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Envision the
digital hospital
See the future of healthcare
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Viewpoint paper | Envision the digital hospital
Table of contents
The digital hospital vision takes the traditional doctor’s office and transforms it into an efficient,
interconnected, patient-centric health environment for the 21st century. Moreover, the vision
extends beyond conventional bricks and mortar. Through this extension, the hospital becomes
a fully integrated element of a health and wellness system within the community.
It’s this extension and integration that drives the second element of the vision—virtual health
management. Here, the focus continues to be on the patient, but emphasizes wellness and
prevention, treatment, recovery, and rehabilitation outside the digital hospital. In the future,
patients will have increasing control and consent management of their health and medical
details, ensuring they are assessed by the right people, at the right time, at the right point of
care, and that the right care is administered and delivered.
This vision integrates multiple levels of care delivery—home, primary, secondary, ambulatory,
emergency, and long-term recovery care. It ensures a 360-degree view of patient health and
social services care management information to all relevant stakeholders.
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Viewpoint paper | Envision the digital hospital
Improving
health
HP digital Virtual health
outcomes
hospital management
Orchestrating care Extending care
inside the four into the ecosystem
walls of a hospital (physician office,
Enabling home, mobile
care consumer)
coordination
Healthcare’s
Increasing
technology operational
journey efficiency
HP horizontal products solutions footprint
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Viewpoint paper | Envision the digital hospital
Emergency workflow
• Ambulances have a digital routing system, and the hospital is alerted by a look-ahead-
planning system.
• Emergency medical technicians—ambulance personnel—complete a relevant report on a
mobile wireless tablet and upload it wirelessly to patient records. For emergency admissions
patients, they go straight to the emergency room (ER) triage area.
• Hospital administration routes patients to hospitals with appropriate treatment facilities
and bed space.
• Emergency staff is preassembled and ready for patient arrival.
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Viewpoint paper | Envision the digital hospital
Enabling technology
• There is a self-service check-in kiosk.
• Mobile tablets capture and upload patient status information.
• Digital signage displays waiting room statistics and status.
• Queue management software improves patient flow and optimizes critical resources scheduling.
• Unified messaging alerts patients on status and booking.
• RFID or bar-coded patient “smart band” is created.
Benefits
Enhanced quality of care and improved patient experience
• Admission time is rapid and painless because a healthcare record is already in the system.
• Patient is issued a smart band that tracks movements, provides medication alert checks
during stay, and ensures information is displayed and available automatically to staff.
Enabling technology
• Whiteboards or digital signage display ER and wait status.
• Desktops and tablets provide real-time patient information at the point of care.
• Real-time location services (RTLS) or RFID smart bands alert staff and automatically display
updates regarding the patient.
• RTLS locates wandering patients.
Benefits
Enhanced quality of care and improved patient experience
• Diagnostic time is improved because healthcare record is already in the system, enabling
triage staff to quickly and efficiently process patients.
• Patients are happier because they do not have to explain or repeat their medical history
information.
• Hospital administration and operations improve—no unnecessary or wasteful treatments are
ordered. Whiteboards improve awareness and eliminate clinical delays and wasted time.
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Viewpoint paper | Envision the digital hospital
Enabling technology
• Whiteboards display lab status and provide greater visibility, work coordination, and
throughput.
• Large, high-resolution displays provide real-time images and patient information.
• RFID patient smart bands alert staff and update displays automatically to ensure information
is relevant to the patient.
Benefits
Enhanced quality of care and improved patient experience
• Imaging and pathology lab test results are automatically added to the EHR and routed for
analysis and diagnosis.
• Patients are happier because they do not have to explain or repeat their medical history information.
• Hospital administration and operations improve—no unnecessary or wasteful treatments
are ordered.
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Viewpoint paper | Envision the digital hospital
Enabling technology
• Large, high-resolution displays assist surgical teams in theater, and provide valuable
expanded visual reach and magnification.
• Whiteboards and underlying scheduling algorithms display emergency OR status key
performance indicators (KPIs) dashboards.
• Nurse updates and maintains EMR records on medical-grade, sterile washable monitors,
keyboard, and mice and computers on wheels1 (COW) devices.
• Large interactive whiteboards and advanced queuing software enable staff to replan and
reschedule OR to ensure optimal use of physical and people assets.
