Recent Update � KHSHRC-WHO Collaborating Centre - On e-Health

Recent Update:

Recent Update Presented by: Asaad Ali Rayes Manager, eHealth Services King Faisal Specialist Hospital and Research Center Riyadh, Saudi Arabia KFSH&RC WHO Collaborating Centre On e-Health 4/18/2011 1

King Faisal Specialist Hospital and Research Centre-Gen. Org.:

King Faisal Specialist Hospital and Research Centre-Gen. Org. 4/18/2011 2

Slide 3:

Jazan KFCH Abha ACH Makkah Tabouk KKH Jouf MCH Dammam DMC Najran KKH Riyadh Qassem KFSH – MCH RGH ( Buraida –Al- Rass ) Hail KKH Qurayyat QGH Madina KFH Baha KFH Hufouf KFH Taif 22 Centers 2011 Qunfetha QGH Bisha KAH Arar AGH Qatif QCH Jeddah KAH&OC - KFH 4/18/2011 3

Slide 4:

Introduction Meeting Objectives Previous Meeting (29 th Dec 2010) Formulation of a new team (1st March 2011) Report of 2010 Implementations Plan WHO terms of Reference eHealth Activities Educational Activities Recommendations Agenda 4/18/2011 4

Meeting Objectives:

To enhance communication among EMROs & KFSHRC staff. To define the technical status for the participated hospitals. To define the Technical Needs. To define the Educational Needs. To fulfill the WHO terms of reference. Meeting Objectives 4/18/2011 5

Formulation of a new team (1st March 2011) :

Asaad Ali Rayes, eHealth Manager Elbadri Ali, Administrative Consultant Ghada Atta, WHO Coordinator Mohammad Alzubair , Technical Coordinator Youif Johar , Technical Support Saleh Abdulqader , Technical Support Formulation of a new team (1st March 2011) 4/18/2011 6

WHO-KFHRC Representatives:

Dr. Saud Al-Yamani, ADHD Dr. Fatima Al- Abbadi , Health Education Dr. Muna Anani , Nursing Education Dr. Mohammad Jami, Tele-ICU Project WHO-KFHRC Representatives 4/18/2011 7

Issues from the Previous Meeting 29th Dec 2011 :

EMROs Contact information To Nominate hospitals and other institutions to work with. WHO participation in the next eHealth Conference in Saudi Arabia (SAHI) Dr. Fahad Al- Orifi Collaboration with the CCs. 2nd Phase Medical Second Opinion Study. Approval - R&D – Quality Improvement Issues from the Previous Meeting 29 th Dec 2011 4/18/2011 8

Report of 2010 Preparation 1st Phase – Team 1:

Report of 2010 Preparation 1 st Phase – Team 1 Mission and goals approval by CED based on the Terms of Reference. Invited concerned staff in HOS e-Health to visualize WHO-EMRO expectations. Invited concerned KFSH department’s representatives involved in e-Health broadcasts. Met with WHO-EMRO and KFSH department representatives to discuss plan and progress. KFSH agreed to analyze and submit a report of 2008 survey results of EMRO member’s e-Health status. For next spring , a non-medical workshop is planned addressing technical aspects of e-Health. M edical and educational symposiums are scheduled through this calendar year. Each symposium’s planning committee is identifying which lectures will be broadcasted & recorded for EMRO members . (ATA Activities) Creation of a new web site for the WHO-KFSHRC project. www.kfshrc.edu.sa/who Working collaboratively with our partners in the Hospital's Research Centre to transfer research data from data base to SuperSuite Platform for better visualization and understanding of data. Writing up KFSH&RC seven (7) year experience in seeking international medical second opinions . 4/18/2011 9

Terms of Reference:

Terms of Reference 4/18/2011 10

eHEALTH SERVICES:

eHEALTH SERVICES Continuing Medical Education Programs broadcasting National and international activities such as conferences, symposia, mini-symposia, and workshops. 4/18/2011 11

Organize Symposia (medical and non-medical) on a regular basis (weekly, monthly, annual, etc):

Organize Symposia (medical and non-medical) on a regular basis (weekly, monthly, annual, etc) Term # 1 4/18/2011 12

Education:

Education 15 Sites (IP) Term # 1 4/18/2011 13

Delivering Methods:

The CME activities will be broadcast via three methods: Web streaming: EMROs will be provided with a unique URL for reach activity. Videoconference: eHealth Centre will establish a conference room for each activity in which the EMROs can easily access the activity. (IP over Internet) Archived video: www.kfshrc.edu.sa/who . Delivering Methods 4/18/2011 14

