This document summarizes Denmark's national health IT strategy from 2003-2007. The key goals were to achieve 100% electronic health record coverage in hospitals by 2005 based on a common EHR model, implement large-scale XML data exchange between hospitals by 2005, launch a national health portal by 2004, and establish a national health network. Considerable progress was made, including the establishment of MedCom for standardized messaging and an EHR adoption rate of over 90% in hospitals by 2006. However, the strategy faced challenges and was later extended to 2008 with regional implementation.
This document summarizes John Hammergren's presentation at the Bear Stearns Global Healthcare Conference on September 14, 2004. The presentation provides an overview of McKesson Corporation, including who they are, their view of the healthcare industry, and how their businesses are responding to current challenges. Key highlights discussed include McKesson's strong financial performance, their strategy to fundamentally change healthcare costs and quality through technology and partnerships, and growth in their pharmaceutical distribution business.
John Hammergren, CEO of McKesson, presented an overview of the company's financial results and strategy at a Goldman Sachs healthcare conference. McKesson achieved 22% revenue growth and 20% earnings per share growth in fiscal year 2004. McKesson's strategy is to build strong customer relationships through comprehensive solutions, invest in innovative offerings, and create unique solutions to address emerging healthcare challenges. For fiscal year 2005, McKesson expects earnings per share between $2.20-$2.35, with revenues growing over 10% annually and mid-teens earnings growth once business changes are completed.
Tenet's prescription for success includes four key strategies: [1] improve clinical outcomes through pay-for-performance contracts, [2] grow inpatient and outpatient volumes consistently with their growth initiative, [3] retain and recruit great employees and physicians by restoring physician pipelines and expanding active medical staffs, and [4] improve cost metrics especially labor productivity by decreasing contract labor and standardizing supplies.
This document discusses Medfx's connected healthcare products and services:
- It outlines Medfx's conceptual architecture for connecting jurisdictions, services, registries and point of care systems.
- The key products - Interchange, Connectfx and Lifescape - are mapped to the architecture and their functions described.
- Principles of the architecture include design for change, loose coupling and open standards.
- Onboarding, operational support, cross-border sharing and strategic partners are also covered.
- Additional contact details are provided for sales and technical information.
This document summarizes a webinar presented by Kennen Gross on hospital claims data. It discusses what hospital claims data is, why it is needed, how to obtain it, and what can be done with it once obtained. Specifically, claims data can be used to understand health problems in a population, develop interventions to address those problems, and evaluate the impact of solutions by analyzing costs, utilization rates, diagnoses, and individual patient profiles over time.
This document summarizes Jeff Campbell's presentation at the Baird 2005 Growth Stock Conference on May 11, 2005. Campbell discusses McKesson's business segments, including strong financial results and growth in pharmaceutical and medical-surgical solutions. Provider Technologies has experienced challenges but investments in innovation are paying off. For fiscal year 2006, McKesson expects revenue growth and operating cash flow over $1 billion, excluding the impact of settling a securities class action lawsuit.
Health care terrain of a district nashik 2011Shyam Ashtekar
This is my study of the health care sector of a district in Maharashtra-(Nashik) in 2011. How do we go from here to Universal Health care? I invite comments
This document summarizes John Hammergren's presentation at the Bear Stearns Global Healthcare Conference on September 14, 2004. The presentation provides an overview of McKesson Corporation, including who they are, their view of the healthcare industry, and how their businesses are responding to current challenges. Key highlights discussed include McKesson's strong financial performance, their strategy to fundamentally change healthcare costs and quality through technology and partnerships, and growth in their pharmaceutical distribution business.
John Hammergren, CEO of McKesson, presented an overview of the company's financial results and strategy at a Goldman Sachs healthcare conference. McKesson achieved 22% revenue growth and 20% earnings per share growth in fiscal year 2004. McKesson's strategy is to build strong customer relationships through comprehensive solutions, invest in innovative offerings, and create unique solutions to address emerging healthcare challenges. For fiscal year 2005, McKesson expects earnings per share between $2.20-$2.35, with revenues growing over 10% annually and mid-teens earnings growth once business changes are completed.
Tenet's prescription for success includes four key strategies: [1] improve clinical outcomes through pay-for-performance contracts, [2] grow inpatient and outpatient volumes consistently with their growth initiative, [3] retain and recruit great employees and physicians by restoring physician pipelines and expanding active medical staffs, and [4] improve cost metrics especially labor productivity by decreasing contract labor and standardizing supplies.
This document discusses Medfx's connected healthcare products and services:
- It outlines Medfx's conceptual architecture for connecting jurisdictions, services, registries and point of care systems.
- The key products - Interchange, Connectfx and Lifescape - are mapped to the architecture and their functions described.
- Principles of the architecture include design for change, loose coupling and open standards.
- Onboarding, operational support, cross-border sharing and strategic partners are also covered.
- Additional contact details are provided for sales and technical information.
