SlideShare a Scribd company logo
1
The role of IS/IT in Healthcare
Seminar Medical Informatics
dr. Rogier van de Wetering
1Dept. of Information and Computing Sciences, Utrecht University,
The Netherlands
Utrecht, May 16, 2012
2
Outline lecture
 Developments in Healthcare
 Types of Information Systems and IT-
architectures
 Assignment 1
 Break
 Key benefits of IS/IT
 Case: implementation of patient ID-card
 Assignment 2
3
Key developments in healthcare from an
international context
Individuals
more engaged
in decisions
and purchases
Providers
develop new
services to
clients (product
and quality
information)
Innovations to
improve
efficiency &
transparency
Growing costs
of healthcare
Ageing
population
E-prevention
programs will
reduce future
healthcare
spending
Providers
develop
management
information of
performance
4
International Comparison of Spending on
Health, 1980–2007
Source: Davis et al., How the performance of the U.S.
health care system compares internationally. The common
wealth fund (2010). See also OECD.org
5
What is driving health care costs?
 Spending on healthcare in all OECD countries are rising
faster than economic growth, especially within the U.S.
 Advances in medical technologies improve diagnosis and
patient treatment. However, they also increase health
spending
 This can be clearly seen from the rapid growth and use of
computed tomography (CT) scanners and magnetic
resonance imaging (MRI) units used for diagnostic purposes
 Factors include:
5
Medical
technology
Population
expectations
Population
ageing
6
The U.S. and Greece show a big
difference in their use per capita as
opposed to the Netherlands
98,1
91,2
72,3
62,8
53,7
48,5 47,7
38,8 37,8
31,2
27,8
24,2 21,4
12,7
0
20
40
60
80
100 Greece
UnitedStates
Iceland
Luxembourg
Belgium
France
OECD
Netherlands
Denmark
Canada
CzechRepublic
SlovakRepublic
Australia1
Korea
MRI exams per 1 000 population
Data include only exams for out-patients and private in-
patients (excluding exams in public hospitals).
Number of MRI exams per 1 000 population, 2008 (or latest year available)
7
Developments in healthcare from a
hospital CXO perspective
Hospital CXO Chain care
Governance, risk &
compliance
Horizontal /vertical
integration
Reimburse
ments
M&A Alliances
Order mngtLean (logistic)
operations
Tele-medicine / eHealth
Patient
influence
Cloud solutions / SaaS
Mobile
apps
Information
Management
Patient
engagement /
empowerment
Shared
Services
Integrated
supporting
processes
Information
Security
Medical
Imaging
Technology
Minimal
Invasive
surgery
RFID / Track
& Trace
Regulations
Virtualization
Big Data/
Analytics
Mobility
outpatient
clinic
Business
Intelligence
Customized
care
EHR/EPR
Business
IT
Healthcare
Lean
8
Hype Cycle for Healthcare Provider
Applications and Systems
9
Outline
 Developments in Healthcare
 Types of Information Systems and IT-
architectures
 Key benefits of IS/IT
 Case: implementation of patient ID-card
10
Overview of various types of IS/IT
 Electronic health records (ePR/eMR)
 Computerized provider order entry (CPOE)
 Decision and diagnostic support (e.g. CAD/CAR)
 Advanced visualization tools
 Surgical simulation and modeling
 Knowledge discovery/mining and retrieval systems
 Enterprise-wide image management systems (i.e. PACS)
 Data exchange networks (e.g. XDS-i, IHE)
 Prescribing systems
 E-Health / consumer informatics / educational
 Tele-medicine
 Mobile computing
 Administration
(Cf. Haux, 2010; Chaundry, 2006; Huang, 2010; Van de Wetering,
2011)
11
Extracted medical informatics
clusters/classifications appearing between
2005 and 2008
Organization, application,
and evaluation of health IS
Medical knowledge representa -
tion
Signal and data analysis
Source: M. J. Schuemie1 et al., Mapping the Domain of
Medical Informatics. Methods Inf Med 2009; 48: 76–83
12
The healthcare provider solution map shows
six broad solution areas, as well as the high-
level solutions contained in each
13
Break!!
14
Outline
 Developments in Healthcare
 Types of Information Systems and IT-
architectures
 Key benefits of IS/IT
 Case: implementation of patient ID-card
15
There are many possible benefits and
costs of implementing health information
technology
 Effects of health IS/IT (Cf. Chaundry, 2006):
 Quality
 Efficiency
 Costs
 Challenges for the future:
 Interoperability of medical data
 Adoption rates of IS/IT
 Misalignment of incentives for its use
Key question remains: How to apply IT effectively?
16
A typical IT-implementation method
including various phases and value
streams
Support
Project Management
Value
People, change management and education
Process and systems
Business Intelligence
Information Technology
Security and Controls
1Vision
4Build
Implementation
cycle
17
Outline
 Developments in Healthcare
 Types of Information Systems and IT-
architectures
 Key benefits of IS/IT
 Case: implementation of patient ID-card
18
Case: patient ID-card at Amsterdam
Medical Center (AMC)
 Main goals:
 Efficiency improvement (e.g., no re-coding of patient numbers
etc.);
 Less patients losing their card;
 Improvement patient identification;
 Cost efficient, what’s the business case?
19
Menigte
20
21
22
A design/blueprint and associated IT-
architecture gave alignment with the
final solution
23
A simplified IT-architecture
Server
(Email, tel., VeCoZo, adress, huisarts en foto)
Front-Office Balies
Self-service Client
software
Webcam
ZIS
Synchronisation
VECOZO
SBV-Z
Synchronisation
Cloverleaf
Pass printer
EHR
Scanner
X/Care
24
The AMC solution at the registration
desks in the outpatient clinic
25
26
Ideal process
27
Final remarks
 Need for IS/IT in healthcare
 Classifications of systems and architectural design
 Broad impact of IS/IT
 Case example on how IS/IT impacts hospital operations

