This document discusses selecting and implementing an electronic medical records (EMR) system. Key points include:
- Choosing the right EMR is complex and requires expert evaluation of the hospital's needs, culture and processes. The EMR may need to be adapted to the hospital rather than forcing changes.
- Integration with other systems like lab, radiology and billing is important for clinical workflow. Standards are needed for integration and data sharing.
- A project plan is required to coordinate stakeholders and allow for iterative implementation. Change management is also needed to support clinical adoption of the new systems and processes.
- Data security, privacy and infrastructure must be addressed according to regulations like HIPAA to protect patient information in the integrated digital
Dr Gupta spoke at the Indo-French dialogue on Telemedicine in Healthcare — with Christophe Saint Martin, Dr K Ganapathy, Vijay Agarwal and Shobha Mishra Ghosh.
http://www.ambafrance-in.org/Indo-French-dialogue-on
APICON 2015. Digital Advantage for Doctors - Because the Future is Already Here. Presentation/Publication is focused on mHealth platforms for Physicians. Sponsored by www.gp-india.com. Progress in Medicine contains the scientific proceedings of CME program of APCON-2015 held at Gurgaon during 19-22 Feb 2015. Progress in Medicine Vol. XXIX 2015, Association of Physicians of India, Indian College of Physicians.
HIS EHR Assessment Framework has come out of my doing HIS EHR Assessments again and again over the past 2 decades across North America, Germany, GCC, Indonesia and India. It is a Heuristic check that tells me the breadth and depth of the HIS EHR system in question. I have Excel checklists to support this framework. Though it is not an exhaustive checklist covering everything out there in the field of HIS EHR. Sharing it here for my fellows. Feel free to use it. Just pass the credits back to me with every use. Give me feedback to enhance and improve it further. Knowledge is the only form of power that grows by using it.
Dr Gupta spoke at the Indo-French dialogue on Telemedicine in Healthcare — with Christophe Saint Martin, Dr K Ganapathy, Vijay Agarwal and Shobha Mishra Ghosh.
http://www.ambafrance-in.org/Indo-French-dialogue-on
APICON 2015. Digital Advantage for Doctors - Because the Future is Already Here. Presentation/Publication is focused on mHealth platforms for Physicians. Sponsored by www.gp-india.com. Progress in Medicine contains the scientific proceedings of CME program of APCON-2015 held at Gurgaon during 19-22 Feb 2015. Progress in Medicine Vol. XXIX 2015, Association of Physicians of India, Indian College of Physicians.
HIS EHR Assessment Framework has come out of my doing HIS EHR Assessments again and again over the past 2 decades across North America, Germany, GCC, Indonesia and India. It is a Heuristic check that tells me the breadth and depth of the HIS EHR system in question. I have Excel checklists to support this framework. Though it is not an exhaustive checklist covering everything out there in the field of HIS EHR. Sharing it here for my fellows. Feel free to use it. Just pass the credits back to me with every use. Give me feedback to enhance and improve it further. Knowledge is the only form of power that grows by using it.
Health care organizations need an efficient way to process and share care delivery information to increase productivity, deliver better quality care, save money and ensure compliance.
The Scope of Health Information Technology: Progress and ChallengesAndrew Oram
Presents an overview of health IT technologies, such as devices, telehealth, electronic health records, analytics, coordinated care, and health information exchange. The goal is not just to list trends but to show their relationships and dependencies, suggest ways they can contribute to improvement in health care, and provide frameworks for understanding their strengths, weaknesses, and impacts.
mHealth Israel_Hospitals and Healthcare Data_Carol Gomes_Stony Brook Universi...Levi Shapiro
Presentation by Carol Gomes, CEO / COO, Stony Brook University Hospital: Hospitals + Healthcare Data. Key Sections:
- Overview of Stony Brook Medicine Health System
- IT capital planning process
- Transition from Fee-for-Service
- Clinically Integrated Network
- Population Health Analytics Platform
- REGISTRIES – Benchmarking Quality
- Digital Transformation- Business & Clinical Capacity
- Transformation Projects: Analytics; Real-Time Health System Capabilities; Telehealth Services; Command Center Capabilities
- Command Center: Centralized Throughput Office (CTO)
- Command Throughput Office Dashboard
- Real-Time Dashboards
- Early Progress of Command Throughput Office (Boarders, Cases)
- Mobile STROKE Unit Program
- Telemedicine / TeleHealth
- Stony Brook University Hospital awarded $966,026
- Data Strategy in Decentralized Environment
- Call to Action for Startups
A smart hospital is a hospital that relies on optimized and automated processes built on an Information and communication technologies environment (ICT) of interconnected assets, particularly based on Internet of things (IoT), to improve existing patient care procedures and introduce new capabilities.
