Social Networking to Share Medical Knowledge: The experience of Madrid Health Region
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Social Networking: Sharing Medical Knowledge Social Networking: Sharing Medical Knowledge Madrid Health Region experience March, 18th 2010
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Social Networking to Share Medical Knowledge: The experience of Madrid Health Region. Sampedro Préstamo Z. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)
Transcript of Social Networking to Share Medical Knowledge: The experience of Madrid Health Region
Social Networking: Sharing Medical
Knowledge
Social Networking: Sharing Medical
KnowledgeMadrid Health Region experienceMarch, 18th 2010
1. Introduction: Madrid Region
2. IT strategic lines
3. Freedom of Election
4. Social Networking
5. Madrid’s Scientific Social Network
6. Project Schedule
7. Strategic lines of the Project
8. Proof of Concept
Index
Resources
32 Hospitals (2 more hospitals being created)29 Specialities Centres.258 Medical Centres & 158 Primary Health Medical Centres.54 Mental Health Centres.Near 80,000 workers.And... more than 6,350,000 Citizens.
Resources
32 Hospitals (2 more hospitals being created)29 Specialities Centres.258 Medical Centres & 158 Primary Health Medical Centres.54 Mental Health Centres.Near 80,000 workers.And... more than 6,350,000 Citizens.
Systems & Technology (September 2009):
More than 45,000 Users connected.Over 500 Servers.Over 50,000 PCs.Over 80,000 Devices. Over 190 Applications.Over 65 Suppliers.
Systems & Technology (September 2009):
More than 45,000 Users connected.Over 500 Servers.Over 50,000 PCs.Over 80,000 Devices. Over 190 Applications.Over 65 Suppliers.
“Consejería de Sanidad de la Comunidad de Madrid” (CSCM): Regional Ministry of Health.
1. Introduction: Madrid Healthcare Region
Main goalsMeet the needs of our citizens and professionals in matters
of Healthcare services. Implement a more efficient model based on an enhanced
management and quality system.Empower clinical professionals: Motivated professionals.Innovation: key strategic lines of Madrid eHealth Plan.Allow clinical collaboration.
Current ProjectsFreedom of ElectionPlan Athene@: IT general renovation (focus on
hospitals). Intranet (Salud@). One Healthcare RegionPersonalized Attention Centre (appointment centre)EHR in Hospitals and in Primary Care centres. Electronic prescription.
2. IT Strategic Lines
Allows Madrid’s citizens to choose their healthcare professionals regardless of their location.
Primary Care: free election of family doctor, paediatrician or nurse.
Specialized Care: free election of specialist or hospital.
3. Freedom of Election
What is it? What does imply? Benefits
Does not require a previously justification from the citizen.
The elected professional can refuse the assignation in some exceptional situations.
3. Freedom of Election
What is it? What does imply? Benefits
Centralization of the patient’s medical information (centralized EHR).
Access to the medical information from any medical centre or any hospital that is treating the patient.
What is it? What does imply? Benefits
Better quality of healthcare services.Enhances the transparency of information.Better accessibility. Increases equity, compensating waiting times.
Healthcare card management system adaptation.Primary care clinical information system adaptation.Hospital Information System (HIS) integration with CIBELES.Multi-channel appointment system (online, voice recognition…)Balanced scoreboard.Access to EHR (HORUS) .….
3. Freedom of Election
NormalizedCatalogues
ElectronicServices
Digital ClinicalHistory
Derivation ProcessHomogenization
Formularies unification
Changes for the health professionals
Current Projects
Added Value Clinical tools in the Athene@ framework.
Empowers clinical professionals: Motivated professionals.
Innovation: key strategic lines of Madrid eHealth Plan.
Allows clinical collaboration between our big clinical network.
4. Professionals collaboration: Social Networking
Collaborative spaces framework
We need a tool that allows…
4. Social Networking
Our Social Network improves clinical outcomes while ensuring better communication among our clinicians.
This tool has to be…
Professional collaboration.
Share of experiences.
Learning at a national and international.
