The document discusses delivering telehealth at scale in Northern Ireland from a service provider perspective. It notes that chronic diseases account for a large portion of health spending and issues in NI. It raises questions for NI authorities about whether telehealth should be provided publicly or outsourced, and what a potential outsourced model might look like. It then discusses options for procuring telehealth including managed service models and responsibilities of commissioners and providers in such models.
This document summarizes telehealth in Northern Ireland from the perspective of a service provider. It notes that 2/3 of those over 75 have long-term conditions, which account for 69% of health spending. The Remote Telemonitoring Service for Northern Ireland is a 6-year, £18M contract to monitor 3,500 patients annually across 12 conditions. Key elements include a managed service model where the provider is responsible for meeting requirements, a focus on flexibility and outcomes over technology, and service-level monitoring across 20 core and 8 additional quality markers. The stages of development include defining needs and benefits, designing the service delivery model, and ongoing service operation, evaluation, and evolution. A consortium approach was taken due to the breadth
Driving Competitive Advantage through Customer-Focused Solution SellingFlexera
This document discusses Wipro's integrated digital supply chain practice and assessment framework. It summarizes that Wipro helps clients connect their digital and physical supply chains to improve demand management, customer experience, and process efficiency. Wipro uses lean mapping and data integration across networks to enable new revenue streams for hardware manufacturers becoming integrated solution providers. The framework involves analyzing a client's "as-is" supply chain, identifying gaps against benchmarks, and developing a roadmap to integrate operations and realize benefits like predictable revenue growth.
InfosysPublicServices - Accountable Care Organization Solution | ACO RegulationsInfosys
Accountable Care Organization Solution for payors Combines Comprehensive platform by providing Operational & Analytical Services. White Paper highlights Functional Landscape & key Features of the Platform.
This document provides an overview of service-oriented architecture (SOA) implementation and case studies. It discusses the SOA delivery lifecycle including analysis, design, development, testing, deployment, administration and acquisition of skills. It then presents several case studies including implementations in travel insurance, telecommunications and healthcare. The healthcare case studies focus on implementations in the UK National Health Service including a large integration project linking hospitals and clinics.
Disruptive Data Science - How Data Science and Big Data are Transforming Busi...EMC
The document discusses how CareCore National evolved to utilize data-driven transformations, highlighting EMC's analytics platforms, tools, and services that can assist organizations in building their data science capabilities and teams to leverage big data and drive business value through predictive analytics and data mining. It also outlines the key components needed for a successful analytics transformation, including establishing a clear vision, understanding platform dependencies, embracing unified analytics platforms, building data science skills, and delivering initial wins to socialize analytics.
The National Health Service (NHS) in the UK deployed QlikView BI to standardize reporting across 38 separate Trust organizations and identify over €42 million in procurement savings over 2 years. QlikView allowed NHS to automatically consolidate financial and purchasing data from different systems into easy-to-understand reports and dashboards. Training on QlikView took only 2 hours due to its simplicity, and users regularly accessed the tool to improve procurement processes and decision making.
Shared Services in Health IT (based on SOA principles)paneja
Shared Services in Health IT (based on SOA principles). What are some of common business services that most Health IT appliocations need? How do we change the paradigm from developing seperate silo applications to the one based on shared services?
Presentation by Paul Aneja.
This document summarizes telehealth in Northern Ireland from the perspective of a service provider. It notes that 2/3 of those over 75 have long-term conditions, which account for 69% of health spending. The Remote Telemonitoring Service for Northern Ireland is a 6-year, £18M contract to monitor 3,500 patients annually across 12 conditions. Key elements include a managed service model where the provider is responsible for meeting requirements, a focus on flexibility and outcomes over technology, and service-level monitoring across 20 core and 8 additional quality markers. The stages of development include defining needs and benefits, designing the service delivery model, and ongoing service operation, evaluation, and evolution. A consortium approach was taken due to the breadth
Driving Competitive Advantage through Customer-Focused Solution SellingFlexera
This document discusses Wipro's integrated digital supply chain practice and assessment framework. It summarizes that Wipro helps clients connect their digital and physical supply chains to improve demand management, customer experience, and process efficiency. Wipro uses lean mapping and data integration across networks to enable new revenue streams for hardware manufacturers becoming integrated solution providers. The framework involves analyzing a client's "as-is" supply chain, identifying gaps against benchmarks, and developing a roadmap to integrate operations and realize benefits like predictable revenue growth.
InfosysPublicServices - Accountable Care Organization Solution | ACO RegulationsInfosys
Accountable Care Organization Solution for payors Combines Comprehensive platform by providing Operational & Analytical Services. White Paper highlights Functional Landscape & key Features of the Platform.
This document provides an overview of service-oriented architecture (SOA) implementation and case studies. It discusses the SOA delivery lifecycle including analysis, design, development, testing, deployment, administration and acquisition of skills. It then presents several case studies including implementations in travel insurance, telecommunications and healthcare. The healthcare case studies focus on implementations in the UK National Health Service including a large integration project linking hospitals and clinics.
Disruptive Data Science - How Data Science and Big Data are Transforming Busi...EMC
The document discusses how CareCore National evolved to utilize data-driven transformations, highlighting EMC's analytics platforms, tools, and services that can assist organizations in building their data science capabilities and teams to leverage big data and drive business value through predictive analytics and data mining. It also outlines the key components needed for a successful analytics transformation, including establishing a clear vision, understanding platform dependencies, embracing unified analytics platforms, building data science skills, and delivering initial wins to socialize analytics.
The National Health Service (NHS) in the UK deployed QlikView BI to standardize reporting across 38 separate Trust organizations and identify over €42 million in procurement savings over 2 years. QlikView allowed NHS to automatically consolidate financial and purchasing data from different systems into easy-to-understand reports and dashboards. Training on QlikView took only 2 hours due to its simplicity, and users regularly accessed the tool to improve procurement processes and decision making.
