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Oct11
24

Singapore's Healthcare Revolution

Posted by: Sash Mukherjee in Health Bytes @ 10:00 AM

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Sash Mukherjee

If you are living in Singapore it would be hard to avoid the buzz around healthcare reforms. The rising costs of healthcare due to a fast ageing population and the change in disease burden are issues being faced by many developed nations in the world.   The Singapore government seems to be tackling it through a many-pronged approach.

Singapore's public healthcare system is organized in clusters, each cluster anchored by a regional hospital working with a variety of primary providers, the intermediate and long-term care sector and support services to create an ecosystem for patient-centric care delivery. The Agency for Integrated Care (AIC) makes the transition of patients from one care setting to another smoother.


Prevention of diseases, especially chronic diseases has evolved as another key focus for the Ministry of Health. The Health Promotion Board is implementing a S$116 million program aimed at chronic disease management. GPs and Polyclinics are being empowered to provide this care.


The National Electronic Healthcare Records (NEHR) rolled out earlier this year has the capability of supporting these strategies. The NEHR is a key enabler of Singapore’s vision of “one patient, one record” which allows patients to move seamlessly within the entire healthcare ecosystem. It is targeted to be used, not only within the walls of the hospital but also over the entire care continuum. It aims to collect all medical data on a person and use it to support clinical decision making, at all points of care.Phase 1 aimed to compile key medical information including patient demographics, allergies, clinical diagnoses, medication history, X-ray reports, laboratory investigations and discharge summaries, which will be fully exchangeable. The foundations have been laid to enable leverage to implement advanced functionalities like clinical analytics. As the system evolves to its full potential, it should have the capacity to perform a wide range of other functions like clinical analytics, quality assurance, and research.

 

Singapore has clearly envisaged this as a business and clinical transformation project, and not merely an ICT project. If you wish to learn more about Singapore's healthcare revolution, please contact me on smukherjee@idc.com 

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Oct10
27

Revolution in Healthcare Delivery Underway in the Asia/Pacific region

Posted by: Gerald Wang in Health Bytes @ 5:17 PM

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Gerald Wang

Recent developments in eHealth are moving in several key fronts — toward an evidence-based practice of medicine in a connected environment, the digitization of health information for interoperable electronic health records (EHRs), web-based communications solutions for a seamless transfer of patient information from one institution in one region to another in a different region, integration of existing systems for a cost-effective way of implementing eHealth, and increased consumer participation in healthcare.

According to IDC Health Insights, the following are the key drivers of eHealth in the Asia/Pacific region:

  • Improving IT and business alignment
    - Ambitious IT transformation plans focus on achieving greater responsiveness in sustainable and market-aligned initiatives
  • Realizing patient-centric market responsiveness
    - Focus on cost-effective delivery of health services, and increase consumer expectation and participation in healthcare
  • Achieving seamless operations
    - Evidence-based practice of medicine in a connected environment, the digitization of health information for interoperable EHRs, and web-based communications solutions that provides for a seamless transfer of patient information

At the IDC Health Insights’ first Singapore eHealth roundtable last Wednesday, the topic of eHealth transformation was high on the agenda for the delegates. Analysts from IDC Health Insights Asia/Pacific actively engaged with invited C-level healthcare IT practitioners in in-depth discussions relating to strengthening business-IT alignment strategies and shared anecdotal best practices in ICT implementations for the Asia/Pacific healthcare sector.

We will be publishing the event's proceedings in our IDC Health Insights report series, the “Asia/Pacific Healthcare Country Profile Service” soon.  If you would like to get hold of this report, please contact me at geraldwang@idc.com or my colleague Janet Chiew at jchiew@idc.com.

An overview of the Asia/Pacific healthcare landscape

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Aug10
29

Governments are considering cloud technologies in a bid to drive more efficient operations

Posted by: Gerald Wang in GovSpace @ 7:48 PM

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Gerald Wang

The recent global recession has increased public scrutiny and accountability demands on the IT budgets of government organizations. Paradoxically, these organizations are increasingly under pressure to raise service competency and productivity. This cost and performance management irony has propelled public agencies to look to other technological alternatives, such as cloud computing solutions.

In the latest IDC Government Insights study, “Looking Ahead: Articulating Cloud Competencies for the Aisa/Pacific Public Sector (Doc #AP9694203S)", IDC Government Insights discussed the trends driving the adoption of cloud technologies, whether public, private or a hybrid of both models, and the concerns over the use of cloud computing technologies in the public sector such as security, reliability and regulatory compliance.

In general, most public sector agencies are widely dispersed operational silos and have an urgent need to coordinate and integrate the various egovernment functions. Notably, the challenge today is that these agencies face varying policy and operational restrictions which translate to different needs and scales on their IT capacity. As the business case for the traditional data center is no longer sustainable in the long run, the adoption of cloud computing technologies in the public sector has become a viable option.

We note that the Asia/Pacific public sector is still apprehensive about the adoption of cloud computing especially in agencies that handle sensitive information. Most of the initiatives today are still at an experimental stage as the public sector tries to determine the return on investment (ROI) and weigh the risks involved in the adoption of cloud computing technologies.

Governments should take an active change management stance to address the people and process aspects of cloud implementations, such as revolutionizing traditional workflows and facilitating interoperable standards to bring about greater inter-agency coordination. All the stakeholders involved need to internalize the value and application of the cloud model so as to truly realize a continued and successful egovernment transformation.

We are also expecting data protection and security solutions such as "rights-management-as-a-service", and integrated business intelligence and analytics applications to feature strongly as key technological innovations that lead the adoption of cloud computing for the public sector.

Inevitably, apart from cost management agendas, public sector agencies will need to define their own set of business requirements for cloud computing solutions. This means they have to explore and gather distinctive proficiency and awareness towards building a specialized enterprise-grade cloud services model that fits the unique environment it serves. Thus, the eventual adoption of cloud technologies, whether public, private or a hybrid of both models, lies fundamentally on the operational requirements it seeks to address.

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May09
06

Are You Ready to Catch the Wave of Healthcare Reform in Asia/Pacific?

Posted by: Alex Kim in Health Bytes @ 7:47 PM

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Alex Kim

Healthcare reform across Asia/Pacific will gain a much-needed infusion of cash, catching the spirit of the U.S. ARRA stimulus funding.

Australia's New South Wales (NSW) government finally committed electronic medical record (EMR) funding of $100 million over the next two years to cover 188 hospitals across the state. Earlier in April, the NSW government promised $485 million over four years to deliver better healthcare, including the creation of a Bureau of Health Information to collect, analyze and report on the safety and quality of patient care in public hospitals. At the federal level, we expect much more. The anticipated June 2009 report from last year's established National Health and Hospitals Reform Commission (NHHRC) should outline Australia's reform plan, including its concerted plans for EHR. However, security issues around patient data will be a key concern.

China, months after announcing a commitment of $124 billion over three years to provide affordable health, finally issued an implementation guideline on fixing the ailing health care system, including setting up diversified medical insurance systems in the next three years to better cover at-risk urban and rural residents with the goal of covering 90% of the population and also creating new hospitals and clinics.

What is your organization doing to support the government's healthcare reform initiatives in Asia Pacific and what are some of your concerns? I will be in Australia on May 15-19th for a provider CIO forum, New Zealand May 20-23rd for a Health Provider Executive Roundtable with the New Zealand Ministry of Health to discuss EHR and digital hospital, and Singapore May 25-26th. I look forward to hearing from you. Please look for our Health Industry Insights, Asia/Pacific Country Profile report series; Australia and New Zealand reports will be available by the end of May.

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