Transcript of "Powering Global Health: Pakistan's Healthcare IT Industry 2011"
In 1997, Bilal Hashmat founded CureMD – a New York - based company – to provide IT solutions to the growing US healthcare market. The rstcompany in the world to o er cloud - based services to the healthcare industry, CureMD today is one of the top-ranked healthcare IT providers in theUnited States. Kubair A. Shirazee’s Ikonami Ltd. recently concluded an acquisition of its very successful suite of learning, competence, andperformance management products focussed on the UK healthcare industry by Radcli e Publishing Ltd., whose parent company, Electric Word plc,a specialist information publisher focussed on the healthcare vertical. With the product installed in 410 hospital trusts of the National Health Service(NHS), Ikonami Pakistan can pride itself on contribution to one of the largest healthcare providers in the world. Pakistans Healthcare IT Industry - A Capability Pro le
Companies Pro led In This Brochure CUREMD P1 AGA KHAN UNIVERSITY HOSPITAL P7 IKONAMI P1 INDUS HOSPITAL P7 KABOT INTERNATIONAL P5 SHAUKAT KHANUM CANCER HOSPITAL P7 ITACK SOLUTIONS P5 SIS SERVICES P5 ELECTRONIC SOLUTIONS PAKISTAN (ESOLPK) P5 OTHERS: SOFCOM P6 PAKISTAN SOFTWARE EXPORT BOARD P7 FOLIO 3 P6 NATIONAL ICT R&D FUND P7 CARE P7 PAKISTAN SOFTWARE HOUSES ASSOCIATION P7 NETSOL INC P7 COMSATS INST. OF INFO. TECHNOLOGY (CIIT) P6 MICRO INNOVATIONS P7 SEECS - NUST P6 While CureMD and ikonami adopted the inside-out approach of creating products in Pakistan for the worldwide market, iTack % GDP 18 Solutions’ Fahad chose to do the outside-in when he decided to Diff. 16.0 move back to Pakistan. iTack hopes to bring the high quality and 16 Total expenditure on health functionality of the modern hospital information systems to the 14 Pakistani and Middle Eastern market. iTack is not alone in this quest. 12 11.2 10.7 10.5 10.5 10.4 10.2 A number of Pakistani companies are making signi cant headway 9.9 9.9 9.8 9.7 9.7 10 9.4 9.1 9.1 9.0 9.0 8.7 8.7 in this direction, as the countrys growing middle class demands a 8.5 8.5 8.4 8.1 7.8 8 7.3 7.2 7.1 7.0 6.9 more responsive service, and hospitals seek to arrive in the age of 6.5 6.0 5.9 6 automation and eHealth. Companies such as Kabot International, 4 SiS Services, Electronic Solutions Pakistan (ESOLPK), Netsol, and Micro Innovations are developing a range of healthcare IT products, 2 such as, Hospital Information Management Systems (HIMs), 0 Greece Netherlands Luxembourg France Portugal Chile United States Austria Belgium 1 New Zealand 1 Slovak Republic Iceland OECD United Kingdom Germany Denmark Italy Australia Mexico Canada Sweden Spain Ireland Norway Finland Japan Poland Hungary Czech Republic Korea Turkey Switzerland Electronic Health Records (EHR), healthcare management systems, billing and patient management systems, compliance systems, 1. Current laboratory management systems, and pharmaceutical systems, Figure 1: Health expenditure as a share of GDP, 2008 (or latest year available) (Source: OECD) etc. These companies are joined, on the user-side, by a number of hospitals that have developed their own systems to add to this mix Clinical IT includes specialist clinical workstations, monitor- of frenzied development activity that has positioned Pakistan to ing equipment, and decision-support systems, etc. Enterprise aim for a share of one of the most exciting, albeit well kept, IT includes clinical data systems, and Electronic Medical opportunities of modern times. Records (EMR) etc. Infrastructure IT includes hardware, operating systems, network systems, and data centres, etc. Healthcare: A trillion dollar global opportunity Consulting includes business process re-engineering, change management, and transformation, etc. As one goes Healthcare, globally, is more than a trillion dollar market. Analysis away from the centre, the potential addressable market-size by OECD – the body representing the world’s 22 most developed becomes larger, and the domain expertise needed to countries – estimated that the United States spent $7,538 per approach the market becomes less specialised. A bigger person on health in 2008, well over double the $3,000 average of all market, however, may not automatically translate into OECD countries.2 The United States leads the countries in terms of greater opportunities for outsourced product development proportion of output dedicated to healthcare – at 16% of GDP – or service delivery for specialist healthcare IT companies. followed by France, Switzerland, Austria, Germany, Canada, and Belgium (all above 10%) with the OECD average being 9.0% of GDP. The future market growth in healthcare IT is expected to This expenditure has since exploded, leading to persistent calls, in come from the tremendous demand for general applications, the United States, for instance, for fundamental healthcare reform, which includes