More Related Content

What's hot

Health IT in Clinical Settings (October 12, 2020)
Health IT in Clinical Settings (October 12, 2020)Health IT in Clinical Settings (October 12, 2020)
Health IT in Clinical Settings (October 12, 2020)
Nawanan Theera-Ampornpunt
 
Electronic Health Record Tesc 2008 Egenton
Electronic Health Record Tesc 2008 EgentonElectronic Health Record Tesc 2008 Egenton
Electronic Health Record Tesc 2008 Egenton
mpegenton
 
Overview of Health IT
Overview of Health ITOverview of Health IT
Overview of Health IT
Nawanan Theera-Ampornpunt
 
Smart Health & Medical Innovations in Thailand 4.0 (July 13, 2018)
Smart Health & Medical Innovations in Thailand 4.0 (July 13, 2018)Smart Health & Medical Innovations in Thailand 4.0 (July 13, 2018)
Smart Health & Medical Innovations in Thailand 4.0 (July 13, 2018)
Nawanan Theera-Ampornpunt
 
Informatics report earl
Informatics  report earlInformatics  report earl
Informatics report earl
bahawitus
 
The Scope of Health Information Technology: Progress and Challenges
The Scope of Health Information Technology: Progress and ChallengesThe Scope of Health Information Technology: Progress and Challenges
The Scope of Health Information Technology: Progress and Challenges
Andrew Oram
 
Information+Integration ? Innovation an HL7/EFMI/HIMSS @eHealthweek2015 in Riga
Information+Integration ? Innovation an HL7/EFMI/HIMSS @eHealthweek2015 in RigaInformation+Integration ? Innovation an HL7/EFMI/HIMSS @eHealthweek2015 in Riga
Information+Integration ? Innovation an HL7/EFMI/HIMSS @eHealthweek2015 in Riga
chronaki
 
Digital Health 101 for Hospital Executives (October 4, 2021)
Digital Health 101 for Hospital Executives (October 4, 2021)Digital Health 101 for Hospital Executives (October 4, 2021)
Digital Health 101 for Hospital Executives (October 4, 2021)
Nawanan Theera-Ampornpunt
 
Clinical Informatics: Education, Experience, Expectations
Clinical Informatics: Education, Experience, ExpectationsClinical Informatics: Education, Experience, Expectations
Clinical Informatics: Education, Experience, Expectations
Carolina Health Informatics Program @ UNC
 
Machine learning in health data analytics and pharmacovigilance
Machine learning in health data analytics and pharmacovigilanceMachine learning in health data analytics and pharmacovigilance
Machine learning in health data analytics and pharmacovigilance
Revathi Boyina
 
Adopting Information Systems in a Hospital - A Case Study & Lessons Learned
Adopting Information Systems in a Hospital - A Case Study & Lessons LearnedAdopting Information Systems in a Hospital - A Case Study & Lessons Learned
Adopting Information Systems in a Hospital - A Case Study & Lessons Learned
Nawanan Theera-Ampornpunt
 
An Introduction to Clinical Informatics
An Introduction to Clinical InformaticsAn Introduction to Clinical Informatics
An Introduction to Clinical Informatics
Corinn Pope
 
The Impact of IoT on the Evolution of Medical Devices
The Impact of IoT on the Evolution of Medical DevicesThe Impact of IoT on the Evolution of Medical Devices
The Impact of IoT on the Evolution of Medical Devices
ICFAIEDGE
 
Cerner ppt
Cerner pptCerner ppt
Healthcare information technology
Healthcare information technologyHealthcare information technology
Healthcare information technology
Dr.Vijay Talla
 
BENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDS
BENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDSBENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDS
BENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDS
UsmanYakubuMaaruf
 
Review paper on Big Data in healthcare informatics
Review paper on Big Data in healthcare informaticsReview paper on Big Data in healthcare informatics
Review paper on Big Data in healthcare informatics
IRJET Journal
 
The Impact Of Information Technology (IT) On The Healthcare Sector
The Impact Of Information Technology (IT) On The Healthcare SectorThe Impact Of Information Technology (IT) On The Healthcare Sector
The Impact Of Information Technology (IT) On The Healthcare Sector
InnoTech Solutions
 
EXPLORING CHALLENGES AND OPPORTUNITIES IN CYBERSECURITY RISK AND THREAT COMMU...
EXPLORING CHALLENGES AND OPPORTUNITIES IN CYBERSECURITY RISK AND THREAT COMMU...EXPLORING CHALLENGES AND OPPORTUNITIES IN CYBERSECURITY RISK AND THREAT COMMU...
EXPLORING CHALLENGES AND OPPORTUNITIES IN CYBERSECURITY RISK AND THREAT COMMU...
IJNSA Journal
 
50 Eye-Catchy Nursing Informatics Capstone Project Ideas
 50 Eye-Catchy Nursing Informatics Capstone Project Ideas 50 Eye-Catchy Nursing Informatics Capstone Project Ideas
50 Eye-Catchy Nursing Informatics Capstone Project Ideas
DNP Capstone Project
 

What's hot (20)

Health IT in Clinical Settings (October 12, 2020)
Health IT in Clinical Settings (October 12, 2020)Health IT in Clinical Settings (October 12, 2020)
Health IT in Clinical Settings (October 12, 2020)
 
Electronic Health Record Tesc 2008 Egenton
Electronic Health Record Tesc 2008 EgentonElectronic Health Record Tesc 2008 Egenton
Electronic Health Record Tesc 2008 Egenton
 
