IS/ICT support for medicine

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Vyspělá ICT infrastruktura podporující VaVaI v
regionálním zdravotnictví
Jan Pejchal, Martin Zeman
1
RHC company profile
Regional Health Corporation consists of 5 hospitals
Děčín
Ústí nad
Labem
Teplice
Most
Chomutov
Total assets 5 billion CZK
Basic capital 3.6 billion CZK
Estimated revenues 4.5 billion CZK
Total 6 342 employees,
 Incl. 4 885 health professionals.
821 physicians,
2 671 nurses
2
RHC company profile
The organization was established in September 2007 to
merge these 4 district hospitals and 1 regional (Masaryk)
hospital under one roof creating thus the biggest healthcare
provider in the Czech Republic
The share holding company is owned by The Ústí Region
3
RHC company profile
The area covers about 820 000 citizens
6 342 employees (from that 838 doctors and 2 673 nurses)
More than 3 350 beds (71 % acute care beds in the region)
Basic, specialized and super specialized health care in a
great number of departments and clinics
4
Masaryk Hospital profile
Staff
Beds
Clinics and departments 40
Average length of stay 6.5
Inpatient
2 338
1 246
42 316
5
Masaryk Hospital profile
the largest healthcare facility in the region
the biggest employer in the regional capital town
the most important healthcare provider in the region
6
Masaryk Hospital profile
The most modern and most efficient technological
infrastructure has been built and it rates among the best
Czech hospitals
Masaryk Hospital is a filmless hospital since 2003
ISO 9001:2000 certification since 2002
ISO 27001 certification is in progress
7
eVision of Masaryk Hospital
filmless and paperless healthcare
telemedicine
EHR
new services based on ICT
and at the same time
privacy policy
legal protection
financial health
8
Characteristics of IS/ICT area
The Centre of Information Systems is a shared services
centre of the RHC corporation
The centre provides the unique regional healthcare
computer network, based on dark fibre technology, DWDM
and MPLS services
9
IS/ICT support for medicine
clinical evaluation of drug effects and of newly introduced
medical equipment
research activities
postgraduate and lifelong education of healthcare and
information professionals
10
IS/ICT support for medicine
scientific information services for healthcare community
and for other clients
special courses, training and other educational activities
including lectureships and extramural education
ICT administration for consultations and for telemedicine
11
IS/ICT support for medicine
Videoconferencing
in project management
in education oriented conferences (with surgical theatres)
in cooperation with university partners (CESNET) HD
videoconferencing
12
IS/ICT support for medicine
Video streaming
from the education centre of RHC
from theatres
to the education centre of RHC
IP streaming (IPv6), MJPEG
13
Regional dark fibre network
Masaryk Hospital is a provider of The National Research
Network CESNET2+ (10 Gbps access to CESNET2+ on
DWDM)
Clients of CESNET2 can access to the research network
through our regional network
14
Regional dark fibre network
Similarly dislocated The Ústí Region EMS offices are
interconnected through this network.
The RHC hospital dark fibre network provides services of a
federative identity management Shibboleth and participates
on an international roaming system for teachers, students and
researches EduRoam.
15
Design of the regional network
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1st shared applications
Data and communication centre of IS/ICT services is in
Masaryk Hospital in Ústí nad Labem
The 1st shared application is the regional ERP system mySAP
ERP 2005
Unified user management and central directory services
Common intranet and document management system
17
1st shared applications
Common HR and payroll information system
Central HelpDesk
Security ID cards for all employees
Access system
Area camera system
Common logistic and purchasing IS
18
1st shared applications
Common logistic and purchasing IS
Facility management system
Common information system for pharmacy
Virtual IS for joint medical libraries (MEDVIK)
19
Shared health information systems
There is a PACS system in the data centre as a core of the
regional solution (MagicStore concept by Siemens)
Data storage is based on grids (MAS by HP)
The RIS-HIS-PACS communication is based on integration
layer (IHE) (Ensemble by Intersystems)
20
Scheme of Masaryk Hospital PACS (2006)
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Shared health information systems
Scheduling - solution based on interconnection of booking
and calling systems. Their interconnection has led to
increased flexibility of the whole system including
multiplication of its functions.
22
Scheduling system structure (2008)
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Related and supporting projects
Successful cooperation on the project Research and
development of integration and communication centre of
health information (The grant of Ministry of Industry and
Trade of the Czech Republic) with pilot realization in
Masaryk Hospital
24
Related and supporting projects
Public internet in The Ústí Region hospital network (EU
Structural Funds)
Broadband – patient scheduling through internet (The grant
of Ministry of Informatics of the Czech Republic)
Logistic and supporting processes optimizing (EU Structural
Funds)
25
Related and supporting projects
MediGrid – methods and tools for GRID application in
biomedicine (The Academy of Sciences of the Czech
Republic, National Research Programme)
Distributed data storage (CESNET, in the frame of CzechLight
project and Medical applications activities, project POSN –
building of private optical hospital network – so called
North Side)
26
Related and supporting projects
MedGate – information gateway for research and development in
medicine – the tool of integration and effective use of the
information resources in medicine (The grant of Czech Ministry of
Education, Youth and Sports)
Medical virtual library - MEDVIK, sharing of information resources for
research and development (The grant of Czech Ministry of Education,
Youth and Sports)
27
The regional EFEZ framework program
„Information and communication centre of The Ústí Region
hospitals – the secure information exchange infrastructure
including medical images“ is also one of the running projects
within the framework program Effective healthcare in The
Ústí Region Conditions (in short EFEZ)
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The future cooperation
Cooperation and data exchange with regional PACS project
of Brno and Prague
Connection to Brno academic PACS project MEDIMED
EHR in paperless corporation of hospitals
Multiregional and international cooperation
29
The future cooperation
Dissemination to other localities of The Ústí Region
Cooperation/connection to other healthcare facilities and
subjects
30
Contact us
Jan Pejchal, jan.pejchal@kzcr.eu,
Manager ICT, Regional Health Corporation
M
Martin Zeman, martin.zeman@kzcr.eu,
Project Manager of Masaryk Hospital in Ústí nad Labem
31
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