The Egyptian Ministry of Health (MOH) needed more accurate and timely performance data on the country’s nearly 6,500 public hospitals and clinics so that it could deliver better healthcare to citizens. Using Microsoft software, the MOH created an automated performance-management system. With better insight into hospital performance, the MOH can help hospitals improve, reduce mortality rates, lower healthcare costs, and improve citizens’ health.
The Egyptian Ministry of Health (MOH) oversees nearly 6,500 public hospitals and clinics across the country and regulates nearly 600 private hospitals. To gather performance data from all these hospitals and clinics, the MOH depended on a cumbersome paper-based reporting process. It took three months for the MOH to complete the collection of one month of data, which meant that the data was always months out of date—and that necessary corrective actions were delayed. The manual process also introduced opportunity for error and made it difficult for MOH administrators to compare data across hospitals.
||Health officials now have more-timely, accurate data and a consolidated view of performance across hospitals.
||Dr. Hesham El-Deeb
Director, IT Infrastructure Sector, Egyptian Ministry of Communications and Information Technology
In 2008, the Egyptian MOH brought in McKinsey & Company to help it draw up key performance indicators (KPIs) and workflows for evaluating hospital performance. However, without an automated system for assimilating the data, the MOH would still struggle to rapidly make sense of immense amounts of data. The MOH wanted to create an automated, performance-management solution that would expedite the collection and reporting of performance data from hospitals to the MOH, and that would allow hospitals to view the data, as well, so they could see how their performance compared to that of other similar hospitals.Solution
In early 2009, the Ministry of Health turned to the Egyptian Ministry of Communications and Information Technology (MCIT) for help designing such a system. The MCIT pulled in OMS, a local Microsoft Gold Certified Partner, to provide development assistance. “We decided to use Microsoft software because of its ease of use and the fact that most MOH personnel have Microsoft skills,” says Mohamed Sami Abd El-Satar, Project Manager for Enhanced Care Projects in the MCIT. Also, the Egyptian government already had a Microsoft Enterprise Agreement, which would make software licensing cost effective. OMS worked with Microsoft Services, which ensured conformance to Microsoft best practices, to craft the solution, which they called the Hospital Performance Management System, and finished the work in five months.
Hospital staff members enter patient data and care steps taken into online or offline forms, and the system consolidates the data, calculates KPIs across the hospital, and automatically posts the data on a Microsoft Office SharePoint Server 2007 portal where MOH officials can see it. Individual hospitals are also able to monitor and follow up on their performance. The system uses Microsoft Office PerformancePoint Server 2007 to aggregate the forms data and create informative dashboards and reports that reflect up-to-the-minute status of care being provided against KPIs. Microsoft SQL Server 2008 data management software provides the storage repository for all the forms.
OMS used the Microsoft Office InfoPath 2007 information-gathering program to create online forms that look just like the paper forms previously used. For hospitals with patient-management systems, the system pulls needed data from those systems by using Microsoft BizTalk Server and populates the electronic forms. The Hospital Performance Management System also features an offline mode for downloadable forms, which employees can use to enter data when they are not connected to the Internet.
The solution is hosted at a third-party data center, so MOH officials can log on to the system from any browser using secure passwords. Servers run the Windows Server 2008 R2 Enterprise operating system. So far, the solution has been deployed in 37 hospitals; the MOH expects to roll it out to 250 more hospitals by mid-2011. Rollout to all Egyptian public hospitals and clinics will take several years.Benefits
With the Hospital Performance Management System, officials in the Egyptian Ministry of Health can closely monitor the performance of public healthcare facilities and provide better care for citizens. The system is expected to help lower mortality rates and healthcare costs. By using Microsoft software and its existing licensing agreement, the MOH was able to control IT costs.
Improved Healthcare from Better Insight into Hospital Performance
The MOH is using its solution to closely monitor the performance of its public hospitals and promptly address problems that could degrade or delay care. “Health officials now have more-timely, accurate data and a consolidated view of performance across hospitals,” says Dr. Hesham El-Deeb, Director of the IT Infrastructure Sector for MCIT. “With this information, the MOH is able to more accurately allocate financial and human resources to spread healthcare excellence more evenly among Egyptian citizens. With hard data in hand, we take corrective action in days rather than months, and move hospitals up the accreditation ladder much faster than we could before.”
Lower National Healthcare Costs
The Hospital Performance Management System will help Egypt reduce national healthcare costs by reducing the country’s mortality rate. “Using this system helps to reduce the number of people who die in Egyptian hospitals by improving the quality of care and the level of hospital accountability,” El-Deeb says. “Also, by improving the efficiency of existing hospitals, the MOH will have to build fewer hospitals and can curb or lower healthcare costs by improving the quality of care. If patients have a successful first hospital visit, they will get well and become productive sooner and avoid additional hospital trips.”
Lower Development, Licensing Costs
By developing the solution with Microsoft software, the MCIT was able to take advantage of the country’s existing Microsoft Enterprise Agreement. Also, it was able to expedite development. “Microsoft applications, such as Office InfoPath and Office SharePoint Server, provide extensive functionality out of the box, which eliminated the need to develop these functions from scratch,” Mohamed Sami Abd El-Satar says.
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