Transcript Digital Hospital Infrastructure overview - ehealth

The Digital Hospital at
St. Olavs Hospital
Ken Watt
Program Manager – Digital Hospital
Europe Middle East & Africa
Hewlett-Packard Company
© 2006 Hewlett-Packard Development Company, L.P.
The information contained herein is subject to change without notice
> Definition of the Digital Hospital
> St. Olavs
- Background
- Business vision
- What implemented
- Benefits
© 2006 Hewlett-Packard Development Company, L.P.
The information contained herein is subject to change without notice
What is a Digital Hospital?
− Relies on technology as an integral and
fundamental part of its business strategy
− Enables the organization to leverage it’s
potential for delivering higher quality care
in increasingly efficient ways through the
use of IT and process redesign.
− Goes beyond advanced clinical systems
and includes additional integration between
IT, medical, communication and building
technologies to create a real-time
hospital information environment
Source: PWC
The Infrastructure
of a Typical Hospital today
Nurse Call
Patient Entertainment Access Control
Intercom
CCTV
AGV (Robotics)
Phone
Systems
(PBX)
Data Networks
DECT/Pagers
Paper
Medical Devices
Wireless LAN
WiFi
Client PC
Hospital
Applications
Lighting control
Blinds
Air condition
Facilities Control
EPR PACS HIS LAB etc
Infrastructure IP Convergence
Patient terminal
IP phones
IP wireless
phones
MDA/
PDA
PC
Mobile
phones
(SMS)
Pager
Nurses’
portal
GSM
OPC, SMTP, SMNP
LAN/WLAN
IP converter
ESPA 4.4.4
Middleware
PACS
EPR
EHC
Laboratory etc.
I/O signal
converter
WiFi tags
Nurse call
Patient monitoring
medical equipment
Facility
control
Everything over IP – IP Everywhere
Digital Pen
The Digital Hospital – Putting it Together:
Integration Technology
Portal
Middleware Platform
Future state:
Digital Hospital Roadmap
Technology
enabled efficient
processes
Integrate
Current
state:
Inefficient
manual
processes
Innovate
Pilot & rollout e.g
• Messaging & alerts
• Location based
• Patient bedside
services
• Asset tracking terminal/portal
• RFID
• Patient monitoring
Enhance
Infrastructure
•
•
•
IP LAN
Wireless &
mobility
Security
•
•
IP Telephony
•
Wireless
•
•
• Enhance integration of
applications and services
• Seamless communications
& alerts
• Align applications with
business processes
Reinvention and
redesign of care
processes
•
•
•
Organizational
virtualization
•
Ecosystem partner
integration
Better
quality of
care
Reduced
number of
errors
Improved
productivity
and
decreased
cost
Converged IP network
for voice, data and video
Physical
integration
Network enhancement / New Infrastructure
Logical
integration
Change Management
Ecosystem
integration
Service evolution
Creating the Digital Hospital –
The Applications Layer - Solutions .....
Patient Bedside Terminal &
Portal
Messaging & Alerts
- Nurse call
- Medical team assembly
- Hospital orderly
- Event driven alerts
Location and identification
services
- WiFi
- RFID
Device integration
- Patient monitoring
- Infusion pumps
Integration Platform
Network & communication
infrastructure
Case Study:
St Olav’s Hospital
St Olavs Challenges & Vision
Building a state-of-the art hospital to deliver patient centric services
• Hospital was too costly to operate, with
annual rising costs
• Opportunity to build a hospital that will
provide outstanding quality of care
• Objective to deliver patient centric services
• Transition from one large structure to 11
separate centres
• Opportunity to integrate clinical and
teaching/research areas (key objective).
• Opportunity to integrate University
employees seamlessly
• Opportunity to exploit ICT to deliver
information to the right persons at the right
time at the point of care
• Opportunity to align business
outcomes/process re-design with IT
requirements
• Become Europe’s/World’s most modern
hospital (the hospital of the future ....)
• Located in Trondheim - Norway’s
largest hospital
• Premises: Main Acute Services Unit
(75%) & University Hospital (25%)
• Managed by the Regional Health
Authority of Mid-Norway
• 950 beds
• 8,000 Staff (+1,250 students)
• 413,000 patient treatments per year
• Provides services & specialties for
other hospitals in the region
St Olavs Challenges & Vision
Cont ....
