smart solutions healthcare MIC

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Présentation de Pascal Durdu, Business Development Manager de Zetes, sur les opportunités eHealth.

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  • http://ec.europa.eu/information_society/activities/health/whatis_ehealth/index_en.htm
  • Clinical Information System(CIS)(a) Specialised tools for health professionals within healthcareinstitutions (e.g. hospitals). Examples are radiology informationsystems, nursing information systems, medical imaging,computer-assisted diagnosis, surgery training and planningsystems;(b) Tools for primary care and/or for outside care institutions,such as general practitioner (GP) and pharmacy informationsystems.Secondary Usage Non-clinicalSystems (SUNCS)This category includes:(a) systems for health education and health promotion ofpatients/citizens, such as health portals or online healthinformation services;(b) specialised systems for researchers and public health datacollection and analysis, such as biostatistical programs forinfectious diseases, drug development, and outcomes analysis;(c) Support systems such as supply chain management,scheduling systems, billing systems, administrative andmanagement systems, which support clinical processes but arenot used directly by patients or healthcare professionals.Telemedicine Personalised health systems and services, such as diseasemanagement services, remote patient monitoring (e.g. athome), teleconsultation, telecare, telemedicine andteleradiology.Integrated Health ClinicalInformation Network (IHCIN)Distributed electronic health record systems and associatedservices, such as e-prescriptions or e-referrals.
  • http://ec.europa.eu/information_society/activities/health/docs/studies/business_model/business_models_eHealth_report.pdf
  • Are the goodsdelivered?Are the goodsdelivered to the right shop?When have the goods been delivered?Whoisresponsible for the goodsnow?Where are the goods?
  • https://www.ehealth.fgov.be/binaries/website/en/Recip-e_Integration-Specification_Draft.pdf
  • smart solutions healthcare MIC

    1. 1. Zetes Group<br />Solutions for hospitals« Think Smart »Pascal.durdu@zetes.com <br />
    2. 2. e-Health<br />e-Health is the combined use of electronic communication and information technology in the health sector.<br />Quality<br />(information, patient oriented…)<br />Efficiency<br />(costreduction, flexibility,…)<br />Safety<br />(avoidhigh impact mistakes)<br />06/12/2010<br />2<br />
    3. 3. Major e-healthtopics<br />Clinical information system<br />Non-Clinical system<br />Telemedecine<br />Integratedhealth network<br />06/12/2010<br />3<br />
    4. 4. Innovation in e-health<br />Sharing experience and get to learn real business need !!!!<br />Avoidtechnology push<br />Re-use of what’sexistingsomewhereelse, getinspired ….<br />Adaptexisting technologies in a smart way<br />06/12/2010<br />4<br />
    5. 5. Technologies are there … weneed the glue<br />06/12/2010<br />5<br />
    6. 6. Let’sbe open minded<br />06/12/2010<br />6<br />To solve business issues ….<br />
    7. 7. Mobility … information aggregator<br />06/12/2010<br />7<br />DB<br />GPS<br />Mobile data<br />The mobile devicebecomes an identification/information aggregator<br />
    8. 8. Mobility ….<br />e-recipe … en Mobilité ….<br />Attestation ….<br />Paiement<br />Recommendation<br />Générix<br />Pre-commande pour les pharmacies<br />Findnearestpharmacy<br />Campagne de vaccination<br />Serialisation<br />06/12/2010<br />8<br />
    9. 9. Data capture … a world of options<br />06/12/2010<br />9<br /><ul><li>Barcode Datamatrix
    10. 10. RFID (active/passive)
    11. 11. Vision
    12. 12. Voice
    13. 13. Sensors
    14. 14. Medicaldevices
    15. 15. GPS</li></li></ul><li>Pharma vs e-health …<br />06/12/2010<br />10<br />
    16. 16. Build on new regulation: serialisation<br />06/12/2010<br />11<br />Manufacturer Product Code 14 digits [GTIN or pseudo-GTIN]<br />Unique Serial Number (randomized) 20 digits<br />Expiry Date 6 digits (yymmdd)<br />Batch Number up to 20 alpha-numeric characters<br />GTIN<br />Serial nr<br />Expiry<br />Batch nr<br />
    17. 17. Thanks<br />06/12/2010<br />12<br />
    18. 18. Exchange best practice and business issue.<br />06/12/2010<br />13<br />
    19. 19. Learnfromothersectors<br />Medicine identification & serialisation<br />Cold chain<br />Efficiency of distribution & supplychain<br />06/12/2010<br />14<br />
    20. 20. What does it mean?<br />Need to improve & optimise<br /><ul><li> Information flow
    21. 21. Physical flow
    22. 22. Cash flow</li></li></ul><li>However, between 2008 and 2012 the situation is to evolve, with a major shift from Secondary Usage Systems to Clinical Information Systems (SUCIS). This suggests that eHealth systems are targeted more towards supporting the operational processes of healthcare professionals.<br />06/12/2010<br />16<br />
