EiTESAL eHealth Conference 14&15 May 2017 Ict setup of the modern smart hospital Presentation by Dr. Mohamed AbdelFattah

1. ICT setup of the modern
smart HOSPITAL
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Dr. Mohamed AbdelFattah
VP of Advisory Services, ALTERNA, IT
Business unit, 57357 Group

2. ALTERNA 2
Healthcare Trending
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ALTERNA - Confidential
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The World Health Organization (WHO) estimates up
to 40% of resources spent on healthcare are wasted,
in part due to antiquated processes and systems.
It has been estimated that there will be approximately 50
billion devices connected to the Internet and, therefore, to
each other by 2020.
Increased demand of healthcare due to an increased number
of elderly and changed life styles leading to an increase in
chronic diseases
Need for increased efficiency, individualization and equity of
quality-oriented healthcare with limited financial resources

3. ALTERNA 3
Smart Hospital
Intelligent hospital
The Smart can be summarized in a
simple question: “How do we
leverage real time information to
achieve clinical excellence and
enhanced patient experience?
Intelligent hospital is one that works
better and smarter
better because it’s resourceful, creative, and perceptive about
what patients and doctors need
smarter because it’s astute and inventive when it comes to
weaving together diverse technologies to enhance patient care.

4. ALTERNA
4D’s Framework

5. ALTERNA
The key of success
Business first
Technology second
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6. ALTERNA
Project
Life Cycle
Discover
Design
Develop
Deliver
• Identify Stakeholder
• Define Project Strategy
• Discover Current state of Healthcare system
• Recommend current system enhancements
• Get Stakeholders Consensus
• Design Organizational Integrated workflow
• Propose and approve future state of Healthcare system
components & its infrastructure
• Validate solution and measure outcomes
• Identify opportunities for improvement
• Share lessons learned
• Improve the knowledge transfer
• Develop and Configure approved solution
• Develop knowledge transfer plan
• Deliver training
Discover
Design
Develop
Deliver
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7. ALTERNA
Smart Hospital Framework

8. ALTERNA
Risk Management
Decision Support
Clinical Repository
Web Portal Services
ERP HIS PACS Telemedicine
Desktop
Services
Database Messaging Service Desk
Video
Conferencing
VOIP
Data
Security
Physical
Security
Cabling
Internet
Connectivity
Switches &
Routers
Hardware
(Servers)
Data
Center
IT Governance
SecurityandMonitoring
Application
Management
Program
Management
Program
Services
Program
Infrastructure
Program
PeopleProcessTechnology
Proposed Technology Services Framework
ValueMeasuring
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E-learning System

9. ALTERNA
Risk Management
Decision Support
Clinical Repository
Web Portal Services
ERP HIS PACS Telemedicine
Desktop
Services
Database Messaging Service Desk
Video
Conferencing
VOIP
Data
Security
Physical
Security
Cabling
Internet
Connectivity
Switches &
Routers
Hardware
(Servers)
Data
Center
IT Governance
SecurityandMonitoring
Application
Management
Program
Management
Program
Services
Program
Infrastructure
Program
PeopleProcessTechnology
IT Governance
ValueMeasuring
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E-learning System

10. ALTERNA
IT Governance
It’s putting structure around how organizations align IT strategy with business
strategy.
Ensuring that organizations stay on track to achieve their strategies and goals.
Implement good ways to measure IT’s performance.
It makes sure that all stakeholders’ interests are taken into account and that
processes provide measurable results.
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11. ALTERNA
Risk Management
Decision Support
Clinical Repository
Web Portal Services
ERP HIS PACS Telemedicine
Desktop
Services
Database Messaging Service Desk
Video
Conferencing
VOIP
Data
Security
Physical
Security
Cabling
Internet
Connectivity
Switches &
Routers
Hardware
(Servers)
Data
Center
IT Governance
SecurityandMonitoring
Application
Management
Program
Management
Program
Services
Program
Infrastructure
Program
PeopleProcessTechnology
Value Measuring
ValueMeasuring
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E-learning System

12. ALTERNA
Value Measurement
Cost Efficiency
Cost effectiveness
Financial management and audit
Value added
Return on investment
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13. ALTERNA
Risk Management
Decision Support
Clinical Repository
Web Portal Services
ERP HIS PACS Telemedicine
Desktop
Services
Database Messaging Service Desk
Video
Conferencing
VOIP
Data
Security
Physical
Security
Cabling
Internet
Connectivity
Switches &
Routers
Hardware
(Servers)
Data
Center
IT Governance
SecurityandMonitoring
Application
Management
Program
Management
Program
Services
Program
Infrastructure
Program
PeopleProcessTechnology
Security & Monitoring
ValueMeasuring
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E-learning System

14. ALTERNA
Taking care of security
Security
Awareness
Training
Policies
Procedures
StandardsCompliance
Physical
Controls
Technical
Controls
SOC
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15. ALTERNA
Risk Management
Decision Support
Clinical Repository
Web Portal Services
ERP HIS PACS Telemedicine
Desktop
Services
Database Messaging Service Desk
Video
Conferencing
VOIP
Data
Security
Physical
Security
Cabling
Internet
Connectivity
Switches &
Routers
Hardware
(Servers)
Data
Center
IT Governance
SecurityandMonitoring
Application
Management
Program
Management
Program
Services
Program
Infrastructure
Program
PeopleProcessTechnology
Infrastructure
ValueMeasuring
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E-learning System

