Transcript eHI - ehealth

T-Systems’ Experiences
Cost Efficiency in Healthcare
Where we are?
T-Systems’ global delivery capability.
T-Systems, February 2007
T-Systems International.
Facts & Figures.
T-Systems International 2006
Turnover: 11,0 billion €
roughly 52.000 employees
ICT-Highlights
Telekom Global Net in more
than 50 countries with 226
Points of Presence
173.000 km land and sea cable
Over 2000 TC-Solutions
for MNCs
20.000 Software-Developer
Operation of 1,3 mil.
desktop-computers
32 data centers around the
globe
34.596 open system servers
T-Systems, February 2007
Fully Integrated Hospital Information System.
Based on SAP Platform – SAP NetWeaver.
SAP CORE Modules
SAP for Healthcare
i.s.h.med basis
other i.s.h.med modules
Enhanced through client application
voice recording, speech recognition
card readers
biometrical measures
Typical 3rd party systems,
integrated through standard interfaces:
LIS
PACS
Multimedia Archive
ICU Monitoring
BI - Management Information System
T-Systems, February 2007
e-Health.
The Strategy.
 Network across all Healthcare
Service providers
 Hospitals
 General Practitioners
 Specialists
 Nursing Services
 Emergency Units
 Pharmacies
 etc.
 Availability of patients’ medical data
 Anywhere
 At any time
 For authorized persons/professionals
 At required extent
EU wide objective!
T-Systems, February 2007
eHealth Integrator.
Customer’s Benefit.
 Quality of care
 Patients‘ full and transparent medical histories available to authorized users
 Transparency of medical documentation across healthcare providers
 Awareness of medical incompatibilities, preceding diseases, etc.
 Increased and possibly optimal interaction between healthcare providers
 Cost Efficiency
 Optimal availability of medical information
 Awareness and utilization of already existing findings for recent diseases
 Less redundant medical examinations or treatments
 Usage of international interoperability standards ensures protection of investment
T-Systems, February 2007
eHealth Integrator.
Standardization is a Key Factor for Success.
 Standards are the key for improvements in quality and reduction of costs
 Interoperability standards for solution development
 IHE (Integrating the Healthcare Enterprise): recommendation for standard rules
 “The goal of the IHE initiative is to stimulate integration of
healthcare information resources to improve clinical care.”
IHE provides considerable standardization advantages with
the extensive function range of products and a greater selection
of solution approaches.
 IHE does not formulate any new standards, instead it consistently uses existing
standards (like HL7, ebXML and DICOM).
 eHealth Integrator supports technical Standards:
 PIX - Patient Identifier Cross-referencing, PDQ - Patient Demographics Query
 XDS - Cross-Enterprise Clinical Document Sharing
 ATNA – Audit Trail and node authentication, CT – Consistent Time
T-Systems, February 2007
eHealth Integrator.
IHE as a Architecture Paradigm.
XDS - Cross-Enterprise Clinical Documents Sharing
Search
Cross Reference
Manager
Patient Identity Source
Document Consumer
Create
Document Repository
Document Registry
3 Query
Document Consumer
(HIS, GPs: webApp)
Document Source
(HIS)
View
2 Register
1 Provide &
Register
Document Source
(HIS)
Document Repository
4 Retrieve
Document Repository
Store
T-Systems, February 2007
The Client in Austria.
Best Practice Example.
 The Client
 NÖGUS (www.noegus.at)
 Lower Austrian Health and Welfare Fund
 Area of Health
 Federal state of Lower Austria
 Lower Austria: Approx. 1.6 million inhabitants
 27 hospitals with approx. 8000 beds
 Approx. 3000 GP’s and specialists
T-Systems, February 2007
ePatient Record – Web Application.
Login.
T-Systems, February 2007
ePatient Record – Web Application.
Patient Lookup.
T-Systems, February 2007
ePatient Record – Web Application.
Patient Record Screen – Selecting a File.
T-Systems, February 2007
Web Application: Document Viewer.
View of the Selected File.
T-Systems, February 2007
eHealth Integrator@NÖMED WAN.
Summary (1).
 Operative Advantages
 The use of the e-card together with the patient index
guarantees definite identification of the patient as well as fast
data entry during admission in primary systems.
 The Electronic Patient Record provides treatment security and
the potential for cost reduction due to network-wide
transparent documentation for the patient.
 Consistent vocabulary due to the use of standard catalogs for
document categories, departments, …
Consistent document architecture (CDA Level 2) planned.
T-Systems, February 2007
eHealth Integrator@NÖMED WAN.
Summary (2).
 Protection of Investment
 IHE-compliant solution due to use of multiply checked
components in IHE Connectathons in Europe and USA.
 Interoperability to current and future systems in the network as
well as neighboring networks.
 Conformity with eHR requirements due to greatest possible
use of standards (HL7, ebXML, DICOM)
 Maintained standard product with IHE-compliant functionality
and consideration of local requests.
 Integration module to SAP IS-H / i.s.h.med available as add-on.
 Can be enhanced according to IHE profile development
T-Systems, February 2007
Thank you.
Leo Schulcsik
International Sales & Partner Manager
Sales Health Services
Rennweg 97-99
A-1030 Vienna
Austria
mobile : +43 676 8642 8344
e-mail : [email protected]
Radoslav Yanchev
Strategic Project Manager
Orbitel
1 Macedonia Sq., 18 fl.
Bulgaria
mobile : 0889 232303
office: 02/ 400 47 72
e-mail : [email protected]
T-Systems, February 2007