electronic medical records, computerized and an increasing pressure on US healthcare providers to stream- physician order entry systems, and non-clinical systems. line processes, introduce automation and technology, practice The fastest growing sub-segment is the EHRs evidence-based medicine, and introduce market-based reforms. In where spending is particularly buoyed by the US market (EHR the United Kingdom, the National Health Service (NHS) is under spending comprised 37% of global healthcare IT in 2008, and tremendous pressure to cut costs and increase e ciency. is destined to rise to 48% by 2015) as the US nancial stimulus mandated by the American Recovery and Reinvestment Act Technology is the leading driver of healthcare spending (ARRA) 2009 is destined to drive IT spending through, among others, spending $20 billion for the adoption of electronic While technology is a major driver of spending in the healthcare records.3 healthcare industry, primarily as a means for improving e ectiveness, automation through the use of Information Technology (IT) is increasingly seen as a means to cut costs. There are a number of components of healthcare IT. Figure 2 divides healthcare spending into four di erent categories.02
Consulting First, a number of Pakistanis or individuals of Pakistani Infrastructure IT IT in Healthcare = Infrastructure IT + Healthcare IT descent living abroad have transferred their domain Healthcare IT = Enterprise IT + Clinical IT Enterprise IT knowledge from more established markets abroad – such as Clinical IT Consulting: Business Processing Re-Engineering (BPR), the United States and United Kingdom – back home. Institutional Transformation, Change Management, etc. Customer references have gradually begun to build as well. Infrastructure IT: IT Hardware, Operating Systems, Second, a number of local health providers – large private Netwroks, O ce Desktop, Outsourced infrastructure, etc. hospitals, hospital franchises, and even public and charity Enterprise IT: Clinical Data Repositary, CPOE, EMR and Departmental IT systems, etc. hospitals – have gradually built healthcare management systems from scratch in order to meet their particular needs, Clinical IT: PACS, Workstations, Clinical Applications, Decision Support, Monitoring related IT products, leading to codi cation and di usion of domain knowledge Other Medical Systems, etc. across the industry. Each of these factors has been instru- mental in the development of the domestic capability andFigure 2: Breakdown of the Global IT in Healthcare Opportunity capacity to deliver globally-competitive products and (Source: Philips Healthcare) services within a challenging domain. Table 1 summarisesHowever, despite the recent advances in IT investment, some of the leading players in Pakistan’s healthcare IT sector.overall IT spending within the healthcare sector remainsconsiderably lower than other transaction-based industries. (%) US Spending on IT Healthcare & other ServicesA 2005 Frost and Sullivan report estimated that healthcare ITspending in the US amounted to only 2.2% of the revenue as Financial Servicescompared to 5.6% for business services, and 11.1% for 15 (%) of revenue for IT 11.1 ConsumerTrade nancial services. The study also projected this number to Business Servicvegrow over subsequent years.4 10 Wholesale Trade InsuranceAt about $88 billion5 a year, and growing faster (2.2%) thanthe market average (0.5%), healthcare represents the Healthcare 6.4untapped “frontier” for IT adoption and investment that any 5.6 Retailcompany – and country – can ill-a ord to ignore. 8.1 5 2.2 6.4Pakistan’s healthcare IT industry 3.9Pakistan’s IT companies have not overlooked the opportunitya orded by greater IT penetration in the healthcare market.Although a bit slow to start with, primarily because of the low 0levels of healthcare IT spending at home, a couple of drivershave resulted in a gradual development of signi cant and Figure 3: Intensity of IT spending in US industriescredible capability within the healthcare IT vertical. (Source: Frost and Sullivan) COMPANIES SPECIALISATIONS CureMD Electronic hearth records; Enterprise practice management; Patient portals; Revenue cycle management ikonami Human capital management; Learning management system (LMS); Performance and competence management system; 360 degree feedback; Venue and bed management system Kabot International Electronic health records; Chemotherapy management system; Practice management systems; Pharmacy inspection, monitoring, and compliance system; Billing and reporting system; VA User access management system SiS Services Hospital management system (HMS); Pharmacy management system iTack Solutions Hospital information management systems (HIMs) including patient records; Laboratory information management systems (LIMs); Clinic management systems Electronic Solutions Hospital management information systems (HIMS); Doctors’ o ce automation system; E ciency measurement toolkits; Pharmacy automation Pakistan (ESOLPK) and eCommerce systems NetSol Inc. Hospital information management systems (HIMS) Micro Innovations Hospital information management systems (HIMS) The Shams Group Electronic document management and electronic health record (HER) system; Clinical informatics systems; Clinical decision support systems; Physicians’ dashboards; Pharmacy management systems Sofcom Quality management system for pharmaceutical industry; Human capital management systems Folio3 Healthcare expert systems; patient data management CARE eHealth Systems Aga Khan University Hospital Hospital information management systems (HIMS) Shaukat Khanum Cancer Hospital Hospital information management systems (HIMS) Indus Hospital Hospital information management systems (HIMS) 03Table 1: Pakistans Leading Healthcare IT Companies (Source: Technomics Compilation)
Bilal Hashmat serves on several US healthcare industry committees and was invited to give testimony to the US Government’s Certi cation / Adoption Work Group of HIT Standards Committee at the O ce of National Coordinator for Health IT. CureMD is not the only US company to have leveraged Pakistan’s high-quality and low-cost talent for setting up its R&D operations. While CureMD was in uenced to set up operations in Pakistan due to the a liations of its Pakistani – American founder, The Shams Group (TSG) is unique in that its founders are not of Pakistani origin, and yet they found Pakistan to be a fertile ground for talent necessary to support their R&D. TSG provides EHR, Health Information Systems (HIS), electronic document management and archiving Capitalising on the US rush for Electronic Health Records systems, and reporting and business intelligence systems for over 400 hospitals across North America, Central and South CureMD is an award-winning provider of web-based all-in- Asia. TSG has also won industry awards, such as the Top-100 one healthcare solutions and accompanying services that Healthcare Informatics (HCI) award, and a Tech Titan Fast 50 empower care providers to improve the quality and value of award. healthcare while opitimizing e ciency and pro tability. In 2003, CureMD established a captive R&D facility in Lahore, A niche market strategy in action Pakistan and embarked upon developing a suite of products for the US healthcare market that were designed and While CureMD has ourished in the private provider- conceived by its domain experts, software architects, and dominated US market based, partially, on the strength of its designers in the US. In the initial days of the company’s devel- R&D operation in Lahore, ikonami has performed a similar opment, Bilal Hashmat, CureMD’s CIO, and his team of usabil- feat in the United Kingdom in the vastly di erent culture of ity researchers spent a lot of time between the US and the public sector-driven universal healthcare at the National Pakistan as they developed and re ned the company’s award Health Service (NHS). winning products. On the whole, about 30% or more of the product development work took place in Pakistan. ikonami Technologies was founded in 2005 as a captive R&D operation of Ikonami Ltd. UK, specialising in specialist human Over the years, CureMD has become one of the leading IT capital management software for the healthcare vertical. service providers to the US healthcare industry, with a With its software servicing more than 1.2m people across 410 number of its EMR/EHR modules winning awards and NHS Trusts, ikonami is a signi cant niche player in the UK notable mentions, and ranked amongst industry leaders. healthcare market, and the company behind successful Black Book Rankings by industry market research rm Brown Knowledge and Skills Framework (e-KSF) that is at the heart – Wilson ranked CureMD as one of the top-4 EMR vendors in of the largest program ever undertaken at the NHS. Ikonami the US based on physician satisfaction6. The results were product platforms encompass the entire range of human based on a four-month-long survey comprising 30,000 capital management, compliance, and professional healthcare professionals, physician practice administrators, development sub-functions across an organisation as and hospital leaders in the healthcare IT arena. complex as the NHS: AT-Work™ is a competency and appraisal system that can be integrated with any payroll system, CureMD was also one of only 28 vendors across the US enabling appraisals to be linked with pay; AT-Learning™ is a certi ed by the Centre for Medicare and Medicaid Services web-based enterprise-level Learning Management System (CMS) in 2011 for its EHR solution, allowing it to tap into the (LMS), that has taken the NHS’ learning management space multi-billion dollar federal healthcare market.7 by storm; AT-Feedback™ is a web-based tool that automates the entire 3600 