AVANCE SUBPROYECT FILE Project H2050 Subproject 5 ......Tabs Forward subprojects p. 1 AVANCE SUBPROYECT FILE Project H2050 Subproject 5-New HIS - functional model for the hospital

Tabs Forward subprojects p. 1

AVANCE SUBPROYECT FILE

Project H2050

Subproject 5-New HIS - functional model for the hospital of the future

TOPIC AREA Efficient Hospital

1. Total No. of proposals received and participating companies:

2. Scope of the project / functional analysis:

With the implementation of this institutional tool "Servicio Galego de Saúde” aims to provide patients

all the information and mechanisms required for the follow-up of their process, allow professionals to

have information about the trajectory of a health care patient and corporate processes, supporting

the planning of health-care activities that need to be managed from the centre, ensure that the

attention processes are carried out in time and in an appropriate manner and speed them up, when

necessary, reduce direct and indirect costs, through the reorganization of agile services, simplification

of processes, the coordination of concatenated activities, streamlined communication among

professionals and the efficient use of time available to practitioners and of technology means and

inform the various levels of decision-making of the degree of achievement of objectives, through a

system of indicators to make decisions in day-to-day management.

This tool will be the core of health care services planning; it will be the single point of entry of health-

care activities registration that form the most relevant processes in the health care organization, with

special emphasis on chronic diseases.

In addition, identify the unique nature of the insured, patients treated, the portfolio of services and

modality provided in each area, the production units of services and the professional technological

SUBPROJECTNUMBER OF PROPOSALS

LIST OF PARTICIPANTSLAST

SENDING OF PROPOSALS

ALDABA servicios profesionales S.L.

APPLICA ASOCIADOS

CANDEDO & ABYPERSONALIZE

CITIC - Centro de Investigación en Tecnoloxías

CyE CONTROL Y ESTUDIOS S.L.

EPTISA TECNOLOGÍAS DE LA INFORMACIÓN, S.A.

FUJITSU TECHNOLOGY SOLUTIONS

GRADIANT: Fundacion Centro Tecnolóxico de Telecomunicacións de Galicia

HP

INCITA: INSTITUTO CIENTIFICO DE INNOVACION Y TECNOLOGIAS APLICADAS, SL

ITMATI (Instituto Tecnológico de Matemática Industrial)

MYSPHERA

OESIA NETWORKS

ORACLE Ibérica SRL

PERSONA FÍSICA: JESÚS PREGO DOMÍNGUEZ

PERSONA FÍSICA: ROCÍO LÓPEZ CONDE

PHILLIPS IBÉRICA, S.A.

SIVSA

UTE: COREMAIN - EVERIS

OPEN CALL FOR PROPOSALS FOR

INNOVATIVE SOLUTIONS

H2050-5-New HIS - functional

model for the hospital of the

future

21

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and physical resources, available for health-care service delivery. It must be integrated with the rest

of departmental applications and be accessible from the electronic medical record (IANUS)" in

addition, it will be able to establish relationships with the patient through the communication devices

installe.

The technological and functional complexity of the project and the critical nature of health care

means the change in the management system should have its own identity in the project and be

considered, by itself, an essential part of the innovative solution.

The main features of the new system are:

- Administrative adaptability to different organizational models (different types of organizational structure that carries out its activity in the networks of public centres under different

management models, so it must be multifunctional and Multicentre;

- The accessibility (definition of the user profiles that will have to specify the relationship between the user of the information system and the structured elements for different tasks, or in which to

carry out its activity) so it must be multi-access;

- Must manage continual of care; - The scope of patients with whom the new system works with must be unique ( the Health Insurance

Card is being considered) and will be a multi measurable system with flexibility in the incorporation of

administrative regulation changes done by relevant bodies that will regulate on the premise of the

existence of a centralized integrated registry of professionals.

The project intends to integrate assistance regardless of where they occur (Primary Care, Hospital

Care, Sanitary Care or Public Health) and information (both health care as well as human, physical and

technological resources).