“...Based on teamwork
working in an integrated
environment, with medical
expertise, and nursing care
focused on the patient.“
•
An opportunity to re-structure to enable a holistic view of the patient
•
Opted for a campus-style layout
500 patient and staff
Interviewed: 2,500
requirements/requests
− 11 interconnected buildings instead of one big infrastructure
•
Major changes in organisation, support, and building architecture design (influenced by staff &
patients) to:
• Deliver patient centred services and treatment Vs. traditional approach of patients moved
between departments/centralised facilities.
•
ICT support to provide the right information to the right person at the right time at the
point of care
•
Adoption of the Planetree model:
• All-round care and treatment in collaboration with the patient and families
• A nursing process that minimises the number of health workers a patient has to deal with
• An informed and involved patient: knowledge of their condition should contribute to
diagnosis, treatment, and follow-up.
ICT – The Core Enabler at St. Olavs
Patient Bedside Terminal &
Portal
Mobility
Flexibility
Security
Availability
Everything over IP – IP Everywhere
Messaging
& Alerts digital
System
integration,
- Nurse call
infrastructure
- Medical team assembly
- Hospital orderly
- Event driven alerts
LocationCommunications
and identification
servicesand
- WiFi
- RFID Cisco Clinical Suite
Device integration Solutions
- Patient monitoring
- Infusion pumps
Integration Platform
Network & communication
infrastructure
Suite
Medical Equipment Integration
Medical equipment:
• Provides real-time clinical data
• Accessed via web browser
(& real time EPR update)
• Can be integrated to
Centralised alerts solutions
(Wired or Wireless)
• Protected by RFID/WiFi tags
•
All devices with I/O signal can be connected
to the network and provide real-time data
•
Analysis of measurement and device data
•
Devices can me monitored remotely (HP
OpenView)
IP Gateway
Patient Monitoring
Access to device and its data via web browser
Conversion and display of
data in real time (archived
for historical/research &
decision Support)
Location-based services
Identification and location tracking
Benefits
•
Trauma Team assembly
•
Medical Emergency
alarm and locating
nearest clinician
•
Monitoring of
high-risk patients
•
Device alarms and
theft protection
•
WiFi/RFID asset
monitoring and
identification
•
Activity control and
process monitoring
IMATIS Nurse Call
•
•
•
•
•
Nurse Station - visualization of ward/bed area
Role based – individual and teams
Emergency alarms, locates nearest Clinician/Nurse
Better staff utilisation (Nurse to patient dialogue anywhere)
Dynamic distribution by peaks
Best OPC Server
Staff required
5
4
3
Shift
2
Work load
1
0
4
8
12
16
20
24 Hrs
Lab requests and results
Requests raised/Results displayed via mobile devices
(PDA, Tablets, Laptops, CCOWS)
Signatures stored in audit database
Patient Terminal – Multiple Role
Meets patient’s need for
entertainment, communication, and
access to own or other hospital
information
A secure and efficient way for
clinicians & nursing staff to use
the same terminal to access
core clinical systems (i.e. EPR
or IMATIS Patient Chart).
Patient and family involvement in
diagnosis & treatment ......
Patient Entertainment
• TV and Radio over IP
• Video
• Internet/ E-mail
• Telephone (VoIP)
• Information (e.g. hospital & treatment ...)
• Room Lighting control
• Nurse Call
• Real time Access to Catering Services
• Games - Xbox
Professional application use through smartcard
Patient Chart
•
Displays critical patient information:
- Vital Signs
- Administered Medication
- Treatment History
- Lab results
& examinations history
Electronic Patient
Record
•
Complete Electronic Patient Record
based on European standards. (CEN ENV
13606-1)
•
EPR can be:
• fully integrated
• or accessed via Citrix Session to existing
EPR System
Expected results at St. Olavs
•
Improved patient care through real time access to
data at the point of care
•
Reduced Length of Stay (LOS)
•
Staff productivity increased through improved
collaboration (objective: achieve productivity gain
of 26.1% by 2015)
•
Achieve measurable reduction in staff workloads
•
Reduce operating and waste costs by 22M Euros.
• Converged network to improve TCO and reduced
network operating costs
Thank you ...