    23. 23. 06/12/2010<br />17<br />
    24. 24. eHealth services can play an important role for the current and current and future delivery challenges to be faced by healthcare services in Europe. They can provide responses to the socio-economic challenges faced by European healthcare systems in the near and long term. Industry is expected to continue to be involved in the development of these services, as eHealth represents a considerable market for European and international industry players. However, in order to tap into this potential, it is necessary for eHealth services to be devised in such a way as to respond directly to the specific operational needs of the healthcare delivery stakeholders towards whom they are targeted. Essentially, eHealth services have to create value for all stakeholders by devising appropriate supporting business models. Failing to do so will just create a situation where healthcare professionals and institutions would lose trust in these solutions and, as a consequence, refrain from exploiting the positive externalities brought about by these eHealth systems and solutions.<br />06/12/2010<br />18<br />
    25. 25. What does it mean?<br />06/12/2010<br />19<br />Information flow<br />Physical flow<br />Supplier<br />Manuf.<br />Retailer<br /> Consumer<br />
    26. 26. Introduction<br />06/12/2010<br />20<br />Report<br />Asset<br />Mgt<br />Safety<br />Patient <br />Tracking<br />Productivity<br />
    27. 27. Objectives<br />Improve patient safety<br />Make medication administration safer<br />Trackspecific patient (elderly,…)<br />Improve productivity<br />Maximize bed turnover times<br />Increase throughput across the operating room<br />Improve staff productivity<br />Improve asset management<br />Handle point-of-care materials across the hospital<br />Help hospitals more efficiently comply with regulatory reporting requirements<br />Traceability<br />06/12/2010<br />21<br />
    28. 28. Hospitals solution by Zetes<br />Voice nursing<br />Assettracking<br />Patient Tracking<br />GoodstransferbetweenHosptals building<br />06/12/2010<br />22<br />
    29. 29. Voice nursing<br />06/12/2010<br />23<br />
    30. 30. Introduction<br />Nurses are and willbemissing.<br />Nurses are getingcompany car in Vilvoorde Hospital (Belgium)<br />Increaseefficiency<br />Removepainfulladministativetask<br />06/12/2010<br />24<br />
    31. 31. Voice nursing<br />In a nursing program, voice technology was shown to reduce documentation time by 75%, improve communication, and improve point of care documenting. <br />The researchers also felt that infection may be reduced because nurses who used this voice technology were not touching as many items that may contaminate the patient. <br />Voice assisted care technology provides hands and eyes free accurate documentation for nursing staff while enabling easy verbal access to patient information, effective communication and real time task management. <br />06/12/2010<br />25<br />
    32. 32. Concept<br />Withvoice nursing , the purposeis to use voicecommandsinstead of existingpaperbased or handheld solution.<br />Instead of printing tasks or showingthem on a screen, theywillbevoiced to the caregiver.<br />06/12/2010<br />26<br />
    33. 33. Main use case … Point of care information management<br />Blood sampling<br />Guide nurse on which tube to use<br />Vocal administration<br />Administration<br />Blood pressure, patient weight,…<br />Prescription, …<br />Catering<br />Dialysis information recording<br />Real time task management in patient room<br />Check destination (patient) of medicine<br />Real time asset management togetherwith RFID/barcode/datamatrix<br />06/12/2010<br />27<br />
    34. 34. Identification<br />Staff Verification<br />Individual RFID tags<br />Difficult to duplicate<br />Ensuring secure automatic clinician login, speeding process<br />Patient ID<br />Individual RFID tags<br />Scanned without line off sight<br />Requiring fewer physical touches, speeding process and reducing chances of nosocomial infections<br />Medication Verification<br />Individually labeled medication doses correctly matched with physician order, caregiver and patient ID<br />06/12/2010<br />28<br />
    35. 35. Process<br />Using a headset and optionally a ring RFID/barcode scanner, the nurse willbeassignedtasksthrough a voice command<br />The nurse caninteractwith the system usingvoice<br />To input information<br />To listen to information (patient file)<br />To listen to task<br />06/12/2010<br />29<br />
    36. 36. Benefits<br />Reduction in administration<br />Real time task management<br />Short-cuts and errorreduction<br />Asset & patient ID using RFID<br />Real time asset management<br />Increaseproductivity<br />Eye and Hands-free<br />Faster training<br />06/12/2010<br />30<br />
    37. 37. Assettracking<br />06/12/2010<br />31<br />