Transforming patient care with the power of ai in healthcareEnterprise Bot
AI in healthcare is transforming the way patient care is delivered. Read the blog to learn the key use cases of conversational AI in the healthcare sector
Visit https://enterprisebot.ai/ to know more
Purna Prasad- Transformation of Healthcare Technology into the Commodity (Con...Levi Shapiro
Transformation of Healthcare Technology into the Commodity (Consumer) Space, by Dr. Purna Prasad, CTO, Northwell Health. Key themes:
- Health Care Is Moving from Hospital to Home
- Innovation
- Sensing
- The Sense of Caring
- Development of the Human Care Model
- Disease
- Input to Actionable Outcomes
- The Driving Factors of Commoditization
- Tethering Patients From Womb to The Tomb
- Health Information Technology Innovation. Commoditization Driving Innovation to Production. The Echo System
- The Innovation Cycle
- Innovation Opportunities
- BYOD (Bring Your Own Device)Currently Available In The Commodity Market
- WYOD – Wear Your Own DeviceCurrently Available In The Commodity Market
- BioMedical Devices Currently Available In The Commodity Market
- Innovation in Health Care Technology Commoditization Opportunities
- Innovation in Security Risk Mitigation
- Northwell Value Added Partners in Commoditizing Health Care Technology
- Commoditization Driving Digital Health
- The Digital Front Door…
- Northwell Cloud
- Telehealth
- Cutting Edge Technologies Under Evaluation/Testing
- Biosensor Technology
- Northwell Drone Ambulance
- Surgical Theater Virtual Reality
- 3D Printing Prototypes (Makerbot)
- The Fin was designed and printed by Northwell Health’s 3D printing experts
- Imagine the Possibilities in Healthcare
Innovation Driving Commoditization
Health care organizations need an efficient way to process and share care delivery information to increase productivity, deliver better quality care, save money and ensure compliance.
The Scope of Health Information Technology: Progress and ChallengesAndrew Oram
Presents an overview of health IT technologies, such as devices, telehealth, electronic health records, analytics, coordinated care, and health information exchange. The goal is not just to list trends but to show their relationships and dependencies, suggest ways they can contribute to improvement in health care, and provide frameworks for understanding their strengths, weaknesses, and impacts.
mHealth Israel_Hospitals and Healthcare Data_Carol Gomes_Stony Brook Universi...Levi Shapiro
Presentation by Carol Gomes, CEO / COO, Stony Brook University Hospital: Hospitals + Healthcare Data. Key Sections:
- Overview of Stony Brook Medicine Health System
- IT capital planning process
- Transition from Fee-for-Service
- Clinically Integrated Network
- Population Health Analytics Platform
- REGISTRIES – Benchmarking Quality
- Digital Transformation- Business & Clinical Capacity
- Transformation Projects: Analytics; Real-Time Health System Capabilities; Telehealth Services; Command Center Capabilities
- Command Center: Centralized Throughput Office (CTO)
- Command Throughput Office Dashboard
- Real-Time Dashboards
- Early Progress of Command Throughput Office (Boarders, Cases)
- Mobile STROKE Unit Program
- Telemedicine / TeleHealth
- Stony Brook University Hospital awarded $966,026
- Data Strategy in Decentralized Environment
- Call to Action for Startups
A smart hospital is a hospital that relies on optimized and automated processes built on an Information and communication technologies environment (ICT) of interconnected assets, particularly based on Internet of things (IoT), to improve existing patient care procedures and introduce new capabilities.
