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The virtual Hospital Information System of the future by Bart Sijnave
- 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
- 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
- 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
- 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
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1997
1998
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2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
Pubmed citations
© 2012 Universitair Ziekenhuis Gent 15
- 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