the 3 rd china international emr and regional health care fair n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
THE 3 RD CHINA INTERNATIONAL EMR AND REGIONAL HEALTH CARE FAIR PowerPoint Presentation
Download Presentation
THE 3 RD CHINA INTERNATIONAL EMR AND REGIONAL HEALTH CARE FAIR

Loading in 2 Seconds...

play fullscreen
1 / 26

THE 3 RD CHINA INTERNATIONAL EMR AND REGIONAL HEALTH CARE FAIR - PowerPoint PPT Presentation


  • 80 Views
  • Uploaded on

THE 3 RD CHINA INTERNATIONAL EMR AND REGIONAL HEALTH CARE FAIR. OCT 25 2009. BEIJING CHINA. HIT AND RHN EXPERIENCE IN THE U.S. AND WHAT IT MEANS TO CHINA. AGENDA. LEARNING FROM THE H.I.T. EXPERIENCE OF THE U.S. THE CURRENT STATUS OF I.T. USE IN CHINESE HOSPITALS

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'THE 3 RD CHINA INTERNATIONAL EMR AND REGIONAL HEALTH CARE FAIR' - annora


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
the 3 rd china international emr and regional health care fair

THE 3RD CHINA INTERNATIONAL EMR AND REGIONAL HEALTH CARE FAIR

OCT 25 2009

BEIJING CHINA

HIT AND RHN EXPERIENCE IN THE U.S. AND WHAT IT MEANS TO CHINA

agenda
AGENDA
  • LEARNING FROM THE H.I.T. EXPERIENCE OF THE U.S.
  • THE CURRENT STATUS OF I.T. USE IN CHINESE HOSPITALS
  • EVOLUTION OF RHNs IN THE U.S.
  • EVOLUTION OF RHNs IN CHINA
dorenfest group
DORENFEST GROUP
  • IN 2006 THE DORENFEST GROUP FORMED THE DORENFEST CHINA HEALTHCARE GROUP, BASED IN SHANGHAI. WE OFFER A VARIETY OF CONSULTING, TRAINING, AND EDUCATION SERVICES TO THE CHINA HEALTHCARE SYSTEM TO HELP THEM IMPROVEMENT IT MANAGEMENT, OPTIMIZE HOSPITAL WORKFLOW, IMPORVE QUALITY OF CARE AND REDUCE COST.
  • OUR CLIENTS INCLUDE:
    • SHANGHAI CHANGNING MATERNITY AND INFANT HEALTH INSTITUTE
    • PEKING UNIVERSITY MEDICAL COLLEGE #3 HOSPITAL
    • SHANDONG RIZHAO PEOPLE’S HOSPITAL
    • SHENZHEN CITY HEALTH BUREAU
    • CHONGQING CITY HEALTH BUREAU
    • HONGKONG HOSPITAL AUTHORITY
    • MICROSOFT
the 3 rd china international emr and regional health care fair1
THE 3RD CHINA INTERNATIONAL EMR AND REGIONAL HEALTH CARE FAIR

LEARNING FROM THE H.I.T. EXPERIENCE OF THE U.S.

health expenditures as a percentage of gdp in billion
HEALTH EXPENDITURES AS A PERCENTAGE OF GDP (IN BILLION)

$2,325.7

$2,169.5

$2,016.0

$1,877.6

$990.3

$1,299.5

$696.0

$426.8

$245.8

$160.0

$75.1

来源:CENTERS FOR MEDICARE AND MEDICAID SERVICES

h i t market growth in the u s in billion
H.I.T. MARKET GROWTH IN THE U.S. (IN BILLION)

$ in billions

$30.5

$28.0

$25.8

$23.6

$21.6

$20.0

$19.0

$18.5

$16.0

$13.6

$11.6

$10.0

$8.5

$7.5

6.7%

13.3%

17.6%

16.0%

17.2%

17.6%

15.6%

2.7%

5.2%

8.0%

9.3%

9.3%

8.9%

8.9%

年增长率:

SOURCE: SHELDON I. DORENFEST & ASSOCIATES, LTD.

slide7
U.S. HOSPITALS STARTED USING H.I.T. IN THE 1960s AND SOUGHT AN EHR THROUGH FOUR GENERATIONS OF I.T. SYSTEMS
  • FINANCE SYSTEMS (1970s)
  • LIMITED CLINICAL SYSTEMS (late 1970s and 1980s)
  • MORE ADVANCED CLINICAL SYSTEMS (1990s)
  • ELECTRONIC HEALTH RECORDS (2000s)
himss analytics report emr stage model

