Third generation healthcare software like Extramed3 takes an integrated approach, re-engineering the platform from the beginning to allow different parts of the system to work together seamlessly. This provides real-time data sharing across departments to streamline workflows, improve patient safety and outcomes, and reduce costs. Extramed3 specifically addresses key areas needed for clinical coordination centers and can fulfill the majority of information requirements for these operational hubs.

1. What is the future for
Healthcare Software?
With the advent of Extramed3
, the UK’s only 3rd generation patient flow software, the questions arise:
what exactly is 3rd generation software? What does it mean? And why is it useful? Andy McKee,
Hospedia’s own Patient Flow expert explores...
6
Contents
Software Develops – that’s what it does.............................................................................................. 3
ERP – Leading the Way..................................................................................................................................... 3
The Value of Integrated Software................................................................................................................ 4
The Benefits of 3rd Generation Software............................................................................................... 4
3rd Generation in Hospitals............................................................................................................................. 5
12 CCC Information Requirements............................................................................................................... 5
About Extramed3
..................................................................................................................................................... 7

3. What is the future for Healthcare Software?
Page 3 ©Hospedia Ltd 2014 November 2014
Software Develops – that’s what it does
But how it develops can be the key to how effectively it functions, how easy it is to work with, and how reactive it
can be to change. While each phase of software generally look like progress, starting from scratch can sometimes
be the real key to creating a system that is truly functional now and in the future.
First generation patient flow software was a world of various modules or components, each serving an individual
function. As an example, in the world of manufacture, a stock control module and a point of sale module. These
modules didn’t interact with one another, they just held their own data.
Second generation software is still the mainstay of many organisations. It’s based on hooking the first generation
components together, and adding further modules where necessary, to create the appearance of an overall system.
However, having been developed and created in isolation, each module will have its own logic and parameters. While
they may be compatible in theory, updating the “system” requires individual development of each module, updating
the logic in multiple places to ensure the system continues to function. Second generation systems grow organically,
so they often have inelegant features that have been included to compensate for the fact that the underlying basis
for each module is inconsistent.
Third generation software first takes a step back. Rather than continuing to add new modules or features to a
piecemeal system, the development starts again from the beginning. Instead of modules developed in silos to meet
individual needs, the overall system is considered, developed and future-proofed. The platform is re-engineered to
be efficient, using the same logic across all elements to allow future expansion to occur without the need for each
section of the system to be updated independently.
ERP – Leading the Way
Enterprise Resource Planning (ERP) is a perfect example of a third generation software system, which has been in
existence since the late 90s. Dispersed organisational systems were replaced by a business management software
suite, which incorporates business processes such as manufacturing, sales, inventory management and shipping.
ERP provides an integrated real-time view of core business processes, using common databases maintained
by a database management system. The applications that make up the system share data across the various
departments, facilitating information flow between all business functions, and managing connections to outside
stakeholders.
Unlike second generation systems, which rely on multiple (sometimes duplicating) databases, ERP solutions
standardise the use of one platform to run an entire business – a third generation system.
Just as ERP systems have helped businesses across multiple industries save money and make efficiencies, third
generation systems can apply this logic to organisations in other industries, such as healthcare. Extramed3
, the UK’s
only third generation patient flow management system, adapts the premise of an ERP system to the fields of bed
management and patient flow, within hospitals and community health.

4. What is the future for Healthcare Software?
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The Value of Integrated Software
The biggest advantage of a 3rd
generation system is its real-time capabilities, and the ability to see what is
happening as it happens. Whether it’s in retail, manufacturing or healthcare, up to the minute data is key to
streamlining operational processes and improving workflow and efficiency.
A fully integrated solution collects, manages and distributes information across departments, breaking down
information “silos” and improving communication and cooperation between different functions. In retail those
functions might be stock control and shipping, in healthcare; pharmacy and discharge.
The improved information flow, enabled by Extramed3
, results in higher quality, reduced response times, higher
productivity and lower costs, no matter what industry you’re in. Not only that, but it helps improve customer service
and satisfaction – increasing sales or contributing to higher CQUIN payments.
The Benefits of 3rd
Generation Software
• Streamlines processes and workflows with a single integrated system
• Improves workflow and efficiency
• Reduces redundant or duplicated data entry
• Improves customer satisfaction based on reduced waiting times
• Improves patient safety through real-time data sharing
• Provides a consolidated picture of the whole healthcare economy
ERP
System
Sales
Supply Chain
FinancePoint of Sale
Customer
Relationships
Manufacture