feedback; AT-Venues™ is an event, venue and More recently, CureMD also launched a Discreet Reportable bed management system; and AT-Performance™ is a perfor- Transcription (DRT), enabled EMR solution that allows mance management tool designed to store and manage physicians to call a toll-free number and dictate their ndings competence, behavioural and service objectives for the sta . and clinical assessments in their own words, thus saving In addition to product development, ikonami Technologies precious time and costs within the healthcare system.8 also provides product deployment and support services to its parent company. ”CureMD consistently ranked among the top-10 highest-ranked EMR rms, including single and multi-physician internal medicine environments…” – Doug Brown, Managing Director, Brown – Wilson CureMD has won a number of di erent innovation awards, including the Asia Paci c Information Technology Alliance’s APICTA Award for e-Health applications and MedTech Journal’s Innovation Award. CureMD has sought to play an increasingly active part in health policy debates around04 adoption of IT in the US, thus shaping, rather than merely reacting to, changes in the healthcare IT market place. (Photo Credits: Siemens)
ikonami Ltd was recently, acquired by Electric Word plc (AIM: work ow for Vista-associated HR functions, andELE), the specialist information publisher with complemen- “PharmaKomply” enables VA facilities to manage their Jointtary interests in the healthcare vertical. ikonami will be Commission conformance requirements for medicationrebranded as Radcli e Solutions – alongside Electric Word management. Kabot’s approach to product developmentother recent acquisition, Radcli e Publishing, which primarily has been clever, albeit with its own challenges. “The VA brandfocuses on professional development books, journals and does sell and establishes a comfort level for our clients”, saystraining in primary healthcare.9 Kubair A. Shirazee, the CEO of Dr. Arif Toor, CEO of Kabot International. With a basic trackikonami Technologies and one of the Directors of ikonami record established after more than 25 deployments withinLtd., sees this acquisition as a crucial in exion point for the the US, Kabot has recently adopted the reseller model incompany, allowing it to use its successful track-record of anticipation of rapid growth in the years to come.product development within the healthcare vertical anddiversify its o erings. “It is a mark of acknowledgement of theconsiderable success that ikonami has had with developing asuccessful range of products for the healthcare vertical thatan international player has acquired our entire productportfolio, with a view to using its much greater marketingmuscle to take it to the next level. This frees up ikonami topursue other exciting opportunities, while bene ting fromthe pro ts of its existing product-line,” says Kubair Shirazee.ikonami Technologies – the Pakistani operation – willcontinue to provide product development and support tothe new entity, while venturing into new areas.Health and hospital information management systems iTack Solutions has developed a complete range of productsHealth information management systems form the core of to meet the needs of information management andthe healthcare IT and automation movement. A number of integration across the healthcare value chain. For example,healthcare IT companies have particularly targeted this i-Care is a web-based suite of products encompassing anopportunity. end-to-end hospital management information system cover- ing all departmental needs. iClinic is specially designed for the clinics and iLabs for laboratories and diagnostic centres. “The ultimate objective for iTack’s product suite,” says Fahad Mohiyuddin, the CEO of iTack Solutions, “is to create the tools necessary for a ‘paperless’ hospital.” From a market standpoint, iTack is seeking to go against the tide of creating products for the developed world. iTack seeks to bring the developed worlds healthcare standards and automation to the emerging markets and developing countries in the Middle East and Asia. The company has recently made inroads into the Pakistani market and a couple of deployments in the Middle East are also on the way. Other companies with a variety of healthcare IT products and services include Solultions in Software Services (SiS Services with a hospital management system and a pharmacyKabot International (also Kabot Systems) is a key player in this management software product and Electronic Solutionsmarket. It began developing its product suite in 2005 by Pakistan (ESOLPK) primarily works on a service model, andleveraging the release of US Veteran A airs’ legacy software – has delivered a range of web and Windows-based healthcareVista ® –under the Freedom of Information Act (FOIA). Vista – automation tools such as my MDCentral – an all-in-oneoperated