Transcript Integrated Healthcare Information System

Integrated Healthcare
Information System
Darko Gvozdanović, M.Sc.E.E.
Department manager
e-health
Agenda
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Healthcare challenges
Ericsson addressing the challenges
Integrated Healthcare Information System
Conclusion
© Ericsson Nikola Tesla d.d.
Integrated Healthcare Information System
2008-06-17
Healthcare Challenges
Increasing Health Care costs
Demographic change
Scarce Resources
Chronic Diseases
Adverse Events
Healthcare Systems Trends
and Projections
© Ericsson Nikola Tesla d.d.
Integrated Healthcare Information System
2008-06-17
Healthcare – Crisis drives development
 Costs are skyrocketing due too inefficiencies, closed
systems and decentralized processes and fragmented
application of ICT technology. WE Country example
(NL):
– 12% of GDP today used for Healthcare, if nothing changes
18% in 2020
– In 2025 22% of working population is needed in healthcare
if trends continues
– 2.5% of hospitalization due too avoidable medication errors
costs 300 M€ a year (Institute Dutch Apothecary)
– 200.000 persons have chronically heart problems and
increases with 10% per year.
– High complexity, high overhead, low efficient usage of
capacity (beds – MRI scanners)
© Ericsson Nikola Tesla d.d.
Integrated Healthcare Information System
2008-06-17
In-patient care admissions per 100
25
20
Bulgaria
Croatia
EU members before May 2004
15
SDR, diseases of circulatory
system, all ages per 100000
900
800
10
1980
1990
2000
2010
2020
700
600
Bulgaria
Croatia
EU members before M
500
400
300
200
1970
© Ericsson Nikola Tesla d.d.
1980
Integrated Healthcare Information System
1990
2000
2010
2008-06-17
2020
Ericsson Addressing the Challenges
Tools
Increased no. of subscribers
Fiber, VDSL2
2G/GPRS/3G
Gbyte HSPA
>100 Mbit/s with LTE
Multiple service support
(Voice, broadband, TV...)
Increased communication
capabilities
Healthcare divide
Increasing Health Care costs
Demographic change
Scarce Resources
Chronic Diseases
Adverse Events
Mobile Field Force
Monitoring devices & sensors
eHealth Services, Mobile
Data and Remote Access
Healthcare Systems Trends
and Projections
© Ericsson Nikola Tesla d.d.
Integrated Healthcare Information System
2008-06-17
Ericsson Addressing the Challenges
Processes
Mobile patient data
Patient
medical data
Networked
Patient and aggregated data
admin data
Controlled
Cost
Increased quality of service
Ambulance and
112 service
Resurces
admin data
Patient in the center
Telemedicine
of the system
General
Practitioner
Offices
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Hospitals
Health Protection
Institutes
Integrated Healthcare Information System
Laboratories
2008-06-17
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Integrated Healthcare
Information System
Hospital Information System
Health
communication
network
HC Agent
Health Resources Electronic Patient
Register - EPR
Register - HRR
© Ericsson Nikola Tesla d.d.
Electronic HealhCare
Record - EHCR
Integrated Healthcare Information System
Integrated Healthcare
Information System
2008-06-17
Integrated Healthcare Information
System - IHCIS
 IHCIS is comprehensive ICT enterprise platform that
can support various healthcare delivery processes
– Open standards: HL7v3, CEN ENV 13606
– Ultimate data security and privacy
 Being the platform, IHCIS makes building different
healthcare services easy
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Physician application, e – booking, mobile access to medical
information (community nursing), mobile access to
immunization record, medical documentation access (for
doctors committee)…
Data mining, Business intelligence, Evidence based medicine
(anonymous nation health record is available)
Public health processes support
Integrated Healthcare Information System
2008-06-17
Delivering Services with IHCIS
Physician
application
IHCIS
Technology and
Communication
EPR
HRR
HL7v3 /
ENV 13606
interface
HC agent
Process
interoperability
Semantic
interoperability
IHCIS Users
GPRS/
/UMTSHL7v3 /
ENV 13606
interface
Physician
ISDN
ADSL
HL7v3 /
ENV 13606
interface
Pharmacy
© Ericsson Nikola Tesla d.d.
EHCR
HL7v3 /
ENV 13606
interface
Laboratory
application
Laboratory
Pharmacy
Integrated Healthcare Information System
application
2008-06-17
Electronic Healthcare Record
EPR
Healthcare
Agent
HRR
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Integrated healthcare
Information System
Central system for patient’s
electronic healthcare records
management
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© Ericsson Nikola Tesla d.d.