The new system will offer, therefore, a global vision for care and the resources with which it is provided and integrated through the healthcare process.


3. Identification of innovative elements to develop:

The new system will have four modules: supply administration, planning management and

programming, care management processes and documentation management. Supply manager is

responsible for maintaining the resources of the organization in order for it to carry out its activity by

monitoring procedures, the functional structure, resources and physical technological equipment;

This means it will need access to other systems, such as demand registration, the master file of users

or the Staff management system.

The Planning and Programming system is responsible for all the operations necessary to plan and


schedule the activity to do this it has several functions: supply-demand comparison, resource

allocation, scheduling, rescheduling and cancellation.

The Process Manager will be responsible for allowing the definition and management of the

operational processes and organization of care by prioritizing all care activity, regardless of where

they occur and the staff that carry them out, in every healthcare process defined by the organization.

This system has the capabilities of defining processes and protocols in each process, concatenating

the different activities in each process and comparing the indicated activity with the provider in the

protocols of each process.

The Documentation Manager is responsible for, on the one hand, providing both healthcare

professionals and management with organizational, monitoring and evaluation tools for the activity of

their services and units, and on the other hand it will also be responsible for the information the

patients receives.

Finally, highlighting that the new system should interact in a very direct manner not only with the

IANUS and the system user, but also with other systems of the SERGAS.


4. Attached Documentation:

ExecutiveExecutive SummarySummary

SubprojectSubproject GS3GS3--SH2050SH2050--55

New HISNew HIS 20502050

IntegralIntegral Management Management SystemSystemIntegralIntegral Management Management SystemSystem

Of patientsOf patients

Santiago Compostela, 22 February, 2013

.. DefineDefine thethe requirementsrequirements andand functionalityfunctionality ofof thethe newnew HISHISsystemsystem whichwhich willwill replacereplace thethe currentcurrent SIHGASIHGA andand SIGAPSIGAP

InnovationInnovation::

..TechnologicalTechnological InnovationInnovation (Integration,(Integration, interoperability,interoperability, andand areare--standardsstandards ofof communication)communication)

Scope and ObjectivesScope and Objectives

standardsstandards ofof communication)communication)

..OrganizationalOrganizational InnovationInnovation ((Quality,Quality, processprocess management,management,sustainability,sustainability, andand usefuluseful information)information)

..FunctionalFunctional InnovationInnovation (Patient(Patient communication,communication, managementmanagement ofofallall healthhealth carecare modalities,modalities, commoncommon terminologyterminology andand supportsupport andand

integrationintegration withwith otherother systems)systems)

AA NewNew HISHIS ThatThat::

..ManagesManages aa completecomplete viewview ofof thethe healthhealth carecare

activityactivity.. EENN anyany ofof itsits formsforms andand inin anyany levellevel ofof carecare

.. ActAct asas structuringstructuring systemsystem.. OnOn whatwhat willwill workwork thethe remainingremainingapplications,applications, establishingestablishing dimensionsdimensions commoncommon toto allall thethe systemssystems involvedinvolved

ObjectivesObjectives

..ManageManage healthcarehealthcare processesprocesses.. AllowsAllows usus toto evolveevolve forfor thethemanagementmanagement ofof eacheach patient,patient, contactcontact thethe managementmanagement ofof thethe healthcarehealthcare

processprocess underunder aa prospectprospect ofof healthhealth problemproblem resolutionresolution ratherrather thanthan healthhealth

carecare contactcontact managementmanagement

..FitsFits ToTo thethe variousvarious healthhealth carecare servicesservices (traditional(traditional management,management,integratedintegrated management,management, ……)) andand toto thethe variousvarious organizationalorganizational formulasformulas

(services,(services, units,units, areasareas ofof clinicalclinical managementmanagement ……))

..ComprehensiveComprehensive trackingtracking.. AllowsAllows youyou toto performperform thethe clinicalclinicalfollowfollow--upup ofof aa concreteconcrete processprocess ofof aa patientpatient

