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Japan Update : Success Stories

Japan Update : Success Stories. Shinya Oku IHE Japan Board Member. Presentation Outline. Characteristics of IHE Japan) Introduction of Success Stories Economical Consideration Future Direction. - 8 Sites 120 profiles were implemented -(21 in US, October 2007).

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Japan Update : Success Stories

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  1. Japan Update : Success Stories Shinya Oku IHE Japan Board Member

  2. Presentation Outline Characteristics of IHE Japan) Introduction of Success Stories Economical Consideration Future Direction

  3. - 8 Sites 120 profiles were implemented -(21 in US, October 2007) 2 National University Hospitals 2 Private University Hospitals 3 Public or quasi-public Hospitals 1 Clinic (Imaging Centre)

  4. IHE Japan Activities initiated in 2001 Supported by METI and then MHWL Established “IHE Japan Association” in March 2007

  5. Success Stories: Comparison between Japan and US

  6. Success Stories: Actors applied in SWF implementation

  7. Three Stories en bref Saitama Medical Centre 2003-2006 Okazaki City Hospital 2004-present National Radiological Institute 2005-present

  8. Case of Saitama Medical Centre Saitama Medical Centre 2003-2006 Okazaki City Hospital 2004-present National Radiological Institute 2005-present

  9. “First-in-Japan” Showcase of the Radiology Department System Using Integrating the Healthcare Enterprise-Japan (IHE-J ) Guideline, supported by the Ministry of Economy, Trade and Industry (METI). IHE User Success Story Saitama Medical Center

  10. SAITAMA MEDICAL CENTRE Server System (Web Type) Saitama Medical Center initiated HER in March, 2005. Saitama Medical University Hospital 【1483 Beds】 Saitama Medical Center 【913 Beds】 Saitama International Medical Center 【600 Beds】

  11. IHE-J ・ Showcase

  12. Laboratory Order Food Supply Order Radiology Order Pharmacy Order Blood test order Implemented for Radiology Order Placer in EHR

  13. powered by AMI System(actor) Order Placer DSS/Order Filler Image Manager/Image Archive Image Display/Portable Media Importer Report Manager/Report Repository Report Creator/Report Reader Acquisition Modality Portable Media Creator

  14. Applied Integration Profiles ○SWF Integration Profile（JJ1017） ○PIR Integration Profile ○CPI Integration Profile ○PDI Integration Profile ○WADO (Non XDS-I Integration Profile) ○SINR Integration Profile ○RWF Integration Profile

  15. Virtual Showcase http://www.saitama-ihe.jp/

  16. IHE-J Official Site (including case presentation of SS)

  17. Case of Hamamatsu University(Prof. Kimura)

  18. Case of Okazaki City Hospital Saitama Medical Centre 2003-2006 Okazaki City Hospital 2004-present National Radiological Institute 2005-present

  19. JJ1017 Ver.3 JJ1017 Ver.3 JJ1017 Ver.3 CPI Monitor：２００ Example ofOkazaki(2008) Reservation System ＰＩＲ EMR Secure Node Patient registration ユヤマ Lab Audit Repository Rad Phy ADT Prepare Order Placer Order Placer Order Result Tracker ATNA Order Placer PIR SWF，PIR，LIR SWF，PIR，LIR Media Creator Media Importer JLAC 10 PDI 日機装 Dialysis PIR Laboratory System ＰＡＣＳ ＲＩＳ／ＬＩＳ トプコン Order Filler Image Archive Automation Manager Eye Care DSS／Order Filler JLAC 10 PIR Image Manager SWF，PIR LSWF，LIR Cardiology SWF，PIR Image Archive 丸善 electrocardiogram QA System of Modality 給食システム ＩＭＡＧＥＲ Image Manager MFER Acquisition Modality グリーム Print Server SWF Media Creator Order Filler 栄養指導 Print Composer SWF，PIR，PDI SWF CPI PIR

  20. 家康 信長 秀吉 尾張 三河 名古屋市 岡崎市 370 thousand habitants 650 beds Regional centre 1,300 daily outpatients Okazaki City Hospital

  21. Timeline of implementation • ・FY 2005 • RadiologySWF,PIR,CPI • LaboSWF,LIR • ・FY 2006 • Renewal of CTand US • ・FY 2007 • Radiology (Regional cooperation) PDI • Virtual on-line reservation systemATNA • Renewal of intervention imaging system • CardioloyPIR • Integration of patient care monitors and nursing system • ・FY 2008 • Administrative management system • ・FY 2009 and later (planned) • Extension of regional cooperationXDS • Renewal of MR