EHCR
Comprehensive patient care
record (anamnesis, allergies,
diagnosis, medications,
procedures, referrals)
International healthcare
terminology (e.g. ICD10)
ENV 13606:2000 with HL7v3
standard
Integrated Healthcare Information System
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Electronic Patient Record
EPR
Healthcare
Agent
HRR
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Integrated healthcare
Information System
Patient data management
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© Ericsson Nikola Tesla d.d.
EHCR
Patient demographics and
administrative data
Health insurance information
Assigned physicians
relationship management
User-friendly interface and
platform independence
HL7v3 standard compliance
Integrated Healthcare Information System
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Healthcare Resources Register
EPR
Healthcare
Agent
HRR
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Integrated healthcare
Information System
Health resources data management
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© Ericsson Nikola Tesla d.d.
EHCR
Health resources profiles - doctors,
nurses, healthcare facilities, diagnostic
devices, etc)
Access rights
License management (digital
certificates)
User-friendly interface and platform
independence
HL7v3 standard compliance
Integrated Healthcare Information System
2008-06-17
Existing
IHCIS users
Nurse application
Physician
application
New IHCIS
users
Pediatrician
Physician office
HL7 v3
HL7 v3
HL7 v3
Gynecologist
IHCIS
Central part
EHCR
HL7 v3
IHCIS communication
network
IHCIS portal &
Messaging system
HL7 v3
Dentist
HL7 v3
HL7 v3
HL7 v3
School medicine
EPR
HL7 v3
Insurance company
Information system
HRR
Laboratory
(primary healthcare)
Public Health
Information system
Pharmacy
© Ericsson Nikola Tesla d.d.
Integrated Healthcare Information System
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Benefits for healthcare
stakeholders
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Physicians, nurses and other
healthcare professionals
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Data accuracy and
timeliness
Efficient working time
management
Collaboration and
knowledge sharing
Computer aided decision
support
Integrated Healthcare Information System
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Benefits for healthcare
stakeholders
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Healthcare Insurers and
Payers
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© Ericsson Nikola Tesla d.d.
Electronic invoicing and
communication services
Continuous quality
monitoring
Fee for service - better
managing case costing
Paperless document flow
(improvement in
performance and data
quality)
Integrated Healthcare Information System
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Benefits for healthcare
stakeholders
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Public Health
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© Ericsson Nikola Tesla d.d.
Emergency awareness
with respect to: infections
diseases, adverse
reaction to drugs,
increases in water born
infections
Monitoring health trends
(area, office, province or
total population)
Diseases registries
Integrated Healthcare Information System
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Benefits for healthcare
stakeholders
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Hospitals
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© Ericsson Nikola Tesla d.d.
Insight to the patients
healthcare record
Optimization of business
processes
Integrating with other
healthcare stakeholders
Integrated Healthcare Information System
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Benefits for healthcare
stakeholders
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Health authorities
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Validate drug &
procedure efficiency
Better healthcare system
management
Potential revenue by
selling analysis and trend
medical data to
pharmaceutical
companies, laboratories
and research companies
Integrated Healthcare Information System
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Benefits for healthcare
stakeholders
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Patient
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© Ericsson Nikola Tesla d.d.
Medical record ownership
Efficient communication
and person mobility
Active participation in
diagnostics and decision
making processes
Better quality of life
Integrated Healthcare Information System
2008-06-17
Integrated Healthcare IS
Benefits
Immediate and continuous
information availability
Structured view and
creation of the health
solution
Controlled and focused
actions
Health campaigns for prevention
Controllable care system
Continuous predictability
Population health care
Drugs
Investments
Efficient resource utilization
Improved Healthcare
provision quality
Organizational efficiency
and control
© Ericsson Nikola Tesla d.d.
Integrated Healthcare Information System
2008-06-17
Contact Information
Ericsson Nikola Tesla
Krapinska 45, P.O. Box 93
HR-10002 Zagreb
Croatia
E-mail: [email protected]
WWW: http://www.ericsson.com/hr/products/e-health
© Ericsson Nikola Tesla d.d.
Integrated Healthcare Information System
2008-06-17
© Ericsson Nikola Tesla d.d.
Integrated Healthcare Information System
2008-06-17