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Shared Services in Health IT (based on SOA principles). What are some of common business services that most Health IT appliocations need? How do we change the paradigm from developing seperate silo applications to the one based on shared services?
Presentation by Paul Aneja.
What Lies Ahead for ONC: Meaningful Use and BeyondBrian Ahier
1) The document discusses recent trends in health IT policy and implementation including Meaningful Use and regional extension centers.
2) It outlines upcoming payment reforms like accountable care organizations and bundled payments that will further incentivize health IT innovation.
3) The document proposes next steps for advancing health IT through the proposed Stage 2 of Meaningful Use regulations to promote improved health outcomes, care coordination, and patient engagement through 2015.
1) The document summarizes four bundled payment models established by the Centers for Medicare and Medicaid Services (CMS) to encourage cost reduction, clinical integration, and care management among providers.
2) The first three models involve retrospective bundled payments for either an inpatient stay alone (Model 1), an inpatient stay plus post-acute care (Model 2), or post-acute care alone (Model 3). Model 4 establishes a prospective bundled payment for an entire episode of care.
3) By allowing gains from reduced costs to be shared among participating providers, the models aim to financially align physicians and hospitals in driving down costs through care coordination and less costly interventions.
Japan Institute for Design Promotion, December 21st, 2011, Tokyo, Japan.Stephen Kwan
This presentation discusses service design from a systems perspective, integrating system thinking, design thinking, and business thinking. It defines key concepts in service science like service systems and value co-creation. The presentation outlines a multi-disciplinary approach to service system design incorporating knowledge management. Finally, it examines stages in customer empowerment from traditional value chains to customer-driven service value networks.
Payment reform in the NHS is moving in several directions:
1) Expanding Payment by Results (PbR) to new areas like year of care payments and increasing its focus on quality, outcomes, and value.
2) Introducing new payment systems that incentivize quality, integration, and efficiency through mechanisms like best practice tariffs, the quality premium, and bundling payments.
3) Using payment reform as one part of broader reforms across health and social care to encourage integration, patient responsiveness, and improvements in outcomes.
Do Integrated Data Collection Tools Promote Integrated Service Delivery? A Ca...MEASURE Evaluation
The document describes a case study from Cote d'Ivoire on the use of integrated data collection tools to promote integrated service delivery. The Ministry of Health of Cote d'Ivoire adapted interlinked monitoring tools known as "outil intégré du suivi du patient VIH" or IPMS, and piloted them for 3 months in 3 districts. The case study used a mixed-methods approach including questionnaires and interviews to explore whether the integrated tools improved patient monitoring and service integration.
Accenture provides IT solutions to the healthcare industry including payers, providers, and patients. They have worked with 21 of the top 25 health payers in the US, 41 of the top 100 hospitals, and over 125 public health organizations in more than 20 countries. Accenture creates applications to improve communication between clients and their customers, generates thought leadership around healthcare cybersecurity, and uses gamification to incentivize behavioral changes among users.
Sharing : Sumbangsih Telkom untuk Ekosistem Kesehatan pada Reuni Akbar Fakult...Saiful Hidayat
The document discusses e-health in Indonesia. It outlines the key stakeholders in Indonesia's e-health ecosystem, including healthcare providers, insurance companies, pharmaceutical companies, the government, universities, patients and the public. It also discusses the current state of e-health implementation in Indonesia, noting that Indonesia is still at a developing stage according to the WHO Global Survey in 2009. The implementation of e-health in Indonesia will require progress across several foundational areas.
Omnitech InfoSolutions Ltd. aims to be a global leader in providing technology services for business availability and continuity. It offers infrastructure management, technology services, and enterprise solutions to help organizations increase productivity, predictability, and profitability. Omnitech has over 1000 professionals, a technology center in Mumbai, and a presence in India and countries like the US, Middle East, and Europe.
The document discusses potential synergies between MHS and MedAssets in providing supply chain solutions to healthcare clients. MHS's core competencies in inventory data collection and management through software like @Par could provide valuable data to support MedAssets' client initiatives. Common goals around optimizing supply chain operations and reducing costs indicate the companies' services may complement each other. The document outlines MHS's offerings and how they could assist MedAssets' sales process and client solutions.
Best practices vendor support services partner presentation for panel discussion with Chairs of the TSIA Support Services Partner - Community of Interest (COI). Presented by Andreas Gast - COI Chair, and Vice Chairs from Autodesk, CA, and Cisco
The document discusses the ecosystem for data services in India. It notes that the ecosystem is more complex than for voice services, as it involves content owners, mobile application developers, and content aggregators in addition to service providers, technology providers, and handset manufacturers. The focus in data services is more on subscribers and providing them with enriching content and experiences, unlike voice where the focus is more on infrastructure. Successful portals that list mobile applications can benefit handset manufacturers, service providers, and developers by increasing revenue share and stickiness to their platforms.
Learn from the results of the Duke Ohio’s Auditor’s Assessment and other case studies from around the world where real utilities are performing at 99.7 – 100% levels of reliability daily, and achieving the business case benefits of a smarter, future-proof grid.
Learn about:
* The true value of having a proven communications network that delivers true reliability on day 1 of deployment
* The connection between having a reliable and multi-application grid
* Research and observations from MetaVu from recent smart grid assessments
The document discusses Oracle Fusion Applications and provides an overview of the strategy, objectives, functionality including enterprise structures, security, and pervasive business processes, as well as the presentation layer including navigation, worklists, and dashboards. It also discusses key concepts such as composers, metadata services, and how Fusion Applications brings together functionality from multiple product lines into a single data model and platform.
Zensar is a $3.7 billion conglomerate with businesses across industries including healthcare. In healthcare, Zensar provides consulting, integration, maintenance and development services for applications like EMR, CPOE, and e-prescribing. It helps with compliance requirements like ICD-10 and meaningful use. Services include patient and physician portals, mobile apps, core application support, and clinical staff training.
