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Pablo Rivero ehCOS/everis
Smart Health Adoption
Singapore Smart Health Strategy
Singapore Smart Health Strategy
Singapore Smart Health Strategy
Singapore Smart Health Strategy
Progressive technological adoption based in
two differentiated periods
We are in the crucial time for real and massive
IT adoption
The disruptive SMACT
platform builds up lineally
over time with exponential
impact
Healthcare Delivery Organizations: Big
Challenges
“The Changing Healthcare Provider Environment”. Gartner, 2015
Healthcare Delivery Organizations: Big
Challenges
“The Transition To Value Based Care”. Gartner, 2015
Everis as part of NTT massive opportunity for
innovation
NTT Group R&D investment is 3.500 M$/year
with 6.000 employees, becoming the first
TELECOM company in investment and incomes
in R&D worldwide
everis FY’16 approx.
closure:
750M$
11.000 employees
NTT DATA FY’16 approx.
closure:
16.000 M$
96.000 employees
6 Pillars of the global business
With the aim of
strengthening the presence
of “NTT DATA brand”
abroad, overseas Group
companies have been
integrated and restructured
while the brand image has
been standardized.
Everis ehCOS approach to The Healthcare IT
Market
Healthcare IT impacted by a furious innovation wave
HealthcareDeliveryOrganizations
Today Business Drivers 3 years Investment forecast
Digital Transformación
• Access & quality (telemedicine)
• Disruptive innovation (omics medicine, precision
healthcare, value-based)
• Consumer Engagement in Healthcare & Wellness
• New entrys (retail healthcare, telecom
companies…)
• Mobility (devices and apps)
• Cloud
• Big data & IA
• Social
• IoT – wearables - 3D Printing
• Ageing – “Gray Transformation”
• Chronic and high impact
diseases: cancer, heart
diseases, mental diseases
• “omics” medicine
• Reduce Medical Errors
• Increase Care Quality
• Improve Financial Results
• Reduce Cost
• Meet Gov Requeriments
• Improve Patient Experience
• Electronic Health Record
• Health Information Exchange
• Data Analytics
ehCOS’s value proposition approach should combine S/M/L temporal vision
Healthcare Delivery Organizations
Our Value Proposition for “today business driver”
Patient Safety Consulting (*)
Customer/Patient Experience:
personalized, predictive,
collaborative, multichannel
Healthy Compliance: Management
Models, Nat Gov Req Assesment, Intl
norms consultancy
Healthy Finance: Revenue Cycle
Optimization
Integrate Healthcare System
EHR
ANALYTICS
Reduce
medical
errors
Improve
Patient
Experience
Meet
Governmental
Requirements
Reduce
Costs
Improve
Financial
Results
Increase
Care
Quality
Healthy Operations: Process Optimization, Lean
healthcare , Shared Services Center, paperless
operations (EHR), cost analytics, full outsourcing,
workforce management
Digital Business – a driver for transformation
Everis-ehCOS value proposition: Comprehensive
& progressive health IT approach
Main References Around the World
ehCOS – Cloud First: Simple, Reliable, Valuable
Contract Period:
36/48 months
ehCOS’s SaaS
Editions:
HYBRID APPROACH: PRODUCT + SERVICES
ehCOS - Cloud First as a service strategy, aligning with
market trend and generating stable and recurring income:
• Focusing on business, not on IT
• Reduce CAPEX
• Standard processes including international Best
Practices
• Clinical safety and usability
• Progressive Technological Adoption
• Flexible – Predefined Reports & Customizable
• High Performance (24x7x365) – Contingencies
management
• Strict information security standards
• Additional functionalities via “add ons”
• Support service internationally qualified
From innovation to cash flow.
Delivery time:
4-6 weeks
Entrance to SaaS
model.
