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His Bestprofile Chapter I Global Weighted Selection

Hospital infomation systems, State of the art.Bestprofile selection systems for an international environment in Africa

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His Bestprofile Chapter I Global Weighted Selection

  1. 1. best profile ® Hospital group Hospital Information System Global weighted selection case Functional valuation caseChapter I- HIS solution selection “State of the art - valuation 2011”
  2. 2. HIS “State of the art valuation case”IndexAbout us Market Options About us Introduction Selection Results options valuation © 2011, all rights reserved to bestprofile - International management consultancy best profile ®
  3. 3. best profile ®“Networking for you” ExpertiseCustomers- Public Sector International and local, health, home care andtourism leader market players, global organizations, investors, education,insurers, global banking.Expertise- More than 20 years managing international and local projectsfocussed on strategy, innovation, management, planning, rolling-out,commerce, BPR, health, wellbeing, life and health sciences, IT, banking, logisticsand Education.Netting- Combine our loyal expertise areas with the team multi-skilled abilitiesfor contribution to your driven company projects management; implementsolutions, transform core business and find new income sources for youriniciatives, through continuos valuation of the added value of the “business asis” and real opportunities considerations.Strategy, finance, transformation, knowledge management, TICS & Innovation. © 2011, all rights reserved to bestprofile - International management consultancy best profile ®
  4. 4. HIS “State of art valuation” About usIndexAbout us Expertise Vision Experiences Portfolio Where © 2011, all rights reserved to bestprofile - International management consultancy best profile ®
  5. 5. best profile ® Expertise Networking, Eficiency, Timing , Innovation, New business , Globality Hotels Insurances Pharma Health Tourism Hospitals and Industry Care Homes Clinics Strategy, valuation, eficiency, management Technology information management Support for decision making International project management CONTACT: information@bestprofile.eu best profile ®© 2011, all rights reserved to bestprofile - International management consultancy rivadeneiraconsulting
  6. 6. best profile ® Expertise Networking, Eficiency, Timing , Innovation, New business , Globality Hoteles Seguros Industria Turismo Hospitales farmacéutica sanitario Clínicas Residencias Estrategia, evaluación, eficiencia y dirección Gestión de tecnologías de la información Soporte para la toma de decisión Gestión de proyectos internacionales CONTACTO: information@bestprofile.eu best profile ®© 2011, todos los derechos reservados a bestprofile - International management consultancy rivadeneiraconsulting
  7. 7. best profile ® Expertise Networking, Eficiency, Timing , Innovation, New business , Globality Hotels Versicherungen Pharmazeutische Gesundheits- Krankenhäuser industrie tourismus Kliniken Wohnanlagen Strategie, effizienz, wertsteigerung, management Management informationstechnik Support entscheidungsfindung Management internationaler projekte KONTAKT: information@bestprofile.eu best profile ®© bestprofile, 2011 Alle Rrchte vorbehalten. Internationale Managementberatung in den Bereichen Business and Technology rivadeneiraconsulting
  8. 8. HIS “State of art valuation” VisionAbout us Vision Credibility Innovation Linking Focused on our areas of Be reliable business Be finders that show Form a nexus of relationships to knowledge, manage the and technology loyal our customer the advisors for decision short cut to achieve develop business bestprofile project players, makers that need to the expected goals between partners networks and relationships develop in our sectors and reduce the and contribute to the to ensure fine international of expertise. competence GAP welfare beyond the expectations of the business practice and improving new best practices parties in emergent technology countries. collaborating with high quality project partners. best profile ® © 2011, todos los derechos reservados a bestprofile - International management consultancy rivadeneiraconsulting
