Clinical ComputingSecure, reliable technology that improves clinical workflow at the point of care

James Kavanagh, Health Solutions ArchitectMicrosoft Australiajamesk@microsoft.com

Challenges & Opportunities

Opportunity for Clinical

Computing

Existing Challenges• Cost of operations• Security risks• Misalignment to clinical

needs• Lack of staff & resources

Emerging Challenges• Delivering care in new

contexts• Clinical need for point-of-care

access to information• Staff mobility• Next generation workforce

Opportunities• New integrated devices• National eHealth Strategy • State led clinical +

infrastructure investment• Maturity of enterprise

infrastructure software

Clinical Computing Interactions

Clerical

/ Administ

rative

(eg. Pati

ent Admiss

ion,

Administrati

on)

Shared W

ard Computer

(eg. Inpati

ent ward, n

ursing

station) Bedsid

e Console

(eg. Pati

ent Enterta

inment,

Consulta

tion / Educa

tion)

Specifi

c Purp

ose Computer

(eg. Su

rgica

l syste

ms, Radiology

viewer) Mobile

In-H

ospita

l Devic

e

(eg. Sp

ecialist

rounds,

aged ca

re

nursing) Mobile

In th

e Community

(eg. Community

Nursi

ng, Home

Monitorin

g)

Small

Practice

Computer

(eg. General

Practice

, Pharm

acy)

Phone / Remote

(eg. On ca

ll, remote ac

cess)

Clinical Workflow ImprovementsClinical

Documents & Practice

Management

Patient Education

Mobile Image Consult

Electronic Health Records

Order Entry

Medication Management

Clinical Computing

Linking Applications & Infrastructure

Common Needs

Device characteristics

Input and visualisationPhysical

Workflow

Security

Management

Connectivity and mobility as standardMaintains context linked to the clinical application(s)

Access control with single sign-on & smart cardsProtection from threats & security vulnerabilities

Ability to rapidly deploy new capabilitiesReliable, controlled and safe

Clinical ComputingCapabilities:• Mobility to allow clinicians, nurses and

managers to access information from any device, any where

• Security that provides end-to-end defense-in-depth protection and management visibility and response to threats

• Identity services that enable pervasive single sign-on across new and existing systems, including smart card access

• Management, monitoring and virtualisation capabilities that support the complete lifecycle of physical and software assets

• Cloud & hosted service delivery options

From the budget papers:Queensland budget includes $87.1 million in 2009/2010 for clinical systems that will contribute to an EMR, plus a further $86 million for ICT supporting infrastructure

Vision for the Statewide Electronic Medical Record:

“ The eMR will deliver key functionality to the clinician’s desktop [...] coupled with critical Administration and Support systems”

The entire solution will be implemented via a Supporting Infrastructure, both hard (connectivity, data centres, security) and soft (standards, information architectures, information policy, business intelligence). “

- Ray Brown, Tam Shepherd

Competitive Landscape

HEALTH INTEGRATION

Open Health Tools

Connected Health Medical Grade NetworkClinical CollaborationHealth

Knowledge Driven HealthiPhone for PhysiciansSmarter Health

Clinical ComputingClinical Collaboration & CommunicationsClinical IntelligenceCare Network Integration

Resources

15th to 23rd September Email your partner account manager

http://www.microsoft.com/industry/healthcare/technology/default.mspx