Transforming patient care with the power of ai in healthcareEnterprise Bot
AI in healthcare is transforming the way patient care is delivered. Read the blog to learn the key use cases of conversational AI in the healthcare sector
Visit https://enterprisebot.ai/ to know more
Purna Prasad- Transformation of Healthcare Technology into the Commodity (Con...Levi Shapiro
Transformation of Healthcare Technology into the Commodity (Consumer) Space, by Dr. Purna Prasad, CTO, Northwell Health. Key themes:
- Health Care Is Moving from Hospital to Home
- Innovation
- Sensing
- The Sense of Caring
- Development of the Human Care Model
- Disease
- Input to Actionable Outcomes
- The Driving Factors of Commoditization
- Tethering Patients From Womb to The Tomb
- Health Information Technology Innovation. Commoditization Driving Innovation to Production. The Echo System
- The Innovation Cycle
- Innovation Opportunities
- BYOD (Bring Your Own Device)Currently Available In The Commodity Market
- WYOD – Wear Your Own DeviceCurrently Available In The Commodity Market
- BioMedical Devices Currently Available In The Commodity Market
- Innovation in Health Care Technology Commoditization Opportunities
- Innovation in Security Risk Mitigation
- Northwell Value Added Partners in Commoditizing Health Care Technology
- Commoditization Driving Digital Health
- The Digital Front Door…
- Northwell Cloud
- Telehealth
- Cutting Edge Technologies Under Evaluation/Testing
- Biosensor Technology
- Northwell Drone Ambulance
- Surgical Theater Virtual Reality
- 3D Printing Prototypes (Makerbot)
- The Fin was designed and printed by Northwell Health’s 3D printing experts
- Imagine the Possibilities in Healthcare
Innovation Driving Commoditization
Lies CMIOs Tell- Dr. David Allard, Henry Ford Health SystemLevi Shapiro
Presentation for mHealth Israel by Dr. David Allard, Chief Medical Information Officer, Henry Ford Health System. The lecture discusses why EMRs lag other innovations in Healthcare and other industries. David then proposes an approach to innovation and examines common issues with which CMIOs contend. He finishes with a few successful case studies.
An overview of clinical healthcare data analytics from the perspective of an interventional cardiology registry. This was initially presented as part of a workshop at the University of Illinois College of Computer Science on April 20, 2017.
Talk at Heart Rhythm Society's 2013 annual Sessions discussing why and how patients will be able to obtain data from their implantable cardiac devices.
Combining Patient Records, Genomic Data and Environmental Data to Enable Tran...Perficient, Inc.
The average academic research organization (ARO) and hospital has many systems that house patient-related information, such as patient records and genomic data. Combining data from a variety of sources in an ongoing manner can enable complex and meaningful querying, reporting and analysis for the purposes of improving patient safety and care, boosting operational efficiency, and supporting personalized medicine initiatives.
In this webinar, Perficient’s Mike Grossman, a director of clinical data warehousing and analytics, and Martin Sizemore, a healthcare strategist, discussed:
-How AROs and hospitals can benefit from a systematic approach to combining data from diverse systems and utilizing a suite of data extraction, reporting, and analytical tools, in order to support a wide variety of needs and requests
-Examples of proposed solutions to real-life challenges AROs and hospitals often encounter
Smart Drug Package Inserts using Clinical Workflows and DecisionsDenis Gagné
Are you ready to take your drug information game to the next level? Join us for an exciting and informative webinar where we dive into the world of Drug Package Inserts and explore how new technologies and models can enhance the way we access and use this valuable information. With over decades of experience, the Drug Package Insert is a trusted source for healthcare providers, but it's time to bring it into the modern era. Discover the 5 ways Workflow and Decision models can improve patient care and make drug information more accessible than ever before. Don't miss out on this straight-to-the-point presentation, register now!
Keeping up with tech trends can be difficult, especially when it comes to healthcare — an industry that’s fast-evolving, notoriously complex, and shouldering an ever higher demand — but it is crucial.
Here’s an overview of the tech trends that are having the greatest impact on small to mid-sized practices, along with input from Staples Business Advantage Director of Healthcare Technology, James Clarke, on the importance of keeping pace.
From remote patient monitoring to antimicrobial devices, discover the technology that’s helping practices meet a wider range of patient needs, boost efficiency and improve the overall quality of care for patients.
