Transcript 1. dia - ehealth

One solution of
Deutsche Telekom Group
Complex IT solution for a
Hungarian Children's Hospital
György Velkey MD
general director
Bethesda Children’s Hospital of the Hungarian
Reformed Church
What are the
expectations …
… of EU?
• Development of
healthcare IT
infrastructure
• Broadband access (wired
or wireless)
• Online health services:
telemedicina,
telediagnostics, e-receipt
Government
What are the
expectations…
… of the Government?
• Higher standard of
patient service
• Cost and effort
efficiency
• Co-operations without
geographical borders
Hospital
What are the
expectations …
Hospital
… of the patients?
• High standard
service, better
accomodation
• Efficient
management
storage and
process of
patients’ data
What are the
expectations…
… of the Hospitals?
• Exact and fair financing
• 24 hours running, flawless systems
• Quick access to correct
information anywhere, anytime
• Applications and services in
integrated systems
• Increasing efficiency of therapies
• Communication without limits
• Quick access to external databasis
Hospital
infrastructure
Main question
patients
data
At appropriate place, in appropriate time
staff members
devices
Key parameters of
Bethesda Hospital
• Owned by the Hungarian Reformed Church
• General paediatric hospital in Budapest
• National center in burn injury and neurology,
regional center in intensive care, traumatology, rehabilitation
• 135 active and 25 rehabilitation beds, outpatient services
• 8-9.000 inpatients, 120.000 – 140.000 outpatients yearly
• Two locations – 1 km distance
• 306 employees (49 doctors, 159 assistant, 98 other)
• Budget: 5,0 M EUR/year
New infocommunication system: T systems – Cisco project: 2007.
Infocommunication system before the project:
• Telephony: 2 PBXs, 220 extension
• 151 PCs, 70% older than 3 years
2007.:
year of changing
• Changing healthcare system in Hungary
– Changing structure – lowering capacities
– Changing financing modes
– Changing rules
• New infocommunication system in Bethesda Hospital
The complex IT solution for
Bethesda Hospital supplied by
T-Systems, Cisco and GlobeNet
• Integrated IT and telco solutions
• T-Systems, Cisco and GlobeNet supplied complex
solution, not only hardware and software
• Elements are of best practice
Advantages:
• Flexibly sizeable, self-defending network
• Securely separable functions (internet access to
anyone, access to the medical systems only for
authorised personnel)
• Mobile: achievable anywhere, anytime
Elements of the
project
•
•
•
•
•
•
•
•
•
•
Wired and wireless LAN, 100%- WiFi penetration
IP telephony
integrated mobile-IP telephony
RFID localisation system
VPN remote access
MedWorkS medical system
Integrated customer calling system
Internet access anywhere in the hospital
Electronic signature
New hardware and software infrastructure
(PCs, printers)
• Wireless devices (Tablet PC, PDA).
• E-learning
Devices donated
By T-Systems
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•
•
•
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•
•
75 desktops and 3 tablet PCs
PDA-s
PACS monitors
Wireless LAN (Wifi)
Expanded existing wired LAN
Active RFID devices
Nokia E61 dual-phones
By Cisco
•
•
•
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•
•
•
•
•
WiFi Access Points
AP Management és Localisation
Call Manager cluster
IP telephony (wired & wireless)
IP Video telephone (Cisco 7985)
Voice Gateway (C2801)
LAN switching (3750, 3560)
Security (CSA, ACS, ASA)
Nokia E61, E71 telephone
Cisco/Nokia Licence
Services donated
by T-Systems
• ISDN30 voice gateway to the PSTN telephony
network
• E-signature and time pass (for 5 persons)
• Remote access (via ADSL) to the server of the
Hospital for 5 people
• e-Learning, in order to educate the employees on
the new medical system and the use of new devices
• Client call system
• Projectmanagement
• Management of the IT infrastructure until
December 31, 2009
Then and now…
Then
• Patients waiting for
examination dont know
where to go
• Long waiting
Now
• Intelligent client call system
(integrated into the medical
system) shows where, and
when the patient has to be
present
Further development
opportunities:
• Online scheduling
• Scheduling via call center
Then and now…
Then
• Running or making phonecalls about find the
doctors, assistants, or
equipments
Now
• Equipments protected by
RFID
• Internal WiFi IP telephone,
intelligent messaging and
alarm functions
• Dual phone (integrated
mobile-IP telephone)
Then and now…
Then
• Separate telephony and
IT network, internet
access only on a couple of
PC-s, high access and
usage fees, difficult
operation
Now
• Integrated voice-datavideo
• Unified communications
network, unified monthly
fee, easy operation
Then and now…
Then
• Information can only be
accessed from one
specific place
Now
• The patients’ data are
achievable anywhere (at
the bed, from home) ,
anytime due to the
wireless LAN and the
mobile devices
Then and now…
Then
• Several different
applications: accounting,
controlling medical,
laboratory – several
suppliers, several monthly
fees
Now
• One integrated medical
system (including
diagnostics, pharmacy,
logistics, controlling,
finance functions) –
unified monthly fee
Medworks – Globenet
Then and now…
Then
Now
• Determined time and
location of trainings
• E-learning – anytime,
anywhere
Then and now…
Then
•
•
•
•
Several
Several
Several
Several
systems,
suppliers,
platforms,
SLA-s
Now
• One system, supplier,
platform
• One SLA
• System integration
and project
management from TSystems
White Paper
What is it?
• All steps of the
development are
documented in this
White Paper from the
initial steps to the hand
over
• The results due to the
new IT system can be
measured via indicators.
Highlights the return on
investment and gained
advantages
Indicators
• Average time spent on
gathering and process of
data  reduced
• Costs of operation per asset
value  reduced
• Occurence of system out-oforder  reduced
• The average age of the IT
devices reduced from 5.5
years to 1.5 years
• Number of work places with
internet access grown
Further
opportunities…
• Replication of this project in other
hospitals and healthcare institutions
75 billion HUF (EUR 288 million) of EU
funds have just become available to
develop regional primary hospitals
Key issue is financing
Modern infocommunication
system at a church hospital?
High professional
standards
Better technical
possibilities
„Curing community”
Better possibilities in
communication
Holistic, child and
family centered care
Comfort of children and
parents
Partner in Bulgaria