Session Overview
Title: “Telemedicine: The Next Generation of Virtual Healthcare”
Speaker: Bruno Gridelli
Converging factors will significantly impact how medicine is delivered in the coming years and decades. These factors include healthcare reform, provider shortages, continuing escalation of healthcare costs, an aging population and rapid technological development. Organizations with forethought, vision, and significant IM&T investments will identify more efficient delivery methodologies including telemedicine and succeed in this new healthcare landscape.
Telemedicine aims to go beyond the traditional delivery methods to provide greater access and higher quality care regardless of location. Additionally, telemedicine will have a financially prominent role in accountable care models by allowing for the delivery of more appropriate, distributed, and efficient resources and providers. This session will focus on virtual healthcare through telemedicine and how UPMC as a leader in global healthcare is spearheading the development and adoption of telemedicine solutions for defining new care delivery models.
Title: “Innovation, Technology and Business-Project Incubation in the Barcelona Medical Association”
Speaker: Lluis Pareras
Research and medical care are essential, but innovation cannot help patients if it does not reach the marketplace. A healthcare professional’s responsibility does not end with the care of patients. Medicine should promote innovative and entrepreneurial activity with the aim of driving improvements and allowing progress. Healthcare professionals see clinical needs first hand, they identify problems and solutions, and are continuously generating IT opportunities. This presentation wants to bridge the gap between ideas and their implementation, between physicians and investors, between the fundamentally care-based conception of healthcare professionals and physicians as leaders in the innovation of health industry, promoting their entrepreneurial spirit. The presentation will focus on how to transfer IT ideas to the marketplace, from the point of view of hospital management.
Title: “Innovation from the perspective of the UK National QIPP (Quality, Innovation, Productivity, Prevention) programme”
Speaker: Tad Matus
The session will focus on the gap between clinicians’ experience of technology as personal users, and the facilities given to them at work, and on the need to reshape clinical delivery by enabling clinicians to be both more productive and safer. The English NHS as a whole has recognised that current mechanisms are not sustainable, and the session will discuss the opportunities (like whole system working) and the challenges (notably spreading innovation). We will also look at “bottom up” initiation and funding as against “top down” sponsorship of change.
Title: “Building 7 New Hospitals in Madrid: A 3 Year Review from an IT and a Global Point of View”
Speaker: Francisco Garcia Lombardia
Within the Health Infrastructure Plan 2004-2007, the construction of eight new hospitals for Madrid was planned. Seven started their activities in 2008, six of them even started simultaneously in a three weeks period, covering more than 1,700,000 citizens (25% of the population).
These hospitals were designed as “digital hospitals” and integrated advanced technologies, patient centered information systems and centralized management of assets and ICT services for professionals.
To achieve our key objectives we had to change our management through the constitution of multidisciplinary groups and appropriate training plans.
This model has now been spread to other hospitals of our network.
Title: “Integration of New Private Hospitals in Public EMRs, IT Aspects, Comparison with Public Strategies”
Speaker: Jose Manuel Pacho
The opening of 8 new hospitals in Madrid Region within 4 years was part of the General Health Infrastructures Plan of the Madrid Public Health Service. These new hospitals face the challenge of providing solutions for the new requirements of the different agents participating in the Health System (mainly patients, practitioners and managers of departments). One of the key factors to achieve corporate goals is the usage of Information and Communication technologies. With this Corporative support, the new hospitals have become real Digital Hospitals, providing true benefits to citizens.
Title: “The Impact of New Infrastructure on Medical Care Processes”
Speaker: Henning Schneider
When constructing new hospital facilities with new infrastructure, the aim is always to organize processes in hospitals more effectively. In general, logistics and other support processes are mostly in the focus. However, for the new construction of the UKE-facility, the implementations of standardized, interdisciplinary clinical care processes were in the center of our attention. The facilities themselves as well as the technical infrastructure were geared to considerably strengthen the cooperation between the clinical departments.
Three years after moving in the new hospital facility, the successfully tackled daily challenges but most notably the outstanding cooperation in situations of crisis like the recent outbreak of EHEC epidemic have proven the importance and the great potential that lies in new facility structures and digitized care processes.
Title: “Management challenges: ’Big Bang’ change of Electronic Health Records in a hospital system”
Speaker: Peder Jest
OUH Odense University Hospital and Svendborg Hospital is an organization consisting of two hospitals, partly a highly specialized hospital and partly a community Hospital with acute admissions, covering remote areas. Two different EHR systems have covered the two units. The Regional Council has decided to disseminate the EHR from the highly specialized level (HIMSS stage 6) to all hospital functions in the region. The management challenges in converting from a well-functioning EHR with local databases to a new system covering all specialties / employees, with quite different functions and possibilities and a commend database in a "Big Bang" turnover will be described in details.
Title: “Process support via EMR migration: a Case study of an ongoing project”
Speaker: Jari Renko
Finnish public-sector health IT has very early adopted electronic medical records as intra- and inter-organizational tools for storing and communicating patient data. Several regional Health Information Exchange systems are used nationally, and a health information archive and ePrescription database on a national level is fast being deployed.
Concurrently with this development, the University Hospital district of Helsinki and Uusimaa (HUS) is seeking to leverage on these technologies and practices together with its community partners. In order to push productivity and patient safety to a new level, an EMR system migration is being planned across several public-sector healthcare organizations. The focus of this effort is on seamless cross-organizational integration, built on the concept of core patient pathways across primary, secondary and tertiary levels of healthcare delivery organizations.
