Medical Systems Integration: “MED-Meets-IT” Dr. John Zaleski Director, Siemens HS Pre-Market Integration Lab Siemens Medical Solutions Health Services.

Medical Systems Integration:

“MED-Meets-IT”

Dr. John ZaleskiDirector, Siemens HS Pre-Market Integration LabSiemens Medical Solutions Health Services

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©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

Maintaining and improving quality of care

while meeting the needs of an increasing patient population,

and ensuring that services are affordable

requires a change in the status quo: a revolution in healthcare

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©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

Why a revolution? Many factors drive this…

Occurrence of medical errors

Loss of staff

Increase in age, quantity of chronically ill patients

Basic tenets…

Seek out new methods, technologies that provide change incentive

Promote systems thinking by focusing on workflow, reduction in redundant and inefficient behaviors, methods

Establish repeatable and standards-based solutions that promote a “plug-and-play” approach to integration

Promote context-based access to information, to facilitate speed and patient safety

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©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

Hospital Integration:Current State

ClinicalInformationRepositories

Point of care

SeparateInformationRepositories

Workstation

Workstation

Workstation

IBM Compatible

Data

Data

Data

Data

Device-level h/w controllers;Proprietary communications interfaces; Fixed-format ASCII

Proprietary interfaces:–System-specific– Hospital-specific– Vendor-specific

Disjointed, Disparate Systems; “Sneaker Net”; Maintenance/support concerns; Few, consistently implemented

standards; Varying interface requirements

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©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

Hospital Integration:The Future State

Point of care

Enterprise-wide, clinical patient Information Repositories;

Anywhere/Anytime access to data;Wireless roaming; Location monitoring

WorkstationIBM Compatible Data

HL7 & Standards-based communications;Plug-and-play hardware; Common User interfaces

IBM CompatibleWorkstation

Common device interfaces; context-sharing enabled; common UI; Secure; Clinical and non-clinical data

available anywhere, anytime

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©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

Platform Integration: Syngo®, Soarian®, SIENET®

USPatterson,

Patterson, Maria L. Date of Birth: 02/06/1932

Imagery

Lab, Rx, MR

CPOE & Worklists

Reports

Monitoring

Flow sheets

…All integrated into onepatient-context-specific view

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©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved

Bio

John Zaleski is with Siemens Medical Health Services (HS) and oversees the Siemens HS Pre-market Integration Lab. He is responsible for prototyping, developing, and validating connectivity between medical devices and Siemens health information systems. Professional experience comprises systems integration, hardware, software and systems architecture, software development, and clinical studies. Doctoral work has involved predicting weaning efficacy in mechanically ventilated coronary bypass patients. He received an Award for his part in helping develop, test, and field the Siemens ICA critical care solution (operational at half-a-dozen U.S. hospitals), and received the Siemens Health Services Innovations Award in 2003 & 2004 for the most patent disclosures filed within Health Services. He has over a dozen refereed articles in journals and symposia and has chaired panels at professional societies.