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The hospital-based ICT system in the evolution of socio-sanitary integration

The hospital-based ICT system in the evolution of socio-sanitary integration with the territory. Guglielmo Toscano Presenter Title: ICT Service Coordinator Company/Institution: Federico II University Hospital. http://www.policlinico.unina.it.

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The hospital-based ICT system in the evolution of socio-sanitary integration

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  1. The hospital-based ICT system in the evolution of socio-sanitary integration with the territory. Guglielmo Toscano Presenter Title: ICT Service Coordinator Company/Institution: Federico II University Hospital

  2. http://www.policlinico.unina.it Federico II University Hospital Mission Integration of health care services with research and training • Federico II Hospital is oriented on the centrality of the individual, defined as: • Patient / user • Professionals • Students. • Towards the patient/user, Federico II Hospital aims to provide services not only to meet his health needs, but also the emotional, socio-cultural and psychological ones. Care Buildings : 21 Surface Mq: 440.000 Beds: 1000 Employes: 2000 Budged: 210 ML euro Departments of Medical Care: 6 Student > 40.000 EuropeanTransparencyRegisterN° 686681213892-44 The hospital-based ICT system in the evolution of socio-sanitary integration with the territory Organization Deed FOUND DecreeN°198, May 20, 2013

  3. Aboutus The hospital-based ICT system in the evolution of socio-sanitary integration with the territory

  4. GPs Hospital Beds Health Districts Aging Population Residents The hospital-based ICT system in the evolution of socio-sanitary integration with the territory

  5. The current state of ICT development in Campania • The use of ICT to supporthealth care services and healthprevention/promotion activitiesisfragmented • Most large hospitals havebeendigitalized (Anagraphics, RIS, PACS, CUP, order entry), although the use of the clinical record isstilllimited • Digitalization of health data at territorialhealth agency isstilllargelymissing The hospital-based ICT system in the evolution of socio-sanitary integration with the territory

  6. Research and development office coordinates Campania Reference Site on Active and HealthyAgeing ACTION PLAN B3 on ‘Replicating and tutoring integrated care for chronic diseases, including remote monitoring at regional levels’ The hospital-based ICT system in the evolution of socio-sanitary integration with the territory

  7. European Project PERSSILAA: (PERsonalisedICT Supported Service for Independent by Living and Active Ageing ) Design and Activities ICT – FP7-610 359 research project

  8. PERSSILAA CORE STRUCTURE • AIM: screening & prevention of frailty and pre-frailty • Shiftfrom a reactive management of diseases to a proactiveapproachfocused on prevention, health promotion and personalizedintervention • PERSSILAAaims to develop and validate a new service model to screen for, and prevent • FRAILTY and FUNCTIONAL DECLINE in community dwelling adults. • We will focus on the • cognitive, • nutritional • physical domain. • PERSSILAA service model uses INTERNET TECHNOLOGY whenever possible • during the screening and prevention of frailty and functional decline. The hospital-based ICT system in the evolution of socio-sanitary integration with the territory

  9. PERSSILAA PARTNERS from 5 differentcountries University of Twente: coordinator, gamification RoessinghResearch and Development:physicalactivity training module, monitoring, validation site Azienda Ospedaliera Universitaria Federico II:validation site Fundacao da Faculdade de Ciencias da Universidade de Lisboa:nutritioncoachingmodule University College Cork, National University of Ireland:screening on general frailty and cognitive functioning Universidad Politecnica de Madrid:interoperable ICT platform FundacioPrivadaInstitut de NeurorehabilitacioGuttmann:cognitive coachingmodule Nexera SCPA Società Consortile per Azioni:ICT platform The hospital-based ICT system in the evolution of socio-sanitary integration with the territory

  10. PERSSILAA LOGICAL CORE STRUCTURE The hospital-based ICT system in the evolution of socio-sanitary integration with the territory

  11. INFRASTRUCTURE COMPONENTS • Creation of the Personal Dossier of the seniors • Data Acquisition by questionnaires via portal • Integration of Personal Dossier with ICT systems to acquire information from sensors • Clinical data acquisition (including integration with FOUND ICT system) The hospital-based ICT system in the evolution of socio-sanitary integration with the territory

  12. SOFTWARE ARCHITECTURE Personal Dossier Patientdemographics Vital parameters Portal Anamnesis Personal data Speciaslisticanamnesis Dashboard of the patient Questionnaires and Score Diagnostic tests and physical examinations Interoperability Framework Adapter 1 Adapter 2 Adapter n The hospital-based ICT system in the evolution of socio-sanitary integration with the territory

  13. DATA FLOW EndoCare Integration Framework ACCESS INTERFACES TRANSCODING TABLES to obtain homogeneous data Query and reports should be read in ENGLISH PERSSILAA Data Base The hospital-based ICT system in the evolution of socio-sanitary integration with the territory

  14. ENDOCARE portalisfullyintegrated with an electronicPatient Dossier, developed with j2ee technologies and suitable to be integrated with other web applications, sensors, etc. according to the service orientedarchiteture (SOA) The hospital-based ICT system in the evolution of socio-sanitary integration with the territory

  15. THE TECHNO-CLOUD HEALTH SYSTEM where data come from? SOCIETAL CHALLENGES= HEALTH PROMOTION & DISEASE PREVENTION= HETHEROGENEOUS DATA ONTOLOGY • DIMENSIONS: • - wellbeing • socio-cultural • safety • research • environment • …… INTEROPERABILITY THE ISSUE Codified /non-codified DATASETS SOCIAL SYSTEM & COMMUNITY • - Demographic Data • Public Registries • Biorepositories • ….. REGULATORY FRAMEWORKS/ PRIVACY DATA STORAGE/ OWNERSHIP • INTER-DISCIPLINARY • STAKEHOLDERS INVOLVEMENT • IN EARLY PHASES OF SERVICE DESIGN A POSSIBLE APPROACH The hospital-based ICT system in the evolution of socio-sanitary integration with the territory

  16. TRIAL DESIGN ASSESSMENT WITH VALIDATED TOOLS QUESTIONNAIRES • GroningerFraility Indicator (GFI) • Intermed Elderly Self-Assessment (IM-E-SA) • SF-12 • RAND-36 fysiekfunctioneren • Short-Form Mini Nutritional Assessment (MNA-SF) . • OUR SOLUTION: • 1 QUESTIONNAIRE • WE MERGED ALL QUESTIONNAIRES • ELIMINATED DUPLICATED QUESTIONS • ICT ALLOWED TO GROUP THE QUESTIONS DURING THE ANALYSIS TO • ALLOW THE SCORING ACCORDING TO THE ORIGINAL, VALIDATED QUESTIONNAIRES The hospital-based ICT system in the evolution of socio-sanitary integration with the territory

  17. Thank You Guglielmo Toscano AziendaOspedalieraUniversitaria Federico II Naples -Italy guglielmo.toscano@unina.it www.policlinico.unina.it + 39 081 746 4223

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