This document summarizes a webinar presented by Kennen Gross on hospital claims data. It discusses what hospital claims data is, why it is needed, how to obtain it, and what can be done with it once obtained. Specifically, claims data can be used to understand health problems in a population, develop interventions to address those problems, and evaluate the impact of solutions by analyzing costs, utilization rates, diagnoses, and individual patient profiles over time.
This document summarizes Jeff Campbell's presentation at the Baird 2005 Growth Stock Conference on May 11, 2005. Campbell discusses McKesson's business segments, including strong financial results and growth in pharmaceutical and medical-surgical solutions. Provider Technologies has experienced challenges but investments in innovation are paying off. For fiscal year 2006, McKesson expects revenue growth and operating cash flow over $1 billion, excluding the impact of settling a securities class action lawsuit.
Health care terrain of a district nashik 2011Shyam Ashtekar
This is my study of the health care sector of a district in Maharashtra-(Nashik) in 2011. How do we go from here to Universal Health care? I invite comments
This document summarizes Denmark's national health IT strategy from 2003-2007. The key goals were to achieve 100% electronic health record coverage in hospitals by 2005 based on a common EHR model, implement large-scale XML communication between hospitals by 2005, launch a national health portal by 2004, and establish a national health network. Considerable progress was made, including the establishment of MedCom for standardized electronic messaging and an EHR adoption rate of over 90% in hospitals by 2006. However, full implementation of the national EHR strategy took longer than planned.
Entre els diferents elements que configuren l'extens mosaic de l’e-Salut la Telemedicina és, sens
dubte, la que ha despertat més interès, fins l'extrem de ser identificada com el component gairebé exclusiu del "paradigma" e-Salut.
Activitat en àmbit sanitari:
Desenvolupament de sofware per a instruments analítics i reactius per al diagnostic in-vitro.
Gestió de flux de treball en laboratoris clínics i banc de sang.
Sistemes clínics hospitalaris per a la prevenció de diagnostic i teràpies de malalties cròniques.
El passat 10 de febrer de 2015 va tenir lloc la Jornada: Traslladar l'aportació de valor de les TIC als estats econòmics de les organitzacions sanitàries. Els pressupostos TIC i el reflex econòmic dels intangibles. Presentació de la jornada realitzada per Rafael Lledó, Director general Hospital de Granollers
Entre els diferents elements que configuren l'extens mosaic de l’e-Salut, la Telemedicina és, sens dubte, la que ha despertat més interès, fins l'extrem de ser identificada com el component gairebé exclusiu del "paradigma" e-Salut.
La Sociedad Española de Informatica de la Salud convoca la I Reunión del Foro para la Gobernanza de las TIC en Salud con el fi n de constituir un escenario de relación entre los respon- sables TIC del sistema sanitario
Se trata de un trabajo Final de Máster de Sistemas TIC de Salud de la Universitat Oberta de Catalunya realizado por Vicenç Robert Butí. En él se profundiza en el nuevo paradigma de Salud 2.0, con los distintos canales de inter-comunicación (Social Media), las funciones del nuevo rol de Community Manager y un caso práctico a desarrollar: alertar sobre el peligro de la sobreexposición al sol utilizando Salud 2.0.
Este documento describe el caso de Vicente, un hombre de 84 años con enfermedad pulmonar obstructiva crónica e insuficiencia renal leve que fue enviado al hospital por disnea progresiva. Se le diagnosticó una estenosis aórtica severa mediante ecocardiograma. Debido a su edad avanzada y comorbilidades, presentaba un alto riesgo quirúrgico. Sin embargo, rechazó someterse a una intervención de válvula aórtica transcatéter debido a que es el principal cuidador de su esposa, que
El documento describe la experiencia del Hospital de Cabueñes con los quirófanos híbridos. Explica que un quirófano híbrido combina procedimientos quirúrgicos convencionales con procedimientos endovasculares guiados por imagen, permitiendo imágenes durante la intervención quirúrgica. El Hospital de Cabueñes atiende a 400.000 pacientes al año y realiza 20.000 intervenciones quirúrgicas, siendo los quirófanos híbridos útiles para cirugías vasculares, cardíacas
Actualmente, la TeleRadiología se ha convertido en la “herramienta de futuro” para una gestión eficiente de los recursos y un ahorro de costes.
Este trabajo evalúa el estado de la TeleRadiología, su grado de implantación en el territorio, la madurez de los proyectos existentes y sus perspectivas de futuro. También hace un recorrido por la historia de la Radiología en nuestro país
Se trata de un trabajo del Máster de Telemedicina de la Universitat Oberta de Catalunya, realizado por Carolina Vera.
La educación sobre los principales problemas de salud y sobre los métodos de prevención y de lucha correspondientes, es una de las principales herramientas para el cumplimiento de los objetivos hacia un mundo saludable. La educación sanitaria tiene que aprovechar la tecnología educativa para promover la participación y la autorresponsabilidad de los individuos.
