Session 2.1: United Family’s Journey in Healthcare IT a China Experience
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United Family’s Journey in Healthcare IT a China Experience by Dr. Jenny Shao, Director of Health Information System, China
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Session 2.1: United Family’s Journey in Healthcare IT a China Experience
- 1. 1 United Family’s Journey in Healthcare IT a China Experience Dr. Jenny Shao October 21, 2016
- 2. 2 About United Family Healthcare United Family Healthcare – Asia’s premium healthcare industry pioneer. • United Family Healthcare (UFH) was founded in 1997. • UFH is China’s first and largest foreign-invested healthcare provider. A pioneer in China’s and Asia’s healthcare development, we are leading the way in international standards of service and providing a high- end, private medical treatment model for the rest of the industry to follow. UFH meets the complex and diverse medical needs from patients from across China and the rest of the world. • With 6 hospitals as well as 14 satellite clinics and medical centers throughout Asia, UFH is recognized as a premium healthcare system in the region.
- 4. UFH Hospitals Beijing United Family Hospital and Clinics Opened in 1997 Beijing United Family Rehabilitation Hospital Opened in 2013 Shanghai United Family Hospital and Clinics Opened in 2005 Tianjin United Family Hospital Opened in 2011 United Family Intermed Hospital Opened in 2014 Qingdao United Family Hospital Opened in 2015
- 5. 5 International Team of Physicians • Full Medical Staff: 500 • Associate Medical Staff: 560 • Visiting Medical Staff: 350 • Nursing team: Over 800
- 6. 6 Medical Services for all Stages of Life Preventative Healthcare Prenatal Care Obstetrics Pediatrics General and Specialty Medical Services Rehabilitation Medicine Home Health Care Hospice Care Permanent Electronic Medical Records (EMR)
- 7. 7 Pioneering Medical Innovation The first to implement a Family Medicine (Primary Care) model Pioneered an integrated, comprehensive birthing model (LDRP) United Family New Hope Oncology Center, Cardiovascular Center, and comprehensive neurosurgery Home Health Service Pioneering high- end medical rehabilitation IVF Reproductiv e Medicine da Vinci ® Si Surgical System
- 8. 8 International Accreditation • 2005: Beijing United Family Hospital facilities are accredited for the first time by Joint Commission International (JCI). • 2008: Shanghai United Family Hospital facilities receive JCI accreditation for the first time. Beijing United Family Hospital is re-accredited. • 2011: United Family Guangzhou Clinic, as well as Beijing and Shanghai satellite clinics, are all accredited by JCI. • 2014: United Family Healthcare facilities in Beijing, Shanghai, Tianjin, and Guangzhou are all accredited or re-accredited. • Beijing United Family Hospital is China’s only medical institution to be both accredited by the College of American Pathologists (CAP) and JCI.
- 9. 9 Healthcare in China Achievements - Lower Poverty and Better Living Standards - Universal Health Insurance Coverage - National Essential Medicine System - More Equal Access to Public Health Service - Life Expectancy Improvement Challenges - Aging - Burden of NCDs - High Health Risk Behaviors - Environmental Factors - Traffic Safety
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- 17. 17 UFH EMR Journey 2003 Initiated 2008 Re-Built 2014 Digitalized 2015 Clinical Adoption - EBM - Integrated and Organized Care - Value Based
- 18. 18 UFH EMR Characteristics - Patient Care Centered - One Patient, One System, One Database - Bilingual - Standards - Patient Data Safety - Connectivity - Cloud Technology - Authentication - Regulation Compliance - Beyond Record
- 19. Data Rich Information Poor Intelligent Value Based Care Inadequate
- 21. 21 ‘Quality problems occur typically not because of failure of goodwill knowledge efforts or resources devoted to healthcare, but because of fundamental shortcomings in the way care is organized.’ ‘Trying hard will not work, changing care systems will.’ Institute of Medicine (IOM), 2001 Quality Chasm
- 22. 22 Evidence-Based Practice (EBP) Evidence-based medicine is the conscientious, explicit and judicious use of current of best evidence in making decision about the care of individual patients (it) means integrating individual clinical expertise with the best available external clinical evidence from systematic research. -David Sackett, EBM seminar 1997 Best Research Evidence Clinical Expertise Patient Values & Preferen ces
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- 24. 24 PCIC (people-centered integrated care) China Joint Study Partnership, 2016 World Bank Group, World Health Organization, Ministry of Finance, National Health and Family Planning Commission, Ministry of Human Resources and Social Security,
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- 26. 26 Philosophy - Elegant Simplicity - Interoperable, Reliable, Intuitive, Scalable - Humanized - Partnership - Focus, Work Hard, Work Smart
- 28. 28 Innovation and Transforming Beyond Healthcare to Health Beyond Hospitals to the Community Beyond Quality to Value Beyond Record to Intelligence
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Notas do Editor
- Good morning, It is my true honor to be here to share our experience with you.
- United Family Healthcare (UFH) was founded in 1997. - UFH is China’s first and largest foreign-invested healthcare provider. A pioneer in China’s and Asia’s healthcare development, we are leading the way in international standards of service and providing a high-end, private medical treatment model for the rest of the industry to follow. UFH meets the complex and diverse medical needs from patients from across China and the rest of the world.