..GlobalGlobal prioritizationprioritization.. ItIt takestakes intointo accountaccount thethe prioritypriority ofof thetheprocessprocess asas aa wholewhole andand notnot thethe prioritypriority forfor eacheach ofof thethe activitiesactivities thatthat

comprisecomprise it,it, thereforetherefore thethe managementmanagement ofof demanddemand isis moremore efficientefficient andand thethe

useuse ofof resourcesresources areare higherhigher

AdvantagesAdvantages

..OutcomeOutcome InformationInformation.. AllowsAllows youyou toto getget globalglobal informationinformation ofof aaresolutionresolution modemode ofof thethe processesprocesses ,, accordingaccording toto thethe involvedinvolved playersplayers

..SingleSingle VisionVision.. MakesMakes encompassingencompassing itsits visionsvisions ofof managementmanagement withwiththat,that, whichwhich thethe patientpatient hashas withwith hishis problemproblem andand thatthat ofof thethe professionals,professionals,

byby makingmaking thethe integrationintegration ofof thethe managementmanagement andand thethe clinicclinic moremore naturalnatural..

Current contacts occur in health care withCurrent contacts occur in health care with

different modalities without a clear clinical relationship.different modalities without a clear clinical relationship.

The care process must be the basis of the integrationThe care process must be the basis of the integration

of the healthof the health--care activitycare activity

Health Care IntegrationHealth Care Integration

PP RR OROR CC EE SS OR OR

AttentionAttention

SocialSocial--

sanitary.sanitary.

Public Public

HealthHealth

Hospital Hospital

CareCarePrimary Primary

CareCare


TOTO SS II SS TT EE NN CC II TOTO LL

Currently the clinical information (both for the patient and Currently the clinical information (both for the patient and

the professional) and the management information the professional) and the management information

are fragmented. There is not a well established connection are fragmented. There is not a well established connection

between assistance and personnel and resource which it between assistance and personnel and resource which it

provides.provides.


Information integrationInformation integration

InformationInformation

CareCare

HR HR

InformationInformation

Information Information

ResourcesResources

such as such as

plaquesplaques


TOTO SS II SS TT EE NN CC II TOTO LL

Global and Integrated VisionGlobal and Integrated Vision

AP1AP1

C2C2

H1H1

H2H2HEALTHCARE PROCESSHEALTHCARE PROCESS

AP1AP1 C2C2H1H1

INTEGRATION FRAGMENTATIONINTEGRATION FRAGMENTATION

CURRENT FUTURECURRENT FUTURE

C1C1 AP2AP2H2H2 C1C1 AP2AP2

Four modules form the basis of theFour modules form the basis of the New HISNew HIS

OFFER OFFER -- PROGRAMMING PROGRAMMING -- PROCESSES PROCESSES -- DOCUMENTATIONDOCUMENTATION

Components of the systemComponents of the system

DOCUMENTDOCUMENT--

OFFER MANAGER OFFER MANAGER

.. CatalCatal.. InternatiInternati..

. Human. Human ResourceResource

.. Physical Physical

Resource .Resource . CARE CARE

PLANNING AND PLANNING AND

PROGRAMMING PROGRAMMING

MANAGER MANAGER

REGISTRATION REGISTRATION DEMAND SYSTEM DEMAND SYSTEM

DOCUMENTDOCUMENT--

PLANT PLANT MANAGERMANAGER

Resource .Resource .

.. Rec.Rec. TechnologyTechnologyCARE CARE

PROCESSES PROCESSES MANAGERMANAGER

ThisThis modulemodule willwill handlehandle::

Offer managerOffer manager

CatalogueCatalogue proceduresprocedures

FunctionalFunctional StructureStructure ..

PhysicalPhysical ResourcesResources ..

EquipmentEquipment ..