  9. 9. HIS “State of the art valuation case”Strategy-Venture capital M&A ExperiencesHome care and care homes strategic market positioning analysis CUSTOMER SATISFACTION NEED Neutral valuation of an international business opportunity. A European venture capital sought assurance on a potential investment in a main Spanish player of the sector based on the current market analysis and the company positioning. RESULTS The venture capital firm took a controlling stake in the care home groups equity. FRAME • One of the top five care home players and an important European venture capital firm. to acquire a participation between 5% and 10% of the equity. WORK TO DO • Analyse market tendencies, key players figures and their positioning. • Identified the business drivers and a standard costing model. • Summarized the benefits and risks of investment. © 2011, all rights reserved to bestprofile - International management consultancy best profile ®
  10. 10. HIS “State of art valuation”MIS-HIS and ERP international implementation Experiencesof a multi-business group. CUSTOMER NEED : New hospital group and hotels TICS Through bestprofile, a Dutch multinational specialized in Dynamics NAV were contracted by an african government as Consortium project manager to implement business and finance IT solutions, bestprofile is developing as health-tech-applied expert; the BPR, requirement collection, valuation, selection ERP HIS and its integration with Dynamics NAV and departments modules. EXPECTED RESULTS-(In course) Valuation accepted, solution decided and Phase I launched. (Consortium Dynamics NAV integrated with the health management IT solution). Phase I: patients entries and inventories managed with the new solution. Phase II-paperless electonic clinical history, department solutions. FRAME 800 employees from 53 countries.(Equatorial Guinea-Germany-Spain) 100 concurrent users. Business Units: 2 Hotels, and 2 hospitals, 100 Million Euros billing. WORK TO DO Benchmark 17 solutions for functional and technical compliance and select top 3. Review all health business unit procedures. Health systems implementation and finance interfacing and know how handover to end users. © 2011, all rights reserved to bestprofile - International management consultancy best profile ®
  11. 11. HIS “State of the art valuation case”Strategic planning ExperiencesHospital restructuring CUSTOMER SATISFACTION NEED Keep the hospital working A non for profit hospital incurring losses for several years needs a business rescue and requires from us a restructuring and a new business model. RESULTS-The hospital survive today Stategy, business plan, new activities and segmentation put in place. (Customer satisfaction paragraph in linkedIn -Luis Silva Ponte) ENVIRONMENT One of the biggest business of the city in terms of employment with additional participation in the Public Health, 250 beds, parking, restaurant , 60 Million Euros Billing, 425 employees. WORK TO DO Analysis of local market possibilities and customer segmentation based on the hospital negotiation power and negotiate future services with the public health sector and trade unions. Identified and discuss feasible business models, defined and quantified the restructuring plan. © 2011, all rights reserved to bestprofile - International management consultancy best profile ®
  12. 12. HIS “State of the art valuation case”About us ExperiencesProject finance model-Public Private Partnership Hospital CUSTOMER SATISFACTION NEED: Business tender proposal: Excellence. Preparation of a financial model based on the technical specifications and the economic conditions required by the local government. RESULTS The tender was accepted by the government and won by the final customer FRAME Infrastructure for an area of 200,000 inhabitants. WORK TO DO Defined the financial statements and the local accounting statement. Defined the project finance, consortium partners and negotiation. Defined the capital expenditure policy for renewals. Fix a per capita fee by user. © 2011, all rights reserved to bestprofile - International management consultancy best profile ®
  13. 13. HIS “State of the art valuation case”About us ExperiencesEficiency- Central of purchasing CUSTOMER SATISFACTION NEED + space, - working capital, alternative source of income, cost savings, logistics, TICS A large European hospital public private partnership player wanted the know how to centralise these functions for all their managed hospitals in an autonomous entity in coordination with a major health insurance group and, with other private hospitals groups further. RESULTS Defined the “Newco” proposal for the board of directors. The board of the customer decided to set-up a purchasing central Newco. FRAME Start-up with four public private partnership hospitals and 1000 beds, 10 insurance hospitals. Circa 1000 Million Euros billing. WORK TO DO Analysis of references consume and identify Pareto optimum. Evaluate the decision between buying an existing entity or create one from scratch. Define the new organizational model and implementation steps. Define the new business plan and financials. © 2011, all rights reserved to bestprofile - International management consultancy best profile ®