Nachiket Mor IT for primary healthcare in indiaPankaj Gupta
An Approach Towards Health Systems Design in India,
Information technology for Primary Healthcare in India,
Johns Hopkins University,
March 2020,
13 citations - [Streveler and Gupta, 2019] - Health Systems for New India - Niti Aayog Book published in Nov 2019,
eObjects - eClaims, eDischarge, ePrescription, eEncounter, eReferral,
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Emr challenges
1. CONFIDENTIAL AND PROPRIETARY TO THE PARTIES IN DISCUSSION.
Contact:
sales@taurusglocal.net
drgupta@taurusglocal.com
Website:
www.taurusglocal.com
2. AGENDA
Selection of EMR
Technology platform
Integration with other Applications
Project plan
Team skills
Master data
Process As-Is and To-Be Mapping
User expectations - Change Management
Governance Model
IT Infrastructure
Privacy and Security
3. SELECTION OF EMR
Choosing the right technology platform for a
healthcare organization is a truly complex
decision.
One size fits all doesn’t work
There is no perfect EMR yet
In a green-field hospital - Consider adopting to
the EMR process than vice-versa
In a brown-field hospital - EMR should be
configurable as per hospital process, but not
everything is configurable in the EMR
Be ready to forego process/activity that the EMR
doesn’t provide, as customization [code
changes] is expensive to maintain
Culture eats strategy for breakfast – Select a
product that is sensitive to the local culture
Consider the local regulatory framework for EMR
selection – Don’t assume!
EMR selection should be done by experts not by
Executives sitting in a room!
Hospital
Information
System
Clinical
Lab
Radiology
Pharmacy
MIS
ERP
Build a ‘flexible’, ‘dynamic’, long-term IT
roadmap that is totally aligned to
business needs
A TRULY Digital hospital requires
total clinical transformation
4. TECHNOLOGY PLATFORM – OPEN SOURCE?
Myth - Open source is low cost.
Open source doesn’t have upfront license cost
but has high maintenance cost unless it is
spread across multiple implementations.
For open source support - There is a mirror at
your back!
Select a open source if there is a company at
the back e.g. SUN for Java
TCO of Proprietary and Open source is
comparable – license, implementation,
support, adoption, upgrades
The EMR may be open source but the
recommended underlying technology
maybe proprietary!
6. PROJECT PLAN
There is no fixed way of
implementation
Waterfall model cant work
Cant get all detailed requirements
upfront
Be open for iterative model e.g. RUP
Cant operate on a beating heart
Governance model to avoid scope
creep
Coordinate multiple multi-functional
moving parts
Draw a line and then stick to it
7. TEAM SKILLS
Healthcare BA for configuration
Tech Architect for installing on server
Network Engineer for IT infrastructure
Healthcare experts talk Greek and
Latin jargon which IT folks don’t
understand.
Healthcare and IT knowledge needs to
exist in the same brain and needs
to be processed together by the
same processor.
PM to coordinate all the gaps
Doctors are right brain
creatures
123@,
A+B=#?
, &
Reddish,
Rounded
, Raised
Must Invest time to make it
work
8. MASTER DATA
Masters Examples Guiding Standards
Billing Master Packages, Rates Map Rates to Masters
Items Master Consumable, Prosthetics, Stents, Nebulizers HCPCS Level - II
Drug Master Drug File HCPCS Level - II
Clinical Master Evaluation, Specialty wise Procedures,
Medicine, Surgeries, Anesthesia
CPT
Lab Master Microbiology, BioChem, Pathology, Histology CPT, CAP [optional]
Radiology Master Diagnostic, Interventional, Therapeutic CPT
Department Master Who, When, Where – R&R Hospital Own Standard
People Master Org Structure, Roles/Names with In/out process Hospital Own Standard
• Clean Master data is a pre-requisite for EMR. Else the implementation team will struggle for
data integrity between HIS, EMR and Manual systems.
• Necessary to build consensus amongst users to clean up the master data.
9. PROCESS AS-IS MAP AND PLAN THE TO-BE
PROCESS OF EVERY MAJOR AND MINOR ACTIVITY
10. HEALTHCARE CHANGE MANAGEMENT
C A U S E M E T H O D O L O G Y
Use a well recognised change
management methodology such as
CAUSE methodology for managing
change in people, process and
technology.
