Transcript Oracle Government, Education & Health

‘EHR is all over the planet…’
Croatia: Developing a
National HIN (G1)
Canada – Infoway set up to
design and procure National
EHR - $1.2 billion of
government backing for
regional EHR projects
Sweden: Developing a
National EHR
Ireland:
Procurement
contracting
has started to
drive national
EHR effort
England: EHR
initiative in
process, PACS
project is imminent
USA – Federal ONC NHIN
contract underway. Multiple
State initiatives for RHIOS.
Still emergent – national
EHR by 2014
Opportunity
Status
France: EHR mandated
by 2007. National RFP
has been issued
Current
Work
Planning
Considering
EHR
Russia: 15 Diagnostic Centers
project in progress. Plans being
developed for national HER for
145 million people.
China: Plans to
develop a national
EHR
Germany: One regional
deal underway. Future
EHR efforts are expected
to be regional
Hong Kong: Territory
wide Patient Master
Index
Spain: Regional
initiatives are being
considered
Mexico: No
EHR but aim for
HL7 Integration
Monitor
Netherlands:
Regional EHR
projects (focused on
GPs)
Italy: EHR regional
initiatives have begun
Chile: National
RFP for EHR
project is expected
soon
Data N/A or
No EHR
Presence
Brazil: National
Health Card
Project.
Argentina: 1st
adoption of a digital
radiography
solution- 2004
SEE: Bulgaria,
Romania, Turkey and
Serbia all developing
national eHealth
strategies.
Malaysia: Lifetime
Health Record
(LRH) by 2010
South Africa: No
EHR – but
infrastructure being
developed
Singapore: EMR
system tender
expected Q1 2005
Australia:
HealthConnect is
developing a National
Information Network
New Zealand: National
EHR system in place
(complete)
* Target opportunities identified by text in red
Source: Accenture + Oracle
HTB Overview 2005Aug09
Slide 1
…Same Approach…
National
Registers
80% of your time and money
Health
Portals
Privacy
Consent
& Control
Public
Health
Reporting
Vigilance
Alerts
HC Pro
Identit MS
Patient
Identity MS
Clinical Document
Registry
Anonymous
Patient Info
National
or Regional
Framework
Clinical Data
Repository
P4P
Clinical
Trials
HERE IS THE VALUE!
Inspired
Rene Spronk
HTB from
Overview
2005Aug09
Hospitals, GPs,
Labs, CIC
Payer
Slide 2
…Industry Perspectives…
An EHR is:
Portal/Security/Mobility
EMPI
Applications
Business Processes
Business Intelligence
CDR(s)
Interface Engine
HL7/DICOM mapping
Terminology Services
Terminology loaders
Terminology mapping
Purchase terminologies
Message Oriented Middleware
Services Oriented Architecture
HTB Overview 2005Aug09
Slide 3
Industry Expectations
• Learn about the others (US, Canada, Australia, UK, Belgium, Andalucia,
Lombardia, Austria, Denmark) – highly replicable market
• Involve key decision makers (real buyers!) from Germany, Italy, Spain, UK,
France because their decisions will shape the market
• Adopt 2 or 3 technical frameworks worldwide compliant with EHR
certification criteria (EuroREC, CCHIT)
• These frameworks for EHRs will
– increase the market size ($50Bn US, $8Bn EMEA in 2004) x2 by 2010
– speed EHR implementation (average 5-10 years) including EMR in
hospitals
– create a new HC IT industry on the top of these frameworks (existing
like Cerner, McKesson, GE, Philips, Siemens, Isoft, Agfa and new players like
Ocean Informatics, ScandiHealth, OrionHealth, Initiate, Custodix, Qmedit,
Apelon, HealthLanguage, HealthOne, Healthe, Seebeyond)
HTB Overview 2005Aug09
Slide 4
Healthcare IT industry…
HTB Overview 2005Aug09
Slide 5
…Agfa Case (Michael Dahweild)
• EDC
– Inclusion triggers for trial participant detection
• Consent forms
– Enrollment
• Detailed inclusion and exclusion criteria
– Trial protocols
• Case Report Forms (CRF)
– Synchronisation with trial database
• Feasability studies
– Definition of inclusion agents for retrospective analysis
of EPRs
– Result representation of eligible cases
HTB Overview 2005Aug09
Slide 6