La evolución de las estrategias de la OMS, permitió la generación del “Manual sobre educación sanitaria en atención primaria de salud”, en este documento se establecieron las relaciones de cada uno de los actores del sistema educativo, sus responsabilidades y las estrategias para lograr el empoderamiento en salud.
Como parte del desarrollo de la estrategia, se generaron múltiples estudios en los que se evaluaban los resultados de los procesos de educación en diferentes tipos de grupos y enfermedades, obteniendo una mayor concientización de su carácter imprescindible, perfeccionamiento de sus programas, incorporación de la industria farmacéutica a los esfuerzos educativos y énfasis en la capacitación de los proveedores de salud, para la labor educativa.
The Ontario Telemedicine Network (OTN) is one of the largest telemedicine networks in the world. It provides clinical telemedicine services, emergency telemedicine, healthcare provider education, store-and-forward services, and telehomecare across Ontario. In 2009/10, OTN had over 125,000 patient encounters through over 1,200 sites. Studies show telemedicine reduces costs and travel burdens while improving access to care. OTN aims to make telemedicine a mainstream part of healthcare delivery and education in Ontario.
This document discusses telehealth and telemedicine initiatives in geriatrics in Hong Kong. It describes Hong Kong's electronic patient record system, community health call center, and use of telemedicine in geriatric care. The call center aims to provide telephone support for high-risk elderly patients, improve links to primary care, reduce emergency department visits and hospitalizations, and improve access to healthcare advice. Telemedicine allows for remote consultations, exchange of medical images and videos, and online patient education and assessments to help address issues of patient isolation, frailty, and limited healthcare resources.
This document summarizes Denmark's national health IT strategy from 2003-2007. The key goals were to achieve 100% electronic health record coverage in hospitals by 2005 based on a common EHR model, implement large-scale XML communication between hospitals by 2005, launch a national health portal by 2004, and establish a national health network. Considerable progress was made, including the establishment of MedCom for standardized electronic messaging and an EHR adoption rate of over 90% in hospitals by 2006. However, full implementation of the national EHR strategy took longer than planned.
Entre els diferents elements que configuren l'extens mosaic de l’e-Salut la Telemedicina és, sens
dubte, la que ha despertat més interès, fins l'extrem de ser identificada com el component gairebé exclusiu del "paradigma" e-Salut.
Activitat en àmbit sanitari:
Desenvolupament de sofware per a instruments analítics i reactius per al diagnostic in-vitro.
Gestió de flux de treball en laboratoris clínics i banc de sang.
Sistemes clínics hospitalaris per a la prevenció de diagnostic i teràpies de malalties cròniques.
El passat 10 de febrer de 2015 va tenir lloc la Jornada: Traslladar l'aportació de valor de les TIC als estats econòmics de les organitzacions sanitàries. Els pressupostos TIC i el reflex econòmic dels intangibles. Presentació de la jornada realitzada per Rafael Lledó, Director general Hospital de Granollers
Entre els diferents elements que configuren l'extens mosaic de l’e-Salut, la Telemedicina és, sens dubte, la que ha despertat més interès, fins l'extrem de ser identificada com el component gairebé exclusiu del "paradigma" e-Salut.
La Sociedad Española de Informatica de la Salud convoca la I Reunión del Foro para la Gobernanza de las TIC en Salud con el fi n de constituir un escenario de relación entre los respon- sables TIC del sistema sanitario
Se trata de un trabajo Final de Máster de Sistemas TIC de Salud de la Universitat Oberta de Catalunya realizado por Vicenç Robert Butí. En él se profundiza en el nuevo paradigma de Salud 2.0, con los distintos canales de inter-comunicación (Social Media), las funciones del nuevo rol de Community Manager y un caso práctico a desarrollar: alertar sobre el peligro de la sobreexposición al sol utilizando Salud 2.0.
Este documento describe el caso de Vicente, un hombre de 84 años con enfermedad pulmonar obstructiva crónica e insuficiencia renal leve que fue enviado al hospital por disnea progresiva. Se le diagnosticó una estenosis aórtica severa mediante ecocardiograma. Debido a su edad avanzada y comorbilidades, presentaba un alto riesgo quirúrgico. Sin embargo, rechazó someterse a una intervención de válvula aórtica transcatéter debido a que es el principal cuidador de su esposa, que
El documento describe la experiencia del Hospital de Cabueñes con los quirófanos híbridos. Explica que un quirófano híbrido combina procedimientos quirúrgicos convencionales con procedimientos endovasculares guiados por imagen, permitiendo imágenes durante la intervención quirúrgica. El Hospital de Cabueñes atiende a 400.000 pacientes al año y realiza 20.000 intervenciones quirúrgicas, siendo los quirófanos híbridos útiles para cirugías vasculares, cardíacas
Actualmente, la TeleRadiología se ha convertido en la “herramienta de futuro” para una gestión eficiente de los recursos y un ahorro de costes.