by 180,000 healthcare professionals across 170 VA doctors’ o ce Automation tool – and Dr-SIR – a research-hospitals – is considered as a Gold Standard by the US based expert system for e ciency improvement in hospitals,Government. Kabot’s biggest achievement was to adapt this in addition to a number of bespoke portals, e-learningplatform for commercial use, especially for Ambulatory platforms, and e-commerce systems, among others.Clinics and Physician O ces. Rebranded as Vista++, the EMRproduct also contains several key modules such as Practice "Ikonami has an excellent reputation for its softwareManager, Chemotherapy Manager, Pathology, and Billing. within the NHS, a strong market position, and anKabot is one of the rst 50 companies to get this product outstanding opportunity to grow in a fast-changingcerti ed for the O ce of National Coordinator of Health IT environment, in which e ective people(ONC) “meaningful use” certi cation 2011/2012, necessary to management, training and compliance will betake advantage of CMS incentives for HIT adoption. increasingly important within the new health service structures…this acquisition gives us an excellentBuilding upon its expertise to re-engineer the VA platform, platform for future organic growth in the healthcareKabot has launched a number of new products. “SenVis sector, and allows us to extend the Radcli e brand soStudio” enables the user to easily navigate Vista’s soon after we acquired it.” – Julian Turner, CEO, 05complex technical architecture. “Mynapin” automates Electric Word plc.
New emerging niche markets Folio3 recently launched the Smart Path Platform for Diagnosis One, a US client. Smart Path consists of an expert Companies have also gone further down the value-chain system designed to enable doctors to make better diagnoses within the pharmaceutical and diagnostics industry. Sofcom, – as well as a public health surveillance system funded by the for example, has developed a process information centre for Diseases Control (CDC) in the US. The latter was management system and laboratory management system deployed in Pakistan, and can be deployed for use by other for the pharmaceutical industry. Spectrum is a web-based public health agencies. FDA 21 CFR Part 11-compliant total quality management tool designed to ensure consistent product and process quality, Folio3 has also developed mobile applications for customers resource optimization, and compliance to cGMP. According such as Myomo, a MIT spino that produces robotic devices to the FDA, Process Analytical Technology (PAT) o ers that help stroke patients recover limb usage. Folio3s considerable cost-savings, and has been hailed by the smartphone app acts as a remote control for the robotic arm, industry as the most radical change in pharmaceutical and gathers patient progress data that can be reviewed by manufacturing over the last 30 years. Sofcom’s clients include therapists on the other side of the world. e-Health is certainly GlaxoSmithKline (GSK), P zer, Merck, Bristol-Myers Squibb, a growing area where Pakistan is seeking to develop capacity. Parke Davis, and BASF, among others. The COMSATS Institute of Information Technology (CIIT) is seeking to become a leader in bioinformatics. An Folio3 is a fast growing software services outsourcing inter-departmental health informatics research group has company in Pakistan that was part of the All-World Fast been set up to focus on telemedicine, e-Health, and mobile Growth Pakistan-25 2010 List. Folio3 specialises in mobile, health technology, among others. The School of Electrical entertainment, and social media platforms, among others. It Engineering and Computer Sciences (SEECS) at the National has also developed capability within the e-Health space. University of Sciences and Technology (NUST) has also Pharmacy Medication Safety Physician Clinical Practice Clinical Documentation Medication Outpatient Physician Ambulatory Patient I&O eMAR Results Order Flowsheets Order Entry Prescriptions Order Practice Assessment Vital Sings Review Sets Entry Management Substitution/ Dosing Formulary Rounding/ Patient Patient Cost Provider Kardex Task Lists Care Plans Management Management Work ow History/ Locator/ Management Documentation Tools Problem Lists Patient Lists Access to Drug Non-MD Patient Interfaces to Barcoding Drug Interactions Pathways Protocols Orders Education Monitors Database Critical Care Non-MD Robot Pharmacy Automated Specialty Evidence Based Interface Robot Dispensing Core Information Management Documentation Documentation User Interface/Portal Enterprise Patient Access Department/Support Services Data Aggregation and Reporting Tools Admission/ Enterprise Eligibility Lab Radiology Cardiology Enterprise Clinical Common Registration Scheduling Veri cation Research Master Person Data Medical Repository Index (MPI) Repository Vocabularies Technical Standard