Slide title In CAPITALS 50 pt Slide subtitle 32 pt Integrated Healthcare Information System Darko Gvozdanović, M.Sc.E.E. Department manager e-health.

Slide titleIn CAPITALS

50 pt

Slide subtitle 32 pt

Integrated Healthcare Information System

Darko Gvozdanović, M.Sc.E.E.Department manager

e-health

Top right corner for field-mark, customer or partner logotypes. See Best practice for example.

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Text 24 pt

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© Ericsson Nikola Tesla d.d. Integrated Healthcare Information System 2008-06-17

Agenda

Healthcare challenges Ericsson addressing the challenges Integrated Healthcare Information System Conclusion


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Healthcare Challenges

Increasing Health Care costs

Demographic change

Scarce Resources

Chronic Diseases

Adverse Events

Healthcare Systems Trends and Projections


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Healthcare – Crisis drives development

Costs are skyrocketing due too inefficiencies, closed systems and decentralized processes and fragmented application of ICT technology. WE Country example (NL):

– 12% of GDP today used for Healthcare, if nothing changes 18% in 2020

– In 2025 22% of working population is needed in healthcare if trends continues

– 2.5% of hospitalization due too avoidable medication errors costs 300 M€ a year (Institute Dutch Apothecary)

– 200.000 persons have chronically heart problems and increases with 10% per year.

– High complexity, high overhead, low efficient usage of capacity (beds – MRI scanners)


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200

300

400

500

600

700

800

900

1970 1980 1990 2000 2010 2020

BulgariaCroatiaEU members before May 2004

SDR, diseases of circulatory system, all ages per 100000

10

15

20

25

1980 1990 2000 2010 2020

BulgariaCroatiaEU members before May 2004

In-patient care admissions per 100


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Increasing Health Care costs

Demographic change

Scarce Resources

Chronic Diseases

Adverse Events

Healthcare Systems Trends and Projections

eHealth Services, Mobile Data and Remote Access

Mobile Field Force

Monitoring devices & sensors

Increased communicationcapabilities

Increased no. of subscribersFiber, VDSL22G/GPRS/3GGbyte HSPA>100 Mbit/s with LTEMultiple service support (Voice, broadband, TV...)

Ericsson Addressing the Challenges Tools

Healthcare divide


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GeneralPractitionerOffices

Health ProtectionInstitutes

Controlled Cost

HospitalsLaboratories

Networked and aggregated data

Increased quality of service

Mobile patient data Ambulance and 112 service

Telemedicine

Ericsson Addressing the Challenges Processes

Patient medical data Resurces

admin dataPatient admin data

Patient in the center of the system


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-

Hospital Information System

Electronic HealhCareRecord - EHCR

Electronic PatientRegister - EPR

Health ResourcesRegister - HRR

HC Agent

Healthcommunication

network

Integrated HealthcareInformation System

Integrated Healthcare Information System


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Integrated Healthcare Information System - IHCIS

IHCIS is comprehensive ICT enterprise platform that can support various healthcare delivery processes

– Open standards: HL7v3, CEN ENV 13606– Ultimate data security and privacy

Being the platform, IHCIS makes building different healthcare services easy

– Physician application, e – booking, mobile access to medical information (community nursing), mobile access to immunization record, medical documentation access (for doctors committee)…

– Data mining, Business intelligence, Evidence based medicine (anonymous nation health record is available)

– Public health processes support


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ISDN

Delivering Services with IHCIS

Process interoperability

Semantic interoperability

IHCIS Users

Technology andCommunication

Physician

LaboratoryPharmacy

HRREPR

EHCR

HC agent

Physicianapplication

Pharmacyapplication

Laboratoryapplication

ADSL

GPRS//UMTS

HL7v3 /ENV 13606interface




IHCIS


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Electronic Healthcare Record

EPREHCRHRR Healthcare

Agent

Integrated healthcareInformation System

Central system for patient’s electronic healthcare records management

– Comprehensive patient care record (anamnesis, allergies, diagnosis, medications, procedures, referrals)

– International healthcare terminology (e.g. ICD10)

– ENV 13606:2000 with HL7v3 standard

EPR


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Electronic Patient Record

EHCREPR

HRR Healthcare Agent


Patient data management– Patient demographics and

administrative data – Health insurance information– Assigned physicians

relationship management– User-friendly interface and

platform independence– HL7v3 standard compliance


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Healthcare Resources Register

EPREHCRHealthcare

Agent


HRR

Health resources data management– Health resources profiles - doctors,

nurses, healthcare facilities, diagnostic devices, etc)

– Access rights– License management (digital

certificates)– User-friendly interface and platform

independence– HL7v3 standard compliance

EPR


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Physician office

IHCIS communication network

Insurance companyInformation system

Public HealthInformation system

IHCIS portal &Messaging systemEHCR

EPR

HRR

Nurse applicationPhysicianapplication

HL7 v3

HL7 v3

HL7 v3 HL7 v3

IHCISCentral part

Pediatrician

Gynecologist

Dentist

Laboratory(primary healthcare)

Pharmacy

ExistingIHCIS users

New IHCISusers

HL7 v3

HL7 v3

HL7 v3

HL7 v3

School medicine

HL7 v3


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Benefits for healthcare stakeholders Physicians, nurses and other

healthcare professionals– Data accuracy and

timeliness– Efficient working time

management– Collaboration and

knowledge sharing– Computer aided decision

support


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Benefits for healthcare stakeholders Healthcare Insurers and

Payers– Electronic invoicing and

communication services– Continuous quality

monitoring– Fee for service - better

managing case costing– Paperless document flow

(improvement in performance and data quality)


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Benefits for healthcare stakeholders Public Health

– Emergency awareness with respect to: infections diseases, adverse reaction to drugs, increases in water born infections

– Monitoring health trends (area, office, province or total population)

– Diseases registries


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Benefits for healthcare stakeholders Hospitals

• Insight to the patients healthcare record

• Optimization of business processes

• Integrating with other healthcare stakeholders


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Benefits for healthcare stakeholders Health authorities

– Validate drug & procedure efficiency

– Better healthcare system management

– Potential revenue by selling analysis and trend medical data to pharmaceutical companies, laboratories and research companies


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Benefits for healthcare stakeholders Patient

– Medical record ownership– Efficient communication

and person mobility– Active participation in

diagnostics and decision making processes

– Better quality of life


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Integrated Healthcare ISBenefitsStructured view and

creation of the health solution

Organizational efficiency and control

Immediate and continuous information availability

Controlled and focused actions

Health campaigns for preventionControllable care system

Continuous predictabilityPopulation health careDrugs Investments

Efficient resource utilization

Improved Healthcare provision quality


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Contact Information

Ericsson Nikola TeslaKrapinska 45, P.O. Box 93HR-10002 ZagrebCroatiaE-mail: [email protected]: http://www.ericsson.com/hr/products/e-health


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Slide title In CAPITALS 50 pt Slide subtitle 32 pt Integrated Healthcare Information System Darko Gvozdanović, M.Sc.E.E. Department manager e-health.

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Slide title In CAPITALS 50 pt Slide subtitle 32 pt Integrated Healthcare Information System Darko Gvozdanović, M.Sc.E.E. Department manager e-health.