成熟层次

HIMSS AnalyticsReport–EMRStage Model

Level of Complexity

(N=5,073)。

Source: HIMSS Analytics Database (derived from the Dorenfest IHDS+Database) 2009年

u s h i t experience in the last 30 years
U.S. H.I.T. EXPERIENCE IN THE LAST 30 YEARS
  • HOSPITAL MANAGEMENT REALIZE AND EMPHASIZE THE IMPORTANCE OF IT. IT IS CONSIDERED AS AN INVESTMENT INSTEAD OF COST.
  • IT PLANNING IS CRITICAL. PLANNING IS TO ANSWER THE QUESTION WHY THE APPLICATION IS AIMED TO DO AND WHAT ARE THE BENEFITS?
  • FOCUS ON ROI OF IT PROJECTS. IT INVESTMENT RETURNS CAN’T BE REALIZED UNTIL THE RETURNS ARE WELL DEFINED.
  • CLINICIAN PARTICIPATION IN HOSPITAL IT DEVELOPMENT HAS A DIRECT IMPACT ON THE LONG TERM EFFECT OF THE IT INVESTMENT. RECENT SUCCESS EXPERIENCE IN THE U.S. DEMONSTRATE THE SIGNIFICANT IMPACT FACTORS OF SYSTEM PLANNING, SYSTEM SELECTION AND IT MANAGEMENT (THROUGH COMMITTEE AND PROJECT). EFFECTIVE IT GOVERNANCE STRUCTURE CAN GUARANTEE CLINICIAN’S PARTICIPATION
  • IMPLEMENTING IT APPLICATION SYSTEM IS NOT JUST SOFTWARE IMPLEMENTATION BUT RATHER WORKFLOW CHANGE AND ORGANIZATIONAL CHANGE. SYSTEM IMPLEMENTATION REQUIRES STRONG CAPABILITY OF PROJECT MANAGEMENT AND CHANGE MANAGEMENT AND GOOD UNDERSTANDING OF USER NEEDS AND HOSPITL WORKFLOW.
  • CIO AND BUSINESS EXECUTIVES MUST ESTABLISH A GOOD PARTNERSHIP.
slide10

BUT POORLY IMPLEMENTED CHANGE LAYERED REDUNDANT WORK ON TOP OF ORIGINAL INEFFICIENCY

GROWTH IN

REDUNDANCY

4x

Legacy I.T. Systems

Manual

New Thrusts of the 2000's

3x

NOW

1990's Systems and Surrounding Integration

2x

BEFORE I.T.=1x

TOTAL HOSPITAL WORK PROCESS

h i t evolution in the rest of the world
H.I.T. EVOLUTION IN THE REST OF THE WORLD
  • CANADA STARTED IN THE LATE 1970s
  • EUROPE AND AUSTRALIA BEGAN IN THE EARLY 1980s
  • ASIA BEGAN IN THE 1990s
  • CANADA, FRANCE, GERMANY, ENGLAND, AND AUSTRALIA ALL STARTED LATER THAN THE U.S., INVESTED LESS, AND HAVE MADE MORE PROGRESS
  • HONG KONG STARTED EVEN LATER, INVESTED EVEN LESS, AND IS NOW AT THE STATE OF THE ART IN H.I.T.
  • CHINA H.I.T. IS NOW AT AN EARLIER STAGE OF DEVELOPMENT. CHINA HAS THE GOALS AND DESIRE TO “LEAPFROG” THE REST OF THE WORLD IN H.I.T. USE IN THE NEXT FEW YEARS
the 3 rd china international emr and regional health care fair2
THE 3RD CHINA INTERNATIONAL EMR AND REGIONAL HEALTH CARE FAIR