• Consciousness of need to change
• Aspiration to support change
• Understanding how to change
• Strength to over come hurdles and
implement change
• Ecosystem to support, sustain and adopt
change
S M O O T H T R A N S I T I O N
F R O M C U R R E N T T O
O P T I M A L S T A T E
11. BEHAVIOR CHANGE OCCURS IN SMALL STEPS AND
REQUIRES CONSTANT REINFORCEMENT
Habit
Fear
Reward
F
H
R R
H
F R F R
H
F R
H
F R
H
F R
H
F R
H
F R
H
F R
H
F R
H F R
H
F R
H
F R
H
COMPLIANCE
TIME
HABIT
Mini-
Mart
Black-
Berry
Bus
Ads
Wine
Clubs
Art of
Living
REWARDS
Coupon
Loyalty
Prog.
Brand
FEAR
Army
Work
Team
A
B
C
13. IT INFRASTRUCTURE
Prepare the IT infrastructure for
Transaction load of EMR
CPOE increases the transaction load
multiple times
Wi-fi in wards for doctors to take notes
and give orders thru tablets?
Single site design difficult to change to
multi-site later
In-house or remote data center?
If In-house – hardened data center?
Redundancy in Network – ISP? MPLS?
What about BCP and DR?
15. HIPAA TITLE II
Title II: Preventing Health Care Fraud and Abuse;
Administrative Simplification; Medical Liability
Reform
Data Privacy
Transactions and Code Sets
Data Security
Unique Identifiers
16. DATA PRIVACY
Protected Health Information (PHI)
Right to keep personal information from outside world
Hospital staff, in-house and outsourced IT staff may be
authorized to see data and may disclose it inappropriately
Protect sensitive information – PNDT and MTP Act
Positive results for sensitive Lab tests - HIV etc.
Public health research - Anonymised data
Don’t want data of one landing up on another’s desk - People
master, Dept master to be in sync in integrated systems
Dr Parminder Singh = Dr P Singh !
Dr Paramjit Singh = Dr P Singh ?
17. TRANSACTIONS AND CODE SETS
Master Data integration challenge – codify
diagnosis, procedures and order sets
Data Analytics challenge - standard terminology
for clinical notes
Diabetes with MI discharged with B-blocker
Diabetes with Coronary Atherosclerosis
discharged with B-blocker
Type-II Diabetes with CHF discharged with
Metoprolol
18. Network security
Firewalls,
Data centre,
IT Support Teams,
Outsourcing
Data Security - Encryption
Public/Private keys
Physical security
Authentication
Authority
Audit
DATA SECURITY
19. Authentication - are you who you say you are?
Passwords, Biometrics (finger print, retinal scan),
smartcards
Authority - do you have a need to know?
User U in role R who satisfies constraint C has
permission P
Ms Ann working as Nurse in ED has r/w/x
permissions; whereas she doesn’t have those
permissions offduty
Ensure only authenticated users to perform
authorized activities on authorized data
Audit - record of who actually got into what
Record of every entry, correction, change, over
ride etc
PHYSICAL SECURITY
20. UNIQUE IDENTIFIERS
Point-to-Point integration between 2 systems
People master to be in sync
Department master to be in sync
Dr Om Prakash Singh in ENT vs Dr OP Singh
in Otolaryngology?
Health information exchange between systems
Physician Registry
Patient Registry
Disease Registry
Document Registry
22. SUMMARY OF PRIVACY & SECURITY
Computing/network infrastructure can deal with
security
But privacy is a policy matter
Anonymizing of databases helps but it isn’t fool-
proof
In general, people are the weakest security and
privacy link
23. QUOTE FROM MOTHER OF NURSING
“The effect on sickness of beautiful objects, on variety of objects and
especially brilliancy of colours, is hardly to be appreciated. Such
cravings are usually called the “fancies” of patients but these “fancies”
are the most valuable indication of that which is necessary for their
recovery. People say that the effect is only on the mind. It is no such
thing. The effect is on the body too. Little as we know about the way in
which we are affected by form and colour and light, we do know this:
that they have an actual and physical effect. Variety of form and
brilliance of colour in the objects presented to patients are an actual
means of recovery”
- Florence Nightingale
Contact:
sales@taurusglocal.net
drgupta@taurusglocal.com
Website:
www.taurusglocal.com
24. CAUSE METHODOLOGY – CHANGE MGMT
Consciousnes
s of need to
change
Aspiration to
support
change
Understanding
how to change
Strength to
over come
hurdles and
implement
change
Ecosystem to
support,
sustain and
adopt change
PEOPLE
PROCESS
TECHNOLOGY