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solutions protocolsolutions protocol

Hospital Angkatan Tentera Terendak

Total Hospital Information System: A Proposal

14 Sept 2005


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solutions protocolsolutions protocol1

EXECUTIVE SUMMARY

1. Solutions Protocol, a subsidiary of SPK, is the leading hospitalinformation solution provider in Malaysia with a proven track

record

2. Solutions Protocol will provide a state of the art healthcare

solution for Hospital Angkatan Tentera Terendak

3. Selection of Solutions Protocol will ensure

MOD will benefit from our experience

A long-term risk-free solution

Compliance with standards developed by MOH

MOD will receive an advanced technological solution


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EXECUTIVE SUMMARY


record









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Solutions Protocol, a subsidiary of SPK, is the leading hospitalinformation solution provider in Malaysia with a proven trackrecord

Contract : Package 1 (13 Hospitals), Package 2 (10Contract : Package 1 (13 Hospitals), Package 2 (10

Hospitals), HospitalHospitals), Hospital PandanPandan and Hospitaland Hospital AngkatanAngkatan

TenteraTentera LumutLumut

Fully operational: HospitalFully operational: Hospital KepalaKepala Batas and HospitalBatas and Hospital

LahadLahad DatuDatu

Just gone live: HospitalJust gone live: Hospital AngkatanAngkatan TenteraTentera LumutLumut

Implementation in advanced state: HospitalImplementation in advanced state: Hospital PandanPandan andand

HospitalHospital SerdangSerdang

Infrastructure laid: 20 other hospitalsInfrastructure laid: 20 other hospitals


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Brief Profile ofSPK Group


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SHARIKAT PERMODALAN KEBANGSAAN BERHAD

Incorporated in 1961

100% Bumiputra-owned Company

Approximately 5,500 Shareholders

Net tangible assets as at 31 Dec

2004 of RM283 million

3 Core Businesses


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Current Projects : over RM 2 billion

Technology Construction Homes

Design, installation and

maintenance of Hospital

Information and

Communication

Technology (HICT) in

14 hospitals

Pilot trial with Tenaga

of our remote meter

reading solution

Government Quarters at

Jalan Duta, KL

Access Road toGovernment Quarters at

Jalan Duta, KL

Temerloh Hospital, Pahang

Sabah East-West Grid

Interconnection Project

(JV with TTSB)

Undertaking 5

developments:

Bandar Amanjaya,Sungai Petani, Kedah

(7,000 acres)

Bandar Menjalara, KL

(600 acres)

Cahaya, Klang Valley

(500 acres)

Yahya Awal, Johor

Bahru (15 acres)

SPK GROUP PROFILE


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Panoramic View

CONSTRUCTION - Temerloh Hospital, PahangPlan, design, construct, equip, commission and maintain 498-bedded

hospital, 7 blocks of residential apartments, quarters and hostels


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CONSTRUCTION - Government Quarters at Jalan Duta, KL

Panoramic View

East View

Phase 1 was handedover in December

2003, 5 monthsahead of schedule

Plan, design, construct and commission 10 blocks of government

quarters consisting of 856 residential units with amenities


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North Viewof Bridge

East View ofBridge

Road 1

Road 2Ramp

CONSTRUCTION - Access Road at Jalan Duta, KLDesign and construct 3.4 km 2-lane dual carriageway and interchanges


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Menara Menjalara (swimmingpool)

Menara Menjalara

HOMES Bandar Menjalara, Kuala Lumpur


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2 Storey Terrace House(JV with Suncity)

2 1/2 Storey TerraceHouse with 2 master

bedrooms(JV with Suncity)

HOMES Bandar Menjalara, Kuala Lumpur


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Bungalow - Trellis

Tulip

HOMES Amanjaya, Sungai Petani, Kedah


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EXECUTIVE SUMMARY


record









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Service Number concept

Multi service record tracking

Dependants eligibility criterion

Periodic checkups

Public / Potential Employee / POW categories

Service termination

Multi Hospital and Clinic environment (including forwardlocations)

Solutions Protocol will provide a state of the art healthcaresolution for Hospital Angkatan Tentera Terendak

Healthcare in Defense is different


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Laboratory

Information System

(LIS)

RadiologyInformation System

(RIS)

PharmacyInformation System

(PIS)

Critical Care

Information System

(CCIS)

PatientPatient

ManagementManagement

OrderOrder


Common System ApplicationsCommon System Applications

e.g. Operations, Securities, etc.e.g. Operations, Securities, etc.

