the virtual hospital information system of the future by bart sijnave
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Bart Sijnave - CIO UZ Gent The Virtual Hospital Information Systems (HIS) of the Future (TRANSCRIPT
© 2012 Universitair Ziekenhuis Gent
Prof. dr. B. SijnaveCIO UZ Gent
The virtual Hospital Information System of the future
September 20, 2012
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The classical HIS today
Strategic level
Tactical level
Operational level
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The HIS of the future
V irtualmult I ‐dimensionalsha R edcus T omer centeredsec U re
A vailablesupporting qua L ity of care
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The virtual HIS or the HIS in the cloud
VIRTUAL
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The virtual HIS or the HIS in the cloud – MIS part
VIRTUAL
HIS
Main driver for MIS in the cloud is costreduction (small set‐up cost, small maintenance cost, …)
Type of data that is concurrential would only embrace private cloudsolutions
Example: different TCOs for different ERP deployment options
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The virtual HIS or the HIS in the cloud – EHR part
VIRTUAL
Main driver for EPR in the cloud would most probably be… cost reduction (small set‐up cost, small maintenance cost, …)
Type of data that is confidential would force strictly securedand highly available private cloud solutionsbut this most definitely has a cost, reducing the effect of the main driver…
HIS
EHREPR
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The multi‐dimensional HIS (1)
Internal multi‐dimensionalityVIRTUAL
doctors nurses pharmacists
paramedics …
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The multi‐dimensional HIS (2)
External multi-dimensionalityVIRTUAL
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The shared HIS: a bare necessity
VIRTUAL
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The shared HIS: possible approaches
The discussion between
&
doesn’t have a single truth, but should have a complementarity, or
instead of
VIRTUAL
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Shared Patient record in practice: Netherlands
Opt OutCostlyNo ther. relation checkNo cxclusions
Smaller, Opt‐IN
VIRTUAL
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Shared Patient record in practice: NHS
2009
feb 2010
apr 2010
Dec 2011 (est: 2014)
VIRTUAL
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The shared HIS in Belgium
What it is today…VIRTUAL hubs of hospitals and GPs
governmental initiatives
networks of hospitals
…
…
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The shared HIS in Belgium
What it could become tomorrow…VIRTUAL hubs of hospitals and GPs
governmental initiatives
networks of hospitals
…
…
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The customer centered HIS
VIRTUAL
0
50.000
100.000
150.000
200.000
250.000
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
EPR
patiënt empowerment
Pubmed citations
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Patient empowerment: finally accessible?
EMR
EPR
Shared EPR
SharedEPR - PHR
VIRTUAL
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The secure HIS
VIRTUAL
• Compiled medical data is very attractive…Insurance companiesPharmaceutical industryEmployer related (sickness)….
• Data safety concerns (outside hacking)
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The available and performing HIS
The more simultaneous users, the more the availability and the performance of the systems gets challenged
VIRTUAL
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The quality HIS: data quality = care quality
VIRTUAL
medical longitudinal record in a mobile worldincreased complexity, treatment options and regulationsincreasing number of participating health actorstransmural care, data sharing, cooperationprevention and home monitoringcost reduction (if implemented right)Data = The ‘Evidence’ for Evidence based medicine….
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The virtual HIS of the future can only bevirtual…
Thank you for your attention!