A5 measuring settlement outcomes tied to cic's logic modelocasiconference
The document discusses measuring settlement outcomes tied to Citizenship and Immigration Canada's (CIC) logic model. It provides an overview of CIC's settlement program architecture and logic model from 2011-2012, which outlines how CIC's policy goals should influence service design, delivery, and impact measurement. It also discusses using CIC's logic model and tools to develop a settlement needs assessment tool, and ensuring indicators are valued by CIC to justify investing in new measures. Cooperative development of tools with CIC and the sector is recommended to create valid tools consistent with outcomes.
ShoreTel provides global services including implementation services, professional services, training services, and technical support. The services continuum includes strategic consulting, system design, deployment, integration, user training, and ongoing support. Implementation services guide customers through all phases of a project from initial planning through go-live and follow up support. Training ensures users are enabled with blended learning approaches. Technical support is available globally through multiple support models.
The document summarizes objectives and plans for a marketing campaign for Tata Communications. It discusses:
1) Objectives to leverage existing footprint to expand business in India and allocate more staff to support the Indian market.
2) Details of past campaign successes across regions, industries, and services which increased key metrics.
3) The Indian experience including number of clients and cities served across operating groups and services.
4) A need to rationalize plans by creating alignment around business outcomes, scaling further, and establishing centers of excellence for expertise.
This document discusses retention strategies for fixed network operators to counter challenges from growing mobile networks. It outlines key trends showing mobile subscriber growth exceeding fixed lines globally and in Africa. Fixed operators face challenges like high infrastructure costs and liberalized markets. The document recommends focusing on customer retention through strategies like delighting customers, adding perceived value, building bonds and engagement across the customer lifecycle. It suggests leveraging existing fixed network infrastructure through convergence of fixed and mobile networks, triple/quadruple play offerings, international cables, and corporate services. The conclusion is that fixed operators still have opportunities as backbone providers and meeting growing bandwidth demand through innovative strategies.
We look at the Service Strategy phase of the ITIL V3 service lifecycle and the key processes that enable business and IT integration. We will discuss critical processes such as Service Portfolio Management, Business Service Management, Financial Management and Demand Management, along with key roles such as Business Relationship Manager and Product Manager.
Qwest Metro Optical Ethernet (QMOE) is a flexible and scalable Ethernet solution that securely connects multiple healthcare facilities across a metropolitan area. It delivers bandwidth from 10 Mbps to 1 Gbps to enable applications like electronic medical records, digital imaging, and business systems. QMOE supports regulatory compliance through secure transmission of patient data, and helps reduce costs through consolidated infrastructure and bandwidth tailored to needs.
C.T. Hellmuth is a privately owned employee benefits broker located in Chevy Chase, MD that has been in business since 1972. They focus exclusively on employee benefits and have deep expertise in industries like government contracting, technology, and non-profits. They partner closely with their clients and have an average client relationship of over 15 years. Their team has extensive experience, with the average account manager tenure at the company being over 15 years. C.T. Hellmuth aims to deliver cost-effective benefits solutions and exceptional service to help their clients meet their goals.
Jim Fitzgerald from CA and FCA spoke about group purchasing organizations (GPOs) and introduced HealthTrust, CoreTrust, and Parallon Business Solutions. HealthTrust is a global GPO owned by hospitals and health systems. It aggregates spending to negotiate pricing across 1,400+ hospitals. CoreTrust, a division of HealthTrust, extends this leveraged buying model to commercial companies. Parallon provides outsourced business services to the healthcare industry.
What Lies Ahead for ONC: Meaningful Use and BeyondBrian Ahier
1) The document discusses recent trends in health IT policy and implementation including Meaningful Use and regional extension centers.
2) It outlines upcoming payment reforms like accountable care organizations and bundled payments that will further incentivize health IT innovation.
3) The document proposes next steps for advancing health IT through the proposed Stage 2 of Meaningful Use regulations to promote improved health outcomes, care coordination, and patient engagement through 2015.
1) The document summarizes four bundled payment models established by the Centers for Medicare and Medicaid Services (CMS) to encourage cost reduction, clinical integration, and care management among providers.
2) The first three models involve retrospective bundled payments for either an inpatient stay alone (Model 1), an inpatient stay plus post-acute care (Model 2), or post-acute care alone (Model 3). Model 4 establishes a prospective bundled payment for an entire episode of care.
3) By allowing gains from reduced costs to be shared among participating providers, the models aim to financially align physicians and hospitals in driving down costs through care coordination and less costly interventions.
Japan Institute for Design Promotion, December 21st, 2011, Tokyo, Japan.Stephen Kwan
This presentation discusses service design from a systems perspective, integrating system thinking, design thinking, and business thinking. It defines key concepts in service science like service systems and value co-creation. The presentation outlines a multi-disciplinary approach to service system design incorporating knowledge management. Finally, it examines stages in customer empowerment from traditional value chains to customer-driven service value networks.
Payment reform in the NHS is moving in several directions:
1) Expanding Payment by Results (PbR) to new areas like year of care payments and increasing its focus on quality, outcomes, and value.
2) Introducing new payment systems that incentivize quality, integration, and efficiency through mechanisms like best practice tariffs, the quality premium, and bundling payments.
3) Using payment reform as one part of broader reforms across health and social care to encourage integration, patient responsiveness, and improvements in outcomes.
Do Integrated Data Collection Tools Promote Integrated Service Delivery? A Ca...MEASURE Evaluation
The document describes a case study from Cote d'Ivoire on the use of integrated data collection tools to promote integrated service delivery. The Ministry of Health of Cote d'Ivoire adapted interlinked monitoring tools known as "outil intégré du suivi du patient VIH" or IPMS, and piloted them for 3 months in 3 districts. The case study used a mixed-methods approach including questionnaires and interviews to explore whether the integrated tools improved patient monitoring and service integration.
Accenture provides IT solutions to the healthcare industry including payers, providers, and patients. They have worked with 21 of the top 25 health payers in the US, 41 of the top 100 hospitals, and over 125 public health organizations in more than 20 countries. Accenture creates applications to improve communication between clients and their customers, generates thought leadership around healthcare cybersecurity, and uses gamification to incentivize behavioral changes among users.