ResourceResource

SchedulingSchedulingDocumentDocument


HOSPITALINFORMATION SYSTEM

(HIS)


(HIS)

Picture

Archiving

&

CommunicationSystem

(PACS)

FINANCIAL INFORMATION SYSTEM ADMINISTRATIVE SYSTEMS

General

Ledger

Billing

&

A/R

Fixed

Assets

Accounts

Payable

Human

Resources

Materials

Management

Payroll

S

T

A

N

D

A

R

D

S

ELECTRONIC MEDICAL RECORDELECTRONIC MEDICAL RECORD

Front End Viewer

ELECTRONIC MEDICAL

RECORD (EMR)

ELECTRONIC MEDICAL

RECORD (EMR)Laboratory

Information System

(LIS)

RadiologyInformation System

(RIS)

PharmacyInformation System

(PIS)

Critical Care

Information System

(CCIS)

PatientPatient


OrderOrder


Common System ApplicationsCommon System Applications

e.g. Operations, Securities, etc.e.g. Operations, Securities, etc.

ResourceResource



ResourceResource




(HIS)


(HIS)

Picture

Archiving

&

CommunicationSystem

(PACS)

FINANCIAL INFORMATION SYSTEM ADMINISTRATIVE SYSTEMS

General

Ledger

Billing

&

A/R

Fixed

Assets

Accounts

Payable

Human

Resources

Materials

Management

Payroll

S

T

A

N

D

A

R

D

S

ELECTRONIC MEDICAL RECORDELECTRONIC MEDICAL RECORD

Front End Viewer

ELECTRONIC MEDICAL

RECORD (EMR)

ELECTRONIC MEDICAL

RECORD (EMR)

Solutions Protocol will provide a state of the art healthcaresolution for Hospital Angkatan Tentera Terendak


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Solutions Protocol has a proven comprehensivemethodology for successful implementation

Project

Team

Assigned

Project

Kick off

Current

State

Analysis

Design

Future

State

Database

Design &

Build

Unit &

System

Test

Integration

Test

Go

LiveandO

peration

TESTTEST

TRAININGTRAINING

PLANPLAN DESIGNDESIGN BUILDBUILD


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Solutions Protocol can complete the project within6 months of site possession

Timeline

IT CPC

Design ITArchitecture

SoftwareDevelopment

HospitalAngkatan

TenteraTerendak

6 months

Hardware andSystem

Infrastructure

Approval ofsystem &

functionality byMOD

Consultancy& Training

Physical installing hardware

SystemIntegration

Software installation& testing

User Training

Business Process Re-engineering

Software Development

Cabling for ITnetwork

Trunking &Conduit

6 MONTHS


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EXECUTIVE SUMMARY


record









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Solutions Protocol will provide an experienced teamto work together with MOD personnel

Project Leader

BPRNor Faizah

ProjectManagerMohd Aizar

Head of Project /Core Team HATT

Audit

VerificationConsultant

ProjectManagementOffice (PMO)

SystemIntegrator,Supplier &

Vendor

Project LeaderTrainingHaridas

HATTUser

Project LeaderApplication

Dr Syed

Project DirectorSahudin Mohamad Amin

Project Leader

SystemsAminuddin

HATTCore Team

Member

HICT ProjectHICT ProjectSponsor / SteeringSponsor / Steering

CommitteeCommittee


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Selection of Solutions Protocol will ensureMOD will benefit from our experience