Overview of Health IT
Overview of Health ITOverview of Health IT
Overview of Health IT
 
Smart Health & Medical Innovations in Thailand 4.0 (July 13, 2018)
Smart Health & Medical Innovations in Thailand 4.0 (July 13, 2018)Smart Health & Medical Innovations in Thailand 4.0 (July 13, 2018)
Smart Health & Medical Innovations in Thailand 4.0 (July 13, 2018)
 
Informatics report earl
Informatics  report earlInformatics  report earl
Informatics report earl
 
The Scope of Health Information Technology: Progress and Challenges
The Scope of Health Information Technology: Progress and ChallengesThe Scope of Health Information Technology: Progress and Challenges
The Scope of Health Information Technology: Progress and Challenges
 
Information+Integration ? Innovation an HL7/EFMI/HIMSS @eHealthweek2015 in Riga
Information+Integration ? Innovation an HL7/EFMI/HIMSS @eHealthweek2015 in RigaInformation+Integration ? Innovation an HL7/EFMI/HIMSS @eHealthweek2015 in Riga
Information+Integration ? Innovation an HL7/EFMI/HIMSS @eHealthweek2015 in Riga
 
Digital Health 101 for Hospital Executives (October 4, 2021)
Digital Health 101 for Hospital Executives (October 4, 2021)Digital Health 101 for Hospital Executives (October 4, 2021)
Digital Health 101 for Hospital Executives (October 4, 2021)
 
Clinical Informatics: Education, Experience, Expectations
Clinical Informatics: Education, Experience, ExpectationsClinical Informatics: Education, Experience, Expectations
Clinical Informatics: Education, Experience, Expectations
 
Machine learning in health data analytics and pharmacovigilance
Machine learning in health data analytics and pharmacovigilanceMachine learning in health data analytics and pharmacovigilance
Machine learning in health data analytics and pharmacovigilance
 
Adopting Information Systems in a Hospital - A Case Study & Lessons Learned
Adopting Information Systems in a Hospital - A Case Study & Lessons LearnedAdopting Information Systems in a Hospital - A Case Study & Lessons Learned
Adopting Information Systems in a Hospital - A Case Study & Lessons Learned
 
An Introduction to Clinical Informatics
An Introduction to Clinical InformaticsAn Introduction to Clinical Informatics
An Introduction to Clinical Informatics
 
The Impact of IoT on the Evolution of Medical Devices
The Impact of IoT on the Evolution of Medical DevicesThe Impact of IoT on the Evolution of Medical Devices
The Impact of IoT on the Evolution of Medical Devices
 
Cerner ppt
Cerner pptCerner ppt
Cerner ppt
 
Healthcare information technology
Healthcare information technologyHealthcare information technology
Healthcare information technology
 
BENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDS
BENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDSBENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDS
BENEFITS AND CHALLENGES TO THE ADOPTION OF ELECTRONIC MEDICAL RECORDS
 
Review paper on Big Data in healthcare informatics
Review paper on Big Data in healthcare informaticsReview paper on Big Data in healthcare informatics
Review paper on Big Data in healthcare informatics
 
The Impact Of Information Technology (IT) On The Healthcare Sector
The Impact Of Information Technology (IT) On The Healthcare SectorThe Impact Of Information Technology (IT) On The Healthcare Sector
The Impact Of Information Technology (IT) On The Healthcare Sector
 
EXPLORING CHALLENGES AND OPPORTUNITIES IN CYBERSECURITY RISK AND THREAT COMMU...
EXPLORING CHALLENGES AND OPPORTUNITIES IN CYBERSECURITY RISK AND THREAT COMMU...EXPLORING CHALLENGES AND OPPORTUNITIES IN CYBERSECURITY RISK AND THREAT COMMU...
EXPLORING CHALLENGES AND OPPORTUNITIES IN CYBERSECURITY RISK AND THREAT COMMU...
 
50 Eye-Catchy Nursing Informatics Capstone Project Ideas
 50 Eye-Catchy Nursing Informatics Capstone Project Ideas 50 Eye-Catchy Nursing Informatics Capstone Project Ideas
50 Eye-Catchy Nursing Informatics Capstone Project Ideas
 

Similar to The role of IS/IT in Healthcare

Healthcare reform using information technology
Healthcare reform using information technologyHealthcare reform using information technology
Healthcare reform using information technology
Vijay Raj Yanamala
 
Big Data, CEP and IoT : Redefining Holistic Healthcare Information Systems an...
Big Data, CEP and IoT : Redefining Holistic Healthcare Information Systems an...Big Data, CEP and IoT : Redefining Holistic Healthcare Information Systems an...
Big Data, CEP and IoT : Redefining Holistic Healthcare Information Systems an...
Tauseef Naquishbandi
 
Health IT & Picture Archiving and Communication Systems
Health IT & Picture Archiving and Communication SystemsHealth IT & Picture Archiving and Communication Systems
Health IT & Picture Archiving and Communication Systems
Rogier Van de Wetering, PhD
 
Ch-1.pptx
Ch-1.pptxCh-1.pptx
Ch-1.pptx
TesfahunAsmare1
 
Key Takeaways from the first IDC Pan European Healthcare Summit . Post event ...
Key Takeaways from the first IDC Pan European Healthcare Summit . Post event ...Key Takeaways from the first IDC Pan European Healthcare Summit . Post event ...
Key Takeaways from the first IDC Pan European Healthcare Summit . Post event ...
Silvia Piai
 
Ajith M Jose_Report1.docx
Ajith M Jose_Report1.docxAjith M Jose_Report1.docx
Ajith M Jose_Report1.docx
mca2206
 
