HOSPITAL & CLINICS
PATIENT CENTRIC META DATABASE
AND INFORMATION SYSTEM
FOR MEDICAL AND HEALTH MANAGEMENT
6 October, 2003
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Key Objectives - Rationalization
30%
20%
20%
25%
30%
reduction of patient history research time
reduction in patient diagnosis time
reduction of disease emergency treatments
reduction of medical exams and tests
risk reduction of medications
Allow healthcare professionals to work interactive
 Tool to optimize the treatment process
 Tool to create patient profile and case – disease management
 Tool for patient management (e.g. behaviour & lifestyle change)
 Tool to avoid redundancy and unnecessary prescriptions
6 October, 2003
medXchange©2003 Private & Confidential
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Key Objectives - Quality
Quality of healthcare
Enable the delivery of high quality healthcare
 Integration of the patient in the healthcare process
• all medical data are immediately available
 Immediate identification of risk patients
 Realtime interactive hospital intranet for physicians over open platform
 No proprietary systems
Provide the highest quality service
 24 / 7 Realtime availability of interactive medical information and
documentation from trustworthy sources
 Patient protection through early warning system
6 October, 2003
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Key Objectives - Hospitals
Development of healthcare infrastructure for better quality healthcare
Better information and involvement of the healthcare consumer
Sharing of healthcare information and experience
Comply to healthcare regulations and guidelines
Develop programs to rationalize the healthcare process
6 October, 2003
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Innovative Approach to Health
& Medical Risk Management
Confidential data exchange point
All patient related medical and health data
For authorised healthcare professionals both in and out of the hospital
24/7 Availability of patient medical documentation
Out of medically credible trustworthy sources
(Family / consulting physician, hospital, clinics etc.)
Interface to clinical information systems
Laboratories, Radiology, Biosensors, etc.
Patient disease related profile
Dynamic adaptation to state of patient
Case – disease and medical risk management
EBM for good medical practice - golden standards and guidelines
6 October, 2003
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Continuity of medical care
Physician
Consulting Physician
Second Opinion
Patient Centric
Integrated Electronic
Medical Record
Medical Call Center
Hospital & Clinic
Therapists
6 October, 2003
Laboratories
Dispensed
Medication
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Continuity of Healthcare
The treating physician, consulting physician, hospital and clinic, dentist,
optician, laboratory, therapist and pharmacist can share relevant patient
information and documentation.
6 October, 2003
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Continuity of Healthcare
 Enabling the rationalisation of the healthcare process
 Reducing unnecessary medical examinations
 Eliminate redundancy of prescriptions
 Reduce risk of medication interactions and negative reactions
 Optimizing the hospital process and reducing hospitalization
 Avoiding delays in diagnosis and treatments
 Faster and better medical care at reduced costs
 Reduce risk of malpractice
6 October, 2003
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Patient Centric Meta Database
Medical Information
& Images
Physician
Medical Record
Clinical Medical
Records
Medical
Call Center
Laboratory
Results
Input
Input
Dispensed
Medication
Meta
Database
Output
Health Profile
6 October, 2003
Health Cards
IEM R
Output
Disease Profile
medXchange©2003 Private & Confidential
Implant Register
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Integrated Electronic Medical Record
Intuitively understandable by healthcare professionals worldwide
Multi Language
Ergonomically structured to
physicians working methods
Easy to consult by patient
6 October, 2003
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Disease related & health profile
Patient group profile
IEMR
IEMR contains patient medical & health
data and documentation
Patient disease related profiles are created
through case – disease support applications
(e.g. diabetes, nephrology, cardiology )
Patient health profiles are created through
occupational health and human ability
building applications
Disease related profile
Health profile
Patient group profiles are created for
statistical analysis of patient groups
6 October, 2003
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IEMR: Ergonomic Structure
Structured to follow the medical process and working methods of physicians
Comprehensive and up-to-date medical data and documentation
Personalised according to existing patient data
6 October, 2003
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IEMR: Disease related data
Disease related data:
Example of diabetes patient
Blood sugar
Blood pressure
Blood coagulation
Medication
Calorie intake
Physical activity
Comments and notes may
be entered with each
value on a chart
6 October, 2003
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IEMR: Patient Documentation
Patient documentation in the Integrated Electronic Medical Record,
IEMR may consist of:
Physician notes, letters and text
documents
Laboratory test and examination
results
X-Rays, scans, MRI, ECG,
angiography, Echocardiography,
Audiometrie, Visual performance,
fundus of the eye, EMG, NCV, other
medical imaging, etc.
6 October, 2003
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Case – disease support:
Disease related profile
A disease related profile of key medical indicators (e.g. blood sugar, blood
pressure, insulin intake etc.) can be established and followed over a day, weeks,
months or years.
6 October, 2003
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Management of "Risk Patients"
Case – Disease management
 Using Evidence Based Medecin, EBM
and good medical practice
Interface or data migration out of other
medical information systems
 Bio-sensors, laboratories, hospitals
 Specialised medical documentation
(Orthopedic, cardiology, nephrology,
radiology)
6 October, 2003
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Patient support applications:
Examples
General patient support
 Optic-Card
 Dental-Card
 Audio-Card
 Allergy-Card
 Cardio-Card
 Diabetes-Card
 Nephro-Card
 Orthopedic-Card
6 October, 2003
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Data Protection
& Access Management
EC Health Card or USB Key “access key”
Patient controls access to record
Certain data updated by patient
Medical data certified by physician
All data traced to source
Physician can restrict access to data
Physician & Patient notified of updates
6 October, 2003
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24 / 7 access to key medical data in the
Integrated Electronic Medical Record,
allows a physician to be much more efficient
and secure in the treatment of a patient.
Unnecessary medical examinations,
treatments and the associated
risks are minimized
6 October, 2003
medXchange©2003 Private & Confidential
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Healthcare Rationalization
Physician
30% reduction of patient history research time
20% reduction in patient diagnosis time
20% reduction of medical exams and tests
Hospital & Clinic
50% efficiency of patient admission processing time
20% reduction of medical exams and tests
30% efficiency in diagnosis time for emergencies
6 October, 2003
medXchange©2003 Private & Confidential
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Healthcare Rationalization
Patient
Greater medical security – one IEMR Improved healthcare treatment
Improved quality of healthcare
Optimization of healthcare services


Early warning system in case of problems with medical
implants and drugs
Supervision of compliance with medical regulations
6 October, 2003
medXchange©2003 Private & Confidential
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Healthcare Rationalization
Regional Healthcare
20% reduction of disease emergency treatments
25% reduction of medical exams and tests
30% risk reduction of medications
6 October, 2003
medXchange©2003 Private & Confidential
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The patient centric meta database
 access authorized by patient
 platform dedicated to healthcare professionals
 open standard for medical data exchange
 integrating existing technologies and systems
 no investment in hardware and software development
 integration of national and international physicians
6 October, 2003
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The IEMR & Medical Knowledge Base
 Designed by physicians for physicians
 Complete patient medical data and documentation
 Follows physician working methods
 Patient disease profile and risk analysis
 Patient pro-active health support and profile
 Case – disease management system
6 October, 2003
medXchange©2003 Private & Confidential
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Why integrate with
hospitals and medical groups?
Continuity of increasing quality of medical care
 Patient centric medical data and documentation
Optimization & increasing efficiency
 High quality of patient data and documentation availability
 Integrates the patient in the medical treatment process and pro-active
health programs
Assist in in efficient medical and health management
 Identification of risk patients
 Optimization of examinations and treatments
 Identification of optimal treatment guidelines, use of EBM
6 October, 2003
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