Microsoft - NHS Annual Summit Delivering Darzi Locally ...download.microsoft.com/documents/uk/health/summit/Steffen... · Orthopedic Unit Nurse Quality Manager Compliance Officer

Microsoft - NHS Annual Summit

Delivering Darzi – Locally

High Quality Care for All

Agenda -morning10:00 Welcome & Introduction Mark Treleaven

Healthcare Strategic Marketing Manager

Microsoft UK

10:10 Transforming Service Delivery – a view from South Central

SHA - Putting patients at the centre and in control

Chris Evennett

Director of Strategy & Reform

South Central SHA

10:50 Improving Healthcare around the world

--with software innovation

Neil Jordan

World Wide Health Managing Director

Microsoft Corporation

11:30 Coffee/Exhibition

11:45 Making Darzi real in London –

- The IM&T challenges of LPfIT & Polyclinics

Kevin Jarrold

CIO, NHS London

Nigel Brokenshire

Strategic Lead

12:20 Delivering High Quality Care –

- from Data Confusion to Unified Intelligence

Dr. Steffen Achenbach

Clinical Lead

Microsoft Amalga

1:00 Lunch & Exhibition

Agenda - afternoon

2:00 The information requirements to support World Class

Commissioning

- delivering improvements in patient outcomes

Matthew Swindells

Managing Director

Tribal Health

2:40 Using information to improve services in Wandsworth

- A case study for Public Health

Laurence Gibson

Associate Director of Public Health

Wandsworth PCT

3:20 Evidence based innovation

- the challenges for leadership in implementing Darzi

Vijaya Nath,

Snr. Consultant Leadership,

Kings Fund

4:00 Conclusions & Close Mark Treleaven

Microsoft UK

4:15 Tea & Exhibition

Mini Expo

Online - NHS Resource Centre

© System C Healthcare plc 2008

System C Healthcare plc

Medway Sigma – next generation Microsoft product

PAS, EPR, clinical systems, BI

Worked with over 180 hospitals and trusts

The UK‟s biggest and most experienced team of

healthcare IT domain specialists

The UK’s premier healthcare solutions company

21st century information management

www.21C.it

21C Overview

“Dashboards on every NHS decision makers desktop”

• NHS-focussed BI specialists

• PCT, Mental Health and Acute customer base

• Experienced in data integration– UNIFY, STEIS, MHMDS, MARACIS, RiO, CERNER, ISOFT, EPEX, McKesson ESR

• A team of 20 NHS business and IT consultants

• A proven implementation model and solution framework

• Microsoft throughout– SQL Data Warehouse

– MOSS Portals

– Performance Point reporting and analytics

Healthcare PRM - EDS, an HP company

• Contacts– Julian Wright, Director UK Healthcare and Pharmaceuticals

– John Cruickshank, EMEA Industry Lead for Health

– Stephen Lindsay, Dynamics CRM Business Development

– Darren Wilkes, Microsoft Solutions Technology Lead

• Healthcare Patient Relationship Management– Based on Microsoft Dynamics CRM

– Chronic Disease Management

– Managing the Healthcare Professional and Patient Relationship

• Demonstrations in Exhibition Area – EDS and Microsoft Partner Demo

• Darren Wilkes (EDS)

• Phil Rawlinson (Microsoft)

Copyright BP 2007

DYNABS OVERVIEW

European Healthcare specialist since

1996:

300 staff across Europe

Longstanding track-record

Recently launched in UK

Complete Hospital Information System

(HIS) for Providers

Commissioning Management System for

PCTs

Microsoft Confidential

Legacy Solutions

Fulfilling a vision of connected health that serves the patient by bringing together information from across the healthcare ecosystem

Partner Applications

Enterprise Consumer

Hospital Information System complete with radiology, image archiving, patient and bed management, laboratory, pharmacy, pathology, accounting, materials management and HR.