It a cure for healthcare arab health january 2013 -final
It a cure for healthcare   arab health january 2013 -finalIt a cure for healthcare   arab health january 2013 -final
It a cure for healthcare arab health january 2013 -final
hydadvertising
 
CONCEPTUAL MODEL FOR ELECTRONIC CLINICAL RECORD INFORMATION SYSTEM
CONCEPTUAL MODEL FOR ELECTRONIC CLINICAL RECORD INFORMATION SYSTEMCONCEPTUAL MODEL FOR ELECTRONIC CLINICAL RECORD INFORMATION SYSTEM
CONCEPTUAL MODEL FOR ELECTRONIC CLINICAL RECORD INFORMATION SYSTEM
ijistjournal
 
CONCEPTUAL MODEL FOR ELECTRONIC CLINICAL RECORD INFORMATION SYSTEM
CONCEPTUAL MODEL FOR ELECTRONIC CLINICAL RECORD INFORMATION SYSTEMCONCEPTUAL MODEL FOR ELECTRONIC CLINICAL RECORD INFORMATION SYSTEM
CONCEPTUAL MODEL FOR ELECTRONIC CLINICAL RECORD INFORMATION SYSTEM
ijistjournal
 
Clinical information system-final copy
Clinical information system-final copyClinical information system-final copy
Clinical information system-final copy
CISgroup
 
Health Informatics- Module 1-Chapter 3.pptx
Health Informatics- Module 1-Chapter 3.pptxHealth Informatics- Module 1-Chapter 3.pptx
Health Informatics- Module 1-Chapter 3.pptx
Arti Parab Academics
 
Healthcare Communication Technologies: A Short Note on Opportunities and Chal...
Healthcare Communication Technologies: A Short Note on Opportunities and Chal...Healthcare Communication Technologies: A Short Note on Opportunities and Chal...
Healthcare Communication Technologies: A Short Note on Opportunities and Chal...
IRJET Journal
 
Role of computers_Dr. Vinay.pptxugoihlihk
Role of computers_Dr. Vinay.pptxugoihlihkRole of computers_Dr. Vinay.pptxugoihlihk
Role of computers_Dr. Vinay.pptxugoihlihk
docswatisrivastava
 
Health Informatics- Module 1-Chapter 1.pptx
Health Informatics- Module 1-Chapter 1.pptxHealth Informatics- Module 1-Chapter 1.pptx
Health Informatics- Module 1-Chapter 1.pptx
Arti Parab Academics
 
National Healthcare Informatics Strategy Role Of Standards
National Healthcare Informatics Strategy Role Of StandardsNational Healthcare Informatics Strategy Role Of Standards
National Healthcare Informatics Strategy Role Of Standards
Saji Salam MD,MBA
 
IoE in Clinical Trials
IoE in Clinical TrialsIoE in Clinical Trials
IoE in Clinical Trials
CRF Health
 
Is 464 lecture 1
Is 464 lecture 1 Is 464 lecture 1
Is 464 lecture 1
Deema ALShoaibi
 
Health information technology (Health IT)
Health information technology (Health IT)Health information technology (Health IT)
Health information technology (Health IT)
Mohammad Yeakub
 
E health Demystified
E health DemystifiedE health Demystified
E health Demystified
Syed Ali Raza
 
Opinion_Paper_Smart_Hospitals_US_201022.pdf
Opinion_Paper_Smart_Hospitals_US_201022.pdfOpinion_Paper_Smart_Hospitals_US_201022.pdf
Opinion_Paper_Smart_Hospitals_US_201022.pdf
Sunny639200
 

Similar to The role of IS/IT in Healthcare (20)

Healthcare reform using information technology
Healthcare reform using information technologyHealthcare reform using information technology
Healthcare reform using information technology
 
Big Data, CEP and IoT : Redefining Holistic Healthcare Information Systems an...
Big Data, CEP and IoT : Redefining Holistic Healthcare Information Systems an...Big Data, CEP and IoT : Redefining Holistic Healthcare Information Systems an...
Big Data, CEP and IoT : Redefining Holistic Healthcare Information Systems an...
 
Health IT & Picture Archiving and Communication Systems
Health IT & Picture Archiving and Communication SystemsHealth IT & Picture Archiving and Communication Systems
Health IT & Picture Archiving and Communication Systems
 
Ch-1.pptx
Ch-1.pptxCh-1.pptx
Ch-1.pptx
 
Key Takeaways from the first IDC Pan European Healthcare Summit . Post event ...
Key Takeaways from the first IDC Pan European Healthcare Summit . Post event ...Key Takeaways from the first IDC Pan European Healthcare Summit . Post event ...
Key Takeaways from the first IDC Pan European Healthcare Summit . Post event ...
 
Ajith M Jose_Report1.docx
Ajith M Jose_Report1.docxAjith M Jose_Report1.docx
Ajith M Jose_Report1.docx
 
It a cure for healthcare arab health january 2013 -final
It a cure for healthcare   arab health january 2013 -finalIt a cure for healthcare   arab health january 2013 -final
It a cure for healthcare arab health january 2013 -final
 
CONCEPTUAL MODEL FOR ELECTRONIC CLINICAL RECORD INFORMATION SYSTEM
CONCEPTUAL MODEL FOR ELECTRONIC CLINICAL RECORD INFORMATION SYSTEMCONCEPTUAL MODEL FOR ELECTRONIC CLINICAL RECORD INFORMATION SYSTEM
CONCEPTUAL MODEL FOR ELECTRONIC CLINICAL RECORD INFORMATION SYSTEM
 
