oracle solutions for healthcare-a strategic...
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Oracle Solutions for Healthcare- a strategic decision
Guy Staals
Technology Sales Director
Health Sciences EMEA
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Agenda
• Healthcare key factors & industry trends
• Oracle solutions for the Healthcare Industry
• Customer projects
• Oracle’s footprint in the Healthcare Industry
General HC industry trends
Educated and more demanding population
• Able and willing to be empowered in managing their disease
• Looking for more transparency
Ageing population
• Use Healthcare services for a longer time
• More complicated to treat (e.g. multiple illness / comorbidities)
Medical advances
• More effective drugs if patients are compliant
• Technology allows effective mobile monitoring
• Predictive analysis is making progress
Funding is under pressure
• A decreasing working/non-working population ratio
• Average country HC budget > 20% of GDP in 2050
• Governments are revising the role of Payer and Provider
• Providers are increasing being placed in a competitive environment
Oracle solutions for Healthcare
Integration Framework (RFID, SOA)
Technology platform (DICOM support)
Healthcare Transaction Base
Clinical library
HL7 V3 RIM based repository
Partner Applications
HIS / EHR
Medication Management
Homecare
etc
Life Science Apps
Oracle Clinical
Trial Management
Life Science Data Hub
ERP ApplicationsE-Business Suite
• Financials
• Procurement & Logistics
• Facility
• HRM
Customer / Patient Relationship Management
Management Informatie (Health Intelligence)
Customer Success ProfileTalent Management
CHALLENGES/OPPORTUNITIES
• Build on the advantages of the NHS’s Electronic Staff Record (ESR) initiative by integrating staff training records for mandatory courses to provide a single, up-to-date file on competencies achieved by all employees
• Streamline compliance with NHS Litigation Authority (NHSLA) requirements in preparation for the hospital’s annual audit
• Enable staff to benefit from the integrated, consistent, innovative e-learning program developed by the NHS National Learning Management System (NLMS)
SOLUTIONS
• Oracle Learning Management as part of ESR
RESULTS
• Achieved NHSLA Level 3 compliance at the
organization’s 2008 audit
• Enabled the hospital to monitor staff performance
against training key performance indicators with built-in
analytics tools
• Easy access to mandatory training to all employees
contributed to staff achieving the competency levels
required to guarantee patient safety and then lower
insurance premiums
• Realize annual savings of US$ 1 million in insurance
premiums
CUSTOMER PERSPECTIVE
“Oracle Learning Management provides us with comprehensive, accurate, up-to-date records for all mandatory staff training, which improves clinical governance and reduces
the risk of negligence and malpractice”malpractice ”David Woods, Director of HR and Corporate Services, Countess of Chester Hospital NHS Foundation Trust
A 580-bed, single-site general hospital located on the outskirts of Chester. The hospital provides a range of medical services to more than 400,00 patients per year from an area covering Western Chestire, Ellesmere Port, Neston, and North Wales. It has 3,500 employees
COMPANY OVERVIEW
Home Care
Nurse
Primary Care Physician
Medical
Office Staff
Orthopedic Specialist
Radiologist Payer
Healthcare InteroperabilityClinical IT Reality
GP
System
HIS
System
CIS
System
Radiology
System
Payer
System
Nursing
System
Process claim
Schedule appointment
Order test
Discharge Patient
Update medical record
Diagnosis
Submit claim
Treatment
Send discharge letterReceive report
Perform procedure
…
Write report
Start rehabilitation
Submit results Follow-up
Support patient
Refer patient
Home Care
Nurse
Primary Care Physician
Medical
Office Staff
Orthopedic Specialist
Radiologist Payer
Healthcare InteroperabilityClinical Integration Framework
GP
System
HIS
System
CIS
System
Radiology
System
Payer
System
Nursing
System
Process claim
Schedule appointment
Order test
Discharge Patient
Update medical record
Diagnosis
Submit claim
