1 © AGIT AB Vyspělá ICT infrastruktura podporující VaVaI v regionálním zdravotnictví Jan Pejchal, Martin Zeman.

1

© AGIT AB

Vyspělá ICT infrastruktura podporující VaVaI v regionálním

zdravotnictví

Jan Pejchal, Martin Zeman

2

RHC company profileRegional Health Corporation consists of 5 hospitals

Děčín Ústí nadLabem

Teplice Most Chomutov

Total assets 5 billion CZKBasic capital 3.6 billion CZKEstimated revenues 4.5 billion CZKTotal 6 342 employees,

Incl. 4 885 health professionals.821 physicians,2 671 nurses

3

RHC company profile

The organization was established in September 2007 to merge these 4 district hospitals and 1 regional (Masaryk) hospital under one roof creating thus the biggest healthcare provider in the Czech RepublicThe share holding company is owned by The Ústí Region

4

RHC company profile

The area covers about 820 000 citizens6 342 employees (from that 838 doctors and 2 673 nurses)More than 3 350 beds (71 % acute care beds in the region)Basic, specialized and super specialized health care in a great number of departments and clinics

5

Masaryk Hospital profile

Staff 2 338Beds 1 246Clinics and departments 40Average length of stay 6.5Inpatient 42 316

6

Masaryk Hospital profile

the largest healthcare facility in the regionthe biggest employer in the regional capital townthe most important healthcare provider in the region

7

Masaryk Hospital profile

The most modern and most efficient technological infrastructure has been built and it rates among the best Czech hospitalsMasaryk Hospital is a filmless hospital since 2003ISO 9001:2000 certification since 2002ISO 27001 certification is in progress

8

eVision of Masaryk Hospital

filmless and paperless healthcaretelemedicineEHRnew services based on ICT

and at the same timeprivacy policylegal protectionfinancial health

9

Characteristics of IS/ICT area

The Centre of Information Systems is a shared services centre of the RHC corporationThe centre provides the unique regional healthcare computer network, based on dark fibre technology, DWDM and MPLS services

10

IS/ICT support for medicine

clinical evaluation of drug effects and of newly introduced medical equipmentresearch activitiespostgraduate and lifelong education of healthcare and information professionals

11

IS/ICT support for medicine

scientific information services for healthcare community and for other clientsspecial courses, training and other educational activities including lectureships and extramural educationICT administration for consultations and for telemedicine

12

IS/ICT support for medicine

Videoconferencingin project managementin education oriented conferences (with surgical theatres)in cooperation with university partners (CESNET) HD videoconferencing

13

IS/ICT support for medicine

Video streamingfrom the education centre of RHCfrom theatresto the education centre of RHCIP streaming (IPv6), MJPEG

14

Regional dark fibre network

Masaryk Hospital is a provider of The National Research Network CESNET2+ (10 Gbps access to CESNET2+ on DWDM)Clients of CESNET2 can access to the research network through our regional network

15

Regional dark fibre network

Similarly dislocated The Ústí Region EMS offices are interconnected through this network. The RHC hospital dark fibre network provides services of a federative identity management Shibboleth and participates on an international roaming system for teachers, students and researches EduRoam.

16

Design of the regional network

17

1st shared applications

Data and communication centre of IS/ICT services is in Masaryk Hospital in Ústí nad LabemThe 1st shared application is the regional ERP system mySAP ERP 2005Unified user management and central directory servicesCommon intranet and document management system

18

1st shared applications

Common HR and payroll information systemCentral HelpDeskSecurity ID cards for all employeesAccess systemArea camera systemCommon logistic and purchasing IS

19

1st shared applications

Common logistic and purchasing ISFacility management systemCommon information system for pharmacyVirtual IS for joint medical libraries (MEDVIK)

20

Shared health information systems

There is a PACS system in the data centre as a core of the regional solution (MagicStore concept by Siemens)Data storage is based on grids (MAS by HP)The RIS-HIS-PACS communication is based on integration layer (IHE) (Ensemble by Intersystems)

21

Scheme of Masaryk Hospital PACS (2006)

22

Shared health information systems

Scheduling - solution based on interconnection of booking and calling systems. Their interconnection has led to increased flexibility of the whole system including multiplication of its functions.

23

Scheduling system structure (2008)

24

Related and supporting projects

Successful cooperation on the project Research and development of integration and communication centre of health information (The grant of Ministry of Industry and Trade of the Czech Republic) with pilot realization in Masaryk Hospital

25

Related and supporting projects

Public internet in The Ústí Region hospital network (EU Structural Funds)Broadband – patient scheduling through internet (The grant of Ministry of Informatics of the Czech Republic)Logistic and supporting processes optimizing (EU Structural Funds)

26

Related and supporting projects

MediGrid – methods and tools for GRID application in biomedicine (The Academy of Sciences of the Czech Republic, National Research Programme)Distributed data storage (CESNET, in the frame of CzechLight project and Medical applications activities, project POSN – building of private optical hospital network – so called North Side)

27

Related and supporting projects

MedGate – information gateway for research and development in medicine – the tool of integration and effective use of the information resources in medicine (The grant of Czech Ministry of Education, Youth and Sports)Medical virtual library - MEDVIK, sharing of information resources for research and development (The grant of Czech Ministry of Education, Youth and Sports)

28

The regional EFEZ framework program

„Information and communication centre of The Ústí Region hospitals – the secure information exchange infrastructure including medical images“ is also one of the running projects within the framework program Effective healthcare in The Ústí Region Conditions (in short EFEZ)

29

The future cooperation

Cooperation and data exchange with regional PACS project of Brno and PragueConnection to Brno academic PACS project MEDIMEDEHR in paperless corporation of hospitalsMultiregional and international cooperation

30

The future cooperation

Dissemination to other localities of The Ústí RegionCooperation/connection to other healthcare facilities and subjects

31

M

Contact us

Jan Pejchal, [email protected],Manager ICT, Regional Health Corporation

Martin Zeman, [email protected], Project Manager of Masaryk Hospital in Ústí nad Labem