CONCEPTUAL MODEL FOR ELECTRONIC CLINICAL RECORD INFORMATION SYSTEM
CONCEPTUAL MODEL FOR ELECTRONIC CLINICAL RECORD INFORMATION SYSTEMCONCEPTUAL MODEL FOR ELECTRONIC CLINICAL RECORD INFORMATION SYSTEM
CONCEPTUAL MODEL FOR ELECTRONIC CLINICAL RECORD INFORMATION SYSTEM
 
Clinical information system-final copy
Clinical information system-final copyClinical information system-final copy
Clinical information system-final copy
 
Health Informatics- Module 1-Chapter 3.pptx
Health Informatics- Module 1-Chapter 3.pptxHealth Informatics- Module 1-Chapter 3.pptx
Health Informatics- Module 1-Chapter 3.pptx
 
Healthcare Communication Technologies: A Short Note on Opportunities and Chal...
Healthcare Communication Technologies: A Short Note on Opportunities and Chal...Healthcare Communication Technologies: A Short Note on Opportunities and Chal...
Healthcare Communication Technologies: A Short Note on Opportunities and Chal...
 
Role of computers_Dr. Vinay.pptxugoihlihk
Role of computers_Dr. Vinay.pptxugoihlihkRole of computers_Dr. Vinay.pptxugoihlihk
Role of computers_Dr. Vinay.pptxugoihlihk
 
Health Informatics- Module 1-Chapter 1.pptx
Health Informatics- Module 1-Chapter 1.pptxHealth Informatics- Module 1-Chapter 1.pptx
Health Informatics- Module 1-Chapter 1.pptx
 
National Healthcare Informatics Strategy Role Of Standards
National Healthcare Informatics Strategy Role Of StandardsNational Healthcare Informatics Strategy Role Of Standards
National Healthcare Informatics Strategy Role Of Standards
 
IoE in Clinical Trials
IoE in Clinical TrialsIoE in Clinical Trials
IoE in Clinical Trials
 
Is 464 lecture 1
Is 464 lecture 1 Is 464 lecture 1
Is 464 lecture 1
 
Health information technology (Health IT)
Health information technology (Health IT)Health information technology (Health IT)
Health information technology (Health IT)
 
E health Demystified
E health DemystifiedE health Demystified
E health Demystified
 
Opinion_Paper_Smart_Hospitals_US_201022.pdf
Opinion_Paper_Smart_Hospitals_US_201022.pdfOpinion_Paper_Smart_Hospitals_US_201022.pdf
Opinion_Paper_Smart_Hospitals_US_201022.pdf
 

More from Rogier Van de Wetering, PhD

Rule-based Design. Managing complexity!
Rule-based Design. Managing complexity!Rule-based Design. Managing complexity!
Rule-based Design. Managing complexity!
Rogier Van de Wetering, PhD
 
Application of Structural Equation Modeling in PACS research
Application of Structural Equation Modeling in PACS researchApplication of Structural Equation Modeling in PACS research
Application of Structural Equation Modeling in PACS research
Rogier Van de Wetering, PhD
 
Picture Archiving and Communication Systems
Picture Archiving and Communication SystemsPicture Archiving and Communication Systems
Picture Archiving and Communication Systems
Rogier Van de Wetering, PhD
 
From PACS Adoption to PACS Maturity
From PACS Adoption to PACS MaturityFrom PACS Adoption to PACS Maturity
From PACS Adoption to PACS Maturity
Rogier Van de Wetering, PhD
 
Defining and formalizing radiology and PACS performance
Defining and formalizing radiology and PACS performanceDefining and formalizing radiology and PACS performance
Defining and formalizing radiology and PACS performance
Rogier Van de Wetering, PhD
 
Rooster analytics
Rooster analytics Rooster analytics
Rooster analytics
Rogier Van de Wetering, PhD
 
Met je smartphone op jacht naar het eeuwige leven
Met je smartphone op jacht naar het eeuwige levenMet je smartphone op jacht naar het eeuwige leven
Met je smartphone op jacht naar het eeuwige leven
Rogier Van de Wetering, PhD
 
Met je smartphone op jacht naar het eeuwige leven
Met je smartphone op jacht naar het eeuwige levenMet je smartphone op jacht naar het eeuwige leven
Met je smartphone op jacht naar het eeuwige leven
Rogier Van de Wetering, PhD
 
The Role of Information Systems in Healthcare
The Role of Information Systems in HealthcareThe Role of Information Systems in Healthcare
The Role of Information Systems in Healthcare
Rogier Van de Wetering, PhD
 

More from Rogier Van de Wetering, PhD (9)

Rule-based Design. Managing complexity!
Rule-based Design. Managing complexity!Rule-based Design. Managing complexity!
Rule-based Design. Managing complexity!
 
Application of Structural Equation Modeling in PACS research
Application of Structural Equation Modeling in PACS researchApplication of Structural Equation Modeling in PACS research
Application of Structural Equation Modeling in PACS research
 
Picture Archiving and Communication Systems
Picture Archiving and Communication SystemsPicture Archiving and Communication Systems
Picture Archiving and Communication Systems
 
From PACS Adoption to PACS Maturity
From PACS Adoption to PACS MaturityFrom PACS Adoption to PACS Maturity
From PACS Adoption to PACS Maturity
 
Defining and formalizing radiology and PACS performance
Defining and formalizing radiology and PACS performanceDefining and formalizing radiology and PACS performance
Defining and formalizing radiology and PACS performance
 
Rooster analytics
Rooster analytics Rooster analytics
Rooster analytics
 
Met je smartphone op jacht naar het eeuwige leven
Met je smartphone op jacht naar het eeuwige levenMet je smartphone op jacht naar het eeuwige leven
Met je smartphone op jacht naar het eeuwige leven
 