Consumer health information platform connecting doctors, partner applications, and devices

Consumer health search

Consumer health search, storage and development platform

10

Microsoft Infrastructure & Services

Innovative way to capture, store and present information. Enables enterprise providers to unlock data sitting in clinical, financial and administrative silos.

Unified Intelligence System (UIS)

Dr. Steffen Achenbach

Microsoft – Health Solutions Group

Dr. med. Steffen AchenbachPhysician ExecutiveMicrosoft Health Solutions Group


The Health Solutions Group

Data Challenges in Healthcare

Relation to Lord Darzi‟s Vision

Examples of Applications

All data in this presentation has been de-identified. Names represent no real patients


Legacy Solutions

Fulfilling a vision of connected health that serves the patient by bringing together information from across the healthcare ecosystem

Partner Applications

Enterprise Consumer

Hospital Information System complete with radiology, image archiving, patient and bed management, laboratory, pharmacy, pathology, accounting, materials management and HR.

Consumer health information platform connecting doctors, partner applications, and devices

Consumer health search

Consumer health search, storage and development platform

14

Microsoft Infrastructure & Services

Innovative way to capture, store and present information. Enables enterprise providers to unlock data sitting in clinical, financial and administrative silos.


NOWTHEN

Radiology

EKG

Labs

Meds

Monitoring

MD exam

Nurse observations

Monitoring

MD exam

Nurse observations



“On the floor” “Behind the scenes”


Continuous location tracking

Constant vital signs monitoring

Transcutaneous monitoring of glucose, ETOH, etc.

Noninvasive testing

Exhaled breath analysis

Testing to maintain wellness

Increased image utilization

Genomic data

Proteomics

Personalized pharmacy

Radiology

EKG

Labs

Meds

Monitoring

MD exam

Nurse observations

NOWTHEN

Radiology

EKG

Labs

Meds

Monitoring

MD exam

Nurse observations

Monitoring

MD exam

Nurse observations


TOMORROW


Labs Cardiology Procedure Documentation

Medication Administration

Hemodynamics CPOEPharmacy Dictation Medication Dispensing

PACS

Mobile Data ICU/Critical Care

Advanced Analytics

Contract Management

Claims Management

Revenue Management

Bed Management

Financial/ERP

Enterprise Scheduling

Business Decision Support

Inventory

Registration Staff/Nurse Scheduling

Outcomes Management

Transcription

Electronic Medical Record

OR Management

Emergency Department

Image Distribution

Purchasing Access Management

Nursing Workflow/

Documentation

Charting Clinical Notes

Pathology

Document Imaging

Medical RecordsCoding

Orders

Call Management

Physician Practice

Imaging

RIS

Multiple islands of information + Different systems don’t talk to each other

People spend more time looking for data than providing higher quality of care


VIEWERS FUNCTIONSDATA CORE

Labs Cardiology Procedure Documentation

Medication Administration

Hemodynamics CPOEPharmacy Dictation Medication Dispensing

PACS

Mobile Data ICU/Critical Care

Advanced Analytics

Contract Management

Claims Management

Revenue Management

Bed Management

Financial/ERP

Enterprise Scheduling

Business Decision Support

Inventory

Registration Staff/Nurse Scheduling

Outcomes Management

Transcription

Electronic Medical Record

OR Management

Emergency Department

Image Distribution

Purchasing Access Management

Nursing Workflow/

Documentation

Charting Clinical Notes

Pathology

Document Imaging

Medical RecordsCoding

Orders

Call Management

Physician Practice

Imaging

RIS

Amalga Amalga Amalga


Microsoft Amalga was first deployed in 1996 and within 18 months the WHC ED was rated “Regional Best” in a Gallup Poll

Patient Satisfaction scores soon reached the top quintile

The system works by bringing together all types of patient data from hundreds of different sources

Doctors and nurses have instant access to all EKGs, scanned documents, X-Rays, CT scans, MRI scans, PET scans, dynamic angiograms, and ultrasound images

Microsoft Amalga has earned accolades from the press, peers, and publications, and has received grants from the National Institutes of Health and the EPA

