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Integrated Healthcare Information System

Integrated Healthcare Information System. Darko Gvozdanović, M.Sc.E.E. Department manager e-health. Agenda. Healthcare challenges Ericsson addressing the challenges Integrated Healthcare Information System Conclusion. Healthcare Challenges. Increasing Health Care costs

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Integrated Healthcare Information System

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  1. Integrated Healthcare Information System Darko Gvozdanović, M.Sc.E.E. Department manager e-health

  2. Agenda • Healthcare challenges • Ericsson addressing the challenges • Integrated Healthcare Information System • Conclusion

  3. Healthcare Challenges Increasing Health Care costs Demographic change Scarce Resources Chronic Diseases Adverse Events Healthcare Systems Trends and Projections

  4. 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)

  5. Expensive inefficient avoidable preventable

  6. 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 Mobile Field Force Monitoring devices & sensors ElectronicPatientRecords Increasing Health Care costs Demographic change Scarce Resources Chronic Diseases Adverse Events Healthcare collaboration PatientRegisters Reporting and data communication Healthcare Systems Trends and Projections eHealth Services, Mobile Data and Remote Access

  7. Resurces admin data Patient medical data Laboratories Ericsson Addressing the Challenges Processes Mobile patient data Ambulance and 112 service Networked and aggregated data Patient admin data Controlled Cost Increased quality of service Empower Control Predict Patient in the center of the system Telemedicine General Practitioner Offices Hospitals Health Protection Institutes

  8. Health communication network - Hospital Information System Integrated Healthcare InformationSystem HC Agent Electronic HealhCare Record - EHCR Electronic Patient Register - EPR Health Resources Register - HRR Integrated Healthcare Information System

  9. 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 • 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

  10. Physician application IHCIS Technology and Communication EPR HRR EHCR HL7v3 / ENV 13606 interface GPRS/ /UMTS HL7v3 / ENV 13606 interface HC agent Physician Laboratory ISDN ADSL HL7v3 / ENV 13606 interface HL7v3 / ENV 13606 interface Laboratory application Pharmacy Pharmacy application Delivering Services with IHCIS Process interoperability Semantic interoperability IHCIS Users

  11. EPR EHCR Electronic Healthcare Record EPR Integrated healthcare Information System HRR Healthcare Agent • Central system for patient’s electronic healthcare records management • Comprehensive patient care record (anamnesis, allergies, diagnosis, medications, procedures, referrals) • International healthcare terminology (e.g. ICD10) • ENV 13606:2000 with HL7v3 standard

  12. EPR Electronic Patient Record EHCR Integrated healthcare Information System HRR Healthcare Agent • Patient data management • Patient demographics and administrative data • Health insurance information • Assigned physicians relationship management • User-friendly interface and platform independence • HL7v3 standard compliance

  13. EPR HRR Healthcare Resources Register EPR EHCR Integrated healthcare Information System Healthcare Agent • Health resources data management • 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

  14. Benefits for healthcare stakeholders • Physicians, nurses and other healthcare professionals • Data accuracy and timeliness • Efficient working time management • Collaboration and knowledge sharing • Computer aided decision support

  15. Benefits for healthcare stakeholders • Healthcare Insurers and Payers • Electronic invoicing and communication services • Continuous quality monitoring • Fee for service - better managing case costing • Paperless document flow (improvement in performance and data quality)

  16. Benefits for healthcare stakeholders • Public Health • 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

  17. Benefits for healthcare stakeholders • Hospitals • Insight to the patients healthcare record • Optimization of business processes • Integrating with other healthcare stakeholders

  18. Benefits for healthcare stakeholders • Health authorities • Validate drug & procedure efficiency • Better healthcare system management • Potential revenue by selling analysis and trend medical data to pharmaceutical companies, laboratories and research companies

  19. Benefits for healthcare stakeholders • Patient • Medical record ownership • Efficient communication and person mobility • Active participation in diagnostics and decision making processes • Better quality of life

  20. Integrated Healthcare ISBenefits • Immediate and continuous information availability • Controlled and focused actions • Health campaigns for prevention • Controllable care system • Continuous predictability • Population health care • Drugs • Investments • Efficient resource utilization Structured view and creation of the health solution Improved Healthcare provision quality Organizational efficiency and control

  21. Contact Information Ericsson Nikola Tesla Krapinska 45, P.O. Box 93 HR-10002 Zagreb Croatia E-mail: etk.healthcare@ericsson.com WWW: http://www.ericsson.com/hr/products/e-health

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