best applications of health it in asia and europe · 2019-11-07 · healthcare professional patient...

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Best applications of Health IT in Asia and Europe

GOGLIN Jean-FrançoisNational Advisor, FEHAP

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Our life takes placein a SmartCity, andwe are connectedin a whole digitalworld.

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All of us live in the SmartCity.And the care path takes place there.

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Healthcare professional

Patient

The care pathThe care path includes two parts, one linked to the patient, hisfamily and his caregivers, the other related to healthcareprofessionals.

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The care pathThe two parts are intrinsically linked by pivotal technical objects.The pivots are DMP ( a secured shared medical record), secure messaging and coordination platforms.

DMPINSDAC

Digital Health Space

Secure Messaging Professional social

networks

Patient’s Diary Store apps Patient

E-prescriptionHealth professional

MobilePatient

Home

Patient

City doctorHealth

institution

DMPINS

Connectedobjects

Telemedecine

DAC

Internet

Security

G.H.T.

Secure Messaging

Patient

E-prescription

Portal

Bouquet of servicespackages

Smart Chatbot

Mobile

Laboratories

Intermediationplatform

HealthData Hub

RobotDatawarehouse

Public Hospitals

Health professional

Patient’s Diary

Professional social networks

Digital Health Space

Outsourced health information system

Store apps

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EHR§ All hospitals now have an EHR.§ Interoperability must be in place by 2023.§ In fact, hospitals are working on the urbanizationof their information systems.

§ Cybersecurity remains a main issue.

For which applications for Health and IT?

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Intermediation platform§ Whereas interoperability is about the ability oftwo systems to communicate with one another,intermediation connects and therefore links twoactors (who can be humans, AI, electronicsystems, …) with each other.

§ Intermediation platformes will use tools such asEAI, ETL, webservices, messaging, portals,….).

§ Intermediation will connect any actor in the lifepath within a digital healthcare ecosystem.


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Portal§ All major French hospitals deploy portals that aimto :ü Inform patients, families, caregivers and

professionals.ü Give access to certain features of the hospital

information system such as makingappointments for example.

ü Associate in a particular form of integrationseveral information systems when bringingtogether several hospitals for example.


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Chatbots§ Chatbot has huge potential especially in thecontext of the patient experience and in themedical environment. especially as treatmentsare becoming more complex, and healthprofessionals can no longer find time to explainand interact with patients.

§ The integration of chatbots today will be one ofthe keys to the success of the digital relationshipwith the citizen-user-patient, his family and hiscaregivers.

§ First chatbots are put on their feet to offer thepatient experience.


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Datawarehouse§ Most French big hospitals create adatawarehouse.

§ AP-HP's Health Data Warehouse (EDS) integratesthe administrative and medical data of more than8 million hospitalized or consulting patients fromits 39 sites.

§ This unique infrastructure will make it possible, forexample, to conduct feasibility studies in clinicalresearch, vigilance studies or to advance non-interventional data research. The main challengesof is to build robust AI algorithms for diagnosticand therapeutic decision support.

§ APHP is the biggest european hospital.


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Health Data Hub§ The Health Data Hub is a federating nationalsecured anonymous database.

§ The aim of the Health Data Hub is to promote theuse and increase the possibilities of exploitinghealth data, particularly in the areas of research,support for health personnel, management ofhealth, follow-up and information for patients.

§ It will allow the development of new techniques,especially those related to artificial intelligencemethods.


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DMP§ The DMP is a Shared Medical Record. It’s a digitalhealth record that keeps and secures your healthinformation: treatments, test results, allergies ...

§ Based on the patient's consent, the stored data isshared by professionals to improve theeffectiveness of patient management in everycare-path.

§ 7 million DMPs are already created and powered.§ 40 million will be opened.


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DAC§ Coordination support systems collect andstructure support functions for healthprofessionals from existing systems.

§ In the context of care paths, coordination supportsystems help care team professionals to findpractical solutions to prevent breaks in the care-paths and prevent unnecessary hospitalizations.

§ Each French region integrates one or more digitalcoordination platform.


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Telemedecine§ Most of french hospitals develop telemedecine.§ They mostly use it doing :

üteleconsultations

üteleexpertiseüremote monitoringüMedical teleassistanceüICU regulation


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IoT at home§ Using IoT, home become smarthome and caringhome.

§ IoT is used to detect falls, prevent risks, or forchronic disease monitoring.


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Mobile Apps§ Main hospitals create Apps. They will be acceededvia a digital store. Every patient will have his ownstore.

§ These apps concern :ü Informationsü wellbeingü Therapeutic educationü Chronic diseasesü Prevention (smoking,….)ü …

§ Some use AI and chatbots.


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Coordination associated with

innovative digital platforms will allow to move to the level

of prevention.

Key success factor : maturity

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Teşekkürler!

GOGLIN Jean-FrançoisNational advisor

best applications of health it in asia and europe · 2019-11-07 · healthcare professional patient...

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