Renko will discuss the methodology for such a cross-organizational effort, focusing on the need of flexibility and free exchange of ideas at an early stage of development and systems definition. Also, the importance of “turning the corner” or the point of each organization deciding on their firm commitment to the project before actual implementation starts is discussed, together with suggested organization and methodology.
Title: “Strategic Planning Towards a Regional EHR in Norway”
Speaker: Hans Nielsen Hauge
Electronic Health Records (EHR) have been the main system for clinical documentation in the Nordic countries for the last 5-10 years. However, these systems have not been able to induce the increase in quality and efficiency in patient care that was expected. The Scandinavian experience seems to be the same as the experiences from other countries that bringing the documentation into a digital form alone does not increase the main goals for care: effective help with high quality. A new strategy based on present knowledge about EHR-systems has been developed in the South-East region of Norway, and will be presented.
Title: “Deployment of EMR in the County Council of Uppsala, Sweden”
Speaker: Anders Björklind
In 2002 the politicians of the Uppsala County Council decided to introduce an EMR system in the county based on the principle “one patient – one journal”. A procurement process started and the Uppsala County Council decided that Cambio Cosmic system best met the requirements. It was also decided that all health care in the county should use the same system, hospital care as well as primary care.
Since there is no perfect EMR system that meets all requirements of all specialists, many physicians and other health care workers were critical. It was therefore essential to build an organization that could pick up suggestions for improvement and make demands to the supplier of the system. It was also essential to build an organization that could support the users with hands on advice and general courses.
The important criteria for success was found to be united politicians and management officials, along with determined project management and the ability to catch up suggestions from physicians and other health care workers and careful implementation planning.
Most modules of the Cambio Cosmic system are now implemented in most of the health care of the county. The main challenge of the future is to organize health care the way that the EMR system supports patient safety and efficient patient flows.
Title: “Semantic Search of EHRs - Creation of Data Warehouses and Clinical Registries”
Speaker: Xavier Pastor
Adoption resistance to ICTs in healthcare is overcome. Pervasive computing environment is an accepted reality in working environments and the implementation of EHRs is a current business in many healthcare facilities. However, the end-users – the healthcare professionals – are not fully satisfied. They recognize that all patient data is inside the databases and the main workflow of patient’s healthcare is hardcoded, but no significant added value is perceived in their daily practice.
A new wave of reluctance to the full use of EHRs is argued with the big time and user-effort required to collect the appropriate data in real time to find the best solution to patient’s health problems. Also the professionals find that a non-versatile workflow makes difficult the approach to a more personalized medicine.
Introduction of semantics and knowledge in the new generation of EHRs is a required step to remove these barriers. To achieve this goal, strong investment in research is required to find how to build new tools. At this point, the involvement of clinicians and professional experts is crucial. Wise developments on that must consider how to fit the new components of the ICT system architecture with patients and professionals to become a truly efficient health assistant interacting with the Biomedical Knowledge in the tangled web 3.0 network.
Title: “Decision support tools in clinical practice”
Dr. Ilkka Kunnamo
Clinical decision support systems (CDS) integrated with electronic health records (EHRs) have been shown to improve care. Full impact of CDS can only be achieved if CDS is provided for all professional groups and citizens via EHRs and personal health records (PHRs). Evidence-based and continuously updated CDS should be created by guideline developers in international collaboration. Availability of structured EHR data is essential for the implementation of CDS. A CDS system with capability of a “virtual health check” where CDS rules are applied to a population of patients can find also those people who have been lost to follow-up but could benefit from interventions, and simultaneously effectively collect data for quality measurement.
Title: “The NHS Private Cloud Infrastructure Project”
Speaker: Zafar Chaudry
The discussion will be centered on how healthcare organizations can build an enterprise infrastructure in a cloud based environment. We will have a closer look at architecture, cloud -ease of use, private / public, scalability, risk reliability, cost and security. Furthermore, Dr. Chaudry will discuss on SaaS, MaaS and IaaS (software/storage as a service, mail as a service, infrastructure as a service). His contribution will be a case study on how Liverpool Women's / Alder Hey Children's hospitals went about building their next generation Enterprise Infrastructure in a private Cloud based infrastructure.
Title: “Fiction and Facts: Socio-economic and Financial Benefits and Costs of EHR Systems”
Speaker: Karl Stroetmann
Various studies have predicted substantial economic benefits and financial savings from eHealth implementations, particularly also EHR-like systems in hospitals, regions and whole countries. Few have indeed measured actual results achieved. A critical review of recent empirical research will be presented, which shows that - given the right context and success factors - the socio-economic benefits may outweigh costs considerably. But little evidence exists to prove the predicted financial benefits. Rather, factors like greater quality of care, better patient safety or improved competitive position associated with eHealth implementations dominate benefits perceived and realised.
Title: “Daring to be Different”
Speaker: Dr. Peter Curry
eHealth is littered with expensive failures, however there are significant successes which often fail to make the same impact in the media. Success comes out of integrating solutions that deliver clinical benefit for patients with organizational change to increase efficiency and effectiveness. Illustrated with NHS Scotland experience with systems including SCI Store and Opera and drawing on the solutions and lessons learned during the conference.
Title: “HIMSS Analytics ROI Examples”
Speaker: John P. Hoyt
Mr. Hoyt will present some key findings from the HIMSS Analytics data base for North America. Will these patterns repeat in Europe? Also, Return on Investment for clinical systems is an elusive goal. Mr. Hoyt will present some pertinenst findings from the US on the clinical and financial benefits of clinical systems. Financial officers of healthcare systems and governments alike are looking for solid return on investment ideas from clinical systems. A construct of an ROI will be presented for others to copy and follow in their institutions or government entities.