Sustainable Healthcare-IT Contracts.pptx

Sustainable Healthcare-IT Contracts: 

Sustainable Healthcare-IT Contracts Dharmendra Ghai(CPHIMS) Hamad Medical, Doha-Qatar Arab-Health Congress 25 th Jan 2012

……..What they are not!: 

……..What they are not! Partnership Strategy by itself Transformative Win-Win Its a Contract

The Contract…: 

The Contract… Definitions and Interpretation Completion Documents RECITALS SERVICE PROVIDER Information Insurance Escrow SERVICE PROVIDER WARRANTY Parent Company Guarantee Sub-contractors SCOPE OF WORK sUPPLIER RESPONSE TO REQUEST FOR PROPOSAL BILL OF QUANTITY Service PROVIDER PROPOSED ARCHITECTURE Security Interface and Integration Plans PROJECT SCHEDULE / Implementation Plan Training Strategy / PLAN HMC RESPONSIBILITIES Key Personnel Service Level Agreement Maintenance Programme Performance Monitoring System Disaster Plan SERVICE PROVIDER CATALOGUE OF ADDITIONAL SERVICES AND EQUIPMENT Acceptance CRITERIA Financial Model Payment Mechanism Product Roadmap Change Control Procedures Compensation on Termination Record Provisions The Contract is made up of the Main Terms and Conditions which refer to the detail contained in a number of schedules. Whilst these are available for inspection we will summarise the key areas for the Steering Committee

EMR/EHR: 

EMR/EHR EMR Transformation Oriented Impacts the enterprise including Patients Adoption and Training Multi-Disciplinary Governance ePMO Benefits/Meaningful use

PACS: 

PACS PACS Performance Oriented Management of IT components Balanced user expectations Minimum Change Control SLA are Key Diagnostics to Therapeutics and Planning

PACS: 

PACS

Key Components….: 

LEGALS LEGALS WHAT (SCOPE) WHAT (SERVICE) WHERE, WHEN, HOW, WHO HOW MUCH Key Components…. Definitions and Interpretation Completion Documents RECITALS SERVICE PROVIDER Information Insurance Escrow SERVICE PROVIDER WARRANTY Parent Company Guarantee Sub-contractors SCOPE OF WORK sUPPLIER RESPONSE TO REQUEST FOR PROPOSAL BILL OF QUANTITY Service PROVIDER PROPOSED ARCHITECTURE Security Interface and Integration Plans PROJECT SCHEDULE / Implementation Plan Training Strategy / PLAN HMC RESPONSIBILITIES Key Personnel Service Level Agreement Maintenance Programme Performance Monitoring System Disaster Plan SERVICE PROVIDER CATALOGUE OF ADDITIONAL SERVICES AND EQUIPMENT Acceptance CRITERIA Financial Model Payment Mechanism Product Roadmap Change Control Procedures Compensation on Termination Record Provisions LEGALS LEGALS WHAT (SCOPE) WHAT (SERVICE) WHERE, WHEN, HOW, WHO HOW MUCH

PACS: 

PACS

Procurement Scope : 

Procurement Scope Software Licenses Appropriate number of Licenses for Voice Recognition and Digital Dictation Use licenses not tied to specific workstations No of modalities Integration license License for number studies for 5 years – expandable (discount agreed) Unlimited no of License for Basic RIS functionality. Unlimited no of Web based PACS workstation with 3D, MIP/MPR processing licenses are procured. Hardware Clinical Diag. Workstations Servers, Voice Recognition Servers, High Speed Disc and Tape storage for Local, Global and DR Site . Implementation Including all Change Management, and onsite resource Supplier to lead implementation Support & Maintenance Uptime Guarantee of 99.99 %  on core RIS PACS Components Training Provide HMC with one‐one training for radiologist staff RIS,PACS and Voice Recognition. €€Provide direct training for non‐radiologist staff for RIS. Provide  training for  system administrators Train the Trainer RIS-PACS . Role based Training program Customization, Device Integration Integration of Diagnostic imaging Devices(CT,MR,US etc) with RIS-PACS. Configuration will be required to cater unique workflow requirements of HMC Enterprise Systems Integration Licenses for the integration of RIS with different current HIS module and future HIS system and Imaging Modalities for Report and Image sharing Data Migration, Included

PACS: 

PACS

Service levels: 

Service levels Fix Times Availability A PACS workstation shall display the first 20 search results of any usual query of the system database within 2 seconds, 95% of the time. Display time is measured from the time the user completes selection of the query (e.g. worklist selection) until the 20th result is visible on the display device. The service shall optimally display the requested image of any exam in the storage system within 2 seconds, 95% of the time. Display time is measured from the time the user completes selection of the exam to be displayed until the last pixel of the first image is visible on the monitor. Response Times Other Aspects Maintenance Programme for updates Disaster Recovery times Measurement methods Performance improvement requirement Warranty on initial purchases and fixes Service Failure Points Service Extension Failure Point One Service Failure Point One additional day of contract support

Healthcare Contract Basics: 

Healthcare Contract Basics Needed Functionality Integration Performance Training Support Payment Milestones

Healthcare Contract Basics: 

Healthcare Contract Basics Nice to Cover Update & Upgrades 7-10yrs period Access to Additional services Access to Full Catalogue Adoption Based Contracting

Healthcare Contract Basics: 

Healthcare Contract Basics Sustainability Knowledge Transfer Technology Refresh Re-Training In-House Skills Manage Change Control

The Others…: 

The Others… Vendor Sales Rep will be till the sales Revenue Recognition is key Capability is Procured Impact of Change Control Sales-Project Management-Implementation-Training-Support

Do & Don'ts: 

Do & Don'ts Don’t Loose Focus on big t icket Items Don’t Waste energy on small issues Don’t Assume CVs slip-in Respect Vendor PainPoints Differentiate Capability v s License v s Implementation services

Do & Don'ts: 

Do & Don'ts Agree on mutual Toolsets Win your Own Team Transparent versus Visible Capability vs will to use IP Security In-house capability Managed Service Contracting for Dynamic Healthcare?

Beware: 

Beware Don’t Use Car examples…..we are healthcare Good Solution must not be discounted for acceptable contract.

Clinical Imaging : 

Clinical Imaging

Q&A: 

Q&A