Leadership in Global Healthcare Technology LIGHT Initiative

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National Information Technology Strategy in
Healthcare Sector in Kingdom of Saudi
ArabiaHamad Al-DaigChief Information Officer
(CIO)King Faisal Specialist Hospital Research
Centre
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National Information Technology Strategy in the
Kingdom of Saudi Arabia

• Royal Decree were issued on
• February, 2001
• Saudi Computer Society were
• charged with the project

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National Information Technology Strategy in the
Kingdom of Saudi Arabia

• More than Seventy Saudi professionals
• were Involved in the project
• The Strategy were completed on
• July, 2003

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NITP Council
Advisory Committee
Executive Committee
Economics and Finance
Telecom info Security
Education
Services Administration
E Commerce Group
IT prof. Preparation
E-government Group
Internet Group
IT Transfer and Settlement
Measurement and Standards
Information Security Group
IT in Education
Military Security Group
E working
Informatics' Law
Private Sector Group
Islamic Arabic in the Info. Age
IT Industry
Healthcare Group
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Geography

• Surface area 2.2 million km2
• Population 1993 - 16,929,294
• Population 2004 - 22,000,000
• Population density 9 persons/km2

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Health Care Providers
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Total MOH Hospitals 200
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The Problem

• Large Surface area
• Scattered population
• Shortage in Consultants
• High referrals
• Annual Pilgrimage season

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The Healthcare Information Technology Group Plan

• Current Information Technology Planning in
  Healthcare in Saudi Arabia
• Review of the trends in Healthcare and IT
  Industries
• Experiences of other Countries in Developing IT
  Strategies for Healthcare Sector
• Developed the Strategy

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Healthcare Information Technology planning in
Saudi Arabia

• The Challenges that faces Healthcare Sector
  in Saudi Arabia
• Financing
• Management
• Distribution
• Information Technology

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Ministry of Health (MOH)

• There are no Strategic IT plan for MOH Hospitals
• No Local Network in most MOH Hospitals
• There are Number of MOH Hospitals that does
• have HIS
• HIS are
• Not Clinical
• Not integrated
• Different sources

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Private Hospitals

• No Local Network in most of the Private
  Hospitals
• There are no Strategic IT plan for most PH
• HIS are
• Not Clinical
• Not integrated
• Different sources

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Military Hospitals

• Military Hospitals are not linked to each others
• No Local Network in most Military Hospitals
• There is no Strategic IT plan for the Military
• Hospitals
• HIS are
• Mostly are not Clinical
• Not integrated
• Different sources

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Security Forces Hospital

• There is a Local Network in the Security Forces
  Hospital
• There is Strategic IT plan for the Security
  Forces Hospital
• Security Forces Hospital is not linked to other
  Security
• Forces Clinics
• HIS is
• Clinical
• Integrated
• One Source

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Universities Hospitals

• Universities Hospitals are not linked to each
  
• Others
• There are Local Network in Most UH Hospitals
• There is no Strategic IT Plan for Most UH
• HIS are
• Clinical
• Integrated
• Different sources

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National Guards Healthcare Services

• NGHS hospitals are linked to each others
• There are Local Network in all NGHS Hospitals
• There are Strategic IT Plan for NGHS
• HIS are
• Clinical
• Integrated
• Same Source

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NGHS Healthcare Information Technology
?
NGHS Central Management
Info Center
Province E
Province S
Province W
Hospital
Hospital
Hospital
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King Faisal Specialist Healthcare System
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King Faisal Specialist Hospital and Research
Centre
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About KFSHS
King Faisal Specialist Healthcare System

• 900-bed tertiary care hospitals
• Three tertiary care facilities
• Provides variety of health services, includes
  open heart surgery, bone marrow transplant,
  kidney transplant, liver transplant, specialist
  diagnostic services, etc.