Sharing : Sumbangsih Telkom untuk Ekosistem Kesehatan pada Reuni Akbar Fakult...Saiful Hidayat
The document discusses e-health in Indonesia. It outlines the key stakeholders in Indonesia's e-health ecosystem, including healthcare providers, insurance companies, pharmaceutical companies, the government, universities, patients and the public. It also discusses the current state of e-health implementation in Indonesia, noting that Indonesia is still at a developing stage according to the WHO Global Survey in 2009. The implementation of e-health in Indonesia will require progress across several foundational areas.
Omnitech InfoSolutions Ltd. aims to be a global leader in providing technology services for business availability and continuity. It offers infrastructure management, technology services, and enterprise solutions to help organizations increase productivity, predictability, and profitability. Omnitech has over 1000 professionals, a technology center in Mumbai, and a presence in India and countries like the US, Middle East, and Europe.
The document discusses potential synergies between MHS and MedAssets in providing supply chain solutions to healthcare clients. MHS's core competencies in inventory data collection and management through software like @Par could provide valuable data to support MedAssets' client initiatives. Common goals around optimizing supply chain operations and reducing costs indicate the companies' services may complement each other. The document outlines MHS's offerings and how they could assist MedAssets' sales process and client solutions.
Best practices vendor support services partner presentation for panel discussion with Chairs of the TSIA Support Services Partner - Community of Interest (COI). Presented by Andreas Gast - COI Chair, and Vice Chairs from Autodesk, CA, and Cisco
The document discusses the ecosystem for data services in India. It notes that the ecosystem is more complex than for voice services, as it involves content owners, mobile application developers, and content aggregators in addition to service providers, technology providers, and handset manufacturers. The focus in data services is more on subscribers and providing them with enriching content and experiences, unlike voice where the focus is more on infrastructure. Successful portals that list mobile applications can benefit handset manufacturers, service providers, and developers by increasing revenue share and stickiness to their platforms.
Learn from the results of the Duke Ohio’s Auditor’s Assessment and other case studies from around the world where real utilities are performing at 99.7 – 100% levels of reliability daily, and achieving the business case benefits of a smarter, future-proof grid.
Learn about:
* The true value of having a proven communications network that delivers true reliability on day 1 of deployment
* The connection between having a reliable and multi-application grid
* Research and observations from MetaVu from recent smart grid assessments
The document discusses Oracle Fusion Applications and provides an overview of the strategy, objectives, functionality including enterprise structures, security, and pervasive business processes, as well as the presentation layer including navigation, worklists, and dashboards. It also discusses key concepts such as composers, metadata services, and how Fusion Applications brings together functionality from multiple product lines into a single data model and platform.
Zensar is a $3.7 billion conglomerate with businesses across industries including healthcare. In healthcare, Zensar provides consulting, integration, maintenance and development services for applications like EMR, CPOE, and e-prescribing. It helps with compliance requirements like ICD-10 and meaningful use. Services include patient and physician portals, mobile apps, core application support, and clinical staff training.
A5 measuring settlement outcomes tied to cic's logic modelocasiconference
The document discusses measuring settlement outcomes tied to Citizenship and Immigration Canada's (CIC) logic model. It provides an overview of CIC's settlement program architecture and logic model from 2011-2012, which outlines how CIC's policy goals should influence service design, delivery, and impact measurement. It also discusses using CIC's logic model and tools to develop a settlement needs assessment tool, and ensuring indicators are valued by CIC to justify investing in new measures. Cooperative development of tools with CIC and the sector is recommended to create valid tools consistent with outcomes.
ShoreTel provides global services including implementation services, professional services, training services, and technical support. The services continuum includes strategic consulting, system design, deployment, integration, user training, and ongoing support. Implementation services guide customers through all phases of a project from initial planning through go-live and follow up support. Training ensures users are enabled with blended learning approaches. Technical support is available globally through multiple support models.
The document summarizes objectives and plans for a marketing campaign for Tata Communications. It discusses:
1) Objectives to leverage existing footprint to expand business in India and allocate more staff to support the Indian market.
2) Details of past campaign successes across regions, industries, and services which increased key metrics.
3) The Indian experience including number of clients and cities served across operating groups and services.
4) A need to rationalize plans by creating alignment around business outcomes, scaling further, and establishing centers of excellence for expertise.
This document discusses retention strategies for fixed network operators to counter challenges from growing mobile networks. It outlines key trends showing mobile subscriber growth exceeding fixed lines globally and in Africa. Fixed operators face challenges like high infrastructure costs and liberalized markets. The document recommends focusing on customer retention through strategies like delighting customers, adding perceived value, building bonds and engagement across the customer lifecycle. It suggests leveraging existing fixed network infrastructure through convergence of fixed and mobile networks, triple/quadruple play offerings, international cables, and corporate services. The conclusion is that fixed operators still have opportunities as backbone providers and meeting growing bandwidth demand through innovative strategies.
We look at the Service Strategy phase of the ITIL V3 service lifecycle and the key processes that enable business and IT integration. We will discuss critical processes such as Service Portfolio Management, Business Service Management, Financial Management and Demand Management, along with key roles such as Business Relationship Manager and Product Manager.
Qwest Metro Optical Ethernet (QMOE) is a flexible and scalable Ethernet solution that securely connects multiple healthcare facilities across a metropolitan area. It delivers bandwidth from 10 Mbps to 1 Gbps to enable applications like electronic medical records, digital imaging, and business systems. QMOE supports regulatory compliance through secure transmission of patient data, and helps reduce costs through consolidated infrastructure and bandwidth tailored to needs.
