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Clinical ComputingSecure, reliable technology that improves clinical workflow at the point of care
James Kavanagh, Health Solutions ArchitectMicrosoft [email protected]
Challenges & Opportunities
Opportunity for Clinical
Computing
Existing Challenges• Cost of operations• Security risks• Misalignment to clinical
needs• Lack of staff & resources
Emerging Challenges• Delivering care in new
contexts• Clinical need for point-of-care
access to information• Staff mobility• Next generation workforce
Opportunities• New integrated devices• National eHealth Strategy • State led clinical +
infrastructure investment• Maturity of enterprise
infrastructure software
Clinical Computing Interactions
Clerical
/ Administ
rative
(eg. Pati
ent Admiss
ion,
Administrati
on)
Shared W
ard Computer
(eg. Inpati
ent ward, n
ursing
station) Bedsid
e Console
(eg. Pati
ent Enterta
inment,
Consulta
tion / Educa
tion)
Specifi
c Purp
ose Computer
(eg. Su
rgica
l syste
ms, Radiology
viewer) Mobile
In-H
ospita
l Devic
e
(eg. Sp
ecialist
rounds,
aged ca
re
nursing) Mobile
In th
e Community
(eg. Community
Nursi
ng, Home
Monitorin
g)
Small
Practice
Computer
(eg. General
Practice
, Pharm
acy)
Phone / Remote
(eg. On ca
ll, remote ac
cess)
Clinical Workflow ImprovementsClinical
Documents & Practice
Management
Patient Education
Mobile Image Consult
Electronic Health Records
Order Entry
Medication Management
Clinical Computing
Linking Applications & Infrastructure
Common Needs
Device characteristics
Input and visualisationPhysical
Workflow
Security
Management
Connectivity and mobility as standardMaintains context linked to the clinical application(s)
Access control with single sign-on & smart cardsProtection from threats & security vulnerabilities
Ability to rapidly deploy new capabilitiesReliable, controlled and safe
Clinical ComputingCapabilities:• Mobility to allow clinicians, nurses and
managers to access information from any device, any where
• Security that provides end-to-end defense-in-depth protection and management visibility and response to threats
• Identity services that enable pervasive single sign-on across new and existing systems, including smart card access
• Management, monitoring and virtualisation capabilities that support the complete lifecycle of physical and software assets
• Cloud & hosted service delivery options
From the budget papers:Queensland budget includes $87.1 million in 2009/2010 for clinical systems that will contribute to an EMR, plus a further $86 million for ICT supporting infrastructure
Vision for the Statewide Electronic Medical Record:
“ The eMR will deliver key functionality to the clinician’s desktop [...] coupled with critical Administration and Support systems”
The entire solution will be implemented via a Supporting Infrastructure, both hard (connectivity, data centres, security) and soft (standards, information architectures, information policy, business intelligence). “
- Ray Brown, Tam Shepherd
Competitive Landscape
HEALTH INTEGRATION
Open Health Tools
Connected Health Medical Grade NetworkClinical CollaborationHealth
Knowledge Driven HealthiPhone for PhysiciansSmarter Health
Clinical ComputingClinical Collaboration & CommunicationsClinical IntelligenceCare Network Integration
Resources
15th to 23rd September Email your partner account manager
http://www.microsoft.com/industry/healthcare/technology/default.mspx