    38. 38. Assettracking<br />How much valuable time and resources were wasted due to low visibility of equipment, patients and staff …. “they could spend hours looking for the equipment. The only way we could resolve the problem was to buy more equipment so that it was available on each floor, which increased our operational costs.”<br />06/12/2010<br />32<br />
    39. 39. Why Asset Management?<br />Createaccountability for assetbeingused in Hospitals<br />Location, maintenance history, availability<br />Perform an efficient « assetfleet » management<br />5-15% of hospital inventory is written off each year since it can no longer be located or more importantly serviced<br />Ensurehighlevel of availability and usage<br />Equipment moving from patient to patient without going through decontamination in between could become a significant issue<br />
    40. 40. Asset management <br />Passive RFID tag on Asset<br />Cheap solution vs Active<br />« RFID gate » in the elevator area to disciminate services/floors<br />Limited cabling<br />Limited investment<br />Regular identification of assetbeingused by staff usingother ID technologies<br />RFID, Voice, datamatrix<br />06/12/2010<br />34<br />
    41. 41. The process<br />Staff must identifyassetevery time they use it (Voice & RFID)<br />Patient ID isknown<br />Durationcanbeassessed<br />Room ID is know<br />… sowe know about utilisation and last location and time of use … RFID preventing short-cuts and mis-use.<br />Whenasset are moving out of services / floor, RFID antennasatelevatorwilldetect the movement and update « assetinventory » accordingly.<br />06/12/2010<br />35<br />
    42. 42. Assetinventory<br />Every service/department as an inventory of asset<br />As soon as an assetistaking the elevators, inventorywillbeupdatedaccordingly.<br />If an asset shows up somewhereelse (read by staff), inventorywillbeupdated<br />Whenassetisbrought for maintenance, inventorywillbeupdatedaccordingly<br />06/12/2010<br />36<br />
    43. 43. Reportingiskey<br />An assetis not used (read) since 2 weeks<br />Check service whereit has been used last<br />Broken, go to repair<br />If disappeared, itwillbewriten-off to a specificdepartment, if it shows up back afterwards, write-off willbecanceled and investigation willtake place.<br />Working, sothisassetmightbe in excess<br />The utilisation of a type of assetistoolow,… thenassetmightbe in excess<br />06/12/2010<br />37<br />
    44. 44. People tracking<br />06/12/2010<br />38<br />
    45. 45. People tracking<br />Based on the same infrastructure as assettracking, whenalzheimer / elderly people isleaving the « service ».<br />The service manager isalerted<br />The service manager receives a message telling in which service/department/zone he has been seen last time<br />06/12/2010<br />39<br />
    46. 46. RFID wristbands<br />Scanned without line off sight, thereis no need to manipulate the patient to read the information<br />Placing the tag on the foot wouldallow a betterreading<br />Requiring fewer physical touches, speeding process and reducing chances of nosocomial infections<br />06/12/2010<br />40<br />
    47. 47. Gates<br />Extra « gates » willbeinstalledat<br />Entrance/exit of hospitals<br />In critical zones<br />Someproductscouldbetagged as well to getalertedwhenthey enter a specific room.<br />06/12/2010<br />41<br />
    48. 48. Point of care solution usingvoicetogetherwith Passive UHF tags and readersatelevetorsgenerate an affordable and flexible solution thatshould help hospitals in the day to day job<br />06/12/2010<br />42<br />
    49. 49. Goodstransfer<br />43<br />
    50. 50. Delivered? <br />When?<br />… progress …<br />Where?<br />… wrong destination …<br />Claims?<br />transport, receipt, tracking<br />?<br />44<br />
    51. 51. 45<br />
    52. 52. Business need/objective <br />Lowcost solution<br />Reducing claims whendeliveringgoods in a healthcardpremises (proof of delivery)<br />Preventingunloadmistakes<br />Providing real time information about deliveryprogress<br />Registering actions (return of asset)<br />Easy to use, install<br />Stand alone and independent<br />No integration to local network<br />46<br />
    53. 53. e-PoD<br />47<br />GSM Antenna<br />Industrial terminal<br />RFID Reader<br />Smart Card Reader<br />06/12/2010<br />
    54. 54. e-PoDprocess<br />Load route information on smart card …. <br />Put card in e-PoD & Check delivery (RFID)<br />Loaddelivery confirmation on card and send message (GSM)<br />06/12/2010<br />48<br />
    55. 55. Main features<br />Check goods destination<br />The screenwill tell if the wrongproductisdelivered<br />Proof that the goods have been physicallyunloaded<br />e-PoDat destination and the use of RFID limitsrisk of fraud<br />Real time confirmation of deliveryprogress<br />Record quantity of assetreturned<br />06/12/2010<br />49<br />
    56. 56. E-Recipe solution overview<br />06/12/2010<br />50<br />

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