Our approach to integrating the Healthcare enterprise...Our approach to integrating the Yolanda van...

Our approach to integrating the

Yolanda van DintherPhilips HealthcareFebruary 2010

Our approach to integrating the Healthcare enterprise

Contents

• Introducing Philips Healthcare

• Providing integrated solutions

– IHE

– Ease of use

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– Field Data analysis

• Conclusions

Philips is a global leader in healthcare and well-being

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Philips Healthcare: a global leader for 100 years

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35,000 employees in over 100 countries

Global development and manufacturing sites

Our portfolio

General X-ray Cardio/Vascular X-rayUltrasoundComputed TomographyMagnetic Resonance Imaging

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Magnetic Resonance Imaging Nuclear Medicine Positron Emission TomographyRadiation Therapy PlanningCardiac and Monitoring SystemsHealthcare ITRespiration SystemsCustomer Services

Contents

• Introducing Philips Healthcare

• Providing integrated solutions

– IHE

– Ease of use

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– Field Data analysis

• Conclusions

Philips Healthcare transforming

From Philips Medical Systems…

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…To Philips Healthcare

CARECYCLES

Example from the Cardiology Care Cycle

• D2B = Door-to-balloon, issue: time is muscle

• D2B is a time measurement in emergency cardiac care:

– Starting with patient's arrival in the ER

– Ending when the blood vessel is opened in the cath lab

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– Ending when the blood vessel is opened in the cath lab

• Process optimization throughout, e.g.:

– Prehospital informationin ambulance (ECG)sent to the hospital forearly diagnosis

Providing integrated solutions: workflow

1. Interoperability is key for our products– International Standardization: DICOM, HL7– IHE: workflow standardization

2. Ease of use

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2. Ease of use– UI standardization– Focus on defining the right workflow

3. Field Data analysis– To optimize the workflow

Enabled by a generic software platform

• Implementing the interoperability requirements

• Providing generic UI and workflow

• Providing (remote) utilization

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and service information

And…

• Providing generic image manipulation

• Providing generic storage solution

Contents

• Introducing Philips Healthcare

• Providing integrated solutions

– IHE

– Ease of use

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– Field Data analysis

• Conclusions

About IHE

• Integrating theHealthcareEnterprise

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• Started in 1998

• Providing a framework forseamlessly passing healthinformation via computersystems within and acrossall units of the healthcareenterprise

It’s all about workflow

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Examples of modeled workflows

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Radiology: SWF: Scheduled Workflow

patientinformation

imagesretrieved

report

report

Registration

FilmLightbox

report ReportRepository

DiagnosticWorkstation

HIS

PACS

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imagesstored

examination orders

retrieved

procedurescheduled

Prefetch any relevantprior studies

modalityworklist

Orders Placed

Orders Filled

Film

FilmFolder

Image Manager& Archive

Modalityacquisitionacquisitioninin--progressprogressacquisitioncompleted

acquisitioncompleted

imagesprinted

AcquisitionModality

RIS

PACS

Benefits of IHE

• Unifies the workflows in and across hospitals

• Enables multi vendor interoperability

• Simplifies testability of total solutions

• Solves issues in DICOM and HL7 standards

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• Solves issues in DICOM and HL7 standards

Contents

• Introducing Philips Healthcare

• Providing integrated solutions

– IHE

– Ease of use

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– Field Data analysis

• Conclusions

The old Philips style….

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The new Philips style…

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Workflow across products: RIS/PACSenables CDS (Clinical Decision Support)

knowledge extraction

scheduling

protocolingreporting

results delivery

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knowledge discovery and data mining

apply best practices

knowledge extraction

positive patient ID

image acquistion

image storage

reading

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Contents

• Introducing Philips Healthcare

• Providing integrated solutions

– IHE

– Ease of use

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– Field Data analysis

• Conclusions

Field Data analysis

• Recording service & utilization data in the log files• Retrieving the utilization data in hospital network

and across hospitals (with remoting solutions)• Using tool from TUE to analyse the data:

ProM: Framework for Process Mining

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ProM: Framework for Process Mininghttp://prom.win.tue.nl/tools/prom/

ProMhospital data warehouse

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Utilization overview

ProMise

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Contents

• Introducing Philips Healthcare

• Providing integrated solutions

– IHE

– Ease of use

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– Field Data analysis

• Conclusions

Concludingly….

• Philips changed from system provider intosolutions provider

• Standardization helps us (DICOM, HL7, IHE)• Workflow focus in Philips on harmonization,

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• Workflow focus in Philips on harmonization, definition, testing, measuring and optimizing

• Question:Can scheduling theory help usto predict workflow efficiency?