Este trabajo evalúa el estado de la TeleRadiología, su grado de implantación en el territorio, la madurez de los proyectos existentes y sus perspectivas de futuro. También hace un recorrido por la historia de la Radiología en nuestro país
Se trata de un trabajo del Máster de Telemedicina de la Universitat Oberta de Catalunya, realizado por Carolina Vera.
La educación sobre los principales problemas de salud y sobre los métodos de prevención y de lucha correspondientes, es una de las principales herramientas para el cumplimiento de los objetivos hacia un mundo saludable. La educación sanitaria tiene que aprovechar la tecnología educativa para promover la participación y la autorresponsabilidad de los individuos.
La evolución de las estrategias de la OMS, permitió la generación del “Manual sobre educación sanitaria en atención primaria de salud”, en este documento se establecieron las relaciones de cada uno de los actores del sistema educativo, sus responsabilidades y las estrategias para lograr el empoderamiento en salud.
Como parte del desarrollo de la estrategia, se generaron múltiples estudios en los que se evaluaban los resultados de los procesos de educación en diferentes tipos de grupos y enfermedades, obteniendo una mayor concientización de su carácter imprescindible, perfeccionamiento de sus programas, incorporación de la industria farmacéutica a los esfuerzos educativos y énfasis en la capacitación de los proveedores de salud, para la labor educativa.
The Ontario Telemedicine Network (OTN) is one of the largest telemedicine networks in the world. It provides clinical telemedicine services, emergency telemedicine, healthcare provider education, store-and-forward services, and telehomecare across Ontario. In 2009/10, OTN had over 125,000 patient encounters through over 1,200 sites. Studies show telemedicine reduces costs and travel burdens while improving access to care. OTN aims to make telemedicine a mainstream part of healthcare delivery and education in Ontario.
This document discusses telehealth and telemedicine initiatives in geriatrics in Hong Kong. It describes Hong Kong's electronic patient record system, community health call center, and use of telemedicine in geriatric care. The call center aims to provide telephone support for high-risk elderly patients, improve links to primary care, reduce emergency department visits and hospitalizations, and improve access to healthcare advice. Telemedicine allows for remote consultations, exchange of medical images and videos, and online patient education and assessments to help address issues of patient isolation, frailty, and limited healthcare resources.
Short revision on the current status of the electronic prescription module of the eHR in Andalusia Region and the available tools improving patient safety. CDSS may avoid interactions, unnecessary duplications, undetected allergies and many others.
How to move Forward the Implementation of the EU Interoperability Recommendation to Establish Trust and user Acceptance Part 1: Perspective of a Member State. Rossing N. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)
The document discusses implementing electronic medical record (EMR) systems in low resource hospitals in developing countries. It notes that such settings often have intermittent power, lack of IT staff and internet access, and sparse mobile coverage. The proposed approach is to use low-cost, appropriate technologies like smartphones, SMS, and offline/disconnected solutions. Examples of EMR systems developed using this approach include IQCare and IQSMS, which have been implemented across several African countries to digitize medical records and facilitate mobile phone-based reporting. The results shown include improved data quality, data use, and reduced costs through streamlining patient workflows.
This document discusses building sustainable strategic information systems in low-resource countries through the AIDSRelief project. It summarizes AIDSRelief's work in 9 African countries and 212 local treatment facilities. It describes Futures Group's role in building data capacity and developing the IQCare patient monitoring software. IQCare has been implemented in 75 sites across Kenya, Uganda and Nigeria, providing real-time data entry, reporting, and monitoring of outcomes like mortality and lost to follow up. The system helps clinics improve quality of care by identifying issues like patients who miss ARV pickup. Capacity building includes training and developing the system using local experts.
Prof Devlin discusses the rationale for the PROMs programme and provides an overview of the various uses of the EQ-5D in England—for example by NICE in health technology assessment, in population surveys and in the English NHS PROMS program. The presentation also reviews how EQ-5D data are collected, analysed and used in the UK to inform decisions by health care providers, payers and patients.
Brief view of the achievements of a regional long-term e-health strategy done in Andalusia, the southernmost region of Spain. It is a comprehensive strategy for the whole population of this spanish region: more than 8 million inhabitants. EHR, electronic prescription, appointment, lab tests, image and others. An independent economic study shows a 260 euros of benefit for each 100 euros invested after 10 years of starting the initiative
Credit Suisse First Boston Annual Health Care Conference Presentationfinance2
Paul Julian, president of McKesson Supply Solutions, presented at the CSFB 2003 Global Healthcare Conference. He discussed McKesson's mission to advance healthcare success through partnerships. McKesson offers comprehensive products, technology, and services across multiple divisions. Julian highlighted McKesson's strategy of leveraging its size, customer base, and solutions to improve quality and reduce costs. Financial results for the second quarter and first half of fiscal year 2004 showed revenue growth and increased profitability.
Insights into the Canadian eHealth Landscape - MaRS Future of MedicineMaRS Discovery District
In recognition of the need to develop a national digital health strategy and to co-ordinate activity across the country, the Conference of Deputy Ministers established Canada Health Infoway in 2001.