Met je smartphone op jacht naar het eeuwige leven
Met je smartphone op jacht naar het eeuwige levenMet je smartphone op jacht naar het eeuwige leven
Met je smartphone op jacht naar het eeuwige leven
 
The Role of Information Systems in Healthcare
The Role of Information Systems in HealthcareThe Role of Information Systems in Healthcare
The Role of Information Systems in Healthcare
 

Recently uploaded

20240520 Planning a Circuit Simulator in JavaScript.pptx
20240520 Planning a Circuit Simulator in JavaScript.pptx20240520 Planning a Circuit Simulator in JavaScript.pptx
20240520 Planning a Circuit Simulator in JavaScript.pptx
Sharon Liu
 
Randomised Optimisation Algorithms in DAPHNE
Randomised Optimisation Algorithms in DAPHNERandomised Optimisation Algorithms in DAPHNE
Randomised Optimisation Algorithms in DAPHNE
University of Maribor
 
Micronuclei test.M.sc.zoology.fisheries.
Micronuclei test.M.sc.zoology.fisheries.Micronuclei test.M.sc.zoology.fisheries.
Micronuclei test.M.sc.zoology.fisheries.
Aditi Bajpai
 
aziz sancar nobel prize winner: from mardin to nobel
aziz sancar nobel prize winner: from mardin to nobelaziz sancar nobel prize winner: from mardin to nobel
aziz sancar nobel prize winner: from mardin to nobel
İsa Badur
 
Describing and Interpreting an Immersive Learning Case with the Immersion Cub...
Describing and Interpreting an Immersive Learning Case with the Immersion Cub...Describing and Interpreting an Immersive Learning Case with the Immersion Cub...
Describing and Interpreting an Immersive Learning Case with the Immersion Cub...
Leonel Morgado
 
Mending Clothing to Support Sustainable Fashion_CIMaR 2024.pdf
Mending Clothing to Support Sustainable Fashion_CIMaR 2024.pdfMending Clothing to Support Sustainable Fashion_CIMaR 2024.pdf
Mending Clothing to Support Sustainable Fashion_CIMaR 2024.pdf
Selcen Ozturkcan
 
EWOCS-I: The catalog of X-ray sources in Westerlund 1 from the Extended Weste...
EWOCS-I: The catalog of X-ray sources in Westerlund 1 from the Extended Weste...EWOCS-I: The catalog of X-ray sources in Westerlund 1 from the Extended Weste...
EWOCS-I: The catalog of X-ray sources in Westerlund 1 from the Extended Weste...
Sérgio Sacani
 
ESR spectroscopy in liquid food and beverages.pptx
ESR spectroscopy in liquid food and beverages.pptxESR spectroscopy in liquid food and beverages.pptx
ESR spectroscopy in liquid food and beverages.pptx
PRIYANKA PATEL
 
Sciences of Europe journal No 142 (2024)
Sciences of Europe journal No 142 (2024)Sciences of Europe journal No 142 (2024)
Sciences of Europe journal No 142 (2024)
Sciences of Europe
 
Shallowest Oil Discovery of Turkiye.pptx
Shallowest Oil Discovery of Turkiye.pptxShallowest Oil Discovery of Turkiye.pptx
Shallowest Oil Discovery of Turkiye.pptx
Gokturk Mehmet Dilci
 
NuGOweek 2024 Ghent programme overview flyer
NuGOweek 2024 Ghent programme overview flyerNuGOweek 2024 Ghent programme overview flyer
NuGOweek 2024 Ghent programme overview flyer
pablovgd
 
Sharlene Leurig - Enabling Onsite Water Use with Net Zero Water
Sharlene Leurig - Enabling Onsite Water Use with Net Zero WaterSharlene Leurig - Enabling Onsite Water Use with Net Zero Water
Sharlene Leurig - Enabling Onsite Water Use with Net Zero Water
Texas Alliance of Groundwater Districts
 
Pests of Storage_Identification_Dr.UPR.pdf
Pests of Storage_Identification_Dr.UPR.pdfPests of Storage_Identification_Dr.UPR.pdf
Pests of Storage_Identification_Dr.UPR.pdf
PirithiRaju
 
(June 12, 2024) Webinar: Development of PET theranostics targeting the molecu...
(June 12, 2024) Webinar: Development of PET theranostics targeting the molecu...(June 12, 2024) Webinar: Development of PET theranostics targeting the molecu...
(June 12, 2024) Webinar: Development of PET theranostics targeting the molecu...
Scintica Instrumentation
 
Equivariant neural networks and representation theory
Equivariant neural networks and representation theoryEquivariant neural networks and representation theory
Equivariant neural networks and representation theory
Daniel Tubbenhauer
 
The binding of cosmological structures by massless topological defects
The binding of cosmological structures by massless topological defectsThe binding of cosmological structures by massless topological defects
The binding of cosmological structures by massless topological defects
Sérgio Sacani
 
THEMATIC APPERCEPTION TEST(TAT) cognitive abilities, creativity, and critic...
THEMATIC  APPERCEPTION  TEST(TAT) cognitive abilities, creativity, and critic...THEMATIC  APPERCEPTION  TEST(TAT) cognitive abilities, creativity, and critic...
THEMATIC APPERCEPTION TEST(TAT) cognitive abilities, creativity, and critic...
Abdul Wali Khan University Mardan,kP,Pakistan
 
Basics of crystallography, crystal systems, classes and different forms
Basics of crystallography, crystal systems, classes and different formsBasics of crystallography, crystal systems, classes and different forms
Basics of crystallography, crystal systems, classes and different forms
MaheshaNanjegowda
 
Authoring a personal GPT for your research and practice: How we created the Q...
Authoring a personal GPT for your research and practice: How we created the Q...Authoring a personal GPT for your research and practice: How we created the Q...
Authoring a personal GPT for your research and practice: How we created the Q...
Leonel Morgado
 