Technical Support:

To attend our daily grand rounds, Just follow below instructions: 1-Dial our MCU with IP Address 213.230.5.184 2-Entr the code number : 1# 3-Once you connected mute your microphone till you get permission to ask. For any Technical issues , contact our Technical Group on: Tel# 00966-1-4424805 Email: ehealth@kfshrc.edu.sa Email: to@kfshrc.edu.sa Our Technical names: Yousuf Jowhar Ramil Pascual Saleh Abdul Kader Technical Support 4/18/2011 15

Required Information:

Required from EMRO-WHO Regarding (Video Conference) if it is available. Technical information for each site. Countries equipped with videoconference facilities. Bandwidth Type. Videoconference location. (Meeting room, Classroom or Auditorium) Are the rooms equipped with audiovisual facilities? Required Information 4/18/2011 16

Education:

Education Daily Activities Medical Grand Rounds. Medical Case Presentations. Pediatrics Ground Rounds Pathology Ground Rounds. Surgical Grand Rounds Conferences & Symposia Selected Conferences and Symposia from the KFSHRC annual CME activates. ( to be chosen by the EMRO Countries) Health Outreach Conferences &Regional Mini Symposia. 4/18/2011 17

Daily Activities:

Daily Activities 4/18/2011 18

Symposia - HOS :

Symposia - HOS Topic Date Department Venue 11 th Emergency Medicine update 19-20April 2001 Emergency Medicine King Khaled Hospital, Hafar Albatin Surgical update 26-27 April 2011 Surgery King Fahad Hospital, Al Madinah 17 th Medicine update 17-18 May 2011 Medicine King Khaled Hospital, Najran 17 th Emergency Medicine Update 11-12 October 2011 Emergency Medicine King Fahad Central Hospital, Jazan Advances in Neurosciences 19 October 2011 Neurosciences King Khaled Hospital, Tabuk 4/18/2011 19

Mini Symposia - HOS :

Mini Symposia - HOS Topic Date Department Venue Acute coronary syndrome nursing care & management 11 May 2011 Nursing KFSH&RC-Riyadh , eHealth Video Conference Symptom management in the child with cancer 22 June 2011 Nursing KFSH&RC-Riyadh , eHealth Video Conference Pediatric congenital anomalies nursing care & management 21 September 2011 Nursing KFSH&RC-Riyadh , eHealth Video Conference Pressure Ulcer Prevention & Wound care nursing management 30 November 2011 Nursing KFSH&RC-Riyadh , eHealth Video Conference Differential diagnosis for physical therapy 12 December 2011 Physical therapy KFSH&RC-Riyadh , eHealth Video Conference Palliative Nursing care 14 December 2011 Nursing KFSH&RC-Riyadh , eHealth Video Conference 4/18/2011 20

Workshops - HOS :

Workshops - HOS Topic Date Department Venue Epilepsy management and Beyond 11 April 2011 Neurosciences KFSH&RC-Riyadh , Postgraduate Center Mechanical ventilation 24-25 May 2011 Pediatrics Assir Central Hospital Abha Pediatric physical therapy 8 June 2011 Physical therapy Maternity & Children hospital, Al Madinah Physical therapy & pain management 12 October 2011 Physical therapy King Khaled Hospital, KKH-Hail Mechanical Ventilation 18-19 October 2011 Pediatrics Qatif Central Hospital, Qatif 4/18/2011 21

Awareness - Education Public Health Awareness Activities 2011 :

HES educational Series for 2011: community health awareness days. patient education courses for Diabetes Patient Education. Breast Cancer patient education. Patient education principles. Awareness - Education Public Health Awareness Activities 2011 4/18/2011 22

Awareness - Education Public Health Awareness Activities 2011 :

Awareness - Education Public Health Awareness Activities 2011 Term # 5 Activity Coordinator Day(s) Date(s) Time Venue Sleep Medicine Day Moh’d Odeh + Roaya + Sleep Medicine Uni Tuesday 19 April 2011 09:00 AM – 04:00 PM Outpatient Lobby Asthma Awareness Day Moh’d Odeh + Hawazin + Asthma Committee Tuesday 03 May 2011 09:00 AM – 04:00 PM Outpatient Lobby PKU Moh’d Odeh + Amal + Nutrition Svs Wednesday 11 May 2011 09:00 AM – 01:00 PM Postgraduate Centre Women Health Days Roaya Al-Bahkali Mon-Tues 16-17 May 2011 04:00 - 9:00 PM Prince Salman Social Center Cancer Survivors Day Oncology Centre Wednesday 01 June 2010 Prince Salman Auditorium Children Day Sara Qidwai Wed – Thu - Fri 5-6-7 October 2011 King Fahad Cultural Centre Breast Cancer Day Sara Al-Massaad October 2011 Oncology Centre Lobby Diabetes Day Saadia / Hawazin Nov 2011 Hepatitis Day Majed Nasif Nov 2011 Cystic Fibrosis Day Sara Qidwai Thursday 08 Dec 2011 4/18/2011 23

