Social Networking to Share Medical Knowledge: The experience of Madrid Health Region
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Social Networking to Share Medical Knowledge: The experience of Madrid Health Region

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Social Networking to Share Medical Knowledge: The experience of Madrid Health Region. Sampedro Préstamo Z. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

Social Networking to Share Medical Knowledge: The experience of Madrid Health Region. Sampedro Préstamo Z. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

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  • 1. Social Networking: Sharing Medical Knowledge Madrid Health Region experience March, 18th 2010
  • 2. Index 1. Introduction: Madrid Region 2. IT strategic lines 3. Freedom of Election 4. Social Networking 5. Madrid’s Scientific Social Network 6. Project Schedule 7. Strategic lines of the Project 8. Proof of Concept
  • 3. 1. Introduction: Madrid Healthcare Region “Consejería de Sanidad de la Comunidad de Madrid” (CSCM): Regional Ministry of Health. Resources Resources Systems & Technology (September 2009): Systems & Technology (September 2009): 32 Hospitals (2 more hospitals being created) 32 Hospitals (2 more hospitals being created) More than 45,000 Users connected. More than 45,000 Users connected. 29 Specialities Centres. 29 Specialities Centres. Over 500 Servers. Over 500 Servers. 258 Medical Centres & 158 Primary Health 258 Medical Centres & 158 Primary Health Over 50,000 PCs. Over 50,000 PCs. Medical Centres. Medical Centres. Over 80,000 Devices. Over 80,000 Devices. 54 Mental Health Centres. 54 Mental Health Centres. Over 190 Applications. Over 190 Applications. Near 80,000 workers. Near 80,000 workers. Over 65 Suppliers. Over 65 Suppliers. And... more than 6,350,000 Citizens. And... more than 6,350,000 Citizens.
  • 4. 2. IT Strategic Lines Main goals Meet the needs of our citizens and professionals in matters of Healthcare services. Implement a more efficient model based on an enhanced management and quality system. Empower clinical professionals: Motivated professionals. Innovation: key strategic lines of Madrid eHealth Plan. Allow clinical collaboration. Current Projects Freedom of Election Plan Athene@: IT general renovation (focus on hospitals). Intranet (Salud@). One Healthcare Region Personalized Attention Centre (appointment centre) EHR in Hospitals and in Primary Care centres. Electronic prescription.
  • 5. 3. Freedom of Election What is it? What does imply? Benefits Allows Madrid’s citizens to choose their healthcare professionals regardless of their location. Primary Care: free election of family doctor, paediatrician or nurse. Specialized Care: free election of specialist or hospital. Does not require a previously justification from the citizen. The elected professional can refuse the assignation in some exceptional situations.
  • 6. 3. Freedom of Election What is it? What does imply? Benefits Centralization of the patient’s medical information (centralized EHR). Access to the medical information from any medical centre or any hospital that is treating the patient. What is it? What does imply? Benefits Better quality of healthcare services. Enhances the transparency of information. Better accessibility. Increases equity, compensating waiting times.
  • 7. 3. Freedom of Election Changes for the health professionals Normalized Formularies Catalogues unification Electronic Services Derivation Process Digital Clinical Homogenization History Current Projects Healthcare card management system adaptation. Primary care clinical information system adaptation. Hospital Information System (HIS) integration with CIBELES. Multi-channel appointment system (online, voice recognition…) Balanced scoreboard. Access to EHR (HORUS) . ….
  • 8. 4. Professionals collaboration: Social Networking Added Value Clinical tools in the Athene@ framework. Empowers clinical professionals: Motivated professionals. Innovation: key strategic lines of Madrid eHealth Plan. Allows clinical collaboration between our big clinical network. Collaborative spaces framework