GBSN - Biochemistry (Unit 6) Chemistry of Proteins
GBSN - Biochemistry (Unit 6) Chemistry of ProteinsGBSN - Biochemistry (Unit 6) Chemistry of Proteins
GBSN - Biochemistry (Unit 6) Chemistry of Proteins
Areesha Ahmad
 

Recently uploaded (20)

20240520 Planning a Circuit Simulator in JavaScript.pptx
20240520 Planning a Circuit Simulator in JavaScript.pptx20240520 Planning a Circuit Simulator in JavaScript.pptx
20240520 Planning a Circuit Simulator in JavaScript.pptx
 
Randomised Optimisation Algorithms in DAPHNE
Randomised Optimisation Algorithms in DAPHNERandomised Optimisation Algorithms in DAPHNE
Randomised Optimisation Algorithms in DAPHNE
 
Micronuclei test.M.sc.zoology.fisheries.
Micronuclei test.M.sc.zoology.fisheries.Micronuclei test.M.sc.zoology.fisheries.
Micronuclei test.M.sc.zoology.fisheries.
 
aziz sancar nobel prize winner: from mardin to nobel
aziz sancar nobel prize winner: from mardin to nobelaziz sancar nobel prize winner: from mardin to nobel
aziz sancar nobel prize winner: from mardin to nobel
 
Describing and Interpreting an Immersive Learning Case with the Immersion Cub...
Describing and Interpreting an Immersive Learning Case with the Immersion Cub...Describing and Interpreting an Immersive Learning Case with the Immersion Cub...
Describing and Interpreting an Immersive Learning Case with the Immersion Cub...
 
Mending Clothing to Support Sustainable Fashion_CIMaR 2024.pdf
Mending Clothing to Support Sustainable Fashion_CIMaR 2024.pdfMending Clothing to Support Sustainable Fashion_CIMaR 2024.pdf
Mending Clothing to Support Sustainable Fashion_CIMaR 2024.pdf
 
EWOCS-I: The catalog of X-ray sources in Westerlund 1 from the Extended Weste...
EWOCS-I: The catalog of X-ray sources in Westerlund 1 from the Extended Weste...EWOCS-I: The catalog of X-ray sources in Westerlund 1 from the Extended Weste...
EWOCS-I: The catalog of X-ray sources in Westerlund 1 from the Extended Weste...
 
ESR spectroscopy in liquid food and beverages.pptx
ESR spectroscopy in liquid food and beverages.pptxESR spectroscopy in liquid food and beverages.pptx
ESR spectroscopy in liquid food and beverages.pptx
 
Sciences of Europe journal No 142 (2024)
Sciences of Europe journal No 142 (2024)Sciences of Europe journal No 142 (2024)
Sciences of Europe journal No 142 (2024)
 
Shallowest Oil Discovery of Turkiye.pptx
Shallowest Oil Discovery of Turkiye.pptxShallowest Oil Discovery of Turkiye.pptx
Shallowest Oil Discovery of Turkiye.pptx
 
NuGOweek 2024 Ghent programme overview flyer
NuGOweek 2024 Ghent programme overview flyerNuGOweek 2024 Ghent programme overview flyer
NuGOweek 2024 Ghent programme overview flyer
 
Sharlene Leurig - Enabling Onsite Water Use with Net Zero Water
Sharlene Leurig - Enabling Onsite Water Use with Net Zero WaterSharlene Leurig - Enabling Onsite Water Use with Net Zero Water
Sharlene Leurig - Enabling Onsite Water Use with Net Zero Water
 
Pests of Storage_Identification_Dr.UPR.pdf
Pests of Storage_Identification_Dr.UPR.pdfPests of Storage_Identification_Dr.UPR.pdf
Pests of Storage_Identification_Dr.UPR.pdf
 
(June 12, 2024) Webinar: Development of PET theranostics targeting the molecu...
(June 12, 2024) Webinar: Development of PET theranostics targeting the molecu...(June 12, 2024) Webinar: Development of PET theranostics targeting the molecu...
(June 12, 2024) Webinar: Development of PET theranostics targeting the molecu...
 
Equivariant neural networks and representation theory
Equivariant neural networks and representation theoryEquivariant neural networks and representation theory
Equivariant neural networks and representation theory
 
The binding of cosmological structures by massless topological defects
The binding of cosmological structures by massless topological defectsThe binding of cosmological structures by massless topological defects
The binding of cosmological structures by massless topological defects
 
THEMATIC APPERCEPTION TEST(TAT) cognitive abilities, creativity, and critic...
THEMATIC  APPERCEPTION  TEST(TAT) cognitive abilities, creativity, and critic...THEMATIC  APPERCEPTION  TEST(TAT) cognitive abilities, creativity, and critic...
THEMATIC APPERCEPTION TEST(TAT) cognitive abilities, creativity, and critic...
 
Basics of crystallography, crystal systems, classes and different forms
Basics of crystallography, crystal systems, classes and different formsBasics of crystallography, crystal systems, classes and different forms
Basics of crystallography, crystal systems, classes and different forms
 
Authoring a personal GPT for your research and practice: How we created the Q...
Authoring a personal GPT for your research and practice: How we created the Q...Authoring a personal GPT for your research and practice: How we created the Q...
Authoring a personal GPT for your research and practice: How we created the Q...
 
