Advanced-Clinical-Workflow

Advanced-Clinical-Workflow - The Pain Points in Health Care...

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Unformatted text preview: The Pain Points in Health Care and the Semantic Web Advanced Clinical Application Research Group Dr. Dirk Colaert MD Today Tomorrow Location Hospital Decentralized, at home Time Symptomatic, curative Preventive, lifetime Focus On the process and provider On the patient Scope Cure Patients Care for Citizens Methods Invasive Less invasive Healthcare is changing… Order Process Manual Automated Experience Individual Best Practices The Process Fragmented, isolated disease mgt. Clinical Decisions Personal preferences Guide lines / evidence based De processes are changing … Information Fragmented, isolated Consolidated / complete Today Tomorrow Data completeness Fragmented Consolidated Data integrity Manual/error prone Systematic mgt. and control Data access Limited, Difficult Any time, any place Technology Isolated systems Integrated systems IT is changing … Data availability Slow Real time Today Tomorrow • Costs must decrease • Quality must increase – E.g. Medication errors: in the US 80.000 people died in 2004. (=8th cause of death) The health care is under pressure ... The Hospital Medical Knowledge High Quality Cost Effective needs Activities Information Assessment needs produces Healthcare as a Process Process Output Input Society subjective objective Medical Community Assesment operational Care Action Therapeutic Action Diagnostic Action Planning Healthcare as a Process: pain points Isolated information Fragmented information Not accessable information Too much information Bad information presentation Only clinical data is kept (no knowledge) Some information is not computer usable (free text, image features, (genome in the future)) No feed back to medical community and society Complex desicions Lack of training Changing knowledge Medical errors Inefficient workflow Understaffing No operational information No infrastructure information No common language Input - Output Information Process Clinical Desicions Workflow Action Medical Community operational Society objective subjective Assesment Planning Input - Output Information Process Clinical Desicions Workflow Cure for the pain points – wave 1 PAS: Patient Adminstration System HIS: Hospital Information System Result Distribution Action Medical Community operational Society objective subjective Assesment Planning C o l l e c t Cure for the pain points – wave 2 PACS: Picture Archiving And Communication Sytem PAS: Patient Adminstration System HIS: Hospital Information System CIS: Clinical Information System Care Order Entry Medication prescription Result Distribution Input - Output Information Process Clinical Desicions Workflow Action Medical Community...
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Advanced-Clinical-Workflow - The Pain Points in Health Care...

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