Conduct workshops on e-Health and telemedicine application:

Conduct workshops on e-Health and telemedicine application Delivery Methods: Mini symposia Lectures Web-Based Training Recorded Materials Virtual Classrooms Required Information from EMROs: Conducting surveys and Questioners: EMROS’ Technical Continuing Educational Interest and Requirements Term # 2 4/18/2011 24

Conduct workshops on e-Health and telemedicine application Suggested Topics: :

Conduct workshops on e-Health and telemedicine application Suggested Topics: Data warehouse Tele-Radiology Medication Remainder Patients’ Electronic Referrals Robotic Dispense of Medication How to establish ( ehealth –Telemedicine) National Network) How to establish an e-ICU Centre eHealth technology and devices Mobile Health Home monitoring (Cardiology) Remote consulting services Webcast & Streaming Server Nursing Informatics Call Centre Tele-ICU Term # 2 4/18/2011 25

Annual Training programs HUB :

Objective : To Train 30 doctors, Nurses, Technicians Suggested Date : To be decided later (suggested to be next Spring ) One week training ( Or Less ) Full Day Lectures Hands on experience on real time and mock cases Visit to remote hospital in Madinah Al- Munawah Proposal Writing for introduction of Telemedicine in one of the regional hospitals Annual Training programs HUB Term # 3 4/18/2011 26

Consultation Establishment of telemedicine and e-Health network :

The eHealth centre at KFSHRC has a great experience at establishing telemedicine network, eHealth centers and telemedicine applications. To be provided upon request Design and create frequent asked questions regarding these issues in the KFSHRC-WHO website. Consultation Establishment of telemedicine and e-Health network Term # 4 4/18/2011 27

Awareness Use of Electronic Applications :

The eHealth Centre will utilize KFSHRC ICIS Campaign: This plan had been implemented when the new information system was first introduced. KFSHRC awareness plan Presentations Articles Announcements Encouragements Awareness Use of Electronic Applications Term # 5 4/18/2011 28

Awareness Use of Electronic Applications :

KFSHRC Experience KFSHRC Patients’ Info gate Electronic Services Multimedia Know the Diseases Health Tips Events Latest News KFSHRC Video production Awareness Use of Electronic Applications Term # 5 4/18/2011 29

Promotion Usage of e-health and telemedicine application :

Marketing Plan: Creating an WHO-EMROs eHealth forum Videoconference Meetings News Letter Emails SMS Messages Posters/Flayers Free eHealth and Telemedicine library subscription Promotion Usage of e-health and telemedicine application Term # 6 4/18/2011 30

Promotion Usage of e-health and telemedicine application :

Promotion Usage of e-health and telemedicine application Suggested Topics: eHealth technology and devices eHealth data records eHealth information processing eHealth systems and communications eHealth systems and emergency situations Telemedicine/eHealth applications Telemedicine/eHealth services Social and financial aspects Classical medicine and eHealth integration Preventive eHealth systems Challenges of large-scale, cost-effective eHealth systems Nurse team applications Personalized eHealth Clinical telemedicine Rural and wilderness eHealth Environmental and travel telemedicine Demonstration of Procedures Online Disaster Management Minimal Invasive Surgery Training Lab Tele –Rehabilitation Center for epidemic diseases and disasters Medical Second Opinion Term # 6 4/18/2011 31

Research Centre Telemedicine and e-Health application :

Research Centre Telemedicine and e-Health application Introduction The concentration will be on eHealth & Telemedicine applications that are being used at KFSHRC with MOH regional Hospitals Regional Evaluations; patients, administration and Medical allied. Economic benefits Tele-ICU Cardiology Mobile Mongering Cardiology : Cardio Monitor SMS Medication Remainder ADHD Allergy Medical Second Opinion Health Outreach Clinics & Offices(RCO) Regional Polyclinics Regional Reference Lab Tele-Echo Teleradiology Educational Patients, Info Gate Term # 7 Suggested Topics 4/18/2011 32

eICU complete eICU Project technical and administrative consolation :

eICU complete eICU Project technical and administrative consolation Methods Technical Consultation Medical second opinion Cases to be evaluated by: Physicians, patients and regional MOH administration Dictating a Medical report for each discussed case An Electronic Request Form On-Line Survey Suggested Services Establishing an EMRO Tele-ICU Centre KFSHRC – EMRO EMRO – EMRO EMRO - Internally Term # 8 4/18/2011 33