Easy to use.
Not “One more software application”.
No Data Privacy issues.
Led by the Health Administration.
4. Social Networking: The Project4. Social Networking: The Project
Allow physicians to share clinical and scientific knowledge.
Validate Web 2.0 tools for clinical collaboration.Explore the perception from professionals
Madrid: first region in Spain running a Social Network for Health Professionals.
Innovative and challenging.A valuable for clinicians.
Initial Proof of Concept: Hospital Gregorio Marañón.
Aims of the project:
Allows us to create our own private and social network.
It can be use for a second opinion.
It can be a place where researches, clinicians, students and residents from different hospitals can share experiences and learn.
Clinical knowledge repository.
Complements our EMR and PACS, but does not replace them.
Professional tool focused on clinical case collaboration and image share.
5. Madrid’s Scientific Social Network:The selected tool
5. Madrid’s Scientific Social Network
5. Madrid’s Scientific Social Network
5. Madrid’s Scientific Social Network
Clinical Clinical RepositoryRepository
MedicalMedicalEducation Education MaterialMaterial
Online Online DiscussionDiscussion
Medical Medical Committees Committees
ToolTool
5. Madrid’s Scientific Social Network
6. Project Schedule
The Project is divided in two phases:
Phase I: Proof of Concept in Hospital Gregorio Marañón
Phase II: Evaluation of conclusions of the PoC and extension to all Hospitals and clinicians of the Region of Madrid.
• Presentation.• Evaluation of PoC
• Definition of the Plan of extension.
Phase I: Proof of Concept Phase II: Evaluation and extension
1 month1 month 2 months2 months3 months3 months
• Presentation• Evaluation of PoC• Definition of the Plan of extension
• Presentation• Evaluation of PoC• Definition of the Plan of extension
Assigned population: 700.000 citizens
More than 1.700 beds
More than 1.300 physicians
More than 2.700 PCs
Proof of Concept: Tumors CommitteeClinical environment.Multidisciplinary meetings.Presentation of clinical cases.Evaluation forum for diagnosis discussion.Relationship with other hospitals and physiciansWork with different type of images and media.
7. Strategic lines of the project
To ensure the success of the project:
Clinical Champion: clinical leaders, main references of the projects.
Data Manager: to support the initial collecting of media and train users.
1 month1 month 2 months2 months3 months3 months
Set up of the platform (Medting Enterprise).Identification and selection of clinical
champions and leaders.Initial training to Champions and collecting
of 10 clinical sample cases.
Training to involved clinicians over the initial samples.Introducing Medting as a tool for the Tumors
Committee. Target: 40 more cases.
• Presentation• Evaluation of PoC• Definition of the Plan of extension
8. Proof of Concept: Schedule
Phase I: Proof of Concept Phase II: Evaluation and
extension
Introduction of the platform to the Community of Madrid.
Extension to other clinical environments.Target: 30 more cases.
Prototype in Hospital Gregorio Marañón:
It has generated new ideas for virtual collaboration, international exchange, etc.
Breaking some rules: hierarchical barriers tend to disappear in a Social Network.
Other clinical committees are demanding to start using the platform.
8. Proof of Concept: Current Status
Planning the extension of the project under an appropriate and controlled Plan.
High user acceptance and satisfaction
5. Madrid’s Scientific Social Network
Teleradiodiagnostic Central Unit in Hospital Infanta Sofía:
122 Radio diagnostic Groups.
48 Interconnected Workstations.
900.000 studies per year
1,14 mill. citizens attended
Other initiatives
Cardiologic Central Unit in Hospital Carlos III:
Central Structure located in Hospital Carlos III
Patients cardiologic proofs and analysis implemented.
Coverage all Madrid care canters.
Teledermatology:
Same infrastructures as Cardiologic and Radiodiagnostic solutions: efficient use of resources.
To be implemented within the next 6 months.
www.madrid.org
Zaida Sampedro PréstamoDir. Gral. de Sistemas de Información Sanitaria
e-mail: [email protected]
Muchas gracias por su atención
