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The virtual Hospital Information System of the future by Bart Sijnave

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CONFENIS 2012
CONFENIS 2012

The document discusses the virtual hospital information system (HIS) of the future. It describes how the classical HIS operates at strategic, tactical, and operational levels, while the virtual HIS of the future will be 1) virtual, 2) multidimensional, 3) shared, 4) customer-centered, 5) secure, and 6) available to support quality care. Key aspects of the virtual HIS include operating in the cloud, sharing records between providers and patients, and ensuring data security and system performance as usage increases.

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The virtual Hospital Information System of the future Prof. dr. B. Sijnave CIO UZ Gent September 20, 2012 © 2012 Universitair Ziekenhuis Gent
The classical HIS today Strategic level Tactical level Operational level © 2012 Universitair Ziekenhuis Gent 2
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
The virtual HIS or the HIS in the cloud V I R T U A L © 2012 Universitair Ziekenhuis Gent 4
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
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
The multi‐dimensional HIS (1) Internal multi‐dimensionality V I R T U A doctors                       nurses    L pharmacists © 2012 Universitair Ziekenhuis Gent paramedics … 7
The multi‐dimensional HIS (2) External multi-dimensionality V I R T U A L © 2012 Universitair Ziekenhuis Gent 8
The shared HIS: a bare necessity V I R T U A L © 2012 Universitair Ziekenhuis Gent 9
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
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 © 2012 Universitair Ziekenhuis Gent 11
Shared Patient record in practice: NHS V 2009 I R feb 2010 T U apr 2010 A L Dec 2011  (est: 2014)12 © 2012 Universitair Ziekenhuis Gent
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
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
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 © 2012 Universitair Ziekenhuis Gent 15
Patient empowerment: finally accessible? V I Shared EPR - PHR R Shared EPR T U EPR A EMR L © 2012 Universitair Ziekenhuis Gent 16
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
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
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
The virtual HIS of the future can only be virtual… Thank you for your attention! © 2012 Universitair Ziekenhuis Gent 20

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The virtual Hospital Information System of the future by Bart Sijnave

  • 2. The classical HIS today Strategic level Tactical level Operational level © 2012 Universitair Ziekenhuis Gent 2
  • 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
  • 4. The virtual HIS or the HIS in the cloud V I R T U A L © 2012 Universitair Ziekenhuis Gent 4
  • 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
  • 8. The multi‐dimensional HIS (2) External multi-dimensionality V I R T U A L © 2012 Universitair Ziekenhuis Gent 8
  • 9. The shared HIS: a bare necessity V I R T U A L © 2012 Universitair Ziekenhuis Gent 9
  • 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
  • 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 © 2012 Universitair Ziekenhuis Gent 11
  • 12. Shared Patient record in practice: NHS V 2009 I R feb 2010 T U apr 2010 A L Dec 2011  (est: 2014)12 © 2012 Universitair Ziekenhuis Gent
  • 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 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Pubmed citations © 2012 Universitair Ziekenhuis Gent 15
  • 16. Patient empowerment: finally accessible? V I Shared EPR - PHR R Shared EPR T U EPR A EMR L © 2012 Universitair Ziekenhuis Gent 16
  • 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
  • 20. The virtual HIS of the future can only be virtual… Thank you for your attention! © 2012 Universitair Ziekenhuis Gent 20