Consultations for developing e-health Legislations :

EMROs can use KFSHRC eHealth – IT – guidelines and IPPs. Consultations for developing e-health Legislations Term # 9 4/18/2011 34

Consultations Developing standardized e-health information data management :

Consultations Developing standardized e-health information data management Methods Consultations Workshops Researches WHO-Surveys Medical Second Opinion study Standardization Suggested Topics Data warehouse: Building Data Warehouse KFSHRC Experience Researches (Book) Working collaboratively with our partners in the Hospital's Research Centre to transfer research data from database to SuperSuite Platform for better visualization and understanding of data. Writing up KFSH&RC seven (7) year experience in seeking international medical second opinions . Term # 10 4/18/2011 35

Recommendations:

To inform all EMROs countries of KFSHRC collaborative center Monthly meetings with EMROs offices and participated hospitals. Encouraging EMROs participants to receive KFSHRC educational activities To determine administrative, technical and medical coordinators in each country Provide their requirements; education , technical, medical and administrative. Recommendations 4/18/2011 36

eHEALTH SERVICES:

eHEALTH SERVICES Distribution of equal high tertiary care to all citizens of the Kingdom of Saudi Arabia through: a. Outreach Regional Clinics connected with full eHealth network facilities. These clinics provide services like clinical patient management, patient referral, ,refill of medications, patients discharge, appointments, lab tests, and medical second opinions. 4/18/2011 37

Electronic Patients Referrals:

Electronic Patients Referrals 4/18/2011 38

Refill Medications:

Refill Medications 4/18/2011 39

Medical Second Opinion (MSO):

Medical Second Opinion (MSO) 4/18/2011 40

Medical Second Opinion:

Medical Second Opinion 4/18/2011 41

Appointments:

Appointments 4/18/2011 42

The Gate to KFSH&RC Virtual Clinics:

The Gate to KFSH&RC Virtual Clinics 4/18/2011 43

Virtual Clinics:

Virtual Clinics 4/18/2011 44

Tele-ICU:

Middle East’s first e-ICU was launched on June 2008 when the ICU of King Khaled Hospital in Hail was effectively connected with KFSH&RC in the presence of Prince Saud Bin Abdul Mohsen , Emir of Hail region Direct connection between KFSHRC and City of Hail (700) KM north Direct patients monitoring by our ICU consultant and patient in Hail ICU Daily round and share discussion of ICU patient in Hail Service launched in Dec. 2007 94 patients has been managed though this technology Tele-ICU 4/18/2011 45

KFHRC Polyclinics:

KFHRC Polyclinics 4/18/2011 46

KFHRC Polyclinics King Fahad Hospital, Hufouf:

KFHRC Polyclinics King Fahad Hospital, Hufouf 4/18/2011 47

Regional Polyclinics:

Regional Polyclinics 4/18/2011 48

Regional Polyclinics:

Regional Polyclinics 4/18/2011 49

Slide 50:

Transformation of technical and information technology to remote and needed healthcare areas. 4/18/2011 50

Reference Lab :

Reference Lab 4/18/2011 51

Regional Lab Tests:

Regional Lab Tests 4/18/2011 52

Regional Lab Tests:

Regional Lab Tests 4/18/2011 53

Tele-Echo:

Tele-Echo Live echo transmutation using video conferences system Store and Forward system using FTP Started with King Khalid Hospital in Hail 4/18/2011 54

Perspectives:

Based on our daily empirical activities, the eHealth Center of King Faisal Specialist Hospital significantly impacts the Quality of Healthcare through the following emphasized perspectives: Equal distribution of tertiary healthcare to all citizens regardless to their geographical locations. Easy accessibility to healthcare services and education through ehealth networks (audio video, e-library portal, medical second opinions. etc.) Cost effectiveness and efficiency for delivery healthcare by utilizing high sophisticated ehealth technology and information. Availability of healthcare services within 24h/7w. Exchange of medical and health information. Transmission of all kind of medical and administrative events to as many as participants and attendance could be. Ability of providing international medical second opinion through the hour. Perspectives 4/18/2011 55