Request for Consumer Emergency Decision Denial Pathology Surgery Order Rules CDM/ Authorization Portal Department Support Management Management Engine Master File Repository Other Security Integration Response PDA Health Information Management Medical Blood Bank Departmental Tools Tools Time Support Imaging Systems Coding Coding Abstracting Support Document Document Imaging Imaging Care Management Single Batch Chart Initial & Chart Electronic Discharge Tracking/ Authorization Concurrent Completion Signature Planning Management Review Clinical Decision Support Clinical Payer InterQual Comparative Release of Printing the Work ow Denial Communication Support for Data Severity Report Information EMR Tools Database Management and Notes LOC Warehouse Adjustment Writer Access MRN Transcription/ Pathways Post Acute Disease Outsomes Resource Provider Management Credentialing Dictation (LOS) Placement Management Measurement Utilization Pro ling and Merge Phillips Medical Systems06 Figure 4: A Taxonomy of Healthcare IT system functions (Source: Cap Gemini / Philips Healthcare, 2004)
established critical competence within healthcare quality Shaukat Khanum Memorial Trust (SKMT) Hospital and certi cation. Through a project funded by the National ICT Research Centre in Lahore, and a number of government, R&D Fund, SEECS implemented a Health Level 7 (HL7) based military (CMH), and semi-private hospitals such as Fauji open source solution for e-Health applications, and has Foundation Hospitals have jumped onto the automation developed HL7 certi cation capability. bandwagon. The National ICT R&D Fund has also funded other capability As these hospitals have moved towards creating automated development projects in the e-Health area, namely, a – even paperless – environments, they have also sought to tele-surgical training robot and simulator, and a remote develop and market these capabilities elsewhere. The Aga patient monitoring system. The results of these projects, Khan Hospital’s IS department has signed a 20-year contract although preliminary, point towards a growing interest and expertise in Pakistan. with a French children’s health institute in Kabul, Afghanistan, to deploy and maintain its system in their Center for Advanced Research in Engineering (CARE) has facility. It has also been able to leverage the Aga Khan developed a geographically distributed ECG machine that is Network’s global relationships to deploy their systems capable of diagnosis and monitoring of remotely located elsewhere. The SKMT has worked with several other hospitals patients of severe arrythmic abnormalities and other condi- in and around Lahore to develop or deploy its HIMS at these tions. This infrastructure would enable patients in rural areas facilities. It has also recently entered into a joint venture with who would not have survived or would be misdiagnosed NetSol Technologies to productise and further develop their because of lack of availability of expert cardiologists to be HIMS. Netsol’s HMIS has been deployed in 3 hospitals, seen and monitored in real-time. These machines have high namely, Social Security Hospitals, the National Institute of resolution signal acquisition, real time data storage, and Heart Diseases (NIHD), and Maroof International. Indus patient database management and can communicate with a Hospital is also engaged in licensing discussions with other Cardiac Control Centre at an urban hospital in real time over charity hospitals. Another company–Micro Innovations–has cellular mobile networks, dialup connections, or satellite worked with Civil Hospital and Capital Development connections, whichever is conveniently available. The project Authority (CDA) Hospital to develop an open-source based also aims to machine diagnose (without human involvement) arrhythmia and other life threatening heart disease. The hospital management system. project is funded through a grant by National ICT R&D Fund. These conversations, and collaborations, point towards a Building upon a wealth of domestic experience healthy demand for automation within the healthcare sector in Pakistan, and the desire to leverage the experience gained While a number of Pakistani companies look towards the within the in-house operations of these hospitals, and developed world for markets, there has been a fast-growing productise these for the commercial market. Pakistan wealth of domestic experience with hospital management Software Export Board (PSEB) and Pakistan Software Houses systems, as Pakistan’s healthcare system prepares itself for Association of the IT and ITES companies (P@SHA) are greater levels of automation and e ciency. working with the industry to further this emerging capability within Pakistan’s IT industry. Together, these, and many more A number of Pakistani hospitals – starting with Aga Khan companies, are powering the global healthcare industry. University