Standard
Advanced
Delivery time:
12-16 weeks
Entrance agreed
with the client,
according to the
compliance with
business parameters:
technological
maturity and the
adoption level of the
Standard edition
Delivery time:
8-12 months
Current model for
large and high
complexity hospitals
Custom
STD
ADV
CST
Monthly fee
• ehCOS licences
• Implementation fee
• Support and
maintenance
• Helpdesk
• Infrastructure
ehCOS CLINIC Electronic Health Record is a patient-
centered solution that includes all the major functionalities
needed for clinical / healthcare processes in an intuitive and
flexible way.
It is the perfect tool for improving healthcare processes and
outcomes, increasing the satisfaction of the patient and the
healthcare team, with significant savings because of its
efficiency and a high return on investment (ROI).
ehCOS Clinic SaaS
ehCOS CLINIC – Our Electronic Health Record
The ehCOS CLINIC Electronic Health Record is a patient-centered solution that includes all the major functionalities
needed for clinical / healthcare processes in an intuitive and flexible way.
It is the perfect tool for improving healthcare processes and outcomes, increasing the satisfaction of the patient and the
healthcare team, with significant savings because of its efficiency and a high return on investment (ROI).
100% Designed for Healthcare Professionals
Health Standards
HL7 v2.5, Hl7, CDA R2, HL7 v3, HL7,
CDA, CCD,
DICOM,
IHE (PIX, PDQ, XDS.b)
Patient search engine.
Patient data management.
Patient administrative data.
Enterprise Master Patient Index
Patient search
engine.
Patient general
data.
Patient chart.
Clinic workstation.
Emergencies.
Hospitalization.
Ambulatory Care.
Nursing.
eMars.
Prevention and
safety.
System settings.
Vital signs.
Electronic Health Record
Emergency unit registry.
Inpatient admission (bed
Management).
Ambulatory care admission.
Archive.
Patient Management
Electronic Health Record
CHALLENGE WHICH
ADDRESSES
• Improving the quality of the healthcare service with the maximum security.
• Enhancing the efficiency of the assistance and management processes.
• Facing the lack of IT technologies in the healthcare sector.
• Improving the systems’ interoperability and usability.
• Reducing the medical mistakes and those related with the patient identification.
• Meeting with the cost reduction and the sustainability.
SOLUTION
DESCRIPTION
ehCOS CLINIC, is a strong and intuitive tool capable of improving the healthcare
processes and their results, enhancing the patient satisfaction as well as the clinical
team satisfaction who assist him; it is achieved an important save due to its efficiency,
the high ROI and cost reduction.
TARGET AUDIENCE
· Healthcare organizations – Public and Private Sectors
· Healthcare organizations networks – Public and Private Sectors.
· Healthcare Services – National and Regional
REFERENCES
· ABC Observatory Hospital, Mexico
· 36 Hospitals of the State Health Secretary.
· National Institute of Medical Science and Nutrition Salvador Zubirán, Mexico
· Arturo Lopez Perez Foundation (FALP), Chile
GEOGRAPHYCALLY
· Countries using ehCOS CLINIC: Mexico, Spain, Argentina, Chile, UK y Brazil
· R&D projects in reference hospitals from Europe, Asia ad Latino America.
A simple, reliable and valuable solution.
Fore more information: www.ehcos.com/productos/electronic-health-record
Singapore Smart Health Strategy
ehCOS Triage Manchester V3
CHALLENGE
WHICH
ADDRESSES
Dificultades organizativas que plantean la búsqueda de soluciones para la coordinación
de la atención, gestión eficiente del riesgo clínico y el movimiento adecuado y seguro de
los flujos de atención de pacientes en urgencias.
SOLUTION
DESCRIPTION
ehCOS Manchester Triage enables simple recording of the patient's condition for
classification and priority-setting, establishing a maximum time for treatment in each
case. With a maximum of 5 questions that take different variables into account, such as
symptoms, vital signs, level of consciousness and risk, as well as pain assessment, the
patients are classified into 5 different color-coded groups, from highest to lowest urgency.
It is the only tool in Spain that supports version three of the Manchester Triage System
algorithm.
TARGET AUDIENCE Emergency Area within the Healthcare Organizations– Public and Private Sectors.