GBSN - Biochemistry (Unit 6) Chemistry of Proteins
GBSN - Biochemistry (Unit 6) Chemistry of ProteinsGBSN - Biochemistry (Unit 6) Chemistry of Proteins
GBSN - Biochemistry (Unit 6) Chemistry of Proteins
 

The role of IS/IT in Healthcare

  • 1. 1 The role of IS/IT in Healthcare Seminar Medical Informatics dr. Rogier van de Wetering 1Dept. of Information and Computing Sciences, Utrecht University, The Netherlands Utrecht, May 16, 2012
  • 2. 2 Outline lecture  Developments in Healthcare  Types of Information Systems and IT- architectures  Assignment 1  Break  Key benefits of IS/IT  Case: implementation of patient ID-card  Assignment 2
  • 3. 3 Key developments in healthcare from an international context Individuals more engaged in decisions and purchases Providers develop new services to clients (product and quality information) Innovations to improve efficiency & transparency Growing costs of healthcare Ageing population E-prevention programs will reduce future healthcare spending Providers develop management information of performance
  • 4. 4 International Comparison of Spending on Health, 1980–2007 Source: Davis et al., How the performance of the U.S. health care system compares internationally. The common wealth fund (2010). See also OECD.org
  • 5. 5 What is driving health care costs?  Spending on healthcare in all OECD countries are rising faster than economic growth, especially within the U.S.  Advances in medical technologies improve diagnosis and patient treatment. However, they also increase health spending  This can be clearly seen from the rapid growth and use of computed tomography (CT) scanners and magnetic resonance imaging (MRI) units used for diagnostic purposes  Factors include: 5 Medical technology Population expectations Population ageing
  • 6. 6 The U.S. and Greece show a big difference in their use per capita as opposed to the Netherlands 98,1 91,2 72,3 62,8 53,7 48,5 47,7 38,8 37,8 31,2 27,8 24,2 21,4 12,7 0 20 40 60 80 100 Greece UnitedStates Iceland Luxembourg Belgium France OECD Netherlands Denmark Canada CzechRepublic SlovakRepublic Australia1 Korea MRI exams per 1 000 population Data include only exams for out-patients and private in- patients (excluding exams in public hospitals). Number of MRI exams per 1 000 population, 2008 (or latest year available)
  • 7. 7 Developments in healthcare from a hospital CXO perspective Hospital CXO Chain care Governance, risk & compliance Horizontal /vertical integration Reimburse ments M&A Alliances Order mngtLean (logistic) operations Tele-medicine / eHealth Patient influence Cloud solutions / SaaS Mobile apps Information Management Patient engagement / empowerment Shared Services Integrated supporting processes Information Security Medical Imaging Technology Minimal Invasive surgery RFID / Track & Trace Regulations Virtualization Big Data/ Analytics Mobility outpatient clinic Business Intelligence Customized care EHR/EPR Business IT Healthcare Lean
  • 8. 8 Hype Cycle for Healthcare Provider Applications and Systems
  • 9. 9 Outline  Developments in Healthcare  Types of Information Systems and IT- architectures  Key benefits of IS/IT  Case: implementation of patient ID-card
  • 10. 10 Overview of various types of IS/IT  Electronic health records (ePR/eMR)  Computerized provider order entry (CPOE)  Decision and diagnostic support (e.g. CAD/CAR)  Advanced visualization tools  Surgical simulation and modeling  Knowledge discovery/mining and retrieval systems  Enterprise-wide image management systems (i.e. PACS)  Data exchange networks (e.g. XDS-i, IHE)  Prescribing systems  E-Health / consumer informatics / educational  Tele-medicine  Mobile computing  Administration (Cf. Haux, 2010; Chaundry, 2006; Huang, 2010; Van de Wetering, 2011)
  • 11. 11 Extracted medical informatics clusters/classifications appearing between 2005 and 2008 Organization, application, and evaluation of health IS Medical knowledge representa - tion Signal and data analysis Source: M. J. Schuemie1 et al., Mapping the Domain of Medical Informatics. Methods Inf Med 2009; 48: 76–83
  • 12. 12 The healthcare provider solution map shows six broad solution areas, as well as the high- level solutions contained in each
  • 14. 14 Outline  Developments in Healthcare  Types of Information Systems and IT- architectures  Key benefits of IS/IT  Case: implementation of patient ID-card
  • 15. 15 There are many possible benefits and costs of implementing health information technology  Effects of health IS/IT (Cf. Chaundry, 2006):  Quality  Efficiency  Costs  Challenges for the future:  Interoperability of medical data  Adoption rates of IS/IT  Misalignment of incentives for its use Key question remains: How to apply IT effectively?
  • 16. 16 A typical IT-implementation method including various phases and value streams Support Project Management Value People, change management and education Process and systems Business Intelligence Information Technology Security and Controls 1Vision 4Build Implementation cycle
  • 17. 17 Outline  Developments in Healthcare  Types of Information Systems and IT- architectures  Key benefits of IS/IT  Case: implementation of patient ID-card
  • 18. 18 Case: patient ID-card at Amsterdam Medical Center (AMC)  Main goals:  Efficiency improvement (e.g., no re-coding of patient numbers etc.);  Less patients losing their card;  Improvement patient identification;  Cost efficient, what’s the business case?
  • 20. 20
  • 21. 21
  • 22. 22 A design/blueprint and associated IT- architecture gave alignment with the final solution
  • 23. 23 A simplified IT-architecture Server (Email, tel., VeCoZo, adress, huisarts en foto) Front-Office Balies Self-service Client software Webcam ZIS Synchronisation VECOZO SBV-Z Synchronisation Cloverleaf Pass printer EHR Scanner X/Care
  • 24. 24 The AMC solution at the registration desks in the outpatient clinic
  • 25. 25
  • 27. 27 Final remarks  Need for IS/IT in healthcare  Classifications of systems and architectural design  Broad impact of IS/IT  Case example on how IS/IT impacts hospital operations