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Synapse - An Integrated Healthcare Application for Patient Engagement

Synapse - An Integrated Healthcare Application for Patient Engagement. ISMT E-200 Spring 2012 Team 3 Kadie Chen Jerry Lee Savita Sahgal Anthony Shifflett Shaun Wong. iMatrix Consulting. Specialize in developing customized medical informatics (MI) solutions. Expertise:

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Synapse - An Integrated Healthcare Application for Patient Engagement

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  1. Synapse - An Integrated Healthcare Application for Patient Engagement ISMT E-200 Spring 2012 Team 3 Kadie Chen Jerry Lee Savita Sahgal Anthony Shifflett Shaun Wong

  2. iMatrix Consulting Specialize in developing customized medical informatics (MI) solutions. Expertise: • Successful integration of MI systems • Patient Portal usability and web design • In-depth knowledge of MI software industry standards • Collaboration tools for distributed enterprises 1

  3. Horizon Healthcare Group 3Hospitals 6Multi-specialty Clinics 650Physicians 350,000Annual Patient Visits $1.2 Billion 2011 Revenue 2

  4. HHG's Business Problem • $3.5 million revenue decline in 2011 • Losing patients to competitors • Declining patient loyalty and engagement levels 3

  5. IMatrix Solution 4

  6. Benefits to HHG Enhanced Patient Experience - Access up-to-date health care information - Self monitor chronic illness condition - Choice of e-visit or office visit - Secure means of communication - Access to personal medical history, records, and test results - Self service tools such as appointment management, prescription refill, registration and medical history forms 5

  7. Benefits to HHG Efficiency - Single access point vs. multiple systems sign-on - Integrated quality data vs. disparate data source - Reduced support staff's administrative burden i.e. phone calls, forms, mailing, appointments Convenience - 24/7 availability - Accessible anywhere via web browser - Accessible via mobile devices "Green" - Reduced printing, mailing supplies, and delivery 6

  8. Implementation Costs 7

  9. Business Benefit Justification 8

  10. No Integrated View of Patient Data Electronic Medical Record (EMR) Physically navigating multiple systems is frustrating and wastes time. Entering 6 to 10 passwords a day is inconvenient and poses security risk. Once logged into each application • Manually select patient’s ID • Wait for system to access data. • Navigate through 8-10 screens Data is often not synchronized across systems leading to diagnosis errors Radiology Information System (RIS) Laboratory Information System (LIS) 9

  11. Integrated View for Physicians Integrated view of patient-centric data from diverse medical information systems. View patient's self-monitored health trends Flexible communication tools like e-visits Decision support which searches patient-specific data 10

  12. Patients can't view records 24/7 Inaccessibility of Lab results leaves patients anxious Getting copies of medical records takes weeks. What if you need to travel or seek a second opinion? Prescription renewal or changes can only happen during business hours 11

  13. Patients can access records 24/7 12

  14. No tools to track self-monitored health data Write records of self-monitored health data like blood sugar levels Wait till next visit to convey results to physician. What if you lose your written records or print the wrong one? Patients is unaware of any abnormal patterns till next visit. 13

  15. Online tools to track self-monitored data 14

  16. No effective way to communicate 24/7 Urgent questions like bad reactions to medicine require immediate communication not limited to business hours. Generally, emails are not HIPAA compliant. Patients skip visits due to schedule conflicts or distance 15

  17. Secure communication 24/7 and E-visits 16

  18. Architectural Approach Service-oriented architecture Loosely coupled modular services which support business requirements Enhanced interoperability and re-usability Reusable components lead to cost reductions, business agility and flexibility 17

  19. Module View 18

  20. Component Connector View 19

  21. Deployment Model Hosted inside HHG’s internal data center • Sensitive patient data • Existing IT infrastructure • Experienced IT Staff All Internet traffic goes through HHG’s firewall 20

  22. Allocation View • 4 hardware units for Web Server, Application Server, Integration server and Data Server hosted within HHG • All Internet data traffic goes through firewall and uses encryption to ensure security 21

  23. System Metrics 89,000 users in first year 1185 daily end-user sessions 355,500 database transactions 1-2 sec per message round-trip 120 GB of image data per day 99.7% availability 22

  24. Governance Structure 23

  25. Implementation Timeline with Deliverables 24

  26. Training Plan 25

  27. Iterative Rollout 26

  28. Solution Demonstration - Physician View 27

  29. Solution Demonstration - Patient View 28

  30. Success Metrics 29

  31. Conclusion Engaged Patient + Empowered Physician = $$$ for HHG and Improved Quality of Care 30

  32. Q&A

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