MOH Hospitals

HAT Lumut

MOD installations in other countries

Knowledge of developments in DoD and VA

Largest and most experienced local team withreputable international partners

S l ti f S l ti P t l ill


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g

Total

-IHIS + Radiology + PACS

+ Administration +

Financial + Inventory +Personnel Management +

DDS + Case Mix, etc

LEVEL OF COMPLEXITYLEVEL OF COMPLEXITY

RE

LATIVE

CO

STS

RE

LATIVE

CO

STS Intermediate

- integration of

BHIS + Laboratory

+ Pharmacy

Information SystemsBasic

- Patient Management

System & ClinicalInformation System

Selection of Solutions Protocol will ensurelongterm risk-free solution as application ismodular and upgradeable to meet your future

requirements


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S l ti f S l ti P t l ill


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Work with MOH hasprovided SP the insidetrack in access to national

code sets and standards

National standards arebased on international

standards (HL7, ICD, ICD-10-PCS, SNOMED CT, ATC)

Integration with decision

support modules andincorporation of solutionsfrom other vendors assuredbased on track record

Selection of Solutions Protocol will ensurecompliance with standards developed with MOH

Domain Standards

Business Functional Model & BPR

Standard Operating Procedure

Clinical Care PathwaysNaming Convention / Vocabulary

Data Sets and Code Sets

Health Data Dictionary

Facility Code Standards

National Drug Database

Technical Standards

Messaging Standards

Security Standards

Database Schema Standards

Network Design Standards

System Architecture Standards

Others

Technical Standards

Messaging Standards

Security Standards

Database Schema Standards

Network Design Standards

System Architecture Standards

Others

Selection of Solutions Protocol will ensure MOD will


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Selection of Solutions Protocol will ensure MOD willreceive an advanced technological solution

1. Compatibility with the national Lifetime Health Record projectand with myKad and e-Government

2. Web-enabled anytime, anywhere access

3. Better patient safety and better health outcomes


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Will integrate with national LHR (SPs application nowincorporates a LHR data repository feature which exceeds data

set of national LHR) and future Healthcare Financing Scheme

Integrated with myKad for patient registration and future healthcomponent of myKad and myKid

Integrates with e-government human resource module, e-procurement module and e-billing module (AG)

A complete e-Health solution can be delivered to HospitalAngkatan Tentera Terendak

Compatibility with the national Lifetime HealthRecord (LHR) and with myKad and e-Government


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SOCSO

EPF

LHR

HOSPITAL& CLINIC

INFORMATIONSYSTEMS

HEALTHCAREPLANNING &FINANCINGSYSTEMS

CASEMIX

HEALTHFACILITY

DATA

REPOSITORY

GDS

MyKad

HMIS

LHR lifetime health recordGDS group data servicesHMIS health

managementinformation system

SOCSO social security orgEPF employees provident

fund

DECISIONSUPPORT

SYSTEMS

CONTINUINGPROFESSIONAL

DEVELOPMENT

Selection of Solutions Protocol will ensure MOD will receive an


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Selection of Solutions Protocol will ensure MOD will receive anadvanced technological solution



3. Better patient safety and better health outcomes throughevidence-based medicine and intelligent systems


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Selection of Solutions Protocol will ensure MOD will receive an


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Selection of Solutions Protocol will ensure MOD will receive anadvanced technological solution



3. Better patient safety and better health outcomes throughevidence-based medicine and intelligent systems


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1. Patient Safety and Health Outcomes are the new drivers forhospital information systems

2. These are designed into the system through

Alerts and reminders

Order sets, templates and access to CPGs

Critical pathways

3. These are optionally enhanced with solutions from ourpartners e.g.

Pharmacy databases from First Data Bank

Clinical pathways from Zynx Health

Better patient safety and better health outcomes throughevidence-based medicine and intelligent systems


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1999 Institute of Medicine Report

0

10,000

20,000

30,000

40,000

50,000

60,00070,000

80,000

Deaths/year

Medical error Traffic Breast cancer AIDS

$9 billion in annual costs

C t i d Ph i i O d E t R d


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Computerized Physician Order Entry Reduces:

z Serious medication errors

z Prescribing errors

z Transcription errors

z Dispensing errors

z Administration errors

z Preventable ADEs

z Non-intercepted potential ADEs

55%

19%

84%

68%

59%

17%

84%

Bates DW. JAMA 1998;280:1311-16


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Thank You


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Thank You


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