  14. 14. HIS “State of the art valuation case”About us ExperiencesStrategy and eficiencyIT strategic plan and implementation CUSTOMER SATISFACTION NEED A European infrastructure company wants to redesign the IT department to centralize management in the Head Quarter , improving control over all the Spanish branches . RESULTS Centralized in the Head Quarters the IT function. Optimized IT cost through the new right sized System. FRAME 14 branches, 60 civil works. >600 users. 200 Million Euros. WORK TO DO Audit the former IT infrastructure. Identify technical and functional requirements & select required software and hardware. Right-size IT department, design and implement the board´ balanced score card. © 2011, all rights reserved to bestprofile - International management consultancy best profile ®
  15. 15. HIS “State of the art valuation case”About us best profile ® ExperiencesBusiness transformationNational wire transfers management for a leader global bank CUSTOMER SATISFACTION NEED Improve the workflow of transfers department and optimize business processes through the different IT applications integration. RESULTS Improved solutions for interdepartamental communication problems. Report on improvings and implementation. FRAME One of the major world banks and a leader in the world. 800.000 wire transfers/day locally. More than 1.000 local branches. WORK TO DO Workflow and business processes analysis, and improving identification. Inter departments problems study. Management of IT national wire transfers department. © 2011, all rights reserved to bestprofile - International management consultancy best profile ®
  16. 16. HIS “State of the art valuation case”About us ExperiencesInternational managementHospital public private partnership take over CUSTOMER SATISFACTION NEED- Guarantee the sucess during transition period A European operator substitutes a former one in Africa. We are contracted to review medical infrastructure and financials and to replace CFO and CEO temporarily in coordination with the local Government authorities RESULTS-Transition finished properly Financial and medical audit report for the board, 2011 budget by direct and indirect cost units. Contracts changing, cost savings and control suggestions FRAME 365 employees from 50 countries Activity based costing unexisting Business Units: Hotel, Drug Store Pharmacy and Hospital ,30 Million Euros billing WORK TO DO Commercial and financial interim management. Implemented activity based costing report & predefined distribution by diagnosys related groups © 2011, all rights reserved to bestprofile - International management consultancy best profile ®
  17. 17. HIS “State of the art valuation case”Index IntroductionCase introduction Market Options About us Introduction Selection Results options valuation Objectives Methodology Valuation Process © 2011, all rights reserved to bestprofile - International management consultancy best profile ®
  18. 18. HIS “State of the art valuation case”Objectives IntroductionOBJETIVO DEL DOCUMENTOThe aim of this paper is to valuate the state of the art of feasible combination of HIS and ERP forour customer, considering the peculiarities of his different business units.(2 complex compound by 2 hotels, 2 residences, 2 pharma-commercial shops and 2 hospitals).It has been filtered 17 alternatives, preselected 6 and finally presented a 3 HIS options short-list to beintegrated with the decided ERP solution, Mycrosoft Dynamics NAV to administrate the whole group.Related with the results, please find attached, as following, the main contents included in this project :  Document objective: define the TICS valuation purpouse.  Methodology: identify the valuation hitos developed.  Valuation process: define the general features of the valuation process that provide evidence of the different options added value.  Market solutions alternatives: list of analyzed vendors for each identified system .  Alternatives valuation: Valuation based on: general principles, HW, SW, time to launching, costs, eferences, functional coverage and compatibility with the ERP solution.  Deliverables: Future system map of the group with the short-list proposed © 2011, all rights reserved to bestprofile - International management consultancy 18 best profile ®