16. ALTERNA
Infrastructure
Infrastructure Connectivity
Infrastructure Upgradeability
Infrastructure Expandability
Infrastructure Compatibility
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Infrastructure Flexibility
Infrastructure Upgradeability

17. ALTERNA
Risk Management
Decision Support
Clinical Repository
Web Portal Services
ERP HIS PACS Telemedicine
Desktop
Services
Database Messaging Service Desk
Video
Conferencing
VOIP
Data
Security
Physical
Security
Cabling
Internet
Connectivity
Switches &
Routers
Hardware
(Servers)
Data
Center
IT Governance
SecurityandMonitoring
Application
Management
Program
Management
Program
Services
Program
Infrastructure
Program
PeopleProcessTechnology
Services Program
ValueMeasuring
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E-learning System

18. ALTERNA
Services Program
New or improved services
Wider geographical reach or access to services
Financial savings and better use of existing resources
Knowledge, good practice and information sharing
Better co-ordination of organizations' activities
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19. ALTERNA
Risk Management
Decision Support
Clinical Repository
Web Portal Services
ERP HIS PACS Telemedicine
Desktop
Services
Database Messaging Service Desk
Video
Conferencing
VOIP
Data
Security
Physical
Security
Cabling
Internet
Connectivity
Switches &
Routers
Hardware
(Servers)
Data
Center
IT Governance
SecurityandMonitoring
Application
Management
Program
Management
Program
Services
Program
Infrastructure
Program
PeopleProcessTechnology
Application Management Program
ValueMeasuring
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E-learning System

20. ALTERNA
Application Management
Assess Your Practice Readiness
Plan Your Approach
Select or Upgrade to a Certified EHR
Conduct Training & Implement an EHR System
Continue Quality Improvement
Enterprise resource planning (ERP) integration with the HER
E-Learning Is Cost Effective
E-Learning Improves Performance and Productivity
E-Learning Improves Retention
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21. ALTERNA
System must be (TIMI)
Track data over time
Identify patients who are due for preventive visits and screenings
Monitor how patients measure up to certain parameters, such as vaccinations
and blood pressure readings
Improve overall quality of care in a practice
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22. ALTERNA
Hire CMIO
Training and
Support
Medical Documentation
Design
Auditing Clinical
Documentation
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Liaison between IT staff and medical
staff

23. ALTERNA
Hire CMIO
Increase
Quality
Increase
Patient
Satisfaction
Increase
Clinician
Experience
Decrease
Cost

24. ALTERNA
Risk Management
Decision Support
Clinical Repository
Web Portal Services
ERP HIS PACS Telemedicine
Desktop
Services
Database Messaging Service Desk
Video
Conferencing
VOIP
Data
Security
Physical
Security
Cabling
Internet
Connectivity
Switches &
Routers
Hardware
(Servers)
Data
Center
IT Governance
SecurityandMonitoring
Application
Management
Program
Management
Program
Services
Program
Infrastructure
Program
PeopleProcessTechnology
Management Program
ValueMeasuring
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E-learning System

25. ALTERNA
A clinical data repository consolidates data from various clinical sources, such as an EMR or
a lab system, to provide a full picture of the care a patient has received.
Data repository include demographics, lab results, radiology images, admissions,
transfers, and diagnoses.
Improved Reporting and Analysis Capabilities
A decision support system (DSS) is a computerized information system used to support
decision-making in an organization or a business.
Speeding up the process of decision making
Increasing organizational control
Speeding up problem solving in an organization
Helping automate managerial processes
Improving personal efficiency
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26. ALTERNA
Compliances

27. ALTERNA
Achieving HIMSS Excellence
HIMSS is a global, cause-based, not-for-profit
organization focused on better health through
information technology (IT). HIMSS leads efforts to
optimize health engagements and care outcomes using
information technology.
The EMR Adoption Model was created by HIMSS
Analytics as a methodology for evaluating the progress
and impact of electronic medical record systems.
HIMSS Analytics grades hospitals based on an
assessment grid with stages going from 0 to 7.

28. ALTERNA

29. ALTERNA
HIPAA (Health Insurance Portability and
Accountability Act of 1996)
• Requires the protection and confidential handling
of protected health information
• Reduces health care fraud and abuse
• Protection and Confidential Handling of Health
Information

30. ALTERNA
Building a comprehensive security program (HIPAA)
Healthcare Security Compliance
Monitor
1. Initial Assessments
• Security Architecture Assessment
Build Test
Remediate
Monitor
Build Test
Monitor
• Security Program Review
• HIPAA Gap Analysis
• Meaningful Use Risk Analysis
2. Security Infrastructure
• Perimeter • Application •
• Firewall • Web Application Firewall
• IDS / IPS • Identity Management
• Malware Detection • Access Management
Endpoint
• Anti Virus
• DLP (email, data)
• Encryption + External
Remediate
Monitor
Build Test
Build Test
Remediate
3. Monitoring Program
• 24x7 Monitoring
• Security Devices
• Log Monitoring
• Threat Protection
• Management •
• NOT “set it and forget it”
• Ongoing tuning
• Software upgrade & patches
Other Components
• Threat Intelligence
• Incident Management
Remediate
Monitor
Build Test
4. Testing Program
• Scanning Platform
• Network Scanning
• Web App Scanning
• Compliance Scanning
• Testing Services
• Vulnerability Assessment
• Penetration Testing
Remediate
Healthcare

31. ALTERNA
Thank You
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