Hospital (AKUH) and Indus Hospital in Karachi, HEALTHCARE IT STANDARD DESCRIPTION HL7 • Messaging standards involved in order entries, scheduling appointments, tests, admittance/discharge and transfer of patients. • Vocabulary standards for demographic information, units of measurement immunizations and clinical encounters. • Clinical document architecture standards for text-based reports. NCPDP Scripts National Council for Prescription Drug Program provides standards for ordering drugs from retail pharmacies. Proposed in February 2005 that NCPDP Scripts will be the adopted standard used by all medicare providers. IEEE 1073 The Institute of Electrical and Electronics Engineers 1073 provide standards for healthcare providers to plug medical devices into computer systems, and allow monitoring from ICU and tele-health services. LOINC Laboratory Logical Observation Identi er Name Codes utilised to standardise the electronic exchange of laboratory results. DICOM Digital Imaging Communications in Medicine provides standards that enable both the retrieval and transfer of images and diagnostic information from medical devices and sta work stations. SNOMED-CT Systematized Nomenclature Medical Clinical Terms for laboratory results, non-laboratory interventions and procedures, anatomy, diagnosis and nursing. HIPAA Transaction and code sets for electronic exchange of health related information for billing and administration. Federal Terminologies • FDA name and codes for ingredients, manufactured dosage forms, drug products. • National Library of Medicine’s RxNORM for describing clinical drugs. • VA National Drug File Reference Terminology for speciﬁed drug classiﬁcation. HUGN The Human Gene Nomenclature for exchanging information regarding the role of genes in biomedical research. EPA Substance Abuse Registry System Environmental Protection Agency’s Substance Registry System for non-medicinal chemicals of importance to healthcare.Table-2: A Proliferation of Standards – Key Healthcare IT Standards in the US (Source: IntellectUK) 07
Pakistan Software Export Board (PSEB) 2nd Floor, Evacuee Trust Complex Aga Khan Road, F-5 Islamabad, Pakistan Telephone: +92 51 111-333-666 and +92 51 9204074 E-mail: firstname.lastname@example.org PSEB is the apex body created by the Government of Pakistan (GOP) within the Ministry of IT and Telecom (MOITT) and charged with promoting Pakistan’s exports from IT and IT-enabled Services (ITeS) industry. PSEB hosts and supports foreign delegations to conferences and events, match-makes and networks Pakistani companies with foreign partners and clients, and supports international marketing and image-building activities. To learn more about Pakistan’s IT industry, please visit the Industry Portal at http://www.IT.org.pk Pakistan Software Houses Association (P@SHA) Suite 310, Business Centre Block 6, PECHS Karachi, Pakistan Telephone: +92 21 3541 8121 and +92 21 3430 4796 Contact: Jehan Ara, President E-mail: email@example.com P@SHA is the representative association for Pakistan’s IT and IT-enabled services industry. It is a platform for promoting, protecting and developing the software industry in Pakistan. It provides a focal point of representation to a variety of outside agencies, seeks to nd ways to tackle issues confronting member companies, and provide advocacy for the advancement of Pakistan’s IT industry. To learn more about Pakistan’s IT industry, please visit P@SHA website at http://www.pasha.org.pk Technomics International Ltd 93 Century Court Woking, GU21 6DR United Kingdom Telephone: +44 1483 901916 Fax: +44 1483 901925 Contact: firstname.lastname@example.org Brand Intellect ™ is a branding and image marketing service of Technomics Media that focuses on strategic thought leadership to support “marketing of nations” and adoption of new and revolutionary ideas. Disclaimer: This document is prepared by Technomics International’s Brand Intellect™ Service for Pakistan Software Export Board (PSEB). It provides factual assessment and “best judgement” analysis of an emerging, dynamic, and fast-changing industry. It is not intended as a sole means of advice for making investment decisions, and neither PSEB nor its consultant assumes any responsibility for the same. References:1 http://www.investegate.co.uk/article.aspx?id=201104150700089830E2 http://www.oecd.org/document/11/0,3746,en_21571361_44315115_45549771_1_1_1_1,00.html3 http://www.businesswire.com/news/home/20091210005301/en/Research-Markets-Future-Healthcare-Market-2015-%E2%80%934 Intellect UK, 2005, United States IT Healthcare Market Analysis, by Frost and Sullivan, London5 http://www.itjungle.com/tfh/tfh030209-story05.html6 CureMD, 2011, http://www.curemd.com/news2011March04.htm7 CureMD, 2011, http://www.curemd.com/news2011Jan.htm8 CureMD, 2011, http://www.curemd.com/news2008Oct19.htm9 http://www.investegate.co.uk/article.aspx?id=201104150700089830E 08