  19. 19. HIS “State of the art valuation case”Index Introduction IntroductionCase introduction Market Options About us Introduction Selection Results options valuation Objectives Methodology Valuation Process © 2011, all rights reserved to bestprofile - International management consultancy best profile ®
  20. 20. HIS “State of the art valuation case”Analysis methodology IntroductionMETHODOLOGY-After the Hito V it is showed the analysis results and main conclusions.Hito I Hito II Hito III Hito IV Hito V Sources and Weighted Analysis Solutions Vendors classification solutions results identification show rooms of the valuation deliverables information IT Valuation document Activities Activities Activities Activities Activities • Customer • Contact with • Recogida y • Alternatives • Valuation results Hospital IT vendors to explotación de la valuation after the report. Definition facilitate them información information • Demo of selected • Identify solutions their proposal comercial de los classification solutions to to be analysed execution. proveedores process hospital key users • Technical • Defined an • Visits to • Preparation of valitarion with homogeneous check list and refeences and the ERP vendor- valuations obtain the plan vendors DD.BB., server systems for all the show rooms to be decision and parameters alternatives. attended integration • Visit customers that are using candidate solutions (Short list) © 2011, all rights reserved to bestprofile - International management consultancy 20 best profile ®
  21. 21. HIS “State of the art valuation case”Index Introduction IntroductionCase introduction Market Options About us Introduction Selection Results options valuation Objectives Methodology Valuation Process © 2011, all rights reserved to bestprofile - International management consultancy best profile ®
  22. 22. HIS “State of the art valuation case”PROCESO DE VALORACIÓNAnalysis DE VALORACIÓNEL PROCESO methodologyPERMITE IDENTIFICAR QUÉ SOLUCIONES COMERCIALES SON LAS IDÓNEAS IntroductionPARA CUBRIR LAS NECESIDADES DEL FUTURO HOSPITAL DE MALABO. PARA REALIZAR LA VALORACIÓN, SEHA ESTRUCTURADO LA INFORMACIÓN DE LOS PROVEEDORES EN DOS GRANDES BLOQUES, QUE DELIMITANEL ALCANCE DE LAS FUNCIONALIDADES QUE SON ANALIZADAS. A CONTINUACIÓN SE DETALLAN LOSBLOQUES ANALIZADOS:  Functional approach: Specific functionalities for each type of system it let us know the functional coverage of each solution considering the GAP with the hospital requirement collection.  Tehcnology evolution and implementation: valuated resources of the vendor, (total employees, branches, curriculum vitae).  Implementation costs: Software, implementation services, GAP development costs, training, post- life support.  Releasing, maintenance and accesibility support : It will be valuated the support levels, releases management and updating.  References: Principal references , weight, international projects and local projects experience, number of years in the market and billing evolution.  Technology and communications: Basic requirement of infomation systems equipments ahd additionally the different proposals defined by the vendors.  Dead line-timing: Time to launching (Time the vendor need to beguin the implementation plus time for rolling-out. best profile ® Systems types How/ Comments Requirement Yes/No punctuation HEALTH ERP DEPARTMENTS HIS Datawarehouse RIS / PACS Compatible with SQL Sever Nursering ERP Blood bank Assitance response time, SLA ICU Staffing Dialisys Demo considerations ------------------------------ … Phase I … Phase II Systems to be valuated Functionality check-lists © 2011, all rights reserved to bestprofile - International management consultancy best profile22 ®
  23. 23. HIS “State of the art valuation case”Valuation process Introduction Criteria The exercise will be done for each solutions and lately we group results by blocks emphasizing the relative ponderation of the most important for the customer.  For each functionality, we measure each one under 2 considerations: • Absolute coverage, the system cover or not the customer need. • Relative coverage-Qualitative level-Excellence coverage level, Valuation weight  Once functionalities have been valuated and consolidated it is showed results for the different functionality groups, highlighting the customer preferences and their relative importance with respect to other less important groups. Cualitative valuation Symbol Value NO ADECUATE MINUMUN COVERGAE MEDIUM COVERAGE MOSTLY COVERAGED COMPLETELY COVERED © 2011, all rights reserved to bestprofile - International management consultancy best profile ®
