Bart Sijnave - CIO UZ Gent The Virtual Hospital Information Systems (HIS) of the Future (

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
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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
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4. The virtual HIS or the HIS in the cloud
V
I
R
T
U
A
L
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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
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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…
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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
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9. The shared HIS: a bare necessity
V
I
R
T
U
A
L
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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
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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
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12. Shared Patient record in practice: NHS
V 2009
I
R feb 2010
T
U apr 2010
A
L Dec 2011
(est: 2014)12
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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
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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
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16. Patient empowerment: finally accessible?
V
I Shared
EPR - PHR
R
Shared EPR
T
U EPR
A EMR
L
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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
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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
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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 ….
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20. The virtual HIS of the future can only be
virtual…
Thank you for your attention!
© 2012 Universitair Ziekenhuis Gent 20