REFERENCES
· 4 Hospitals Quirón in Madrid, Spain.
· Hospitals from the Regional healthcare Service of Galicia (SERGAS), Spain.
GEOGRAPHYCALLY
ehCOS Triage Manchester V3 is been developed within the framework of an Innovative
Public Procurement project in Galicia; nowadays it is running in Galicia and Madrid.
Emergency patients prioritization and classification
in less than a minute.
For more information – www.ehcos.com/productos/ehcos-triage
ehCOS - SaaS
A d d e d V a l u e S e r v i c e s
| Health
Pre-implementation Adoption
Initial phase – 6 months
Adoption
Mature phase– 1 year
Adoption
Full – 3 years
Post adoption
Optmized – 5 years
ehCOS Standard Edition ehCOS Advanced Edition
ehCOS – Custom Edition
ehCOS – Analytics
Performance
Improvement
• Assistencial
IT –
Strategy and
Infrastructure • IT - Strategic Assessment
• PDTI development
• Interoperability and
Integration Strategy
Transformation
Journey
• PMO – Projects
implementation - PDTI,
Security and
Implementation
• Digital
Transformation
• Patient experience
• Innovation Services
• Digital Discovery
Workshop
• Organizational
Transformation
• Organizational
Assessment
• ehCOS Patient Portal
• m- Health Strategy
• Financial
A d o p t i o n C u r v e
Dependency on ehCOS No dependency on ehCOS
• ehCOS CLINIC
Standard Edition
(SaaS) Implementation
• Integration projects –
Legacy and ehCOS
CLINIC
• EHR Assessment
• Upgrade to ehCOS
Advanced Edition
• Reference Model -
Analytics
Revenue Assurance
• Assessment - Analytics &
Revenue Cycle
• “Cloudification” Strategy
• ehCOS CLINIC Custom Edition
• Value Based Strategy
• ehCOS Analytics
• ehCOS Value Explorer
• CRM
• Patience Experience
Assessment
• Patient Experience Office
• Bi-Modal Strategy
• EHR – Clinical
Adoption & Change
Management
• ehCOS CLINIC – Continuous Services
ehcos.com
ehCOS Adoption Model Incorporación de las TICs en el sector salud: Innovar y
permanecer competitivo en tiempos de cambios
WHITE PAPER Mario Chao Vicepresidente Sector Salud.
http://www.ehcos.com/whitepaper-adopcion-tecnologias/

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  • 6. Progressive technological adoption based in two differentiated periods
  • 7. We are in the crucial time for real and massive IT adoption The disruptive SMACT platform builds up lineally over time with exponential impact
  • 8. Healthcare Delivery Organizations: Big Challenges “The Changing Healthcare Provider Environment”. Gartner, 2015
  • 9. Healthcare Delivery Organizations: Big Challenges “The Transition To Value Based Care”. Gartner, 2015
  • 10. Everis as part of NTT massive opportunity for innovation NTT Group R&D investment is 3.500 M$/year with 6.000 employees, becoming the first TELECOM company in investment and incomes in R&D worldwide everis FY’16 approx. closure: 750M$ 11.000 employees NTT DATA FY’16 approx. closure: 16.000 M$ 96.000 employees
  • 11. 6 Pillars of the global business With the aim of strengthening the presence of “NTT DATA brand” abroad, overseas Group companies have been integrated and restructured while the brand image has been standardized.
