KFSH&RC Health Informatics:A true success story

Hussein AlmalkiHealth Informatics Department

College of MedicineSwansea University

2014

King Faisal Specialist Hospital & Research Center

Hospital Overview

• 1200 Plus bed multi-site tertiary care hospital.• One of the leading healthcare institutions in the

Kingdom of Saudi Arabia.• Its main site is in Riyadh, the capital city of Saudi

Arabia with a branch site is in Jeddah, the other major city within the Kingdom.• Has more than 11,000 employees from 78

different countries.

KSH&RC is the first hospital in the Middle East to recognize by HIMSS as Stage 6 hospital for its EMR adoption level.

IT Infrastructure

• IT infrastructure supports network that accommodates more than 16,000 nodes.• 9000 plus active computer users. • The hospital hosts integrated packaged

solutions and numerous homegrown applications in various platforms involving different databases and programming languages.

Main applications

ICIS

• Built based on packaged applications purchased from Cerner Corporation of USA (HNA Millennium suits). Hospital has implemented all major components of HNA Millennium suits: • Person Management• Scheduling• Radiology• Laboratory • Order Management (CPOE) o Pharmacy• Surgery (Operating Room) o Emergency Medicine • Medical Records

Stand-alone applications

• Picture Archival and Communication System (PACS).• Cardiovascular Solution (Apollo CardioStar)• Nursing Scheduling System (One-Staff)• Dictation and Transcription (CBay) • Food and Nutrition (Cbord)• Patient Acceptance & Eligibility On-Call System• Tumor-Registry (C/Net) Infection Control • Medication Dispensing (Pyxis & Omnicel)

Integrated Clinical Information System (ICIS) and all other department specific stand-alone medical related systems at KFSH&RC are HL7 compliant.

PACS

• Radiology department of Riyadh uses GE PACS and Dental department uses Carestream Dental PACS solutions. Jeddah Branch uses Agfa PACS solution in their Radiology department. • PACS solutions from these vendors are

DICOM compliant for integration with diagnostic modalities. PACS also have integration with ICIS through HL7 interface.

Cloverleaf is an interface engine is used since 1993 for data integration of ICIS to all medical related departmental systems and vice versa

Data Integration

• Data integration among systems at KFSH&RC is helping our users tremendously avoiding duplicate entries as well as transmitting data accurately from ICIS to all other systems as needed. • Real-time interface through cloverleaf engine

makes relevant data entered in ICIS available instantaneously to other systems that need those data. Similarly, data captured in PACS, Pyxis and One-Staff systems get updated in ICIS instantaneously.

• Integration is not only transporting data seamlessly among systems, but also increasing the interoperability of all systems used in KFSH&RC. • Data integration is also helping care provider

at KFSH&RC to be more responsive to our patients, having information available in a timely manner to enhance care delivery.

References• Aldaig, H., & UL Hoque, E. (2012). Building a Sound Integration

Architecture – a Challenging Journey at KFSH&RC. HIMSS. Retrieved 11 December 2014, fromhttp://www.himssme.org/doc/himssme_whitepaper_buildingasoundintegrationarchitecture.pdf

• Himssanalytics.org,. (2014). HIMSS Analytics - EMRAM. Retrieved 11 December 2014, from https://www.himssanalytics.org/emram/stage6Hospitals.aspx

• Kfshrc.edu.sa,. (2014). King Faisal Specialist Hospital & Research Centre - Our Hospitals - Our Hospitals. Retrieved 11 December 2014, from http://www.kfshrc.edu.sa/wps/portal/En/!ut/p/c0/04_SB8K8xLLM9MSSzPy8xBz9CP0os_jQEH9nSydDRwN33wA3A09D_1BXc2cjA4MQE_2CbEdFAKZdrrQ!/?WCM_PORTLET=PC_7_UTOC9B1A0GMPF0I1OUE7C20032_WCM&WCM_GLOBAL_CONTEXT=/wps/wcm/connect/kfshrc_lib/KFSH_BP/About/MCA+Departments/Medical+And+Clinical+Information/

Questions?