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King Faisal Specialist Healthcare System

• There are Local Area Network in all KFSHS
  Hospitals
• KFSHS Hospitals are linked to each others
• KFSH Healthcare System is linked to 15 MOH
  Hospitals Via Telemedicine
• There are Strategic IT Plan for KFSHS
• HIS are
• Clinical
• Integrated
• Same Source

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KFSHS Telemedicine Network
WHO
International Telemedicine Network
MD Anderson
KFSHRC
Johns Hopkins
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Integrated Information Architecture of KFSHRC
(ICIS) Integrated Clinical Information System
ADMIN. FINANCIAL DATA REPOSITORY
(AFS) Administrative and Financial System
CLOVERLEAF INTERFACE ENGINE
N E T W O R K
MEDICAL CLINICAL DATA REPOSITORY
Internet
E-mail
KFSH DATA WAREHOUSE
DEPARTMENTAL SYSTEMS
Client Workstation
Decision USERS
DATA MART
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Healthcare Information Technology in Saudi Arabia

• In Summary
• Lack of IT Strategic Planning
• Lack of Standardized IT Infrastructure
• Lack of Health Information Network
• Most MOH Hospitals do not have HIS
• A gap between Education Outcome and IT Resources
  for Healthcare Needs
• IT Projects are not Supported enough in
  Healthcare Institutions Budgets

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Other Countries Experiences

• Several Countries National IT Strategic Plan were
  
• Evaluated
• Malaysia
• Canada
• South Africa
• Jordan

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Other Countries Experiences

• Healthcare Sector were not Addressed Directly in
  Most National IT Strategies
• However,
• Healthcare Sector is a Great beneficiary of the
  those IT Strategies

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Current IT offering for healthcare Industry
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Modern Healthcare Information Technology
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The structure of healthcare is changing
dramatically
Integration and specialization, managed care
Consolidating laboratories
Care in the community
Primarysecondarytertiary
Disease management
Vertical integration
One specialty hospitals
Centres of tertiary care
Pharmaceutical
Centre for oncology
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Modern Healthcare Information Technology (MIS)
Patient Registration
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Modern Healthcare Information Technology

• Integrated Clinical Information System
• E-Business (Finance, HR, Purchasing, etc.)
• EIS / DSS
• PACS
• Telemedicine

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This Architecture Looks Like

• No Consolidated View of Patient Activity
• Redundant Process Execution
• Diminished Patient Satisfaction
• Dependence of Paper-based Documentation
• Labor Intensive Record Management
• Inability to Measure Performance

Current Disparate System Architecture
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The plan Highlights
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Pressing Issues

• Mandate the use of the Saudi National ID
  (Social Security Number) in all Hospital Systems
• Standardized the IT Infrastructure
• Standardized the HIS in every Healthcare Group
• Coordinate the Automation efforts in the
  Healthcare Sector

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National Information Technology Strategy in
Healthcare Sector in Kingdom of Saudi Arabia

• Mandate Building LAN in all new and re-innovated
  Hospitals
• Re-align the reporting of the IT Management to
  the hire position in the organization
• Average allocation of IT Budget should be around
  3-5 of the Institutions overall Budget

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National Information Technology Strategy in
Healthcare Sector in Kingdom of Saudi Arabia

• Some Remote Regions in the Kingdom need More
  Healthcare Services
• Telemedicine stands as a viable option
• (KFSHS and NGHS Telemedicine Networks are good
  models to build on and used)

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KFSHS Telemedicine Network
WHO
International Telemedicine Network
MD Anderson
KFSHRC
Johns Hopkins
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National Information Technology Strategy in
Healthcare Sector in Kingdom of Saudi Arabia

• Certification of Several National HIS to be used
  in MOH and Private Hospitals as a base for Future
  Integrated Healthcare Delivery System

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National Information Technology Strategy in
Healthcare Sector in Kingdom of Saudi Arabia

• KFSHS and NGHS ASP Programs are good models to
  link major MOH Hospitals with each others and
  with other Major Referral Institutions

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Strategy for Deployment
Start with Apps providing greatest Benefit Return
Ministry of Interior
King Faisal Specialist Hospital
R U L E S A L E R T S
Master Patient Index
ADT/Registration
S T A N D A R D S
Pharmacy
A S P
Laboratory
Start with Limited Number of Key Facilities
Radiology
Data Repository
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Thank you