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Secure Clinical Communication with Innovative Instant Messaging Technology
HIC 2019 - Melbourne
14.Aug.2019 James Tan, Health Informatician Hong Kong Hospital Authority
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7,416km from Mel 1,108km2 7.5M population
Innovative Instant Messaging Technology HIC 2019 - Melbourne - - PowerPoint PPT Presentation
Innovative Instant Messaging Technology HIC 2019 - Melbourne - - PowerPoint PPT Presentation
Secure Clinical Communication with Innovative Instant Messaging Technology HIC 2019 - Melbourne 14.Aug.2019 James Tan, Health Informatician Hong Kong Hospital Authority 7,416km from Mel 1,108km 2 7.5M population 2 S omething about HKH
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Something aboutHKHospital Authority
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~80,000 staffs
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44 public Hospitals
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~30,000 beds
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47 Specialist Out-Patient Clinics 73 General Out-Patient Clinics
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~1.7M Inpatient and day patient discharges per year
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~2.2M A&E attendances per year
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~10M Specialist outpatient clinic attendances per year
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35,000 clinical users 17,000 clinical workstations 1 Clinical Management System (CMS)
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~9M patient records
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Not too long ago .....
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Hong Kong in October 2018 …
Mobile Subscriber: 19,366,977 2.5G/3G/4G : 18,573,243 Penetration : 259.9%
(Source: Office of the Communications Authority, OFTA)
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700%
Photo credit: James Tan, August 2017
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1.2 Billion
population
175 Million
daily active users
1 Million
users register daily
42 Billion
message sent daily
109
countries
53
languages
1.6 Billion
pictures shared daily
$17 Billion
annual budget
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In need of a corporate HA Chat
Secure platform and encrypted data Access everywhere Integrate with other HA systems / apps Message privacy by housing all data For HA staffs, corporate-wide Connect without phone numbers
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Objective of HA Chat
“To minimize the risk that HA colleagues send sensitive information using commercial instant messaging tools”
- In-patient case
discussion
- Community & outreach
Clinical Communication
- Contingency & crisis
- Staff duty
Management & Administrative
- Work collaboration
- Staff counseling
Staff Communication
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Pilot Trial 2016
1,000
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HA Chat 2016
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13 clinical depts 12 admin units 9 hospitals
312 16 159 227 62 53 50 131
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A&E Medicine Oncology Orthopedics Surgery
Allied Health Community & Outreach Contingency & Crisis Management Staff Support
HA Chat 2016
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Enterprise Implementation 2017
80,000+
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KEY FEATURES
- Encrypted transmission and storage
- In-house hosting of messages & media
- Log-in with staff code
- Multiple Devices
- Message Recall
- Watermarks on sensitive images
- Remote wipe
- De-registration
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INSTALLATION
Key in OTP Set Passcode Enable Finger-print
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ATTACHMENT
Send a Photo Send a PDF
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READ MESSAGE
Notification Read message
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DE-REGISTRATION
Remove linked device(s)
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6868 30153 8319 3103 16529 21471 466 1703 4874 1814 1703 1027 1960 322
MEDICAL NURSING AH MGT/ADM SUPPORTING OTHER NON-HA IT
INSTALLATION BY STAFF GROUP
- No. of staffs
- No. of installations
24.8% 16.2% 21.8% 54.9% 6.2% 9.1% 69.1%
(as at 21.Jun.2019)
Total: 13,403 (15.4%)
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Total Text Msg : 505,858 Total Images : 75,005
10000 20000 30000 40000 50000 60000 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Feb-19 Mar-19 Apr-19 May-19 Jun-19 Text Image
24184 47325 24723 38300 48107 19682 36130 43208 29913 48216 36136 43056 40302 26577
(as at 21.Jun.2019)
MESSAGE SENT BY MONTH
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Key concerns from colleagues:
- 1. Privacy & Censorship
- 2. Medico-legal
- 3. Functionality & Security (Convenience)
- 4. Mandatory VS Voluntary
- 5. BYOD & data usage
Sociotechnical Sentimental
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Way forward
Engagement and Promulgation Chabot and A.I. Verbal ordering with NLP Integration with HA Clinical Systems Mandatory rollout
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Thank you
James Tan Health Informatician Hong Kong Hospital Authority (E) jamestan@ha.org.hk