C.T. Hellmuth is a privately owned employee benefits broker located in Chevy Chase, MD that has been in business since 1972. They focus exclusively on employee benefits and have deep expertise in industries like government contracting, technology, and non-profits. They partner closely with their clients and have an average client relationship of over 15 years. Their team has extensive experience, with the average account manager tenure at the company being over 15 years. C.T. Hellmuth aims to deliver cost-effective benefits solutions and exceptional service to help their clients meet their goals.
Jim Fitzgerald from CA and FCA spoke about group purchasing organizations (GPOs) and introduced HealthTrust, CoreTrust, and Parallon Business Solutions. HealthTrust is a global GPO owned by hospitals and health systems. It aggregates spending to negotiate pricing across 1,400+ hospitals. CoreTrust, a division of HealthTrust, extends this leveraged buying model to commercial companies. Parallon provides outsourced business services to the healthcare industry.
Accretive Health - Revenue Cycle - Revenue Cycle Management AccretiveHealth
This document provides an overview and summary of Accretive Health's business for investors attending the Credit Suisse 2012 Healthcare Conference. It includes a safe harbor statement, descriptions of Accretive Health's three main offerings (revenue cycle management, quality and total cost of care management, and physician advisory services), highlights of the company's mission and value proposition. It also provides financial performance summaries and outlook, growth priorities, and defines how the company uses non-GAAP measures like adjusted EBITDA in evaluating performance.
The document discusses PAREXEL's acquisition of Liquent Technologies and Services. Some key points include:
1) PAREXEL acquired Liquent on December 27th and will operate it as a stand-alone services line to offer a more complete suite of offerings.
2) The acquisition allows both companies to leverage a global footprint and regulatory expertise to provide holistic development and commercialization services.
3) Liquent will enhance PAREXEL's regulatory services and enable it to provide a full platform for product development and commercialization.
Ntt Data Advisory & Interactive 20120529Dana Helland
NTT DATA provides IT services and has 17,000 employees generating $1.2 billion in annual revenues. They offer advisory, applications, mobility, cloud, BPO, analytics, and staffing services. Their clients come from commercial, healthcare, financial, and public sectors. They have a balanced global delivery model to maximize consistency and cost efficiencies.
Eddie Ritson / Jim O'Donogue - ECCH/TF3/S3 GroupCASALA CENTRE
The document discusses telehealth and remote monitoring services in Northern Ireland. It describes the benefits of telehealth for patients, including improved quality of life, independence, and involvement in their own care. It outlines the requirements and considerations for developing a large-scale remote telemonitoring service, including clinical outcomes, patient experience, staffing, and financial models. It describes the structure of the remote telemonitoring service in Northern Ireland, which monitors 3,500 patients annually using managed service providers.
Delivering the Mobile Services Enterprises really wantErick O'Connor
The document discusses the mobile service needs of multi-national corporations in Europe. It notes that currently:
1) Multi-nationals have no control over service offerings, management information, common pan-European services, or integration with business processes.
2) A survey found a gap between what multi-nationals want in mobile services and what is currently offered by market leaders and indirect access providers.
3) To better meet multi-national needs, regaining control over the mobile supply chain and understanding user needs are important first steps.
This document discusses factors for successful delivery of information and communication technology (ICT) investments in health. It outlines:
1. Critical success factors like having an agreed vision/strategy, strong clinical and consumer leadership, and interoperability based on standards.
2. The need for regional governance structures with delegated authority to make decisions and oversee delivery organizations responsible for implementing ICT plans.
3. The leadership skills required at the program/project level for managing delivery, including program/project management, commercial management, and systems integration.
The overall message is that large ICT projects in health require powerful regional governance and strong delivery leadership with the right skills to achieve the intended outcomes.
The document outlines Divurgent's approach to revenue cycle management (RCM) transformation, which includes assessing organizational readiness, defining improvement opportunities and metrics, designing integrated processes and technologies, implementing new tools and processes, and continuously measuring and analyzing data to identify further opportunities for improvement. The goal is to align RCM activities with organizational goals and leverage current governance structures.
The webinar discussed measuring client value from microinsurance using the PACE framework to assess the product, access, cost, and experience of offerings, identifying opportunities to improve value through case studies from India, Kenya, and the Philippines, and analyzing microinsurance products in relation to informal alternatives and social security programs.
Control Your Practice, and Your Future. The lifecycle of information technology is a complex journey. ALN has an established team who stays up-to-date with the latest government regulations surrounding healthcare IT. See how ALN can help you navigate this new path every step of the way.
Healthcare CEO/CIOs are looking for fresh perspectives in advancing Healthcare Information Technology (HIT) strategy design, development, and deployment for more effective and efficient healthcare delivery.
InterSystems has developed an approach called "Vision to Value" to help customers establish strategic value from technology solutions over time. The approach involves (1) understanding the customer's vision and challenges, (2) collaborating to develop a shared strategy and roadmap aligned with that vision, and (3) implementing tactical projects that deliver value and optimize solution adoption. Case studies show how engaging at the executive level and addressing important problems, rather than just technical needs, helped customers leverage InterSystems' HealthShare platform for strategic transformation beyond initial projects. The goal is to transition solutions from niche to strategic assets that drive continual value.
The presentation discusses Pentaho Healthcare Solutions and how Pentaho business analytics can help address key issues in the healthcare industry. It highlights 7 BI trends in healthcare including consolidating information, leveraging new data resources, needing self-service data discovery tools, ease of use for non-technical users, users being mobile, professionalization through metrics and KPIs, and performing big data analytics on large varied datasets. It then provides examples of how Pentaho analytics can help with clinical excellence, improving patient satisfaction, compliance, and financial management. The presentation concludes by showcasing two customer use cases where Pentaho helped healthcare organizations and retailers gain insights and cost savings.
This document provides an overview of consultancy services offered by Netcom Consultants. It discusses their expertise in areas like service creation, billing and customer management, network solutions, and technology and innovation. Netcom Consultants aims to provide strategic guidance and recommendations to telecom companies to help expand their businesses through leveraging emerging technologies and staying up to date on industry trends. Their consultants have extensive experience in various telecommunications domains.
