Clinical Leadership in e-Health Era
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Clinical Leadership in e-Health Era

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Clinical Leadership in e-Health Era. Fernandez Aguado JE. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

Clinical Leadership in e-Health Era. Fernandez Aguado JE. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

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Clinical Leadership in e-Health Era Clinical Leadership in e-Health Era Presentation Transcript

  • "eHealth and healthcare organizations – The chicken and the egg"
  • The great challenges of the XXIth century Ethic Genetics & Drinkable Autonomy & challenges Engineering water Welfare Information Global warming Poverty Health society Alternative Terrorism & Population Governability energies Human Rights ageing Multi- Demographic Oil crisis Sex equality culturalism growth Source: Siemens elaboration from the report “XXI Century: Tentative of Identification of Some Great Trends” Jerôme Bindé, Manager of the Office of Analysis and Foresight, UNESCO
  • How to best improve healthcare efficiency Through: • Innovation • Process optimization Quality Cost of healthcare delivery
  • Innovation helps to increase healthcare efficiency and meet the public’s demands Increases patient comfort • Reduced invasiveness • Shorter examination times • Less radiation • Selective therapy In line with citizens’ Essential as desire to stay as demographic trends put more and more healthy as possible demands on health- during their lifetime Innovation care systems in Healthcare Improves quality of care Reduces cost of care • Faster report turnaround • More accurate, reliable diagnosis • Faster acquisition times • Fewer diagnostic and medication errors • Higher patient throughput
  • Innovation  One picture shows a dynamic process
  • eHealth and healthcare organizations Process Optimization a challenge Patient’s Home Technology
  • eHealth and healthcare organizations Process Optimization a challenge Hospital (from latin “hospitalis”) as an aid place, charity, Handout for the most disadvantages when they got sick: Poors, pilgers, elders, … Great Royal Hospital of Santiago de Compostela (It started to work in 1509)
  • eHealth and healthcare organizations Process Optimization a challenge 1- Hospital was an alternative to the care at home, which was habitual, when the social and economic circumstances did it possible. In the XX century, technological advances “take out” the diagnostic and treatment and they bring it at the hospital, with independence of the social situation of the patients. It becomes something universal and it concentrates all the medical knowledge.
  • eHealth and healthcare organizations Process Optimization a challenge How the Healthcare System will be ?
  • Healthcare System a challenge of the XXIth century Healthcare Economy Stay Prevention Sick, healthy Born Acute disease Death injured Rehabilitation Senior care Care Management Trauma Recovery Sick, cured Stroke injured Cardio Integrated Diagnostics Desease Management Patientflow X-Ray MR CT Treatment out OP Bed in LEAN HOSPITALS Angio Intens. Workflow Management Healed, Medical fit for work Interaction Places Beds Utilization Patient Medicine Management
  • Healthcare System a challenge of the XXIth century Healthcare Economy Technology Medicine
  • Healthcare System a challenge of the XXIth century Healthcare Economy Technology Medical Interaction Places Beds Utilization Patient Medicine Management
  • Healthcare System a challenge of the XXIth century Healthcare Economy Sick, injured Technology Healed, Medical fit for work Interaction Places Beds Utilization Patient Medicine Management
  • Healthcare System a challenge of the XXIth century Healthcare Economy Sick, injured Examination Care Therapy Diagnosis Patientflow X-Ray MR CT out OP Bed in LEAN HOSPITALS Angio Intens. Workflow Management Healed, Medical fit for work Interaction Places Beds Utilization Patient Medicine Management
  • eHealth and healthcare organizations Process Optimization a challenge 1- Hospital was an alternative to the care at home, which was habitual, when the social and economic circumstances did it possible. In the XX century, technological advances “take out” the diagnostic and treatment and they bring it at the hospital, with independence of the social situation of the patients. It becomes something universal and it concentrates all the medical knowledge. 2- The medical diagnosis and treatment are spot on. But the processes behind it are broken
  • eHealth and healthcare organizations What is workflow in healthcare? Workflow w ə rk-fl ō n : a series of activities to produce a pre-determined result Industrial workflows are: Healthcare workflows are:  Linear  Non-linear  Unidirectional  Multi-directional  Continuous  Interrupt-driven  Have limited complexity  Have unlimited complexity
  • eHealth and healthcare organizations What is workflow in healthcare? Today's Process inside 1 the clinic center Improvement of actual clinical 2 workflow by use of latest modalities and IT-Systems. (solving the “low hanging fruits”) Roadmap/Concept of a 3 totally integrated and IT- supported, controlled Controlled Workflow Workflow Roadmap to an optimized workflow supported and guided by an integrated “Workflow Engine” based on medical symptoms, guidelines and actual situation. (e.g. automated scheduling, benchmarking, patient tracking)
  • eHealth and healthcare organizations What is workflow in healthcare? Scope  Visualization  Workflow-oriented facility planning Benefits Deeper understanding of complex workflow interdependencies  Faster identification of bottlenecks  Comprehensive space utilization
  • eHealth and healthcare organizations What is workflow in healthcare? Example “Hip Replacement” Ideal Process 1 Day 1 Day 1 Day 3 Days 8 Days = 14 Days Actual Process 3 Days 2 Days 1 Day 1 Day 1 Day 4 Days 14 Days = 26 Days