This lecture describes Infoway’s role and the progress that it and its jurisdictional partners have made over the last decade. It outlines the challenges to achieving our collective goal of using technology to improve the health of Canadians and describes key enablers that must be in place for us to be successful. It also contains the results of recent public opinion research conducted with Canadians and healthcare providers and outlines the priorities for moving forward and the opportunities for action.
Chapter 13 national health information systemnaranbatn
1. The document discusses the national health information system in Korea and provides details on the community health information system, future e-health models, and hospital information systems.
2. It outlines Korea's plan for a national health information system, including developing health information standards, implementing an electronic health record system, and revising medical laws regarding e-health.
3. Barriers to the national health information system are also discussed, such as the asymmetry of costs and benefits of electronic health records and the absence of interoperability standards.
Insta Health solutions is a leader in providing hospital and clinics management solutions for the emerging markets of India, Middle East, Africa and Middle East. With over 200 hospitals and clinics using the system in both cloud and local server installations, it has built good reputation as a very easy to use and implement system.
Bear Stearns 2003 Global Healthcare Conference Presentationfinance2
John Hammergren, CEO of McKesson Corporation, presented at the 2003 Bear Stearns Global Healthcare Conference. He outlined McKesson's mission to advance healthcare and success of its partners. McKesson offers comprehensive products and services across pharmaceutical distribution, medical supplies, automation technology, and clinical software. McKesson aims to leverage its size, customer base, and solutions to create value for customers and shareholders through improved quality, reduced costs, and sustained financial performance across its business segments.
This document discusses the importance of collaborative care and care coordination for healthcare delivery systems. It notes that solo practice is no longer a sustainable business model and that fee-for-service payments have limitations. The document provides evidence that care coordination can reduce costs through fewer hospital admissions and readmissions without worse health outcomes. It also shows that patients experience a lack of communication and information sharing between their different doctors. To improve care coordination, mobile access to patient data and collaborative workflows are seen as critical, as mobile devices are increasingly how physicians access information. The right devices and secure mobile computing are needed to enable these new care coordination models.
The presentation discusses Telkom's implementation of healthcare IT solutions in Indonesia. It provides an overview of Telkom's business portfolio and status as the largest telecom company in Indonesia. It then discusses Indonesia's current healthcare landscape, including fragmented systems and the government's goal to increase healthcare spending. The presentation outlines Telkom's healthcare information exchange and EHR plans and implementation, and notes challenges that must be addressed. It concludes with lessons learned from Telkom's healthcare IT work.
Medical Associates Clinic is a large multi-specialty practice in Iowa that was using inefficient paper-based processes. They implemented McKesson's Horizon Ambulatory Care EHR to improve communication and workflow. Initial results included a 40-80% reduction in transcription costs within 2 weeks for some specialties. Once fully implemented, the EHR is projected to save over $1.7 million annually through reduced paper/transcription costs and improved coding accuracy. Physicians can now document visits electronically, improving patient care.
Medical Associates Clinic is a large multi-specialty practice in Iowa that was using inefficient paper-based processes. They implemented McKesson's Horizon Ambulatory Care EHR to improve communication and workflow. Initial results included a 40-80% reduction in transcription costs within 2 weeks for some specialties. Once fully implemented, the EHR is projected to save over $1.7 million annually through reduced paper/transcription costs and improved coding accuracy. Physicians can now document visits electronically, improving patient care.
Similar to Experience from implementing health care informatics in Denmark. (20)
Arnau valls - Sesión técnica UOC Forum CIS
El Hospital Sant Joan de Déu (HSJD) puso en marcha en 2010 la iniciativa “Hospital Líquido (H2.0)” para prestar servicios y ofrecer contenidos a pacientes y familias a través de plataformas digitales: online care, telemedicina, portal del paciente, redes sociales, comunidades online, apps móviles, etc.
En 2015, el HSJD se plantea avanzar para consolidarse como el hospital pediátrico de referencia en la utilización de tecnologías orientadas a proveer servicios directamente a pacientes y familias.
Oscar solans - Sesión técnica UOC Forum CIS
Beneficis pels ciutadans
•Compromís amb la cura de la seva salut, que li permet major autonomia i comoditat
•Prevenció i monitoratge
•Reconeix LMS com a principal font d’informació de salut
•Interacció amb professionals sanitaris a distància
Beneficis pels proveïdors i els professionals de Salut
•Reducció d'errors i proves redundants
•Visió única dels serveis sanitaris
•Permet contacte no presencial
•Compartir informació millora la qualitat dels serveis de salut
Beneficis per l’Administració
•Un ús millor i més eficient dels recursos sanitaris
•La reducció de costos com a conseqüència de la prevenció dels ciutadans i un major compromís en la cura de la seva salut
•Garantia de transparència
•Les tecnologies ajuden a la personalització dels serveis de salut
Joan rodón sesión técnica uoc-forum cis
helsenorge.no:
- Mapeo de los servicios/sistemas ya existentes (nacional, regional, proveedor)
- Ofrecer al ciudadano acceso unificado a información de alta de ingreso, informes de urgencias, diagnósticos, derivaciones, informes de pruebas de laboratorio, radiología, etc.