Netcom Consultants provides a range of technical and commercial consulting services to telecom operators, service providers, and content providers. Their services include service creation, billing and customer management, network solutions, and technology and innovation. They help clients expand their businesses through emerging technologies and aim to maximize client satisfaction and return on investment. Their experienced consultants provide high-quality consulting with expertise in various telecommunications areas.
The document discusses resources available through SEAI to help organizations improve energy efficiency and sustainability. It outlines policy drivers like energy reporting requirements and describes SEAI supports like energy assessments, training programs, and partnerships that can help public sector organizations achieve annual energy savings of 3% or more through a strategic energy management approach. SEAI aims to work with partners to help the public sector be exemplars of energy efficiency.
IRC Ghana takes takes its sustainability message to governmentIRC
This document summarizes a presentation on achieving sustainable water services at scale in Ghana. It discusses the sustainability challenges Ghana faces in providing water access to all given investments made but ongoing issues. The conceptual framework of Triple-S (Service Delivery Approach, Model, and Sustainability) is introduced. Opportunities for addressing sustainability gaps are identified, including ongoing initiatives, balanced sector financing, institutionalizing monitoring, and ensuring coordination. Accountability frameworks are discussed to promote sustainability commitments from governments and communities. Partnership across sectors is emphasized to advance sustainable water services.
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The document discusses the potential for innovative collaboration between the Health Service Executive (HSE) and ICT suppliers in Ireland. It notes that current ICT spending by the HSE is low at 0.085% of its total budget. It identifies challenges such as health system reorganization, engaging industry given procurement processes, and a lack of funding and investment. However, new opportunities exist through approaches like vendor financing, cloud computing, and software as a service. The document proposes establishing a governance framework to facilitate wider consultation with stakeholders, identify viable new business models, and assess potential collaborative initiatives.
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This document outlines a research project to help medical interpreters through technology. It discusses conducting fieldwork including interviews with interpreters and observation of medical consultations to understand the interpreters' work and challenges. Using grounded theory, the researchers will analyze the data, identify problems and opportunities, and develop design opportunity statements to propose technology-based solutions. The goal is to help interpreters facilitate communication between patients and healthcare providers when they do not speak the same language.
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The Effects Of Ischemia On The Estimation Accuracy Of A Reduced Lead System ...healthcareisi
1) The study assessed how different simulated ischemic events impacted the accuracy of estimating 12-lead ECGs from reduced lead systems using patient-specific and generalized weights.
2) Results showed that in the absence of ischemia, patient-specific weights provided more accurate estimates than generalized weights, but this superiority was reduced in the presence of ischemia.
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- Over 100 Docobo HealthHUB devices are used to remotely monitor patients' vital signs and symptoms. This has led to 242 avoided hospital admissions and improved outcomes for patients and the healthcare system.
- Barriers to expanding telehealth include finances, information governance challenges across organizations, and cultural resistance from staff. However, plans are in place to further integrate telehealth into clinical pathways and purchase more devices.
Stroke Teleconsultation - Paul McCullaghhealthcareisi
The document discusses a study on using teleconsultation for stroke patients via videoconferencing. Ratings from patients on comfort, ease of use and preference for home teleconsultations were positive. However, clinicians' ratings of acceptability and usefulness were mixed, as lower bandwidth led to lost connections or poor quality affecting examinations. While teleconsultation was feasible with good internet access, unreliable transmission rates were a limitation. Current 3G coverage outside major areas also limits the approach.
1. The document analyzes how software would be classified under the EU Medical Device Directive and the US Medical Device Data Systems regulation by applying them to a private hospital's software catalog.
2. There are significant differences in how software would be classified under each regulation. The EU regulation considers more software to be medical devices than the US regulation.
3. If bespoke healthcare IT is developed, the hospital could be considered a medical device manufacturer under the EU regulation but not necessarily under the US regulation.
4. Further research is needed on how complementary standards and guidelines could apply, how software evaluation and vendor selection may differ between public and private institutions, and how regulations apply to software in general practitioner offices.
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Recommendations For Unique Health Identifiers - Tracy O'Carrollhealthcareisi
1. The document recommends introducing unique identifiers for healthcare practitioners (HPI) and organizations (HOI) in Ireland to improve quality, safety, and information sharing in healthcare.
2. It proposes establishing a central registry containing HPIs and HOIs based on an international standard (ISO/TS 27527) and assigning a government agency to govern and maintain it.
3. The HPI and HOI should be phased in, with professional regulatory authorities regularly uploading practitioner data to the central registry.
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The document presents a study that evaluated the usability of electronic patient record (EPR) systems in two hospital wards using Nielsen's usability heuristics and NASA TLX workload measures. Users completed questionnaires over 5 days. Results showed usability varied over time and workload increased towards the end of shifts. The study concludes that usability evaluation methods in healthcare need to account for context of use, workload, and task issues to provide more informative results. Human factors should be incorporated into healthcare system evaluations.
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Progress With Professionalism - Jean Robertshealthcareisi
The document summarizes a workshop on progress with professionalism in health informatics. It discusses the workshop format which included perspectives from health informatics, IT, other health professions, and academics. The vision is for health informatics to be recognized as a valued profession globally by defining standards, maintaining a register of professionals, and assuring processes. The overarching challenge is for all those spending substantial time in health informatics to be registered and meet standards of conduct and competence on an ongoing basis. Specific issues to consider include scope, senior buy-in, priorities, risk perception, pace of change, and self-worth in the field.
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2. Students found the course demanding both academically and in its professional assessment requirements. The workload was exacerbated by the fast changing landscape of health informatics. However, a major benefit was the establishment of a health informatics community among students and graduates.
3. There are recommendations to extend such educational provisions to non-specialists through short courses that provide continuing professional development and academic credits. This could help improve the quality of healthcare delivery through better use of information and patient experience.
1) The PaJR system uses telephone surveys and machine learning to predict avoidable hospitalizations for at-risk patients.