Treatment
Send discharge letterReceive report
Perform procedure
…
Write report
Start rehabilitation
Submit results Follow-up
Support patient
Refer patient
Process claim
Schedule appointment
Order test
Discharge Patient
Update medical record
Diagnosis
Submit claim
Treatment
Send discharge letterReceive report
Perform procedure
…
Write report
Start rehabilitation
Submit results Follow-up
Support patient
Refer patient
Process claim
Schedule appointment
Order test
Discharge Patient
Update medical record
Diagnosis
Submit claim
Treatment
Send discharge letterReceive report
Perform procedure
…
Write report
Start rehabilitation
Submit results Follow-up
Support patient
Refer patient
SOA Orchestration
Clinical
Portal Clinical Context
Management
Single Sign On
OHIB
Clinical
Portal
MMA
Viewer
Business
IntelligencePrescribing Homecare
Health Information Access Layer
Connectivity Packaged Database Messaging
Orchestration
Transformation
& Routing
? ETL
TerminologyEMPI EHR Index
Healthcare Infrastructure Services
MultiMedia Medical Archive
Clinical Data Repository
Datawarehouse
Clinical Data Repositories
RIS
System
PACS
System
EMR
System
Accounting
System
Existing Legacy Applications
Security
& Privacy
Management
& Monitoring
Application Server & Database
E-Health Applications
CRM
Oracle Healthcare Interoperability Blueprint
Clinical
Portal
MMA
Viewer
Business
IntelligencePrescribing Homecare
Health Information Access Layer
Connectivity
Orchestration
Transformation
& RoutingETL
TerminologyEMPI EHR Index
Healthcare Infrastructure Services
MultiMedia Medical Archive
Clinical Data Repository
Datawarehouse
Clinical Data Repositories
RIS
System
PACS
System
EMR
System
Accounting
System
Existing Legacy Applications
Security
& Privacy
Management
& Monitoring
OHIB footprint
E-Health Services
CRMConcerto OBIEE Siebel
AS&DBcIndex
BPEL
Rhapsody
ODIRhapsody
HTB – ECM DB 11g DB 11g
BAM
ESB
IAM
B2B:WLI
Oracle Healthcare Interoperability Blueprint
IB Salut Delivers Meaningful Clinical Data to Clinicians
CHALLENGES / OPPORTUNITIES
• Ib Salut wanted to improve patient care and safety by making critical medical information about patients more readily available and accessible to any health professional in any place that would care for them.
CUSTOMER PERSPECTIVE
“IB Salut has chosen to implement a normalized clinical database combined with web-based clinical applications with technology from Oracle Healthcare and Orion Health because we believe that this offers the most solid IT platform to assist our clinicians in their work.”
Luis Fernando Manzanero, CIO
RESULTS
• Clinicians have up-to-date clinical information about patients
• The clinical portal extends the EHR to health providers that do not have their own EHR solution
• Cuts costs by eliminating redundant tests
• Improves patient care by avoiding adverse events and reducing the likelihood of wrong diagnoses
COMPANY OVERVIEW
• The Balearic region consists of four islands with a population of 1,2 million
• More than 12,000 people are employed in the Healthcare sector in the region
• Eight hospitals and 3,000 acute care beds
SOLUTIONS
• Orion Health Concerto Portal provides a web-based clinical portal (single sign-on) that offers access to an electronic medical record containing data from hospitals and clinics throughout the region
• Orion Health Rhapsody Integration Engine defines the integration bus and enables the adoption of HL7 standards
• The Oracle HTB platform is a specialized data repository that integrates data from different applications to provide complete patient records
17
Reference: Resource Information System
Public Administration
Andalusia Public Health System
HealthProfessionals
Citizens
Powered by
Results: Empowered citizens with information to improve self
care and improved quality of care
ORACLE CRM
19
CURIA BETICA
Stockholms läns landsting
EMEA customersSelection
• Clear market leader with 50-80% market share in Technology across EMEA
• Involved in and providing important components of eHealth projects
• Running largest Healthcare Shared Services environment in the world
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