THE CURRENT STATUS OF I.T. USE IN CHINESE HOSPITALS

evolution of h i t in china
EVOLUTION OF H.I.T. IN CHINA
  • CHINA BEGAN TO COMPUTERIZE ITS HOSPITALS IN THE EARLY 90’S.
  • CHINA MADE SLOW PROGRESS WITH INITIAL FOCUS ON FINANCIAL SYSTEMS
  • ABOUT 5 YEARS AGO CHINESE HOSPITALS BEGAN TO MOVE MORE AGGRESSIVELY TOWARD I.T. USE FOR CLINICAL SYSTEMS.
  • ALONG THE WAY, MANY SOFTWARE SOLUTIONS WERE DEVELOPED WITH SEVERAL HUNDRED SMALL SOFTWARE COMPANIES EMERGING IN CHINA.
  • IN 2005, CHINA SPENT LESS THAN 1% OF TOTAL HEALTHCARE COSTS ON I.T. OR ABOUT $600 MILLION (USD)
  • IN 2007, CHINA SPENT OVER $1 BILLION (USD) ON H.I.T.
  • WE PREDICT RAPID GROWTH WILL ACCELERATE OVER THE NEXT THREE YEARSWITH H.I.T. INVESTMENT IN CHINA RISING TO BETWEEN $2 AND $3 BILLION (USD) BY 2010
factors contributing to future spending growth in china h i t
FACTORS CONTRIBUTING TO FUTURE SPENDING GROWTH IN CHINA H.I.T.
  • CHINA HOSPITAL WORK PROCESSES ARE REDUNDANT, EXPENSIVE AND ERROR PRONE WITH GREAT OPPORTUNITIES FOR IMPROVEMENT WITH APPROPRIATE USE OF I.T
  • CHINESE HOSPITAL LEADERS WOULD LIKE TO TAKE A BIG LEAP FORWARD IN IMPROVING WORK PROCESSES AND IN DIGITIZING CHINESE HOSPITALS
  • THE MINISTRY OF HEALTH (MOH) GUIDELINES FOR HEALTH I.T. DEVELOPMENT CALLS FOR ELECTRONIC MEDICAL RECORDS AND REGIONAL HEALTH NETWORKS TO BE IMPLEMENTED BETWEEN 2003 AND 2010 PROVIDING MUCH MOMENTUM FOR HOSPITALS AND HEALTH BUREAUS TO INVEST MORE IN I.T. NOW
  • THE SOON TO BE FINALIZED HEALTHCARE REFORM IN CHINA WILL BE FACILITATED BY BETTER USE OF I.T. IN CHINESE HOSPITALS
general factors impeding success in china h i t
GENERAL FACTORS IMPEDING SUCCESS IN CHINA H.I.T.
  • CHINESE HOSPITALS’ INVESTMENT ON IT IS RELATIVELY LOW
  • THE POOR RESULTS ACCOMPLISHED FROM PAST INVESTMENTS IN I.T. ARE CAUSING HESITATION AMONG LEADERS OF CHINESE HOSPITALS TO MAKE FUTURE INVESTMENTS IN I.T.
  • THERE IS CONCERN AMONG H.I.T. EXPERTS IN CHINA ABOUT THE READINESS OF H.I.T. SOFTWARE PRODUCTS AND INTEGRATION TOOLS TO FACILITATE THE ACCOMPLISHMENT OF CHINA’S GOALS
  • INEXPERIENCE IN THE BUYING OF H.I.T. SOFTWARE PRODUCTS
  • THE IMPLEMENTATION SKILL, PROCESS IMPROVEMENT SKILL AND CHANGE MANAGEMENT EXPERIENCE NEEDED FOR CHINA TO TAKE THE BIG LEAP FORWARD THAT IT WOULD LIKE TO TAKE IS NOT YET AVAILABLE AT THE LEVEL REQUIRED FOR CHINA TO ACCOMPLISH ITS GOALS
what hospitals need to do to improve the return on it investment
WHAT HOSPITALS NEED TO DO TO IMPROVE THE RETURN ON IT INVESTMENT
  • IMPROVE THE IT GOVERNANCE STRUCTURE
  • PROMOTE BETTER PARTICIPATION OF CLINICIANS IN IT BUILDING
  • DURING NEW SYSTEM IMPLEMENTATION, HOSPITAL NEEDS TO TAKE MORE RESPONSIBILITY ON CHANGE MANAGEMENT AND PROCESS IMPROVEMENT
  • RE-POSITION IT DEPARTMENT TO MORE FACILITATE, EDUCATE AND TRAIN HOSPITAL MANAGEMENT AND USERS TO PARTICIPATE IN IT DEVELOPMENT
  • REDUCE THE HOSPITAL’S DEPENDENCE ON SOFTWARE VENDORS
summary of evolution of rhns in the u s
SUMMARY OF EVOLUTION OF RHNs IN THE U.S.