  24. 24. HIS “State of the art valuation case”Index SelectionSelection criteria Market Options About us Introduction Selection Results options valuation Objectives Methodology Valuation Process © 2011, all rights reserved to bestprofile - International management consultancy best profile ®
  25. 25. HIS “State of the art valuation case”Index DEFINICIÓN DEL MAPA DE SISTEMAS DEL HOSPITAL LA PAZ DE MALABO SelectionSelection LA SIGUIENTE ILUSTRACIÓN, MUESTRA POR UN LADO LA VISIÓN INTEGRAL DE UN MODELO GENÉRICO DEHIS:Standard mapSISTEMAS, Y Phase II OTRO EL MODELO DE SISTEMAS DEFINIDO PARA EL FUTURO Phase I POR HOSPITAL DE MALABO DONDE TENDRÁN CABIDA LAS DIFERENTES SOLUCIONES DE MERCADO. Standard HIS MAP CUSTOMER TICS Hospital Infomation Systems Microsoft Dynamics NAV 2009-R2 Health assitance FINANCE-LOGISTICS- HHRR Customer Service ICU Nursering ERP-Finance HH.RR. Staffing Decision making support Management control ECH Coding Cost Treasury Accounting HIS Admission REPORTING Beds Emergencies Genomi (Stacks) , Unit4, Q Soft e Indra Decision making and Reports Departments EE.CC. SUPPORT Surgery Laboratory Pharmacy PATIENT Contact BSC CARE Center Blood bank Dialisys DWarehouse Directory Image PharrmacyHW Patológic A. Dietetic Laboratory External systems Dialysis ERP’s Health cardsOperating labelss (ECH) BillingSystems RIS / PACS Development Presence ControlData Bases languages IT ArchitectureSystems, EAI ( Integración) Development supportprotocols Data modellingcommunications MiddleWare SW life cycleFor all the map systems it has been developed a vendor solution selection under the criteria of the customer bestprofile, to be adapted quickly, with the highestquality and eficiency, guaranting the robusty and solidity required to cover the customer needs. In this sense the standard systems and RIS/PACS investment,presence control, KPI, contact center, active directory, reporting, treasury it has not been initially valuated because there is a high dependence of the customerspreference and their development is also conditionated by external limitations like country telecommunications infrastructure evolution (Customer attention model,security architecture for 2 hospitals, data model, diagnosys investments,…). The implementation of those systems will be tracked during Phase II. 25 © 2011, all rights reserved to bestprofile - International management consultancy best profile ®
  26. 26. HIS “State of the art valuation case”Index SelectionHIS selection is esential and critical in the project Health assitance Genomi (Stacks) , Unit4, Q Soft e Indra It is highlighted the importance of HIS valuation following this considered criteria: ICU Nursering • Market analysis- Special attention to peculiarities that has guided the multinational and international manufacturers to develop and/or adquire specific Hospital Information Solutions for different markets ECH Codification needs matching. • Considering the customer billing, customer peculiarities and location, HIS international market is HIS composed by high segment solutions like Alert, track-care, Orizon, Hp HIS, Selene, SAP Ish, INDRA- IMDH, UNIT 4-Ekon Salus. Middle market is composed and by Stacks-Genomi, Qsoft, Savac, Telvent, Isoft, Other asiatic and american localizations. • NAV Health vertical solutions (Florence, Sienna). • High specific weight assesment to an excellent functional coverage. This last consideration has guided us to avoid solutions without multi-language, multi-business unit, once we have benchmarked the erased solutions with the accepted ones. • Solution costs and easy database administration. After a pre-filter the solutions selected for a deeper analisys were: Departments Criteria for departments solutions vendors selection Laboratory Pharmacy • Excellent customer needs coverage- During a second step and once it will be available the detailed information about departments specific needs, outstanding resources (screens, servers, diagnosys tools Blood bank Dialisys manufacturers protocols, new medical equipments, we will calculate an estimation of the required phase II investment) to integrate departments and external systems with ERP and HIS considering the patient Pathologic Dietetics transaction volume, images, ECH etc. Anatomy RIS/PACS • Cost savings-Investment and time to go live-Is is esential during the first face if the HIS integrated External systems solution includes departments solutions and if the manufacturer has high experience in system integration diversity.(NAV, Medical manufacturers propietary integration protocols, etc.) Health cards Billinglabelss (ECH) Presence Control 26 © 2011, all rights reserved to bestprofile - International management consultancy best profile ®