  • 12. Everis ehCOS approach to The Healthcare IT Market Healthcare IT impacted by a furious innovation wave HealthcareDeliveryOrganizations Today Business Drivers 3 years Investment forecast Digital Transformación • Access & quality (telemedicine) • Disruptive innovation (omics medicine, precision healthcare, value-based) • Consumer Engagement in Healthcare & Wellness • New entrys (retail healthcare, telecom companies…) • Mobility (devices and apps) • Cloud • Big data & IA • Social • IoT – wearables - 3D Printing • Ageing – “Gray Transformation” • Chronic and high impact diseases: cancer, heart diseases, mental diseases • “omics” medicine • Reduce Medical Errors • Increase Care Quality • Improve Financial Results • Reduce Cost • Meet Gov Requeriments • Improve Patient Experience • Electronic Health Record • Health Information Exchange • Data Analytics ehCOS’s value proposition approach should combine S/M/L temporal vision
  • 13. Healthcare Delivery Organizations Our Value Proposition for “today business driver” Patient Safety Consulting (*) Customer/Patient Experience: personalized, predictive, collaborative, multichannel Healthy Compliance: Management Models, Nat Gov Req Assesment, Intl norms consultancy Healthy Finance: Revenue Cycle Optimization Integrate Healthcare System EHR ANALYTICS Reduce medical errors Improve Patient Experience Meet Governmental Requirements Reduce Costs Improve Financial Results Increase Care Quality Healthy Operations: Process Optimization, Lean healthcare , Shared Services Center, paperless operations (EHR), cost analytics, full outsourcing, workforce management Digital Business – a driver for transformation
  • 14. Everis-ehCOS value proposition: Comprehensive & progressive health IT approach
  • 16. ehCOS – Cloud First: Simple, Reliable, Valuable Contract Period: 36/48 months ehCOS’s SaaS Editions: HYBRID APPROACH: PRODUCT + SERVICES ehCOS - Cloud First as a service strategy, aligning with market trend and generating stable and recurring income: • Focusing on business, not on IT • Reduce CAPEX • Standard processes including international Best Practices • Clinical safety and usability • Progressive Technological Adoption • Flexible – Predefined Reports & Customizable • High Performance (24x7x365) – Contingencies management • Strict information security standards • Additional functionalities via “add ons” • Support service internationally qualified From innovation to cash flow. Delivery time: 4-6 weeks Entrance to SaaS model. Standard Advanced Delivery time: 12-16 weeks Entrance agreed with the client, according to the compliance with business parameters: technological maturity and the adoption level of the Standard edition Delivery time: 8-12 months Current model for large and high complexity hospitals Custom STD ADV CST Monthly fee • ehCOS licences • Implementation fee • Support and maintenance • Helpdesk • Infrastructure
  • 17. ehCOS CLINIC Electronic Health Record is a patient- centered solution that includes all the major functionalities needed for clinical / healthcare processes in an intuitive and flexible way. It is the perfect tool for improving healthcare processes and outcomes, increasing the satisfaction of the patient and the healthcare team, with significant savings because of its efficiency and a high return on investment (ROI).
  • 18. ehCOS Clinic SaaS ehCOS CLINIC – Our Electronic Health Record The ehCOS CLINIC Electronic Health Record is a patient-centered solution that includes all the major functionalities needed for clinical / healthcare processes in an intuitive and flexible way. It is the perfect tool for improving healthcare processes and outcomes, increasing the satisfaction of the patient and the healthcare team, with significant savings because of its efficiency and a high return on investment (ROI). 100% Designed for Healthcare Professionals Health Standards HL7 v2.5, Hl7, CDA R2, HL7 v3, HL7, CDA, CCD, DICOM, IHE (PIX, PDQ, XDS.b) Patient search engine. Patient data management. Patient administrative data. Enterprise Master Patient Index Patient search engine. Patient general data. Patient chart. Clinic workstation. Emergencies. Hospitalization. Ambulatory Care. Nursing. eMars. Prevention and safety. System settings. Vital signs. Electronic Health Record Emergency unit registry. Inpatient admission (bed Management). Ambulatory care admission. Archive. Patient Management