2) Most hospital admissions involve older patients with multiple chronic conditions, and are difficult to predict using traditional methods.
3) The PaJR approach uses non-clinical callers to regularly survey patients, asks questions predictive of deterioration, and intervenes early through alerts to prevent expensive hospitalizations.
4) PaJR has developed a machine learning model using decision trees that can predict unplanned health events and self-rated health from the survey responses with high accuracy.
This document provides an overview of systems used by nursing staff at a large Dublin hospital. It discusses the hospital background and facilities. It then summarizes the key systems used, including the electronic patient record system called PatientCentre, nurse specialist referral systems, patient document viewing, nursing discharge summaries, and rostering and staff management systems. The document concludes by noting that many new initiatives are underway and looks forward to a busy 2012.
The document discusses the development and findings of a pilot Electronic Care Record (ECR) project in Northern Ireland. The key points are:
1) The pilot integrated clinical information from 16 existing health systems and allowed clinicians to access patient data via a single login.
2) Evaluation found the ECR improved clinical outcomes and decision making. 97% of users were satisfied with ease of use and found it useful.
3) The pilot demonstrated that a regional ECR is achievable and could help improve patient safety, quality of care and reduce costs across Northern Ireland.
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This document summarizes Scotland's approach to eHealth and strategy for a national electronic health record system. Some key points:
- Scotland has a federated health system with 14 regional health boards and over 1000 GP practices.
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This document summarizes the findings of a data protection and quality review at a medical clinic. It identifies some positive aspects but also notes 12 areas of concern and 6 critical risks to compliance. Recommendations include formalizing governance structures and policies, role-based access controls, training programs, and transitioning project management practices to ongoing governance. Implementing these changes would help ensure all staff properly handle private patient data in accordance with regulations.
Making Sense Of Ubiquitous Health Information A Cross Generational Study - Ka...healthcareisi
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Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
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2. Northern Ireland Chronic Disease
2/3s of over
75s
Population 1.8M 60% of all GP
visits
H&SC budget
£4.3Bn
Rising to £4.66Bn
in 2014/2015 72% acute
bed days
69% of health
& social care
spend
Department of Health (2008 ) Raising the profile of long term conditions care
INIsPHO (2010) Making Chronic Conditions Count
S3 Confidential Slide 2
3. NI Vision for Remote Telemonitoring
• Bring information to professionals, enabling more
proactive, effective and co-ordinated community
based care
• Provide greater support for self-care and for carers
• Part of a new way to manage increasing burden of
chronic disease which is both more efficient and
better quality
“…investing to build the capacity to cope”
4. First Questions for NI Authorities
• Should the remote telemonitoring service be provided
from within the public sector or outsourced to the private
sector ?
• If outsourced
• What should be procured – products ? Technology ?
Services ?
• What should the scope of the service be?
• How would the service be used and how would it
integrated with other aspects of care delivery ?
• How can it be designed to be scalable?
5. Models for procuring Telehealth
Managed Service - Outcome
Based Risk/Reward
Provider Responsibility & Risk
Flexibility and Scalability
Partnership Working
Contract Complexity
Managed Service - PAYG
Customised / integrated service
Combined Technology Purchase
+ Service Purchase
Technology Purchase + Service
purchased separately
6. Managed Service Model – Commissioner Responsibilities
• Defining Service Requirements
Managed Service - Outcome Based
Risk/Reward
• Defining KPIs (as SLAs and
Quality Metrics)
RTNI - Managed Service - PAYG
• Defining how health professionals Customised /Integrated Service
will interact with and support the
service interface points (e.g.
escalations from Triage) Combined Technology + Service
Purchase
• Stakeholder engagement
• Selecting patients to be referred Technology Purchase + Service
purchased separately
on to the service
7. Managed Service Model - Provider Responsibilities
• Providing all aspects of a joined-
up service involving Managed Service - Outcome Based
Risk/Reward
people, process and technology
• Responsible from Referral to
RTNI Managed Service - PAYG
discharge Customised /Integrated Service
• Meeting defined service
requirements & SLAs Combined Technology + Service
Purchase
• Technology
selection, maintenance and
equivalence Technology Purchase + Service
purchased separately
• Incentivised to generate service
delivery efficiencies
8. Managed Service – A Shift in Concept and Language
Buying Becomes Buying a
Technology service
Selecting Becomes Defining your
Technology service requirements
Buying Kit / Becomes Buying
Units Monitoring days
Building service Becomes Building capability to
delivery capability use the service
9. RTNI Programme Structure
• 6 year contract awarded March 2011
• Procurement, service definition and
implementation process led by ECCH – a
part of Public Health Agency
• 1 Service Definition, 5 customers
• 3,500 patients per annum
• 12 condition categories
• 2 - 52 week monitoring periods
• >2.8 million monitored days
• £18m investment
10. Overview of the Basic Service
escalation
Community
Daily Daily Nurse
Readings Monitoring
GP/Clinician
11. Partnering to deliver integrated services
In Northern Ireland
Patient Selection • Patient Assessment
• Patient Care Plan
and Referral • Patient and clinician engagement
• Programme Governance
Governance • Programme Management
• Stakeholder Communications
• Clinical
Service Design • Business Processes
• Technical
• Clinical Service Delivery
Service Delivery • Clinical Service Management
• Patient service Delivery
Service • Patient equipment
• Managed Service Platform
Infrastructure • IT Infrastructure
12. Partnering to deliver integrated services
In Northern Ireland
• Patient Assessment
Patient Selection • Patient Care Plan
and Referral • Patient and clinician engagement
• Programme Governance
Governance • Programme Management
• Stakeholder Communications
• Clinical
Service Design • Business Processes
• Technical
• Clinical Service Delivery
Service Delivery • Clinical Service Management
• Patient service Delivery
Service • Patient equipment
• Managed Service Platform
Infrastructure • IT Infrastructure
13. RTNI Managed Service Requirements Definition
Service Service Service
