Transcript IEMR & Kowledge Base Presentation

INTEGRATED ELECTRONIC MEDICAL RECORD
IEMR
AND MEDICAL KNOWLEDGE BASE
16 February, 2003
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Continuity of healthcare
Physician
Consulting Physician
Second Opinion
Patient Centric
Integrated Electronic
Medical Record
Medical Call Center
Hospital & Clinic
Therapists
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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.
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Continuity of Healthcare
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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
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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)
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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
Health Cards
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IEM R
Output
Disease Profile
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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
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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
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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
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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
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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
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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.
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IEMR: Monitoring a diabetes patient
Key diabetes indicators monitored with daily / monthly profiles
Each of 5 key values entered in simple numeric format
Glucose
Ketone
Insulin dosage
Calory intake
Activity level
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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.
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Knowledge Base
Patient Support Applications
Evaluation of patients with high health
risks or chronic illnesses
Occupational health risk assessment
Patient rehabilitation and behavioural
support
Clinical studies
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Patient data creation
Structured IEMR data
Library of templates
Yes / No question templates
Evaluation templates
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Patient data creation
Structured IEMR data
Measurement and value
templates
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Knowledge Base: Rules
Defined by experts
Formulas applied to patient data
Library of rules and formulas
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Disease and health risk analysis
Disease related and health profiles
Analysis of key medical risks
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Supports case – disease management
Analysis of overall health risks
 Occupational health programs
 Pro-active health programs
 Behaviour support programs
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MyHabit:
Human Ability Building
Human Ability Building
Information Technology
Evidence based guidelines for
healthier lifestyle
Behaviour support tailored to
individual health profile
Online support and feedback
Monitoring and feedback of
treatment adherence
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Healthcare sectors
Risk Patients
Personal
Health Management
Medical Registers
Occupational
Health
Healthcare Consumer
Protection
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Integrated Electronic
Medical Record
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Clinical Studies
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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
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Healthcare Professional Platform
Windows PC & Internet Browser
CD Reader
“Hand Held” Computer with SmartPad
Online Access
Internet connection
Professional Health Key
Patient Health Key
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Healthcare Rationalization
Patient
Greater medical security – one IEMR Improved healthcare treatment
Improved quality of healthcare
Optimization of healthcare services
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Early warning system in case of problems with medical
implants and drugs
Supervision of compliance with medical regulations
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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
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Healthcare Rationalization
Occupational Health
30% reduction of workplace health risk
20% reduction of occupational health risk
Health Insurers
40% decrease in patient audit costs
10% reduction of malpractice claims
10% reduction of medical costs
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Healthcare Rationalization
General Healthcare
20% reduction of disease emergency treatments
25% reduction of medical exams and tests
30% risk reduction of medications
Clinical & Medical Studies
20% shortening of time to detect problems
40% clinical study infrastructure cost reduction
30% reduction of data gathering and reporting costs
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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 support and profile
 Patient pro-active health support and profile
 Disease and health risk analyis
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