  22. Laboratory Radiology System Overview(as of January 2006) Integration over 15 companies and 44 departments based on EHR＜ EHR system Nurse assistance Pharmacy Nurses’ shift assistance Test tube preparation （株）ユヤマ Food Supply SPD system Drug Information ADT Nutrition System 京ｾﾗ丸善 ｼｽﾃﾑｲﾝﾃｸﾞﾚｰｼｮﾝ（株） （株）スズケン (株)日立情報制御ｿﾘｭｰｼｮﾝｽﾞ （株）グリーム Endoscpy Ophtalmology Dialysis Lung Function ECG System オリンパス（株） （株）トプコン 日本光電（株） 日機装（株） フクダ電子（株）

  23. 情報連携の共通化（ワークフローの共通化） EHR Radiology/ Physiology PACS Image WS MFER(ECG) モダリティ→ 　仕様書の共通化 Ordered Information Images Images WS

  24. Arrival of unknown patient Registered as Mr. Ambulance 1 Radiology/Phisiology EHR MFER(ECG) PHILIPS

  25. Reconcilliation after exam. Immediate one-stop correction to the patient’s real name EHR Radiology /Physiology

  26. EHR Pharmacy Dialysis Labo system Ophtalmology PACS Food Supply Dept. of Nutrition 医事システム Images (movies) Radiology/ Physiology Common仕様書over depts.

  27. 取得画像 プリント 表示 画像提供： David Clunie CPI （Consistent Presentation of Image） • GSPS • LUT,Shutter,Area,Annotation,Transformation • GSDF ---JIRJESRA X-0093-2005 (http://www.jiranet.or.jp/commission/system/04_information/files/JESRAX-0093.pdf) • Managed Monitors • ２M-Colour LCDmonitor１１４sets） • ２M-Monocolour LCDmonitor（４９sets） • ３M-Monocolour LCDmonitor（３３sets） • ５M-Monocolour LCDmonitor（２ sets） • ５Ｍ-Monocolour ＣＲＴmonitor２ sets） total　２００sets

  28. Off-line information sharing Usecase of PDI(Portable Data for Imaging) Physicians in thec ity Approx. 230clinics Our hospital

  29. Virtually on-line reservation Usecase of ATNA (Audit Trail and Node Authentication) 予約サーバ EHR ＬＡＮ 予約情報 VPN Physicians in the city Approx. 230clinics Our hospital

  30. JJ1017 Ver.3 JJ1017 Ver.3 JJ1017 Ver.3 CPI IHEImplemenation(as of April 2008) バーチャルオンライン予約 ＰＩＲのみ対応 EHR Patient registration Secure Node ユヤマ 検体検査 Audit Repository 画像検査 生理検査 ADT 調剤支援 Order Placer Order Placer Order Result Tracker ATNA Order Placer PIR SWF，PIR，LIR SWF，PIR，LIR Media Creator Media Importer JLAC 10 PDI 日機装 透析システム PIR 検体検査システム ＲＩＳ／ 　生理検査システム ＰＡＣＳ トプコン Order Filler Image Archive Automation Manager 眼科システム DSS／Order Filler JLAC 10 PIR Image Manager SWF，PIR LSWF，LIR 循環器(動画)システム SWF，PIR Image Archive 丸善 心電図システム 検像システム MFER規格 給食システム ＩＭＡＧＥＲ Image Manager Acquisition Modality グリーム Print Server SWF Media Creator Order Filler 栄養指導 Print Composer SWF，PIR，PDI モダリティ群 SWF CPI PIR

  31. Case of National Radiological Institute Saitama Medical Centre 2003-2006 Okazaki City Hospital 2004-present National Radiological Institute 2005-present

  32. Economical Aspect Case of Hamamatsu Saved connection expenditure From 1000USD to 120 USD

  33. Future Direction -Initial Implementations of IHE have been performed successfully. - Information integration in regions (Japanese RHIO-like direction) is a part of governmental policy to enhance national medical system reform initiated this year

  34. Economical Aspect 2 Case of Saitama Saved total system integration cost for dept. of radiology From 1,300,000 to 500, 000 USD* (* contains some “first implementation” effect” and other effects)

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