Social Networking to Share Medical Knowledge: The experience of Madrid Health Region. Sampedro Préstamo Z. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

1. Social Networking:
Sharing Medical
Knowledge
Madrid Health Region experience
March, 18th 2010

2. Index
1. Introduction: Madrid Region
2. IT strategic lines
3. Freedom of Election
4. Social Networking
5. Madrid’s Scientific Social Network
6. Project Schedule
7. Strategic lines of the Project
8. Proof of Concept

3. 1. Introduction: Madrid Healthcare Region
“Consejería de Sanidad de la
Comunidad de Madrid”
(CSCM): Regional Ministry
of Health.
Resources
Resources Systems & Technology (September 2009):
Systems & Technology (September 2009):
32 Hospitals (2 more hospitals being created)
32 Hospitals (2 more hospitals being created) More than 45,000 Users connected.
More than 45,000 Users connected.
29 Specialities Centres.
29 Specialities Centres. Over 500 Servers.
Over 500 Servers.
258 Medical Centres & 158 Primary Health
258 Medical Centres & 158 Primary Health Over 50,000 PCs.
Over 50,000 PCs.
Medical Centres.
Medical Centres. Over 80,000 Devices.
Over 80,000 Devices.
54 Mental Health Centres.
54 Mental Health Centres. Over 190 Applications.
Over 190 Applications.
Near 80,000 workers.
Near 80,000 workers. Over 65 Suppliers.
Over 65 Suppliers.
And... more than 6,350,000 Citizens.
And... more than 6,350,000 Citizens.

4. 2. IT Strategic Lines
Main goals
Meet the needs of our citizens and professionals in matters
of Healthcare services.
Implement a more efficient model based on an enhanced
management and quality system.
Empower clinical professionals: Motivated professionals.
Innovation: key strategic lines of Madrid eHealth Plan.
Allow clinical collaboration.
Current Projects
Freedom of Election
Plan Athene@: IT general renovation (focus on
hospitals).
Intranet (Salud@).
One Healthcare Region
Personalized Attention Centre (appointment centre)
EHR in Hospitals and in Primary Care centres.
Electronic prescription.

5. 3. Freedom of Election
What is it? What does imply? Benefits
Allows Madrid’s citizens to choose their healthcare professionals regardless
of their location.
Primary Care: free election of family doctor, paediatrician or
nurse.
Specialized Care: free election of specialist or hospital.
Does not require a previously justification from the
citizen.
The elected professional can refuse the assignation
in some exceptional situations.

6. 3. Freedom of Election
What is it? What does imply? Benefits
Centralization of the patient’s medical information
(centralized EHR).
Access to the medical information from any
medical centre or any hospital that is treating the patient.
What is it? What does imply? Benefits
Better quality of healthcare services.
Enhances the transparency of information.
Better accessibility.
Increases equity, compensating waiting times.

7. 3. Freedom of Election
Changes for the health professionals
Normalized Formularies
Catalogues unification
Electronic
Services
Derivation Process Digital Clinical
Homogenization History
Current Projects
Healthcare card management system adaptation.
Primary care clinical information system adaptation.
Hospital Information System (HIS) integration with CIBELES.
Multi-channel appointment system (online, voice recognition…)
Balanced scoreboard.
Access to EHR (HORUS) .
….

8. 4. Professionals collaboration:
Social Networking
Added Value Clinical tools in the Athene@ framework.
Empowers clinical professionals: Motivated professionals.
Innovation: key strategic lines of Madrid eHealth Plan.
Allows clinical collaboration between our big clinical network.
Collaborative
spaces framework

9. 4. Social Networking
We need a tool that allows…
Professional collaboration.
Share of experiences.
Learning at a national and international.
This tool has to be…
Easy to use.
Not “One more software application”.
No Data Privacy issues.
Our Social Network improves clinical outcomes while ensuring
better communication among our clinicians.

