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The virtual Hospital Information System of the future by Bart Sijnave
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CONFENIS 2012
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Bart Sijnave - CIO UZ Gent The Virtual Hospital Information Systems (HIS) of the Future (
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The virtual Hospital Information System of the future by Bart Sijnave
1.
The virtual Hospital Information System of the future Prof. dr. B. Sijnave CIO UZ Gent September 20, 2012
© 2012 Universitair Ziekenhuis Gent
2.
The classical HIS today
Strategic level Tactical level Operational level © 2012 Universitair Ziekenhuis Gent 2
3.
The HIS of the future
V irtual I ‐dimensional mult sha R ed cus T omer centered sec U re A vailable supporting qua L ity of care © 2012 Universitair Ziekenhuis Gent 3
4.
The virtual HIS or the HIS in the cloud V I R T U A L
© 2012 Universitair Ziekenhuis Gent 4
5.
HIS
The virtual HIS or the HIS in the cloud – MIS part Main driver for MIS in the cloud is cost V reduction (small set‐up cost, small maintenance cost, …) I Type of data that is concurrential would only embrace private cloud R solutions T Example: different TCOs for different ERP U deployment options A L © 2012 Universitair Ziekenhuis Gent 5
6.
HIS
The virtual HIS or the HIS in the cloud – EHR part V EHR EPR I R T Main driver for EPR in the cloud would most probably be… cost reduction (small set‐up cost, small maintenance cost, …) U Type of data that is confidential would force strictly secured A and highly available private cloud solutions but this most definitely has a cost, reducing the L effect of the main driver… © 2012 Universitair Ziekenhuis Gent 6
7.
The multi‐dimensional HIS (1)
Internal multi‐dimensionality V I R T U A doctors nurses L pharmacists © 2012 Universitair Ziekenhuis Gent paramedics … 7
8.
The multi‐dimensional HIS (2)
External multi-dimensionality V I R T U A L © 2012 Universitair Ziekenhuis Gent 8
9.
The shared HIS: a bare necessity V I R T U A L
© 2012 Universitair Ziekenhuis Gent 9
10.
The shared HIS: possible approaches
The discussion between V I & R T U doesn’t have a single truth, but should have a complementarity, or A instead of L © 2012 Universitair Ziekenhuis Gent 10
11.
Shared Patient record in practice: Netherlands V
Opt Out I Costly No ther. relation check No cxclusions R T U A L Smaller, Opt‐IN © 2012 Universitair Ziekenhuis Gent 11
12.
Shared Patient record in practice: NHS V
2009 I R feb 2010 T U apr 2010 A L Dec 2011 (est: 2014)12 © 2012 Universitair Ziekenhuis Gent
13.
The shared HIS in Belgium
What it is today… V I R … governmental initiatives T U … A hubs of hospitals and GPs L networks of hospitals © 2012 Universitair Ziekenhuis Gent 13
14.
The shared HIS in Belgium
What it could become tomorrow… V I R … governmental initiatives T U … A hubs of hospitals and GPs L networks of hospitals © 2012 Universitair Ziekenhuis Gent 14
15.
The customer centered HIS
250.000 EPR V patiënt empowerment 200.000 I R 150.000 T 100.000 U 50.000 A 0 L 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Pubmed citations © 2012 Universitair Ziekenhuis Gent 15
16.
Patient empowerment: finally accessible? V I
Shared EPR - PHR R Shared EPR T U EPR A EMR L © 2012 Universitair Ziekenhuis Gent 16
17.
The secure HIS V
• Compiled medical data is very attractive… Insurance companies I Pharmaceutical industry R Employer related (sickness) …. T U • Data safety concerns (outside hacking) A L © 2012 Universitair Ziekenhuis Gent 17
18.
The available and performing
HIS The more simultaneous users, the more the availability V and the performance of the systems gets challenged I R T U A L © 2012 Universitair Ziekenhuis Gent 18
19.
The quality HIS: data quality = care quality V I
medical longitudinal record in a mobile world R increased complexity, treatment options and regulations T increasing number of participating health actors transmural care, data sharing, cooperation U prevention and home monitoring A cost reduction (if implemented right) Data = The ‘Evidence’ for Evidence based medicine L …. © 2012 Universitair Ziekenhuis Gent 19
20.
The virtual HIS of the future can only
be virtual… Thank you for your attention! © 2012 Universitair Ziekenhuis Gent 20
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