Este documento describe el sistema de Registros Personales de Salud implementado en el Hospital Universitario Quirón Dexeus. El sistema tiene como objetivos empoderar al paciente dándole acceso a su información médica de forma ubicua y segura, mejorar la adherencia a tratamientos, y reducir costes. Las funcionalidades incluyen ver el perfil, carpeta de salud con documentos médicos, solicitar citas y documentos, ver el equipo médico, y nuevas funcionalidades como integración con videoconferencia. Los pacientes opinan positivamente sobre la
Josep vilalta - sesión técnica uoc forum cis
Interoperabilidad transversal DACS + Blue Button
Capacidad para decidir con quién comparte su información.
Dr Frederic Llordachs - Responsable d’ eHealth
Cada cop hi ha més evidència que facilitant que el ciutadà es responsabilitzi (EMPODERANT) del seu estat de salut i del maneig de la seva salut es milloren els resultats tant des d’un punt de vista social, clínic i econòmic.
Este documento discute la necesidad de sistemas de información que apoyen el flujo de atención en SARquavitae. Actualmente, SARquavitae atiende a más de 10,000 personas en 56 centros residenciales y ha experimentado un aumento significativo en la actividad asistencial entre 2010-2014. Se propone un sistema de información multidisciplinar que registre todo el proceso de atención y permita la coordinación entre profesionales. También se propone un sistema de información integrado que conecte todos los niveles de atención que SARquav
Miguel Ángel Mayer - Research Programme on Biomedical Informatics (GRIB) de l’IMIM-UPF: La reutilització de la informació clínica per la recerca biomèdica
El documento describe la plataforma Phemium de servicios personalizados de telemedicina. Phemium ofrece una variedad de herramientas para la interacción entre pacientes y proveedores, así como la personalización de procesos clínicos y modelos de negocio según cada proyecto. La plataforma también permite la integración con dispositivos médicos, aplicaciones clínicas y geolocalización para brindar múltiples escenarios de telemedicina de manera única para cada cliente.
El documento describe la evolución del sistema de información de servicios sociales en Cataluña hacia un modelo más integrado centrado en el ciudadano. Se detalla el estado actual del sistema y su visión a corto y medio plazo, con el objetivo de mejorar los procesos de atención, implementar la interoperabilidad con otros sistemas y gestionar la información de forma más efectiva.
La telemonitorización es un instrumento de atención sociosanitaria que permite el monitoreo remoto de pacientes. Ofrece beneficios como mayor autocuidado, prevención, disminución de la frecuentación en atención primaria y de la estancia hospitalaria, y disminución de reingresos y desplazamientos. Aunque es una realidad constatada sus beneficios, el mercado de la telemonitorización aún es inmaduro y lento debido a resistencias al cambio.
Travel Clinic Cardiff: Health Advice for International TravelersNX Healthcare
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montreal
Nano-gold for Cancer Therapy chemistry investigatory projectSIVAVINAYAKPK
chemistry investigatory project
The development of nanogold-based cancer therapy could revolutionize oncology by providing a more targeted, less invasive treatment option. This project contributes to the growing body of research aimed at harnessing nanotechnology for medical applications, paving the way for future clinical trials and potential commercial applications.
Cancer remains one of the leading causes of death worldwide, prompting the need for innovative treatment methods. Nanotechnology offers promising new approaches, including the use of gold nanoparticles (nanogold) for targeted cancer therapy. Nanogold particles possess unique physical and chemical properties that make them suitable for drug delivery, imaging, and photothermal therapy.
PGx Analysis in VarSeq: A User’s PerspectiveGolden Helix
Since our release of the PGx capabilities in VarSeq, we’ve had a few months to gather some insights from various use cases. Some users approach PGx workflows by means of array genotyping or what seems to be a growing trend of adding the star allele calling to the existing NGS pipeline for whole genome data. Luckily, both approaches are supported with the VarSeq software platform. The genotyping method being used will also dictate what the scope of the tertiary analysis will be. For example, are your PGx reports a standalone pipeline or would your lab’s goal be to handle a dual-purpose workflow and report on PGx + Diagnostic findings.
The purpose of this webcast is to:
Discuss and demonstrate the approaches with array and NGS genotyping methods for star allele calling to prep for downstream analysis.
Following genotyping, explore alternative tertiary workflow concepts in VarSeq to handle PGx reporting.
Moreover, we will include insights users will need to consider when validating their PGx workflow for all possible star alleles and options you have for automating your PGx analysis for large number of samples. Please join us for a session dedicated to the application of star allele genotyping and subsequent PGx workflows in our VarSeq software.
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Experience from implementing health care informatics in Denmark.
