6 October, 2003medXchange©2003 Private & Confidential1 PATIENT CENTRIC META DATABASE AND...
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Transcript of 6 October, 2003medXchange©2003 Private & Confidential1 PATIENT CENTRIC META DATABASE AND...
6 October, 2003 medXchange©2003 Private & Confidential 1
PATIENT CENTRIC META DATABASEAND INFORMATION SYSTEM
FOR MEDICAL AND HEALTH MANAGEMENT
HOSPITAL & CLINICS
6 October, 2003 medXchange©2003 Private & Confidential 2
Key Objectives - Rationalization
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
30% reduction of patient history research time20% reduction in patient diagnosis time20% reduction of disease emergency treatments25% reduction of medical exams and tests30% risk reduction of medications
6 October, 2003 medXchange©2003 Private & Confidential 3
Key Objectives - Quality
Quality of healthcareEnable 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 medXchange©2003 Private & Confidential 4
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 medXchange©2003 Private & Confidential 5
Innovative Approach to Health& Medical Risk Management
24/7 Availability of patient medical documentationOut of medically credible trustworthy sources(Family / consulting physician, hospital, clinics etc.)
Interface to clinical information systemsLaboratories, Radiology, Biosensors, etc.
Patient disease related profileDynamic adaptation to state of patient
Case – disease and medical risk managementEBM for good medical practice - golden standards and guidelines
Confidential data exchange pointAll patient related medical and health dataFor authorised healthcare professionals both in and out of the hospital
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Continuity of medical care
Consulting Physician
DispensedMedication
Laboratories
Second Opinion
Medical Call Center
Hospital & Clinic
Therapists
Patient CentricIntegrated Electronic
Medical Record
Physician
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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 medXchange©2003 Private & Confidential 8
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 medXchange©2003 Private & Confidential 9
Patient Centric Meta Database
MetaDatabase
Implant Register
PhysicianMedical Record
Health Cards
Medical Information& Images
Output
Input
Output
Input
I E M R
Clinical MedicalRecords
Health Profile
DispensedMedication
Disease Profile
LaboratoryResults
MedicalCall Center
6 October, 2003 medXchange©2003 Private & Confidential 10
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 medXchange©2003 Private & Confidential 11
Disease related & health profilePatient group profile
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
Patient group profiles are created for statistical analysis of patient groups
IEMR
Disease related profile Health profile
6 October, 2003 medXchange©2003 Private & Confidential 12
IEMR: Ergonomic Structure
Structured to follow the medical process and working methods of physiciansComprehensive and up-to-date medical data and documentationPersonalised according to existing patient data
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IEMR: Disease related data
Comments and notes may be entered with each value on a chart
Disease related data:Example of diabetes patient
Blood sugar
Blood pressure
Blood coagulation
Medication
Calorie intake
Physical activity
6 October, 2003 medXchange©2003 Private & Confidential 14
IEMR: Patient Documentation
Patient documentation in the Integrated Electronic Medical Record, IEMR may consist of:
Physician notes, letters and text documentsLaboratory test and examination resultsX-Rays, scans, MRI, ECG, angiography, Echocardiography, Audiometrie, Visual performance, fundus of the eye, EMG, NCV, other medical imaging, etc.
6 October, 2003 medXchange©2003 Private & Confidential 15
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 medXchange©2003 Private & Confidential 16
Management of "Risk Patients"
Case – Disease management Using Evidence Based Medecin, EBM
and good medical practiceInterface or data migration out of other medical information systems Bio-sensors, laboratories, hospitals Specialised medical documentation
(Orthopedic, cardiology, nephrology, radiology)
6 October, 2003 medXchange©2003 Private & Confidential 17
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 medXchange©2003 Private & Confidential 18
Data Protection& Access Management
Patient controls access to recordCertain data updated by patient
Medical data certified by physicianAll data traced to source
Physician can restrict access to data
Physician & Patient notified of updates
EC Health Card or USB Key “access key”
6 October, 2003 medXchange©2003 Private & Confidential 19
24 / 7 access to key medical data in the
Integrated Electronic Medical RecordIntegrated Electronic Medical Record,
allows a physician to be much more efficientand secure in the treatment of a patient.
Unnecessary medical examinations,treatments and the associated
risks are minimizedrisks are minimized
6 October, 2003 medXchange©2003 Private & Confidential 20
Healthcare Rationalization
50% efficiency of patient admission processing time20% reduction of medical exams and tests30% efficiency in diagnosis time for emergencies
Hospital & Clinic
30% reduction of patient history research time20% reduction in patient diagnosis time20% reduction of medical exams and tests
Physician
6 October, 2003 medXchange©2003 Private & Confidential 21
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
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20% reduction of disease emergency treatments25% reduction of medical exams and tests30% risk reduction of medications
Regional Healthcare
Healthcare Rationalization
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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
The patient centric meta database
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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
The IEMR & Medical Knowledge Base
6 October, 2003 medXchange©2003 Private & Confidential 25
Why integrate withhospitals 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