Kameda says that the system has cut wait time in the outpatient clinic to a mere three minutes. All data is shared among all departments and staff." Dr. Adds Toshitada Kameda, MD, chairman of Kameda Medical Center: "Patient satisfaction has gone up dramatically, and also collaboration between the hospital and the clinics has improved dramatically. Walker says that all but one physician in the enterprise is using the system. The system provides access to all radiology and ultrasound images, and supports outcomes and cost measurement, clinical guidelines and alerts, according to John Walker, executive VP of the medical center. The system is not entirely paperless yet since Japanese healthcare organizations are required by law to keep paper records.
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The Windows-based system runs in a mainframe environment over ISDN lines, connected to 1,000 PCs. It has been up and running now for nearly four years across every department-inpatient, outpatient, home health and laboratories. The organization has been developing an enterprisewide electronic medical record and patient management system with IBM since 1990. "I have seen fully automated laboratories where the specimens were never touched by human hands."Ī shining case study of Japan’s progress in healthcare informatics is the private, family-owned Kameda Medical Center, a 350-year old organization located in Kamogawa, a seaside resort town southeast of Tokyo. "Some of the best systems I have seen come from Japan," agrees Lun. to automate claims processing since the 1970s. And because the Japanese have an insurance-based healthcare system, they have shared similar needs with the U.S. Wysen says healthcare IT in Japan is comparable if not more advanced than in the U.S., citing a high level of clinical systems integration in Japanese healthcare organizations. Japan alone represents 73 percent of the total IT spending in the region, according to statistics compiled by IBM, and is IBM’s biggest healthcare market in the Asia Pacific region, says Jozef Wysen, marketing manager for IBM Asia Pacific Healthcare in Brisbane, Australia. Japan has perhaps the richest legacy of investment in information technology in the region-thanks to the country’s strong domestic industry and competitive business environment. providers of healthcare information technology and services who have a strong track record at home, he says. Kwok Chan Lun, M.D., director of medical informatics at the National University of Singapore and founder of the Asia Pacific Assocation for Medical Informatics, says that hospitals in the region are quickly seeing the urgency to automate, developing into sophisticated purchasers of healthcare IT and relying less on patchwork, home-grown systems: "The way to see quick return is to buy proven applications from the shelf." As this environment matures, so will the market for U.S. "There is an awareness that IT can really move the healthcare system forward in both the public and private sectors," says Kurt Miller, Andersen Consulting partner and head of global medical management in Pittsburgh. As Asia Pacific governments confront large elderly populations and shrinking public coffers, leaders are offering new payor models, preventive health programs and information technology as relief for strained healthcare systems. Still, the needs are universal, and evidence is emerging that diverse cultures readily agree on both common problems and fixes for the healthcare challenges of the 21st century.
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Technologically advanced countries like Japan-which has been developing applications in medical informatics since the 1960s-are neighbors with developing economies such as Vietnam and Thailand where telephones are far from ubiquitous, and high tech may mean a standalone PC-based patient administration system at best. The same can be said for the application of information technology. If you envision the United States as 50 separate nations, each with its own language, culture and healthcare system, then you can begin to understand the complexity of healthcare in the Pacific Rim. Is the information age speeding healthcare toward a global standard? Advances in healthcare IT in the Asia Pacific region are narrowing the differences in healthcare between East and West. Despite the turmoil, all industries including healthcare continue to demonstrate their commitment toward privatization and modernization through technology.
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#CSC ORION 18 PAK SERIES#
Asia Pacific economies are struggling to cope with the past year’s series of financial catastrophies and regain the market stature and confidence they once enjoyed.