- Our organization United Family Healthcare is located in China, Have 5 Full-service hospitals, 1 specialty hospital, 15 satellite clinics and medical centers, Cites covered include Beijing, shanghai, Tianjin, Guangzhou, Qingdao. - Patient volume snapshot (2015) : Annual inpatient visits: over 11,000 Annual outpatient visits: over 390,000
- Beijing Hospital was established in 1997 Shanghai hospital opened in 2005 Followed by Tianjing, Rehab, Intermed, Qingdao
- - Our 500 full time medical staff come from 25 different countries and regions Asian pacific, we have physicians from India, Europe Untied States Australia, Belgium, Brasil, Canada, China, Denmark, Colombia France, Germany, Hong Kong, India, Italy, Japan, Jordanian South Korea, Malaysia, Nepal, New Zealand, Philippine, Singapore, Spain, Sweden, UK, US, Mongolian
- WE provide medical services for all stages of life test Cycle from preventative, prenatal, obstetrics, pediatrics, general and specialty medical services, rehabilitation, home healthcare care, ending at hospice
- Our hospitals are accredited by Joint Commission International Our BJ hospital is also accredited by college of American Pathologists
- China was a pioneer in primary care and the prevention and control of infectious diseases, and more recently in universal insurance coverage. The introduction of barefoot doctors, urban and rural social health insurance schemes and ambitious public health campaigns combined with higher incomes, lower poverty and better living standards for both urban and rural areas (sanitation and water quality, education, nutrition and housing) resulted in a huge decline in mortality and an unprecedented increase in life expectancy. 根据当时的报道，中国有102万乡村医生，其中近70%的人员为初、高中毕业，近10%的人员为小学毕业。 赤脚医生是中国卫生史上的一个特殊产物，即乡村中没有纳入国家编制的非正式医生。他们掌握有一些卫生知识，可以治疗常见病，能为产妇接生，主要任务是降低婴儿死亡率和根除传染疾病 During the last three decades, there has been a momentous social transformation in China, with 600 million people pulled out of poverty. At the same time, China has made impressive strides in health. Since the launch of a new round of reforms in 2009, China has invested substantially in expanding health infrastructure, achieved nearly universal health insurance coverage, promoted more equal access to public health services, and established a national essential medicine system. The 2009 reforms have achieved a number of intended milestones, The reform, including subsequent regulations, has encouraged greater private sector participation in part to reduce overcrowding in public facilities. China is progressing quickly to achieving universal health coverage and some of the reform achievements have attracted worldwide attention. Significantly, a child born in China today can expect to live more than 30 years longer than her forebears half a century ago; it took rich countries twice that span of time to achieve these gains.
- China now faces emerging challenges to meet the health care needs of her citizens, associated with a rapidly aging society and increasing burden of non-communicable diseases (NCDs). There are already over 140 million persons above the age of 65 in China, a number that is projected to grow to 230 million in 2030. NCDs are already China’s number one health threat, accounting for over 80 percent of the 10.3 million deaths annually. More so than the aging population, high health risk behaviors such as smoking, poor diets, sedentary lifestyles, and alcohol consumption, as well as environmental factors such as air pollution, are powerful forces behind the emergence of chronic illnesses in China. Traffic safety is another emerging challenge.
- In 2004, We started building our HIS infrastructure and platform. We learned lessons. In 2008 we did marketing research looking for an intergreated system support bilingual languages Then we spend 5 years time implemented an integrated paperless EMR in 5 hospitals and all clinics From 2015, we start focusing on clinical adoption that including refining workflows, enforce standarisation …
- Patient care focused Integrated systems covering all clinical and business workflows Single Database, one instance Multi-lingual (English, Chinese) Access EMR at anytime from anywhere CA key – every care provider use a key for authentication Confidentiality and Privacy Impacts: Eliminate redundancy and manual errors Overcome legacy systems and increase agility Improved efficiency and enhanced coordinated care Support solutions that impact all department
- Value
- At BEST EBP is the conscientious and judicious use of current best evidence in conjunction with clinical expertise and patient values to guide health care decisions
- Deepening Health Reform In China Building High-Quality And Value-Based Service Delivery Seventh, private sector engagement should be aligned with the new shape of the delivery system. Finally, the report recommends modernization in ways that capital investment decisions are made in the health sector in China, and suggests moving away from the traditional input-based planning towards capital investments based upon region-specific epidemiological and demographic profiles.
- Elegant Simplicity Interoperable, Reliable, Intuitive, Scalable (I.R.I.S) Empathy - an intimate connection with the feelings of the customer, make sure every little thing we do serves Partnership - Focus, Work Hard, Work Smart
- Evidence-based medicine Data-driven Quality Patient Engagement Patient Self Management Population Health Outcome and value measure Core actions: Disease / Condition based management Chronic Disease Registry Improvement in awareness, diagnosis, treatment and control of chronic conditions associated with the principal causes of loss of healthy life Engage patient/community/citizen to change behavior and manage risk and change MDT Self Management Personalized Care Plan Integrated Clinical Pathways Referral Integration and decision support for providers Measure process, measure outcome