  • 19. Electronic Health Record CHALLENGE WHICH ADDRESSES • Improving the quality of the healthcare service with the maximum security. • Enhancing the efficiency of the assistance and management processes. • Facing the lack of IT technologies in the healthcare sector. • Improving the systems’ interoperability and usability. • Reducing the medical mistakes and those related with the patient identification. • Meeting with the cost reduction and the sustainability. SOLUTION DESCRIPTION ehCOS CLINIC, is a strong and intuitive tool capable of improving the healthcare processes and their results, enhancing the patient satisfaction as well as the clinical team satisfaction who assist him; it is achieved an important save due to its efficiency, the high ROI and cost reduction. TARGET AUDIENCE · Healthcare organizations – Public and Private Sectors · Healthcare organizations networks – Public and Private Sectors. · Healthcare Services – National and Regional REFERENCES · ABC Observatory Hospital, Mexico · 36 Hospitals of the State Health Secretary. · National Institute of Medical Science and Nutrition Salvador Zubirán, Mexico · Arturo Lopez Perez Foundation (FALP), Chile GEOGRAPHYCALLY · Countries using ehCOS CLINIC: Mexico, Spain, Argentina, Chile, UK y Brazil · R&D projects in reference hospitals from Europe, Asia ad Latino America. A simple, reliable and valuable solution. Fore more information: www.ehcos.com/productos/electronic-health-record
  • 21. ehCOS Triage Manchester V3 CHALLENGE WHICH ADDRESSES Dificultades organizativas que plantean la búsqueda de soluciones para la coordinación de la atención, gestión eficiente del riesgo clínico y el movimiento adecuado y seguro de los flujos de atención de pacientes en urgencias. SOLUTION DESCRIPTION ehCOS Manchester Triage enables simple recording of the patient's condition for classification and priority-setting, establishing a maximum time for treatment in each case. With a maximum of 5 questions that take different variables into account, such as symptoms, vital signs, level of consciousness and risk, as well as pain assessment, the patients are classified into 5 different color-coded groups, from highest to lowest urgency. It is the only tool in Spain that supports version three of the Manchester Triage System algorithm. TARGET AUDIENCE Emergency Area within the Healthcare Organizations– Public and Private Sectors. REFERENCES · 4 Hospitals Quirón in Madrid, Spain. · Hospitals from the Regional healthcare Service of Galicia (SERGAS), Spain. GEOGRAPHYCALLY ehCOS Triage Manchester V3 is been developed within the framework of an Innovative Public Procurement project in Galicia; nowadays it is running in Galicia and Madrid. Emergency patients prioritization and classification in less than a minute. For more information – www.ehcos.com/productos/ehcos-triage
  • 22. ehCOS - SaaS A d d e d V a l u e S e r v i c e s | Health Pre-implementation Adoption Initial phase – 6 months Adoption Mature phase– 1 year Adoption Full – 3 years Post adoption Optmized – 5 years ehCOS Standard Edition ehCOS Advanced Edition ehCOS – Custom Edition ehCOS – Analytics Performance Improvement • Assistencial IT – Strategy and Infrastructure • IT - Strategic Assessment • PDTI development • Interoperability and Integration Strategy Transformation Journey • PMO – Projects implementation - PDTI, Security and Implementation • Digital Transformation • Patient experience • Innovation Services • Digital Discovery Workshop • Organizational Transformation • Organizational Assessment • ehCOS Patient Portal • m- Health Strategy • Financial A d o p t i o n C u r v e Dependency on ehCOS No dependency on ehCOS • ehCOS CLINIC Standard Edition (SaaS) Implementation • Integration projects – Legacy and ehCOS CLINIC • EHR Assessment • Upgrade to ehCOS Advanced Edition • Reference Model - Analytics Revenue Assurance • Assessment - Analytics & Revenue Cycle • “Cloudification” Strategy • ehCOS CLINIC Custom Edition • Value Based Strategy • ehCOS Analytics • ehCOS Value Explorer • CRM • Patience Experience Assessment • Patient Experience Office • Bi-Modal Strategy • EHR – Clinical Adoption & Change Management • ehCOS CLINIC – Continuous Services
  • 23. ehcos.com ehCOS Adoption Model Incorporación de las TICs en el sector salud: Innovar y permanecer competitivo en tiempos de cambios WHITE PAPER Mario Chao Vicepresidente Sector Salud. http://www.ehcos.com/whitepaper-adopcion-tecnologias/