  27. 27. HIS “State of the art valuation case”Index SelectionSelectionVendors alteratives Phase I Phase II CUSTOMER TECHNOLOGY INFORMATION SYSTEMS AND TELECOMMUNICATIONS Visits CONNECTING ACCESS Hospital Infomation Systems Microsoft Dynamics NAV 2009-R2 Health assitance FINANCE-LOGISTICS- HHRR ICU Nursering ERP-Finance HH.RR. Phisician Work station Web Staffing ECH Coding Cost Treasury Accounting nursery Internet/ HIS Intranet REPORTING WIFI Decision making and Reports Departments Radiology Helpdesk SUPPORT Laboratory Pharmacy Fax Contact BSC Center Blood bank Dialisys DWarehouse Directory manager Mobility E-mail Patológic A. Dietetic External systems Health cards labelssadministration (ECH) Billing Ambulance RIS / PACS Presence Control Security/ Access control EAI ( Integración)Patient care Telemedicine 27 © 2011, all rights reserved to bestprofile - International management consultancy best profile ®
  28. 28. HIS “State of the art valuation case”Index Selection HISSelection criteria Market Options About us Introduction Selection Results options valuation HIS ERP © 2011, all rights reserved to bestprofile - International management consultancy best profile ®
  29. 29. HIS “State of the art valuation case”Index Selection HISSelectionHISAssumptions 30% Solutions global weights 25% 25% The most valuated features for all the market possibilities are; Functionality, 20% 15% sustainibility, go live timing and consultancy 15% 15% fees. Last but not least technology infrastructure 12% 10% 9% 10% 10% and customers references. 5% 4% 0% Costes de Plazos Referencias Infraestructura Funcionalidades Capacidad Soporte y Costes de Implantación Tecnológica Evolutiva Versionado Mantenimiento HIS modules functionality weights Ponderación de los Módulos 20% Partial weight by HIS modules. There are more relevant weight (10%) External consultancy module, billing, Electronical 10% 10% 10% 10% 10% 10% clinical history. The outstanding modules has been weighted with a 3% over the specific weight 3% 3% 3% 3% 3% 3% 3% 3% 3% 3% 3% 3% 3% 3% of the whole integral solution. 0% URG QUI UCI CCE E HOSP OB S HDI A E NF RE H AP A DM I A RCH COD HCE GP E P LA N CI T GRE C FA CT © 2011, all rights reserved to bestprofile - International management consultancy 29 best profile ®
  30. 30. HIS “State of the art valuation case”Index Selection . HISSelectionHIS-Vendors alteratives Phase I Phase II SYSTEM HIS Genomi-Stacks Ekon Salus-Unit4 Salus-QSoft IMDH- Indra ICU Caresuite (Picis) Critical Care (G.E.) Isoft N/A Nursering Gacela MoviCare (ICX/Telvent) Careview (Curaspan) eCare (Isoft) Codification APR-DRG (3M) N/A N/A N/A RIS/PACS PACS Impax (Agfa) Free image & Carestream General Electric Fuji Pharmacy Farmatools (Dominion) Savac Visual Limes N/A SERVOLAB (Dade Laboratory Omega 2000 (Roche) Savac Berhing) Isoft Blood bank Stacks Savac Hematos IIG (Bull) e-Delphyn (Hemasoft) Dialisys Nefrosoft (Visual Limes) Nefrolink (AIQEI) N/A N/A Pathologic A. Stacks Savac N/A Patwin (Isoft) Dietetics Stacks Isoft Savac Dietools (Dominion) 30 profile ® © 2011, all rights reserved to bestprofile - International management consultancy best
  31. 31. HIS “State of the art valuation case”Index Selection SISTEMAS ASISTENCIALES: HIS (1/6) HISSelection EN LA SIGUIENTE TABLA SE MUESTRA UN RESUMEN CUALITATIVO DE LA VALORACIÓNHIS DE LOS SISTEMAS DE INFORMACIÓN HOSPITALARIOS.Weighted global valuation Phase I Phase II GENOMII FLORENCE EKON SALUS Q-SOFT SIENNA INDRA HEALTH ASSISTANCE Cobertura Funcional N/D N/D ICU Nursering Capacidad Evolución e N/D N/D Implantación Coste Implantación N/D N/D ECH Coding Costes Mantenimiento N/D N/D HIS Soporte y Versionado N/D N/D Referencias NO ADECUATE Timing N/D N/D MINUMUN COVERGAE MEDIUM COVERAGE Technology infrastructure N/D MOSTLY COVERAGED Global weighted total N/D N/D COMPLETELY COVEREDConsidering global weighted valuation, the top three are Genomi , EKON Salus, Q Soft and Indra Sistemas. This last teo are notfully multi-language neither multi-business unit. Considering the two NAV health vertical solutions and because the information has notbeen available at this document date we conclude that failed for the next valuation step. 31

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