• Large, high-resolution displays provide real-time display of images and patient information in
theater and for real-time training and lecture rooms.
Benefits
Enhanced quality of care and improved patient experience
• Faster processes enable more operations, resulting in additional hospital revenue.
• Real-time scheduling ensures optimal use of key physical and clinical staff.
1
lso known as carts or workstations on
A
wheels (WOWs)
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Viewpoint paper | Envision the digital hospital
Enabling technology
• Bedside patient terminals provide entertainment and training priority alerts and requests.
–– Session persistence removes (re)logon for EHR and core applications across time and
multiple devices.
• Queue management and mobile workflow are orchestrated.
• Whiteboards and activity monitoring provide real-time KPI dashboards for:
–– Operational visibility and decision-making
–– Real-time and historical trending of KPIs
–– Statistical algorithms to monitor if processes are in or out of control
–– Review and monitoring of corrective actions
Benefits
Enhanced quality of care and improved patient experience
• Nurses are no longer required to do unnecessary checks on patients and provide
nonclinical services.
• Patient can provide self-service and has access to treatment plans and training for faster recovery.
• No unnecessary orderly work or cleaning is done.
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Viewpoint paper | Envision the digital hospital
Enabling technology
• Workflow coordinates all test results, medications, and approvals required for release.
• Doctors can access EHR and talk directly with the patient via video link or phone to expedite
discharge of simple cases.
• Reporting tools help:
–– Create personalized output
–– Generate multiple output types and formats
• Follow-up email supports patient communications, including:
–– Personalized discharge
–– Continuum of care
–– Wellness campaigns
–– Patient retention
–– Hospital brand and marketing
Benefits
Enhanced quality of care and improved patient experience
• Patient is provided with full discharge information on a smartphone or tablet and has access
to treatment plans and training for faster recovery.
• Hospital administration improves because patient leaves on time, with clear, easy-to-follow
instructions. Discharge is rapid, and digital patient documents save paper and printing costs.
• Process meets government health mandates for digital information and reduces costs.
7. Integration engine
Digital hospital key enabling capability
• IP-based messaging integration system advances mobile device messaging and automates
human workflows.
• Pervasive real-time integrated information and service engine orchestrate workflow and
integrate applications, information, building, IT, and communication services.
• Digital hospital ensures all necessary information is available when and where it’s needed. It
helps ensure all critical information is orchestrated and comes together to enable efficient care
delivery workflows and analysis.
• Patient records are updated and available at all points of care—the right time, at anytime,
from anywhere.
• It uses industry standard interfaces and protocols to make implementation cheaper and more
reliable. This includes data collection and production, integrity, and transmission to external
connections through to support community care.
• Digital hospital provides security and privacy controls to meet regulatory imperatives. It
integrates IT systems, facility management systems, med-tech centers, and people using
mobile devices to provide coherent work processes across the entire hospital.
Key benefits
• Digital hospital integrates IT systems, facility management systems, med-tech centers, and
people using mobile devices to provide coherent work processes across the entire hospital.
• It streamlines work processes, increases mobility, and provides a more pleasant environment
for patients and staff.
• It disguises integration complexity.
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Viewpoint paper | Envision the digital hospital
Video/audio Video/audio
Dashboard/ Bedside
Medical device middleware United communications
nurse station terminals
Monitors email WS
PA system
IV pumps IM
WS
Kiosk software
WS
Power systems Video conferencing
Active
External directory
organizations Integration engine LDAP
Audit
BACNet, OPC, WS repository
HL7/WS
Nurse call
Building automation system Hospital/clinical information system
TAP, ESPA 4.4.4
Escalator HIS/PAS
Caroussel PACS/RIS
AGV Maternity
Benefits
Enhanced quality of care and improved patient experience
• Improves hospital operational efficiency and reduces inventory and operating costs.
• Reduces staff walk and wait time with simple task automation.
• Tracks key assets to optimize their use.
• Delivers medication and samples quickly to and from labs and pharmacy.
At the core is a common shared clinical information system with a central EHR module and
integrated care (case) management system. It provides secure information flow and real-time
information access within the provider organization, social services, and payer and provider
network. It enables superior clinical decision-making and better quality of care delivery while
simultaneously improving the process workflow and operational efficiency in the provider setting.
Imagine a patient
Let’s take a look at how a patient might flow through some of this integrated health and social
care community’s components.