  • Healthcare System a challenge of the XXIth century Healthcare Economy Sick, injured Examination Care Therapy Diagnosis Patientflow X-Ray MR CT out OP Bed in LEAN HOSPITALS Angio Intens. Workflow Management Healed, Medical fit for work Interaction Places Beds Utilization Patient Medicine Management
  • Healthcare System a challenge of the XXIth century Healthcare Economy Sick, injured Patientflow X-Ray MR CT Treatment out OP Bed in LEAN HOSPITALS Angio Intens. Workflow Management Healed, Medical fit for work Interaction Places Beds Utilization Patient Medicine Management
  • Healthcare System a challenge of the XXIth century Healthcare Economy Sick, injured Trauma Sick, cured Stroke injured Cardio Integrated Diagnostics Desease Management Patientflow X-Ray MR CT Treatment out OP Bed in LEAN HOSPITALS Angio Intens. Workflow Management Healed, Medical fit for work Interaction Places Beds Utilization Patient Medicine Management
  • eHealth and healthcare organizations Process Optimization a challenge
  • eHealth and healthcare organizations Process Optimization a challenge 1- Hospital was an alternative to the care at home, which was habitual, when the social and economic circumstances did it possible. In the XX century, technological advances “take out” the diagnostic and treatment and they bring it at the hospital, with independence of the social situation of the patients. 2- The medical diagnosis and treatment are spot on. But the processes behind it are broken 3- Integrated Diagnostics The convergence of laboratory diagnostics, medical imaging and IT solutions helps to advance the shift from a proactive to a more active care. "Although still in its infancy, integrated diagnostics has the potential to dramatically transform healthcare - and it will do it along the entire healthcare continuum, from prevention to early diagnostics to more-targeted, personalized therapies.
  • Modern Flight Control Controlled Workflow Early Aviation Modern Flight Control  Controls complete system  Flight plans; flights centrally  No flight plans  directed  Each pilot had  Constant tracking and correction complete control  Manages air traffic  No coordination - Safety - Efficiency - Timeliness - Coordinates resources
  • eHealth and healthcare organizations Controlled Workflow Past Future Early detection of diseases Imaging biomarkers Fast drug/medicines development Reactive medicine Knowledge-based Molecular Medicine and Medicine Knowledge Management  Wait for symptoms or clear evidence of illness  Predictive Personalized Medicine  Anatomical and functional  Preventive image  Personalized Medicine  Standard Therapy Information flow parallel to workflow
  • Healthcare System a challenge of the XXIth century Healthcare Economy Sick, injured Trauma Recovery Sick, cured Stroke injured Cardio Integrated Diagnostics Desease Management Patientflow X-Ray MR CT Treatment out OP Bed in LEAN HOSPITALS Angio Intens. Workflow Management Healed, Medical fit for work Interaction Places Beds Utilization Patient Medicine Management
  • Healthcare System a challenge of the XXIth century Healthcare Economy Prevention Sick, Born Acute disease Death injured Rehabilitation Senior care Care Management Trauma Recovery Sick, cured Stroke injured Cardio Integrated Diagnostics Desease Management Patientflow X-Ray MR CT Treatment out OP Bed in LEAN HOSPITALS Angio Intens. Workflow Management Healed, Medical fit for work Interaction Places Beds Utilization Patient Medicine Management
  • … year 2020
  • … year 2020
  • eHealth and healthcare organizations Process Optimization a challenge 1- Hospital was an alternative to the care at home, which was habitual, when the social and economic circumstances did it possible. In the XX century, technological advances “take out” the diagnostic and treatment and they bring it at the hospital, with independence of the social situation of the patients. It becomes something universal and it concentrates all the medical knowledge. In the XXI century, technological advances are going to take medicine at home. The hospital is going to change his role. 2- The medical diagnosis and treatment are spot on. But the processes behind it are broken 3- Integrated Diagnostics The convergence of laboratory diagnostics, medical imaging and IT solutions helps to advance the shift from a proactive to a more active care. "Although still in its infancy, integrated diagnostics has the potential to dramatically transform healthcare - and it will do it along the entire healthcare continuum, from prevention to early diagnostics to more-targeted, personalized therapies.
  • Healthcare System a challenge of the XXIth century Healthcare Economy Stay Prevention Sick, healthy Born Acute disease Death injured Rehabilitation Senior care Care Management Trauma Recovery Sick, cured Stroke injured Cardio Integrated Diagnostics Desease Management Patientflow X-Ray MR CT Treatment out OP Bed in LEAN HOSPITALS Angio Intens. Workflow Management Healed, Medical fit for work Interaction Places Beds Utilization Patient Medicine Management
  • Healthcare System a challenge of the XXIth century IT Tools Population Screening: OIS Prevention Born Acute disease MIS Death Rehabilitation Senior care Citizen Digital Health Records Care Management Trauma Knowledge-driven IT Sick, cured Stroke injured Cardio Integrated Diagnostics Desease Management Patientflow X-Ray MR Hospital Information Systems CT out OP Bed Health Records PACS in LEAN HOSPITALS Angio Intens. Workflow Management Departmental Software: RIS / LIS / Pharmacy Beds Pathologic Diagnosis / ICU Utilization Medicine Management
  • Healthcare System a challenge of the XXIth century The potential remains very large to improve the Quality of care
  • eHealth and healthcare organizations Disclaimer: The views developed in this presentation are those of the author and do not reflect necessarily the Siemens position on the subject matter