2019.10

Own Homegrown EHR and How to Take it Globally

Why Home Grown EHR?

System processes fit for local care

practices in hospitals

Fit for Korean regulation and

reimbursement process

Comply with Korean standards in

terms of technical structure, and

medical terminology

Feasible budget range for SNUBH

Why should we

have developed

our own EHR?

Requirements for Global EHR

Comply with all the global

standards in terms of technical

structure, and medical terminology

Fit for local regulation and

reimbursement process

Set an effective work platform for

upcoming technologies such as

cloud, IoT, and AI

How to meet

the requirements

for global market?

Introduction of BESTCare 2.0

Build up Structure

End-user Group

Defining user requirements

Clarifying hospital care process

…

Hospital IT Team

Facilitating end-user group and IT company

Quality control for project outputs

Project management and scheduling

…

Spin off IT Company

Developing state of art IT system

Materializing users’ requirements

…

SNUBH

Management of all project entities

What Were Major Pain Points?

Lack of system flexibility

Too much focus on paperless transition

Limited to in-hospital process

Data silo structure

Major Considerations of BESTCare 2.0

1. SOA-based Modeling

3. Continuum of Care

(N-Device, Mobility)4. Data-Driven Hospital

2. Value based Care

Target rate

(10%)

IT Governance

CDW

How to Overcome Lack of Global Reference?

“Building Good Reputation”

Getting global certification

Promoting academic achievement

Winning global prizes

…

(2010, 2016)

First Stage 7 Hospital

Outside North America

(2010, 2016)

1st

HIMSS Stage 7

HIMSS Stage 7 Achievement

HIMSS Analytics Names SNUBH

Stage 7 Hospital (Nov. 22, 2010)HIMSS EMR Adoption ModelSM

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* Electronic Medication Administration Record

Stage 7 Complete EMR; External HIE; Data Analytics,

Governance, Disaster Recovery, Privacy and Security

Stage 6 Technology Enabled Medication, Blood Products, and

Human Milk Administration; Risk Reporting; Full CDS

Stage 5 Physician Documentation using Structured Templates;

Intrusion/Device Protection

Stage 4 CPOE with CDS; Nursing and Allied Health

Documentation; Basic Business Continuity

Stage 3 Nursing and Allied Health Documentation; eMAR*;

Role-Based Security

Stage 1 Ancillaries – Lab., Pharma., and Radiology/Cardiology

info. systems; PACS; Digital non-DICOM image mgmt.

Stage 0 All three ancillaries not installed

Stage 2 CDR; Internal Interoperability; Basic Security

UnitedStates(’17 Q4)

N = 5,487

6.4%

33.8%

32.9%

10.2%

12.0%

1.5%

1.4%

1.8%

1.4%

10.9%

23.1%

3.4%

17.7%

6.1%

15.6%

MiddleEast

(’16 Q3)

21.8%

N = 147

AsiaPacific(’16 Q3)

0.6%

4.3%

9.5%

1.5%

0.8%

4.6%

46.7%

32.0%

N = 790

ONC-HIT

First ONC Certified

Solution

Outside North America

(2015)

1st

History of Major Awards (1/2)

History of Major Awards (2/2)

Gartner, 2014 CIO Agenda / Leadership Book

Harvard Business Review

Achievement by BESTCare 2.0

What has SNUBH achieved from

implementing BESTCare 2.0?

Global Business

Global Target Marketing

Key Consideration

Middle East was chosen for the first targetof BESTCare global business

Market Size − Prospect1

Local Competitors − Possibility2

Market Conditions − Feasibility3

Local Network − Opportunity4Middle East

Effort for Global Biz. Expansion

Globalized BESTCare 2.0

“Korea Version” “KSA Version” “US Version”

“China Version” “Japan Version”

Next Target of BESTCare

CloudEHR

APAC Hospitals

MOH Projects

HMOs

Government EDCF