Tool
• Health campaigns
• Bulk Communication
• Research output
CHART ANALYSIS
• Reinforces Physician – Lab - Patient relationships• Practice management • Partnership strategy• Able to retain or increase their business, as well as support
local physicians• Manpower management• Inventory Management
CHART ANALYSIS : TREND DISPLAY
Why drastic drop in lab test ordered?....next analysis - which
client caused so?
CRM : REFERRING DOCTOR TREND
PADHYE DAKSH
ATA
MBBS D.Diab SE
LF
MORAJKAR RAVINDRANATH B
md
GADGE PRADEE
P V M.D.
DOSHI S
UMATICHANDRA H
md
GANDHI ALK
A P M
D
AGERA VALER
IAN I m
d
GOKHALE SH
IRISH R
m.d.
PATEL K
IRIT R
M
D
JOSE
PH LEEJA
DNB (M
ED)
NAVALKAR PARES
H V lce
h
MONDKAR M G
mbbs
PATIL SA
NDEEP S
MD
KELKAR UTT
AM V M
BBS
DAVE M K
md
PANIKAR VIJAY
MD
AJMER
A PARAG C m
d
TIWASK
AR MANGES
H m
d
SANGHVI A
MI 0
50
100
150
200
250
300
350
400
450
Referring doctor
Num
ber o
f pati
ents
CRM
Why remaining 100 + patients of Dr. Pradeep did not came back for
repeat of test?
Total Doctor: 2292, E.g.: 698 FPG test by Dr. Dakshata
269 FPG test by Dr. Pradeep (124 patients > 126 value: diabetes,
only 14 repeated the test)
Why (4459 – 556 = 3900) not came back for repeat test?
> 100: 7886;> 126: 4459 (diabetes)
12203 FPG test in 2 months (11647 unique + 556 repeats)
Perform CRM for Dr. Pradeep
CRM FOR SEQUENTIAL TEST
2400+ patient had a advise for Glycosylated hemoglobin (HbA1c) in remarks section :
only 168 patient had HBA1c test?....Why
Pregnancy test : Positive, Shd come for 1st and 2nd trimester screening….also new born screening can be recommended….
So, keeping track of such patient cause patient engagement.
TAKE AWAY FROM H-CONNECT
User retention/engagement: Engagement is key, and with engagement, you build credibility• Improve quality• Improve patient participation• Improve accuracy of diagnosis
Business intelligence : Forward-thinking laboratories will also have a chance to benefit from hospitals and physicians• Patient relationship management• Marketing• Health campaigns / profiling• Seamless data exchange with doctors
WHAT H-CONNECT HAVE?
Technically: • Cloud based system : Can be accessed anytime, anywhere for lifetime. No
special Hardware required for storage. • Uploading and Sharing of information by even end-users. Connectivity &
interoperability.• Provide alerts and reminder: SMS/email to refer, share and notify
Analytically: • Data analysis: Charting and research output• CRM tools embedded• Business intelligence : Strategically planning• Enhance productivity of organization: via Manpower management and work
automation
Medically: • Prevalence and epidemiology study• Better healthcare management• Goal achievement and Track medical changes• Can Prevent all type of Medical errors
MANPOWER MANAGEMENT
Example: • In June (5400 FPG) : performed by 5 technicians: 5400/5 =
1100 test/technician• In July (3700 FPG) : Same 5 technician performed: 3700/5 =
700 test/technician
So, 400 test/technician is less. What have been done in idle time?
Same thing for inventory management
INVENTORY MANAGEMENT
• To count average number of particular test per quarter, plan the inventory purchase for the next quarter.
• Seasonal usage of inventory and to stock up the lot.• Availability of some particular kit on special rates: campaigns can
be planned. • Kits near to expiry dates or if extra lot available: campaigns can
be planned.• Out sourcing of the rare test and performing particular test only
on some day/ some time in a day.
MANY WAYS TO PERFORM CRM
• Template and field specific (including range wise)• Age• Gender• Referring doctor specific etc…• Can be: • Residential area specific• BMI specific• To send monthly report to existing clients about there overall
report.