1. Experience from
implementing health
care informatics in
Denmark
Christian Nøhr
Aalborg University
1
2
1
2. Health care in Denmark
• 5,302.876 inhabitants (February 21th 2007)
• Free at point of delivery, (87 % tax paid)
• Covering both primary and secondary health care sector
• Free medicine in hospitals, subsidised outside hospitals
• General practitioners 1 : 1200 people
• Private, but > 99 % have contracts with public health
• Health is around 9 % of GNP
• Mean duration of hospital stays is 5,3 days
• Health care provided by Regions
• 5 with 500.000 – 1.200.000 inhabitants
3
Healthcare in Denmark
57 public hospitals – 21000 beds
8 private hospitals - < 150 beds
3500 General practitioners
800 Practicing Specialists
11000 MDs employed by hospitals
331 Pharmacies
2700 Dentists
1700 Physiotherapists
250 Chiropractors
5 Regions – payors
• 98 Municipalities
• 1 private Health Insurance Company
4
2
3. 5
Background
National IT strategy
2003-2007
for the health sector
• Initiatives must support health policy goals
– High quality in health care delivery
– Short waiting times and free choice of provider
– High user satisfaction
– Better information on service and quality
– Efficient
6
3
4. Background
National IT strategy
2003-2007
for the health sector
Strategy goals:
• 100% coverage of EHR in hospitals by the end of 2005
• …based on a Basic Model for EHR
• Large scale national XML communication between & inside
hospitals by 2005
• Internet based secure health network by 2005
• National health portal by 2004
7
Status of IT in the primary sector
18 different GP systems (stand alone)
MedCom National health network
30 different types of messages standardised (EDI)
Implemented in 40 different systems
• 15 GP systems
• 9 hospitals systems
• 12 laboratory systems
• 4 pharmacy systems
8
4
5. Medcom status
EDI has overtaken daily communication
Number %
GPs offices 2143 100 %
Specialists 697 86 %
Pharmacies 331 100 %
Hospitals 57 100 %
Local Authorities 127 48 %
December 2006
9
MEDCOM communication
Number of documents pr. month
Prescriptions
1139992 79%
1039105 = 73%
Disch. Letters
826258 98
682923 = 85 %
Lab. reports
653974 98%
543040 = 82 %
Referrals
64845 = 78 %
Reimbursement
15637 = 96 %
Updated December 2006
10
5
6. Practitioners
Discharge
% of all messages
Lab results
Prescription
Referral
Reimbursement
Lab order
Municipality
11
Health Portal
Service for
Service for
citizens
health
providers
12
6
7. Services for the citizen:
• Information about medicine
• Buy medicine at the pharmacy on-line
• Information about hospitals:
• location, staff, services
• waiting lists
• quality indicators
• Personal information: (require log in)
• appointments
• medication
• diagnosis and procedures
13
Visions: Establish communications and
common information structure
14
7
8. Visions: Establish communications and
common information structure
15
Visions: Establish communications and
common information structure
16
8
9. Further strategic goals
Provide (structured) data for:
• Clinic
• Administration - management
• staff
• work
• financing
• Quality assurance
• Research - epidemiology
• ……..
Avoid monopolies
Multi vendor
17
Application
3 tier model with
interchangeable
layers
SOA architecture Integration
Technology
18
9
10. Medi- Clinical
Booking Imaging
cation process
3 tier model with
interchangeable
components
(modules and
functionalities) Integration
Technology
19
The basic EHR model
What is the
What is the Term: "Diagnose"? "Problem"? af handling
Resultat the
Was
Term: "Diagnose"? "Problem"? af handling
Resultat the
Was
situation???
situation??? outcome as
Def: En manifest eller potentiel meget
opfattes meget
outcome as
opfattes
Def: En manifest eller potentiel
intended?
bredt som:
intended?
bredt som:
sundhedsrelateret tilstand udtrykt på
sundhedsrelateret tilstand udtrykt på
Diagnostic grundlag af en faglig vurdering information
grundlag af en faglig vurdering information
conside Evaluation Def: ...
Def: ...
om en patients
om en patients
This is how I see
This is how I see ration tilstand ii forbindelse
tilstand forbindelse
Operationelt mål -
Operationelt mål -
the situation!
the situation! med ikkeudført
med en udført
dvs en hensigt
dvs ikke hensigt
handling
handling
eller formål!
eller formål!
Diagnosis Goal Def: Beskrivelse af
Def: Beskrivelse af
Result
en forventet eller
en forventet eller
ønsket værdi af en
ønsket værdi af en
What is my plan?
What is my plan? parameter it
This is how it
This is how
parameter
Term: "Plan"?
Term: "Plan"?
What is my
What is my went...
went...
formuleret ii
formuleret
"Ordination"?
"Ordination"?
intentions?
intentions? målbare termer
målbare termer
"Handlingsplan"?
"Handlingsplan"? Planning Execution
Def: Et program for
Def: Et program for
udførelse af en
udførelse af en Intervention And now I
And now I
bestemt type
bestemt type do it!!!
do it!!!
handling This is what I
This is what I This is what I
This is what I
handling
20 want to achieve!
want to achieve! am going to do!
am going to do!
