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Integrated Healthcare Information System Darko Gvozdanović, M. Sc. E. E. Department manager e-health Integrated Healthcare Information System Darko Gvozdanović, M. Sc. E. E. Department manager e-health

Agenda § § Healthcare challenges Ericsson addressing the challenges Integrated Healthcare Information System Conclusion Agenda § § Healthcare challenges Ericsson addressing the challenges Integrated Healthcare Information System Conclusion © Ericsson Nikola Tesla d. d. Integrated Healthcare Information System 2008 -06 -17

Healthcare Challenges Increasing Health Care costs Demographic change Scarce Resources Chronic Diseases Adverse Events Healthcare Challenges Increasing Health Care costs Demographic change Scarce Resources Chronic Diseases Adverse Events Healthcare Systems Trends and Projections © Ericsson Nikola Tesla d. d. Integrated Healthcare Information System 2008 -06 -17

Healthcare – Crisis drives development § Costs are skyrocketing due too inefficiencies, closed systems Healthcare – Crisis drives development § Costs are skyrocketing due too inefficiencies, closed systems and decentralized processes and fragmented application of ICT technology. WE Country example (NL): – 12% of GDP today used for Healthcare, if nothing changes 18% in 2020 – In 2025 22% of working population is needed in healthcare if trends continues – 2. 5% of hospitalization due too avoidable medication errors costs 300 M€ a year (Institute Dutch Apothecary) – 200. 000 persons have chronically heart problems and increases with 10% per year. – High complexity, high overhead, low efficient usage of capacity (beds – MRI scanners) © Ericsson Nikola Tesla d. d. Integrated Healthcare Information System 2008 -06 -17

Expensive inefficient avoidable preventable © Ericsson Nikola Tesla d. d. Integrated Healthcare Information System Expensive inefficient avoidable preventable © Ericsson Nikola Tesla d. d. Integrated Healthcare Information System 2008 -06 -17

Ericsson Addressing the Challenges Tools Increased no. of subscribers Fiber, VDSL 2 2 G/GPRS/3 Ericsson Addressing the Challenges Tools Increased no. of subscribers Fiber, VDSL 2 2 G/GPRS/3 G Gbyte HSPA >100 Mbit/s with LTE Multiple service support (Voice, broadband, TV. . . ) Increased communication capabilities Healthcare divide Electronic Patient Records Increasing Health Care costs Demographic change Scarce Resources Chronic Diseases Adverse Events Healthcare collaboration Patient Registers Reporting and data communication Mobile Field Force Monitoring devices & sensors e. Health Services, Mobile Data and Remote Access Healthcare Systems Trends and Projections © Ericsson Nikola Tesla d. d. Integrated Healthcare Information System 2008 -06 -17

Ericsson Addressing the Challenges Processes Mobile patient data Patient medical data Networked and aggregated Ericsson Addressing the Challenges Processes Mobile patient data Patient medical data Networked and aggregated data Patient admin Cost Controlleddata Increased quality of service Empower Control Predict General Practitioner Offices © Ericsson Nikola Tesla d. d. Ambulance and 112 service Resurces admin data Patient in the center Telemedicine of the system Hospitals Health Protection Institutes Integrated Healthcare Information System Laboratories 2008 -06 -17

- Integrated Healthcare Information System Hospital Information System Health communication network HC Agent Health - Integrated Healthcare Information System Hospital Information System Health communication network HC Agent Health Resources Electronic Patient Register - EPR Register - HRR © Ericsson Nikola Tesla d. d. Electronic Healh. Care Record - EHCR Integrated Healthcare Information System 2008 -06 -17

Integrated Healthcare Information System - IHCIS § IHCIS is comprehensive ICT enterprise platform that Integrated Healthcare Information System - IHCIS § IHCIS is comprehensive ICT enterprise platform that can support various healthcare delivery processes – Open standards: HL 7 v 3, CEN ENV 13606 – Ultimate data security and privacy § Being the platform, IHCIS makes building different healthcare services easy – – – © Ericsson Nikola Tesla d. d. Physician application, e – booking, mobile access to medical information (community nursing), mobile access to immunization record, medical documentation access (for doctors committee)… Data mining, Business intelligence, Evidence based medicine (anonymous nation health record is available) Public health processes support Integrated Healthcare Information System 2008 -06 -17

Delivering Services with IHCIS Physician application IHCIS Technology and Communication EPR HRR HL 7 Delivering Services with IHCIS Physician application IHCIS Technology and Communication EPR HRR HL 7 v 3 / ENV 13606 interface HC agent Process interoperability Semantic interoperability IHCIS Users GPRS/ /UMTS HL 7 v 3 / ENV 13606 interface Physician ISDN ADSL HL 7 v 3 / ENV 13606 interface Pharmacy © Ericsson Nikola Tesla d. d. EHCR HL 7 v 3 / ENV 13606 interface Laboratory application Laboratory Pharmacy Integrated Healthcare Information System application 2008 -06 -17

