This document discusses healthcare IT and closing the loop in healthcare delivery. It describes how healthcare delivery has changed over time and the role of electronic systems in supporting healthcare. However, fully closing the loop through integrated healthcare remains a challenge. The document outlines some approaches to improving integration, including stand-alone applications, point-to-point integration, and integrated healthcare enterprise systems. It also discusses using healthcare IT for consumer relationship management, department workflow automation, and data capture to improve efficiency, quality of care, and business value in healthcare.

1. CONFIDENTIAL AND PROPRIETARY TO THE PARTIES IN DISCUSSION.
Contact:
sales@taurusglocal.net
drgupta@taurusglocal.com
Website:
www.taurusglocal.com

2. CLOSING
THE LOOP
HEALTH DELIVERY HAS CHANGED WITH TIME AND SO HAVE
ELECTRONIC SYSTEMS TO SUPPORT HEALTH DELIVERY. HOWEVER
CLOSING THE LOOP REMAINS A CHALLENGE..
Stand Alone
Applications
Point to Point
Integration
Integrated Healthcare
Enterprise (IHE)
Electronic Health Records
 CPOE
 Evidence Based
 KPI – Dashboards
 Trend Analysis
CONSUMER
RELATIONSHIP
MANAGEMENT
ENTERPRISE
INTEGRATIONDEPARTMENT
WORKFLOW
AUTOMATIONDATA
CAPTURE
Healthcare Knowledge
 Integrated Imaging
 Document Management
 Reliability Improvement
 Cradle –to-Grave
Records
 Traceability
 Reduced Errors
Collector Documentor MentorColleagueHelper
 Personalization
 Web based Portals
 Mobile Platforms
COMPLEXITY
EFFICIENCY
QUALITYOFCARE
BUSINESSVALUE
 Transaction Based
 One dimensional
Healthcare IT Infrastructure
Source: CPOE: Way Forward, paper presented by Dr Pankaj Gupta in ICMIT, IIT Kharagpur, 2005

3. HEALTHCARE IT LANDSCAPE
IT IS A TOOL FOR HEALTHCARE
Community
Care
Supporting
Care
Direct Care
Doctor –
Patient
Relationship
• CRM• HIS, EMR,
CPOE, CDSS,
KPI, DW/BI
• LIS, RIS, PACS,
PHARMACY, DIET,
REHAB, SCM,
ERP, MIS
• HMIS, HIE,
eHealth,
mHealth

4. EMERGING HEALTHCARE NETWORKS NEED IT TO
SUSTAIN GROWTH
Healthcare is moving from a encounter based
medicine to a Healthcare contract
You cant leverage synergy in your
investments without a holistic model
Growth of hospital investment should create
a demand for the ancillary investments
Unleash hidden value through collaborative
cross- sector healthcare investments
Align such investments into a truly symbiotic
framework to leverage the portfolio
Fund

5. Hospital
Research
Medical
Education
5 Star Hotel
Holistic Medicine
for Prevention
and Rehab
Path Lab,
Rad Clinic,
Pharmacy
Broker Direct
Connectivity
to Airport
HEALTHCARE ECOSYSTEM NEEDS IT TO SUSTAIN GROWTH
Strategic investment
in support functions
Strategic investment
in Pharma,
Biotech and CRO
Strategic investment
in leading medical
education brands
Strategic investment in
elite hospitality and
entertainment brand
Strategic investment
in local spas
and resorts
Facilitate recognition/Approvals
from Accreditation body,
Govt, Municipal, Travel
and Security Agencies

6. PROVIDING TECHNOLOGY EVALUATIONS AND
DEPLOYMENT STRATEGIES
I T I S A H A N D M A I D E N
O F D I G I T A L H O S P I T A L S
Choosing the right technology platform for a
healthcare organization is a truly
complex decision.
Multivariate environment with cultural
challenges typically cloud and obstruct
implementation and adoption.
TG builds a ‘flexible’, ‘dynamic’, long-term
IT roadmap that is totally aligned to
business needs
TG believes that IT can be a key catalyst for
clinical transformation across healthcare
organizations.
A T R U L Y D I G I T A L H O S P I T A L
R E Q U I R E S T O T A L C L I N I C A L
T R A N S F O R M A T I O N
Hospital
Information
System
Clinical
Lab
Radiology
Pharmacy
MIS
ERP
Healthcare IT Portfolio Management

7. 06 - 11 July 2012
CONFIDENTIAL AND PROPRIETARY TO THE PARTIES IN DISCUSSION.
Contact:
sales@taurusglocal.net
drgupta@taurusglocal.com
Website:
www.taurusglocal.com