Requirements Design Operation
Define Model &
Define Desired Assess
Identify Drivers of Change Implementation
Benefits Cost/Benefits
Approach
Clinical Outcomes Service Model Clinical outcomes
National Roles/Responsibilities Financial benefits
Local Patient Experience
Clinical Staff Pathway Changes Implementation costs
Financial Delivery model
14. Service Requirements Definition – Iterative Approach
What’s What’s
desirable possible
Commissioner Provider
What’s
practical
Define Model &
Define Desired Assess
Identify Drivers of Change Implementation
Benefits Cost/Benefits
Approach
15. Capturing Requirements in a Contract
• Comprehensive and robust Office of Government Commerce contract
detailing all aspects of Commissioner and Provider responsibilities
• High level of detail of service definition & contractual requirements:
• Detailed definition of every aspect of the service to be provided (221
Authority requirements)
• Detailed service levels and associated penalties (20 for „core‟, 8 for
„additional‟ & a further 19 quality markers)
• Extensive reporting, automated performance monitoring
• 1 Service definition with 5 customers:
• Joint specification, governance and central infrastructure
• 5 local implementation plans
16. Service Design Processes
Service Service Service
Requirements Design Operation
Establish Design Design Service
Service Planning Service Service Service Readiness
Governance Delivery Infrastructure Testing
Pathway Design Clinical Clinical processes Solution Design People
Process Definition Programme Non-clinical Service integration Process
Service Interfaces Financial Operating Service platform Technology
Metrics Procedures Service IT
Process/Policies
17. Service Design – Collaborative Process
Usability
Plan
Tests
Commissioner
Workshops Provider
/ Expert Design
Feedback
Process
and
interface
Definition
Establish Design Design Service
Service Planning Service Service Service Readiness
Governance Delivery Infrastructure Testing
18. Elements of service to be delivered
Referral to Discharge
• Clinical Triage
• Service Desk
• Clinician Portal
• Patient Portal
• Reporting
• Performance
Management
• Service Integration
• Patient services
• Training
20. Patient Selection Process
• Patient Selection Process
Service Delivery Components
– Driven by the risk stratification approach and specific goals and focus of
each Trust
– Captured in Trust implementation plans
– Rolling forecast of patients per condition communicated to provider
21. Patient Referral Process
• Patient Referral Process
– Online Referral Form is completed with all the required information to enrol the
Patient on to the Telemonitoring service
– Referrer specifies the priority of the Referral – “Urgent” to be completed within 20
working hours or “Standard” within 48 working hours (SLA)
– Notifications on progress through referral process or issues encountered
– On receipt of the Referral, the Clinical Triage Team will review the Clinical
information and will seek clarification from the Referrer if necessary
22. Patient Referral Process – Design Considerations
• Service Design Considerations
– Comprehensive referral information required to support clinical triage
– Maximise auto-population of data to speed filling of forms
– Access from inside and outside of Trust networks (single sign-on)
– Need for an integrated service desk to co-ordinate tasks
– Need for an automated tracking of and reporting against SLAs
23. Patient Set-up Process
• Patient Set-up
– Service Desk contacts the Patient to arrange an Installation Appointment
– Referrer is informed by the Service Desk of the appointment details
– Installers train the Patient on how to use Equipment and access the Patient Portal
– Test Readings are completed – the Service Desk notifies referrer of the completion of
Installation and the Patient is now set-up on the Telemonitoring Service
24. Patient Set-up Process – Design Considerations
• Service Design Considerations
– Tracking of each stage of the process co-ordinated by a Service Desk application
– Being able to report on where patients are in the process
– Automatic notifications to referrers on completion or issue
– Ability to co-ordinate and manage issues throughout the process
25. Patient Triage
• Patient Triage
– There are two services available – “Track and Trend” (no provider triage) or “Triage” -
covering 12 disease packages
– Each disease package has vitals, questions, default thresholds, planned monitoring
period
– Provider Clinical Triage Team responsible for Triaging Patients by phone
– Definition of Level 1, 2 and 3 Local response
26. Patient Triage - Design Considerations
• Service Design Considerations
– Triage SLAs – to align timing of escalations with availability of local response
– Clear definition of what providers clinical triage team can and can‟t do
– Medication updates ? Changing monitoring parameters ?
– Method of escalation (phone, email, sms); Method of closing the escalation
– Clinical governance procedures
27. Monitoring of Care – Reviewing Parameters
• Monitoring Care – Setting and Reviewing Parameters
– Default monitoring parameters per vital defined on referral form
– Defaults parameters can be changed to Patient specific parameters
– Referrer responsibility to review parameters to avoid unnecessary alerts and
escalations
28. Monitoring Care – Design Considerations
• Design Considerations
– Threshold setting and scope of triage activity has a big influence on provider triage
staffing levels
– Key is to train clinicians and have agreed protocols
– Need automated SLAs/Performance Tracking to monitor triage process
– Need an audit trail of all changes to plan and monitoring regime
29. Patient Review & Discharge Process
• Patient Review & Discharge
– On the Referral form the Monitoring Period is requested and will automatically show the
anticipated patient review date
– The Referrer is notified 3 weeks, 2 weeks and on the anticipate review date for a Patient Review
– This involves the Referrer completing a Patient Outcome Review Online Form
– If no response is received, we continue to monitor the patient until notified differently
– Unscheduled reviews may also be completed at intervals decided by the Referrer
– Referrer discharges via an on-line form
30. Our Integrated Managed Service Platform
Decision support software Referral, Reporting Service Support Patient Portal
31. Managed Services Model – Lessons Learned
Delivering at Scale
• Pressure is on the provider to deliver services that the commissioner
wants NOT on the commissioner to map the available technology to
meet their requirements
• Significant up-front investment on both sides to define service
requirements and design how the service will integrate with other
services
• Keeps the commissioner “out of the weeds” – Defining what service is
required and not how to arrange people, process and technology to
deliver the service
• Demands a high level of working in partnership through service definition
and design
• Shares the risk of delivery between the commissioner and provider