Electronic Healthcare Record EPR Healthcare Agent HRR § Integrated healthcare Information System Central system Electronic Healthcare Record EPR Healthcare Agent HRR § Integrated healthcare Information System Central system for patient’s electronic healthcare records management – – – © Ericsson Nikola Tesla d. d. EHCR Comprehensive patient care record (anamnesis, allergies, diagnosis, medications, procedures, referrals) International healthcare terminology (e. g. ICD 10) ENV 13606: 2000 with HL 7 v 3 standard Integrated Healthcare Information System 2008 -06 -17

Electronic Patient Record EPR Healthcare Agent HRR § Integrated healthcare Information System Patient data Electronic Patient Record EPR Healthcare Agent HRR § Integrated healthcare Information System Patient data management – – – © Ericsson Nikola Tesla d. d. EHCR Patient demographics and administrative data Health insurance information Assigned physicians relationship management User-friendly interface and platform independence HL 7 v 3 standard compliance Integrated Healthcare Information System 2008 -06 -17

Healthcare Resources Register EPR Healthcare Agent HRR § Integrated healthcare Information System Health resources Healthcare Resources Register EPR Healthcare Agent HRR § Integrated healthcare Information System Health resources data management – – – © Ericsson Nikola Tesla d. d. EHCR Health resources profiles - doctors, nurses, healthcare facilities, diagnostic devices, etc) Access rights License management (digital certificates) User-friendly interface and platform independence HL 7 v 3 standard compliance Integrated Healthcare Information System 2008 -06 -17

© Ericsson Nikola Tesla d. d. Integrated Healthcare Information System 2008 -06 -17 © Ericsson Nikola Tesla d. d. Integrated Healthcare Information System 2008 -06 -17

Benefits for healthcare stakeholders § Physicians, nurses and other healthcare professionals – – © Benefits for healthcare stakeholders § Physicians, nurses and other healthcare professionals – – © Ericsson Nikola Tesla d. d. Data accuracy and timeliness Efficient working time management Collaboration and knowledge sharing Computer aided decision support Integrated Healthcare Information System 2008 -06 -17

Benefits for healthcare stakeholders § Healthcare Insurers and Payers – – © Ericsson Nikola Benefits for healthcare stakeholders § Healthcare Insurers and Payers – – © Ericsson Nikola Tesla d. d. Electronic invoicing and communication services Continuous quality monitoring Fee for service - better managing case costing Paperless document flow (improvement in performance and data quality) Integrated Healthcare Information System 2008 -06 -17

Benefits for healthcare stakeholders § Public Health – – – © Ericsson Nikola Tesla Benefits for healthcare stakeholders § Public Health – – – © Ericsson Nikola Tesla d. d. Emergency awareness with respect to: infections diseases, adverse reaction to drugs, increases in water born infections Monitoring health trends (area, office, province or total population) Diseases registries Integrated Healthcare Information System 2008 -06 -17

Benefits for healthcare stakeholders § Hospitals • • • © Ericsson Nikola Tesla d. Benefits for healthcare stakeholders § Hospitals • • • © Ericsson Nikola Tesla d. d. Insight to the patients healthcare record Optimization of business processes Integrating with other healthcare stakeholders Integrated Healthcare Information System 2008 -06 -17

Benefits for healthcare stakeholders § Health authorities – – – © Ericsson Nikola Tesla Benefits for healthcare stakeholders § Health authorities – – – © Ericsson Nikola Tesla d. d. Validate drug & procedure efficiency Better healthcare system management Potential revenue by selling analysis and trend medical data to pharmaceutical companies, laboratories and research companies Integrated Healthcare Information System 2008 -06 -17

Benefits for healthcare stakeholders § Patient – – © Ericsson Nikola Tesla d. d. Benefits for healthcare stakeholders § Patient – – © Ericsson Nikola Tesla d. d. Medical record ownership Efficient communication and person mobility Active participation in diagnostics and decision making processes Better quality of life Integrated Healthcare Information System 2008 -06 -17

Integrated Healthcare IS Benefits Immediate and continuous information availability Structured view and creation of Integrated Healthcare IS Benefits Immediate and continuous information availability Structured view and creation of the health solution Controlled and focused actions Health campaigns for prevention Controllable care system Continuous predictability Population health care Drugs Investments Efficient resource utilization Improved Healthcare provision quality Organizational efficiency and control © Ericsson Nikola Tesla d. d. Integrated Healthcare Information System 2008 -06 -17

Contact Information Ericsson Nikola Tesla Krapinska 45, P. O. Box 93 HR-10002 Zagreb Croatia Contact Information Ericsson Nikola Tesla Krapinska 45, P. O. Box 93 HR-10002 Zagreb Croatia E-mail: etk. [email protected] com WWW: http: //www. ericsson. com/hr/products/e-health © Ericsson Nikola Tesla d. d. Integrated Healthcare Information System 2008 -06 -17

© Ericsson Nikola Tesla d. d. Integrated Healthcare Information System 2008 -06 -17 © Ericsson Nikola Tesla d. d. Integrated Healthcare Information System 2008 -06 -17