  • 9. 4. Social Networking We need a tool that allows… Professional collaboration. Share of experiences. Learning at a national and international. This tool has to be… Easy to use. Not “One more software application”. No Data Privacy issues. Our Social Network improves clinical outcomes while ensuring better communication among our clinicians.
  • 10. 4. Social Networking: The Project Allow physicians to share clinical and scientific knowledge. Innovative and challenging. A valuable for clinicians. Led by the Health Administration. Madrid: first region in Spain running a Social Network for Health Professionals. Initial Proof of Concept: Hospital Gregorio Marañón. Aims of the project: Validate Web 2.0 tools for clinical collaboration. Explore the perception from professionals
  • 11. 5. Madrid’s Scientific Social Network: The selected tool Allows us to create our own private and social network. Professional tool focused on clinical case collaboration and image share. Complements our EMR and PACS, but does not replace them. It can be use for a second opinion. Clinical knowledge repository. It can be a place where researches, clinicians, students and residents from different hospitals can share experiences and learn.
  • 12. 5. Madrid’s Scientific Social Network
  • 13. 5. Madrid’s Scientific Social Network
  • 14. 5. Madrid’s Scientific Social Network Online Clinical Discussion Repository Medical Medical Committees Education Tool Material
  • 15. 5. Madrid’s Scientific Social Network
  • 16. 6. Project Schedule The Project is divided in two phases: Phase I: Proof of Concept in Hospital Gregorio Marañón Assigned population: 700.000 citizens More than 1.700 beds More than 1.300 physicians More than 2.700 PCs Phase II: Evaluation of conclusions of the PoC and extension to all Hospitals and clinicians of the Region of Madrid. Phase I: Proof of Concept Phase II: Evaluation and extension 11month month 33months months 22months months • Presentation • Presentation. • Evaluation of PoC Evaluation of PoC • • Definition of the Plan of extension. • Definition of the Plan of extension
  • 17. 7. Strategic lines of the project Proof of Concept: Tumors Committee Clinical environment. Multidisciplinary meetings. Presentation of clinical cases. Evaluation forum for diagnosis discussion. Relationship with other hospitals and physicians Work with different type of images and media. To ensure the success of the project: Clinical Champion: clinical leaders, main references of the projects. Data Manager: to support the initial collecting of media and train users.
  • 18. 8. Proof of Concept: Schedule Set up of the platform (Medting Enterprise). Identification and selection of clinical  Training to involved clinicians over the initial  samples. champions and leaders. Introducing Medting as a tool for the Tumors  Initial training to Champions and collecting  Committee.  of 10 clinical sample cases. Target: 40 more cases. Phase I: Proof of Concept Phase II: 11month month 33months months 22months months Evaluation and extension Introduction of the platform to the  Community of Madrid. • Presentation Extension to other clinical environments. Target: 30 more cases. • Evaluation of PoC • Definition of the Plan of extension
  • 19. 8. Proof of Concept: Current Status Prototype in Hospital Gregorio Marañón: High user acceptance and satisfaction Other clinical committees are demanding to start using the platform. It has generated new ideas for virtual collaboration, international exchange, etc. Breaking some rules: hierarchical barriers tend to disappear in a Social Network. Planning the extension of the project under an appropriate and controlled Plan.
  • 20. 5. Madrid’s Scientific Social Network Other initiatives Teleradiodiagnostic Central Unit in Hospital Infanta Sofía: 122 Radio diagnostic Groups. 48 Interconnected Workstations. 900.000 studies per year 1,14 mill. citizens attended Cardiologic Central Unit in Hospital Carlos III: Central Structure located in Hospital Carlos III Patients cardiologic proofs and analysis implemented. Coverage all Madrid care canters. Teledermatology: Same infrastructures as Cardiologic and Radiodiagnostic solutions: efficient use of resources. To be implemented within the next 6 months.
  • 21. Muchas gracias por su atención www.madrid.org Zaida Sampedro Préstamo Dir. Gral. de Sistemas de Información Sanitaria e-mail: zaida.sampedro@madrid.org