10
11. Terminology system
ICPC
ICD10
SKS
“Home made” codes
Snomed CT
21
Terminology system
Translated into Danish.
Contains:
Concepts (364.400)
Terms (984.000)
Synonyms
Hierarchies
Relations (1,45 mill)
22
11
12. Clinical Content ~ guidelines
Clinical Content provides:
• Documentation support
• Process support
• Decision support
23
Clinical Content ~ guidelines
Standard plan
Standard activity
Standard result
Standard documentation
Describes how to configure an
EHR system
Operational goal
Decision point
24
12
13. Terminology
system
Process Clinical
model content
A
25
EHR-Observatory
A project funded by the
Ministry of Interior and
Health, The Association of
Danish Regions and The
Copenhagen Hospital
Corporation.
Monitoring the
dissemination of EHR
systems in Danish hospitals
26
13
14. Nordjyllands Amt
Bruger- Bruger- Bruger- Bruger- Bruger- Fælles EPJ brugergrænseflade
grænse- grænse- grænse- grænse- grænse- (bliver en del af
flade flade flade flade flade klinisk procesmodul)
Klinisk
proces
Applikationsplatform
In- RIS/ LAB-
Blod Medicin
struks- PACS Booking syste-
bank system
system system mer
27
KAS
Lab- GS
Portal
bruger- bruger-
Fælles brugergrænseflade
flade flade
Fælles- Rekvisi-
Medicin Klinisk komp. Booking tion
modul proces (print, log,
mail, etc.)
/svar
Applikationsplatform (J2EE Websphere)
Dataintegrationsplatform
Flexi- GS! Yder-
CPR Andre
Lab Åben register
28
14
15. Bruger- Bruger- Bruger-
grænse- grænse- grænse-
flade flade flade
Fælles brugergrænseflade
Bruger- Bruger- (fælles rammesystem)
grænse- grænse-
flade flade
Rekvisition
Medicin- Booking- PAS Billed Notat-
og svar
modul modul modul modul modul
modul
Pato- Mikro- GEPJ-lag
Apotek
logi biologi
Integrationsplatform (EPJI)
Rønt- Klinisk
gen kemi
CPR CPR
opslag nyfødte
29
H:S
Bruger- Bruger- Bruger- Bruger-
Portal
grænse- grænse- grænse- grænse-
Fælles brugergrænseflade
flade flade flade flade
Fælles-
Medicin- Klinisk komp. Booking,
modul Proces (print, log, rekv/svar
mail, etc.)
Applikationsplatform (J2EE)
LAB Dataintegrationsplatform
RIS/ Klinisk kemi Apotek PAS
PACS Patologi
Mikrobiologi
Data
Klassifi- Yder-
CPR
kationer register
30
15
16. Background
National IT strategy
2003-2007
for the health sector
Strategy goals:
• 100% coverage of EHR in hospitals by the end of 2005
• …based on a Basic Model for EHR
• Large scale national XML communication between & inside
hospitals by 2005
• Internet based secure health network by 2005
• National health portal by 2004
31
Background
National IT strategy
2003-2007
for the health sector
Strategy goals:
• 100% coverage of EHR in hospitals by the end of 2008
• …based on a Basic Model for EHR
• Large scale national XML communication between & inside
hospitals by 2005
• Internet based secure health network by 2005
• National health portal by 2004
32
16
17. National EHR Diffusion
100
80
2001
60 2002
2003
40 2004
2005
2006
20
0
2001 2002 2003 2004 2005 2006 2007 2008 2009
33
Dissemination of EHR based on number of beds covered
100,0
90,0
80,0
70,0
60,0
%
50,0
40,0
30,0
20,0
10,0
0,0
01
03
05
07
09
11
13
15
17
19
21
20
20
20
20
20
20
20
20
20
20
20
34
17
18. What happened ?
The minister of health announced a
centrally controlled action
• National on-line infrastructure
• Systems based on a common integration platform
• A few modules must be chosen – criteria: best practice
35
Latest news
The regions will still be in charge of the
development and implementation
The health ministry has formed an
office to coordinate the decentralized
development of the EHR
A Director for the office has not been
appointed yet
36
18
19. Conclusion I
Harmonize political and health informatics
professional goals
Determine the adequate level for structure
and granularity
Involve the future users
Plan for an iterative development process
and
Evaluate every step
37
Conclusion II
• Make sure to have a well described architecture
• Open estimates for time and resources
• Reserve 20% of the budget for unanticipated needs
• Divide into many small projects
• Buy standard software where possible –
development (home growing) is expensive and difficult
• Be aware of intedependencies
• Make sure that no single project can jeopadize the
whole project
• Plan for iterations and in a way that enable you to stop
single projects
• Make the core business your point of departure
38 and stick to them!
19
20. International conference on
Human Factors Engineering and Usability
June 7 and 8, 2007 in Aarhus, Denmark
http://www.HFEinHI.org
39
20