5. What is the future for Healthcare Software?
Page 5 ©Hospedia Ltd 2014 November 2014
3rd
Generation in Hospitals
Where ERP systems for businesses integrate manufacture, supply, point of sale, stock control and sales,
3rd
generation patient flow software integrates bed management, clinical coordination/operations centres,
e-whiteboards, infection tracking, escalation status and target compliance, among others.
The concept of a Clinical Coordination Centre, an operational hub for the hospital and beyond, has been proposed
by the Royal College of Physicians in their Future Hospitals report, to respond to the ever-increasing pressures on
healthcare organisations.
Not only does Extramed3
fit perfectly into this model, providing an integrated view of the running of the whole
healthcare economy and providing the foundation for effective operational control, the system addresses the
increasing need to support hospitals that are tightly integrated into other health and social care service providers.
While there is currently no official consensus on the information that should be held by the Clinical Coordination
Centre, there are some key areas that clinical staff agree are critical.
A fully integrated Patient Flow Management System should provide a large proportion of this information – Extramed3
can provide 8 out of 12, and with Community and Mental Health modules included, this increases to 9 out of 12.
When it comes to taking the first step towards creating a Clinical Coordination Centre, third generation patient flow
software is a good place to start.
12 CCC Information Requirements
Available in
Extramed3
1 Hospital Status at a Glance 
2 Medical Capacity and Demand in real time 
3 Acute Care Hub capacity and demand 
4 In reach and specialist referrals request 
5 Virtual Wards patient tracking and capacity 
6 KPIs & analytics - e.g. length of stay, 4 hour standard 
7 Infection Control status and tracking 
8 Staffing levels and capacity
9 Escalation, management and clinical status, triggers and protocols 
10 Ambulance service status
11 Community hospital, mental health and step-down location capacity 
12 Electronic Patient Record

6. What is the future for Healthcare Software?
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EM3
Clinical
Coordination
Centre
Escalation
Status
Infection
ControleWhiteboards
Bed
Management
Target
Compliance
By creating a platform that doesn’t just join up disparate applications haphazardly, but develops a cohesive,
integrated system, third generation software allows healthcare organisations to access the efficiencies long enjoyed
by private sector businesses.
The emergency department knows when and where beds are available for incoming patients, pharmacy
departments know which patients are awaiting medication reconciliation, and discharge planners know where
blockages are occurring. All departments across the hospital can access information that helps improve patient flow,
increase patient satisfaction and contribute to patient safety.
Useful data allows for planning, preparation and proactive management. If a bed is closed staff can see if it is
awaiting cleaning, and will therefore be available soon, or if it has been exposed to infection and will be out of action
for a longer time.
Front-line staff have access to real-time information, helping them focus on activities that make a difference to
patient care. Managerial staff can see where processes break down, allowing them to effectively respond to
situations that can affect the running of the hospital. Hospital administrators can proactively measure improvements
as soon as they go into effect.

7. What is the future for Healthcare Software?
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About Extramed3
Designed to apply the significant benefits of integrated systems to healthcare, Extramed3
is not simply an updated
version of patient flow management software. The system has been re-engineered from the ground up, taking
into account user feedback, to create a fully integrated system that can be adapted and upgraded with ease. The
Hospedia Clinical Workflow Platform provides a robust open API which gives IT departments the ability to deeply
integrate with existing applications (or even build new Apps on an existing platform).
Extramed3
puts IT at the heart of the hospital environment, supporting front line staff in day to day activities while
improving overall clinical workflows and bed management. The system provides a comprehensive toolkit to manage
patient care and the patient journey, from pre-admission to post-discharge.
The benefits of Extramed3
extend beyond clinical efficiencies and patient experience, with significant cost savings
validated by Deloitte, using Treasury Green Book methodology. Deloitte’s research demonstrates that the system
can deliver annual cost savings (to an average 500 bed hospital) of £4.3m through reducing length of stay,
clinical efficiencies worth £170k per annum, and £840k worth of annual savings through the prevention of hospital
infections.

8. What is the future for Healthcare Software?
Page 8 ©Hospedia Ltd 2014 November 2014
About Hospedia
Hospedia is the world’s leading provider of point of care systems in healthcare. Hospedia’s Patient Centred Care
Platform provides patient media, patient engagement and clinical workflow solutions that support hospitals, staff,
patients and visitors worldwide, through powerful software, hardware and integration capabilities. The Platform
delivers a range of services that make a real difference to patient care while providing clinical efficiencies and
substantial financial benefits.
If this white paper has been of interest, and you would like more information about how the solution can be
implemented to support your hospital priorities, please contact our team of experts. Our team can work with you
to help build a business case for individual circumstances, formulate an implementation plan that works around
operational requirements and assess how to tailor the service to your specific needs.
info@hospedia.com