10. 4. Social Networking: The Project
Allow physicians to share clinical and scientific knowledge.
Innovative and challenging.
A valuable for clinicians.
Led by the Health Administration.
Madrid: first region in Spain running a Social
Network for Health Professionals.
Initial Proof of Concept: Hospital Gregorio Marañón.
Aims of the project:
Validate Web 2.0 tools for clinical collaboration.
Explore the perception from professionals

11. 5. Madrid’s Scientific Social Network:
The selected tool
Allows us to create our own private and social network.
Professional tool focused on clinical case collaboration
and image share.
Complements our EMR and PACS, but does not replace them.
It can be use for a second opinion.
Clinical knowledge repository.
It can be a place where researches, clinicians, students
and residents from different hospitals can share experiences
and learn.

12. 5. Madrid’s Scientific Social Network

13. 5. Madrid’s Scientific Social Network

14. 5. Madrid’s Scientific Social Network
Online
Clinical Discussion
Repository
Medical Medical
Committees Education
Tool Material

15. 5. Madrid’s Scientific Social Network

16. 6. Project Schedule
The Project is divided in two phases:
Phase I: Proof of Concept in Hospital Gregorio Marañón
Assigned population: 700.000 citizens
More than 1.700 beds
More than 1.300 physicians
More than 2.700 PCs
Phase II: Evaluation of conclusions of the PoC and extension to all
Hospitals and clinicians of the Region of Madrid.
Phase I: Proof of Concept Phase II: Evaluation and
extension
11month
month 33months
months 22months
months
• Presentation • Presentation.
• Evaluation of PoC Evaluation of PoC
•
• Definition of the Plan of extension.
• Definition of the Plan of extension

17. 7. Strategic lines of the project
Proof of Concept: Tumors Committee
Clinical environment.
Multidisciplinary meetings.
Presentation of clinical cases.
Evaluation forum for diagnosis discussion.
Relationship with other hospitals and physicians
Work with different type of images and media.
To ensure the success of the project:
Clinical Champion: clinical leaders, main
references of the projects.
Data Manager: to support the initial collecting
of media and train users.

18. 8. Proof of Concept: Schedule
Set up of the platform (Medting Enterprise).
Identification and selection of clinical Training to involved clinicians over the initial samples.
champions and leaders. Introducing Medting as a tool for the Tumors
Initial training to Champions and collecting Committee.
of 10 clinical sample cases. Target: 40 more cases.
Phase I: Proof of Concept
Phase II:
11month
month 33months
months 22months
months Evaluation and
extension
Introduction of the platform to the
Community of Madrid. • Presentation
Extension to other clinical environments.
Target: 30 more cases.
• Evaluation of PoC
• Definition of the Plan of extension

19. 8. Proof of Concept: Current Status
Prototype in Hospital Gregorio Marañón:
High user acceptance and satisfaction
Other clinical committees are demanding to start using the platform.
It has generated new ideas for virtual collaboration, international
exchange, etc.
Breaking some rules: hierarchical barriers tend to disappear in
a Social Network.
Planning the extension of the project under an appropriate and
controlled Plan.

20. 5. Madrid’s Scientific Social Network
Other initiatives
Teleradiodiagnostic Central Unit in Hospital Infanta Sofía:
122 Radio diagnostic Groups.
48 Interconnected Workstations.
900.000 studies per year
1,14 mill. citizens attended
Cardiologic Central Unit in Hospital Carlos III:
Central Structure located in Hospital Carlos III
Patients cardiologic proofs and analysis implemented.
Coverage all Madrid care canters.
Teledermatology:
Same infrastructures as Cardiologic and
Radiodiagnostic solutions: efficient use of resources.
To be implemented within the next 6 months.

21. Muchas gracias por su atención
www.madrid.org
Zaida Sampedro Préstamo
Dir. Gral. de Sistemas de Información Sanitaria
e-mail: zaida.sampedro@madrid.org