COMMUNITY HEALTH INFORMATION NETWORKS (CHINs) BEGAN IN 1990 AS THE FIRST GENERATION OF RHNs IN THE UNITED STATES. CHINs FAILED BECAUSE OF UNCLEAR OBJECTIVES AND LACK OF VALUE TO POTENTIAL PARTICIPANTS

INTEGRATED DELIVERY EMERGED IN 1993 AS THE HOSPITAL ANSWER TO THE CLINTON HEALTHCARE REFORM PROPOSAL

BY THE MIDDLE 1990s, INTEGRATED DELIVERY SYSTEMS EMERGED IN EVERY CITY IN THE UNITED STATES, AND THE CHIN CONCEPT DISAPPEARED BY 1996

19

the vision of integrated delivery systems
THE VISION OF INTEGRATED DELIVERY SYSTEMS

Hospital B

Nursing Home

Doctor’s Office

Patient Data

Outpatient Clinic

Outpatient Clinic

GovernmentReimbursement

Insurance Payor

Doctor’s Office

Doctor’s Office

Hospital A

Home Health Agency

Blood Bank

Outpatient Clinic

20

rhios emerge in the decade of the 2000s
RHIOs EMERGE IN THE DECADE OF THE 2000s

RHIOs WERE THE SECOND GENERATION OF RHNs IN THE U.S.

MANY DIFFERENT ORGANIZATIONS PROMOTED THEM IN THE EARLY 2000s

BY 2004, NATIONAL POLICY EMERGED AND THE OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION TECHNOLOGY (ONCHIT) WAS CREATED

IN THE ENSUING SEVERAL YEARS BETWEEN 2004 AND 2007, ABOUT 65 OFFICIALLY DESIGNATED RHIOs EMERGED

HEAVY INVESTMENT IN THESE RHIOs WITH MOST FUNDS USED IN THEIR START-UP

MANY WERE UNABLE TO FIND A SUSTAINABLE OPERATING MODEL AND APPROACHED FINANCIAL COLLAPSE

THESE MODELS TOOK ON DIFFERENT NAMES, AND SOME LONG TERM SUCCESSES EMERGED

21

lessons learned
LESSONS LEARNED

BROAD VISIONS BUT LACK OF IMPLEMENTABLE ACTION PLAN

OVERSIMPLIFIED IMPLEMENTATION APPROACHES

LACK OF STAKEHOLDER COMMITMENT

HEAVY INVESTMENT IN POORLY CONCEIVED IDEAS

MUCH FAILURE AND LITTLE SUCCESS

22

evolution of rhns in china
EVOLUTION OF RHNs IN CHINA

THE MINISTRY OF HEALTH (MOH) GUIDELINES FOR HEALTH I.T. DEVELOPMENT CALLED FOR REGIONAL HEALTH NETWORKS AND DIGITAL HOSPITALS TO BE IMPLEMENTED THROUGHOUT CHINA BETWEEN 2003 AND 2010

THIS PROVIDED MUCH MOMENTUM AS MANY HEALTH BUREAUS UNDERTOOK REGIONAL HEALTH NETWORK AND DIGITAL HOSPITAL INVESTMENT

ONLY IN THE LAST TWO YEARS HAS DATA SHARING BEGUN TO EMERGE IN CHINA AS SOME RHNs SHARE LIMITED DATA SUCH AS LAB RESULTS

HEALTHCARE REFORM HAS PROVIDED SUBSTANTIAL ADDITIONAL FUNDING IN A VARIETY OF WAYS, SO IT IS EXPECTED THAT SUBSTANTIAL ADDITIONAL PROGRESS WILL BE MADE IN THE NEXT FEW YEARS

MUCH MORE ACTIVITY IN MANY CITIES AND PROVINCES. USTDA WILL BE FUNDING ONE OR TWO MAJOR PROJECTS

24

successful rhn needs a solid foundation
SUCCESSFUL RHN NEEDS A SOLID FOUNDATION

RHN DEVELOPMENT IS LIKE BUILDING A 50-FLOOR BUILDING. THE FOUNDATION IS THE KEY. SUCCESSFUL RHN PROGRAMES HAVE CAREFULLY DEFINED THE FIRST STEPS

LIMITED DATA SETS WITH HIGH BENEFIT TO MANY STAKE HOLDERS (SUCH AS HOSPITALS, COMMUNITY HEALTH CENTERS AND GOVERNMENT) WOULD BE ADVANTAGEOUS

WHEN FIRST STEPS PROVE BENEFICIAL, MORE AGGRESSIVE SECOND STEPS CAN BE TAKEN

25

slide26
THANK YOU.

FOR MORE INFORMATION CONTACT:

YU ZHIYUAN (GRACE)

THE DORENFEST CHINA HEALTHCARE GROUP

SUITE 908, NO. 998 RENMIN ROAD, SHANGHAI

PHONE: 021-63203522, 63269722

WEB SITE ADDRESS: www.dorenfest.com

E-MAIL ADDRESS: info@dorenfest.com

SHELDON’S E-MAIL ADDRESS: sheldon@dorenfest.com

YU ZHIYUAN (GRACE) : yuz@dorenfest.com