8. 1.Stage 1
2011-2012
Data capture and sharing
Stage 2
2014
Advance clinical processes
Stage 3
2016
Improved outcomes
STAGES OF MEANINGFUL USE
8
Stage 1:
Meaningful use
criteria focus on:
Stage 2:
Meaningful use
criteria focus on:
Stage 3:
Meaningful use
criteria focus on:
Electronically
capturing health
information in a
standardized format
More rigorous health
information exchange
(HIE)
Improving quality,
safety, and efficiency,
leading to improved
health outcomes
Using that
information to track
key clinical conditions
Increased
requirements for e-
prescribing and
incorporating lab
results
Decision support for
national high-priority
conditions
Communicating that
information for care
coordination
processes
Electronic
transmission of
patient care
summaries across
multiple settings
Patient access to
self-management
tools
Initiating the
reporting of clinical
quality measures and
public health
information
More patient-
controlled data
Access to
comprehensive
patient data through
patient-centered HIE
Using information to
engage patients and
their families in their
care
Improving population
health
In order to achieve meaningful use,
eligible providers and hospitals must
adopt certified EHR technology and
use it to achieve specific objectives.
These meaningful use objectives and
measures will evolve in three stages
over the next five years.
Achieving meaningful use during
Stage 1 requires meeting both core
and menu objectives. All of the core
objectives are required. EPs and
hospitals may choose which
objectives to meet from the menu set.
The U.S. Department of Health and
Human Services recently announced
the release of the notices of proposed
rule-making (NPRMs) for Stage 2 of
meaningful use and updated
certification criteria.

9. STAGES OF MEANINGFUL USE
Stage 1 (which began in 2011 and
remains the starting point for all
providers): “meaningful use”
consists of transferring data to
EHRs and being able to share
information, including electronic
copies and visit summaries for
patients.
Stage 2 (to be implemented in 2014
under the proposed rule):
“meaningful use” includes
standards such as online access
for patients to their health
information and electronic health
information exchange between
providers.
Stage 3 (expected to be implemented
in 2016): “meaningful use”
includes demonstrating that the
quality of health care has been
improved.
US Healthcare has over $600B waste in
the system. Higher adoption of
electronic health records (EHR) can
save health care system money, save
time for doctors and hospitals, and
save lives.
Thanks to the ARRA and HITECH Acts
and the Medicare and Medicaid EHR
Incentive Program, about $30-70B
has been put on the table toward
adoption of Healthcare technology.
To date, more than 43,000 providers have
received $3.1 billion to help make the
transition to EHRs;
The number of hospitals using EHRs has
more than doubled in the last two
years - from 16 to 35 percent between
2009 and 2011;
85 percent of hospitals now report that by
2015 they intend to take advantage of
the incentive payments.

10. MEANINGFUL USE STAGE 1
14 Mandatory KPI Measures
Computerized provider order entry (CPOE) >30% of patients have atleast 1 CPOE order
Drug-drug and drug-allergy interaction checks Functionality is enabled
Record demographics Functionality is enabled
Implement one clinical decision support rule >50% of patients
Maintain up-to-date problem list >80% patients have ICD
Maintain active medication list >80% patients
Maintain active medication allergy list >80% patients have allergy recorded
Record and chart changes in vital signs >50% patients
Record smoking status for patients > 13 years >50% patients, >13 yrs age, have smoking
status recorded
Report hospital clinical quality measures
Electronic Health record for the patients >50% patients have PHR
Electronic discharge instructions >50% patients have electronic Discharge
summary
Capability to exchange key clinical information among providers
of care and patient-authorized entities electronically
Protect electronic health information

11. MEANINGFUL USE STAGE 1
10 Optional KPI Measures
Drug-formulary checks Functionality is enabled
Record advanced directives for patients > 65 >50% patients, >65yrs age, have advance
directive recorded
Incorporate clinical lab test results as structured data >40% patients have lab tests results in EMR
Generate lists of patients by specific conditions >80% patients have ICD
Use certified EHR technology to identify patient-specific
education resources and provide to patient, if appropriate
>10% patients have been given patient-specific
education
Medication reconciliation >50% of transition of care should undergo
medication reconciliation
Summary of care record for each transition of care/referrals >50% patients transitioned out
Capability to submit electronic data to immunization
registries/systems*
>80% patients - generate HL7 message for
immunization
Capability to provide electronic submission of reportable lab
results to public health agencies*
>80% patients - generate HL7 message for Lab
results
Capability to provide electronic syndromic surveillance data to
public health agencies*
>80% patients - generate HL7 message for ICD

12. CANADA HEALTH INFOWAY BLUEPRINT

13. 06 - 11 July 2012
CONFIDENTIAL AND PROPRIETARY TO THE PARTIES IN DISCUSSION.
Contact:
sales@taurusglocal.net
drgupta@taurusglocal.com
Website:
www.taurusglocal.com