Dr. Mark Smith (left) and Dr. Craig Feied Inventors of Microsoft Amalga

Microsoft CorporationConfidential and Privileged


Finance Manager Cardiologist

Resource Planner

Quality ManagerOrthopedic Unit Nurse

Compliance Officer

Hospital User Views

EMRSystems

LabOR

ManagementImaging

Medication Management

Ambulatory EmergencyRevenue

CycleCPOE


Displays current patient count

Patients displayed in rows

Navigation and function buttons

Displays title of view

Details and values displayed in columns


Check compliance to guidelines (Aspirin within 24 hours after AMI)


Now that Lord Darzi„s report is published, what are your priorities?

35% Reporting on Quality

23% Empowering Clinicians

16% Other

http://www.hsj.co.uk/





16% Other



Data availability

Incompatible systems, little connectivity

Extraction and aggregation requirerepeated manual effort


Continuing view on KPI as a basis for action






16% Other



„Some staff tell me that they haven„t beenlistened to and trusted.“

Center supports, but Change happens atthe individual or team level

IT enables Change on a local level


Finance Manager Cardiologist

Resource Planner

Quality ManagerOrthopedic Unit Nurse

Compliance Officer

Hospital User Views

EMRSystems

LabOR

ManagementImaging

Medication Management

Ambulatory EmergencyRevenue

CycleCPOE


Cardiologist

Drill down on any data element for more detailed information with the

click of a mouse

Test results

Lab results

Medications

Configurable by User


Orthopaedic Unit Nurse

Snapshot of pre- and post-op patients

Anticipated date

of surgery

Latest platelet count in post-op patients on blood thinners

Just one click away from past medical historyAdmission diagnosis and attending physician

Configurable by User





16% Other



QualityWork

ResearchWork

ClinicalWork

ClinicalData

Repository

DataWarehousefor Quality

ResearchData

Repository

35


QualityWork

ResearchWork

ClinicalWork

36

Amalga

ResearchData

Repository

ClinicalData

Repository

DataWarehousefor Quality Amalga creates a common real-time data

core to serve multiple functions across the enterprise

Microsoft Confidential 37

Amalga

ResearchData

Repository

ClinicalData

Repository

DataWarehousefor Quality Amalga creates a common real-time data

core to serve multiple functions across the enterprise

Emergency

Health Alerts

Patient Access

Outpatients

Patient Overview

Clinical Clinical Trials

Infectious Disease Surveillance

Research Registers

Research Networks

Pharmacy

Research

DashboardScorecard

Resource Capacity Planning

National Database

Clinical Effectiveness

Quality


Show me rooms where we have patients with positive blood cultures


Find all patients on the ward

who receive heparin or LMWH

and have a platelet count < 80k

or a platelet drop by > 15%


Alert me, if a patient…

has extreme Lab results

is qualified for my research study

has left the operating theater

…


Number of people

served per doctor

Quality of care

Data-Driven Medicine

Personal Wellness

PREDICTIVE

PREVENTATIVE

PERSONALIZED

PARTICIPATORY


© 2008 Microsoft Corporation. All rights reserved. Microsoft, Windows, Windows Vista and other product names are or may be registered trademarks and/or trademarks in the U.S. and/or other countries.The information herein is for informational purposes only and represents the current view of Microsoft Corporation as of the date of this presentation. Because Microsoft must respond to changing market

conditions, it should not be interpreted to be a commitment on the part of Microsoft, and Microsoft cannot guarantee the accuracy of any information provided after the date of this presentation. MICROSOFT MAKES NO WARRANTIES, EXPRESS, IMPLIED OR STATUTORY, AS TO THE INFORMATION IN THIS PRESENTATION.

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Microsoft - NHS Annual Summit Delivering Darzi Locally ...download.microsoft.com/documents/uk/health/summit/Steffen... · Orthopedic Unit Nurse Quality Manager Compliance Officer