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Viewpoint paper | Envision the digital hospital
Elderly and at-risk patients will be regularly visited by mobile nurse care units to ensure all
is well and modify their care plans accordingly. Additionally, patients can access their own
personalized wellness dashboard, displaying their wellness status against their lifestyle
goals and thresholds, and possible insurance claims. The portal will enable patients to submit
e-visits, hold online chats, make AI avatar requests to the tele-med center, or schedule an
appointment to visit the appropriate care providers in the community.
None of the stops in this journey are isolated from the others. Information from all providers
and agencies—with which the patient has contact—is securely available and updated in real
time. Because of this, patients will be preceded at every stop by the most current information so
that treatments are the right ones, at the right time, for the right reason.
Tele-med center nurses have access to evidence-based treatment repositories and clinical
decision-support tools to help them provide the correct advice to the patient. All call and
contact details, diagnosis, medication, and recommendations are entered into the patient EHR.
This provides continuity of care and ensures that future visits and consultations have access to
this information. It also minimizes errors and ensures correct, high-quality treatment and care
plans, and provides information instantly to other providers down the line.
If the doctors or nurse thinks the patient’s condition is serious, they will schedule a hospital visit
for the patient to see specialists, undergo surgery, or be admitted to emergency. All diagnosis and
treatments are entered into the patient’s EHR to provide continuity of care. This information serves
as an up-to-date reference if the patient is referred for secondary care or specialist attention.
Critical condition
Hospitals will still exist in the future. But they will be far more integrated—the digital hospital—
and fully connected to the rest of the healthcare system. They will provide emergency care
and high-cost, specialized, critical care services. And because of the advances in information
flow and patient-centricity, they will optimize the use of expensive assets, such as operating
theaters and scanners.
These advanced digital hospitals will have their own genome testing facility to identify which
treatment or medication to apply. OR doctors will have live video links to other doctors for real-
time consultation during operations (tele-presence). Emergency paramedics will have live video
feeds into the hospital to get information and advice at the point of accident. AI avatars may
be used on way-finders and patient terminals to provide visibility and transparency of care and
treatment plans. Surgeries in hospital operating theaters will be recorded by 3D cameras used
to educate staff for better insights. Specialists will view completely up-to-the-minute patient
medical history and get detailed information about services provided by the primary care
provider and tele-med inferences of health status.
Within the digital hospital, systems ensure seamless patient administration services such as
patient registration, appointment scheduling, waiting list management, and the consultation
event. Moreover, these systems manage nursing and clinical workflow and equipment logistics.
Integrated into the digital hospital environment is admission, discharge, and transfer (ADT), bed
management, and ambulatory care delivery. Healthcare clinical information systems keep track
of RFID-enabled medical devices and hospital personnel for effective scheduling and optimized
operational workflow. Furthermore, technology is leveraged to optimally schedule operating
rooms and other scarce resources for better use and more effective care delivery.
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Viewpoint paper | Envision the digital hospital
Mobile technology will automate and optimize the infrastructure and process workflows
within the hospital setting. This will improve patient throughput, leaving doctors and nurses
with more time for patient care rather than administrative responsibilities. E-prescription and
computerized physician order entry (CPOE) will automate and quicken medicine delivery and
improve laboratory management.
The digital hospital goes all the way to plant management and heating, ventilation, and air
conditioning (HVAC) systems, optimizing the facilities and environment for maximum comfort,
care, and efficiency.
Looking at the present, you can see these ideas have blossomed into a healthcare system and
digital hospital that is rapidly adopting the fully integrated, real-time environment envisioned.
Realizing the vision is a step-by-step process requiring change in philosophy, behavior, and
sophisticated technology.
Every step along this journey further positions healthcare to better address the needs of a
patient-centric, outcome-based integrated care delivery model, delivering better care quality,
enhancing operational efficiencies across care providers, and speeding innovation to enable
better patient outcomes.
Learn more at
hp.com/go/healthcare
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Viewpoint paper | Envision the digital hospital
© Copyright 2012, 2014 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice. The only
warranties for HP products and services are set forth in the express warranty statements accompanying such products and services. Nothing herein
should be construed as constituting an additional warranty. HP shall not be liable for technical or editorial errors or omissions contained herein.
4AA1-1462ENW, May 2014, Rev. 1