FeaturesFeatures::

•• UnambiguousUnambiguous IdentifierIdentifier ofofthethe organization'sorganization's resourcesresources

•• RelationshipsRelationships betweenbetween thethefunctionalfunctional structuresstructures andand ofof

resourcesresources

AccessAccess toto thethe systemssystems::

EquipmentEquipment ..

RegistrationRegistration givesgives demanddemand ..

MasterMaster .. PP..AA..CC.. (CARD)(CARD)

ManagementManagement .. CorporalCorporal HRHR ..

•• RegistrationRegistration ofof thethedefinition,definition, characteristics,characteristics,

allocationallocation andand availabilityavailability

ofof eacheach resourceresource

•• IntegrationIntegration withwith thetheregistryregistry ofof centres,centres,

inventoryinventory andand maintenancemaintenance

Comparing the demands made with the activities Comparing the demands made with the activities

listed in the protocolslisted in the protocols

of healthcare processesof healthcare processes

FeaturesFeatures::

"" SingleSingle RegistrationRegistration SystemSystem (regardless(regardless ofof wherewhere thethe

Registration of the demandRegistration of the demand

"" SingleSingle RegistrationRegistration SystemSystem (regardless(regardless ofof wherewhere thethe

claimclaim isis settled)settled)

"" WillWill bebe integratedintegrated intointo aa processprocess whenwhen promptedprompted

.. GroupingsGroupings cancan bebe establishedestablished (by(by thethe resource,resource, resolution,resolution,

thethe prioritypriority ……))

"" TheThe systemsystem willwill provideprovide differentdifferent visionsvisions ofof thethe demanddemand:: forfor

thethe healthhealth carecare units,units, forfor admission,admission, forfor managersmanagers andand forfor

thethe patientpatient

Capacity planning of resourcesCapacity planning of resources

comparing with the demand received with the comparing with the demand received with the

planned and with the real capacity of resources planned and with the real capacity of resources

whichwhich

Performs the operations to schedulePerforms the operations to schedule

Programming managerProgramming manager

FeaturesFeatures::

Comparison Comparison

supply supply --

demanddemand

AllocationAllocation ProgrammingProgramming

Cancellation Cancellation

// New New

Timetable Timetable

informationinformation

Scheduling Scheduling -- SCHEDULESCHEDULE

Features:Features:

Process ManagerProcess Manager

TestTest

CardioCardio Hospital Hospital

Cardiology Cardiology

Hospital 2Hospital 2

Cardio Cardio

derivation derivation

Hospital 1 Hospital 1 ConsultatiConsultati

on APon AP

All activities are integrated into a All activities are integrated into a

process (clinical expression of a process (clinical expression of a

health problem) through protocols health problem) through protocols

(PAF activities(PAF activitiesToToDes indicated for Des indicated for

a process), knowing to the a process), knowing to the

professionals and the units that professionals and the units that

intervenedintervened

"" Define processes and protocolsDefine processes and protocols

Concatenate activities .Concatenate activities .

"" Compare activities indicated Compare activities indicated

in the protocolin the protocol

Initial Initial AP AP ConsultationConsultation

ConsultationConsultation

CardioCardio Hosp.Hosp.

11

CardioCardio Hospital Hospital

22

IncomeIncome

CardioCardio Hosp.Hosp. 22

PrescripcAPrescripcA

PP ..

Start Start

processprocess

OrderOrder

ProcessProcess

PleasePlease

telltell usus

whywhy..

TreatmentTreatmentFollowFollow--

IngIng

BypassBypass CardioCardio

Hosp.Hosp. 11

Hospital 1 Hospital 1

..

HemoHemo--dynamicsdynamics

Hospital 2Hospital 2ConsultationConsultation

CardioCardio Hosp.Hosp. 22

on APon AP

FaultFault withwith

DerivationDerivation..

To APTo AP

Manages the documentation and information forManages the documentation and information for

Patients, professionals and managers:Patients, professionals and managers:

SAME DATA SAME DATA -- DIFFERENT VIEWSDIFFERENT VIEWS

FeaturesFeatures::

Documentation ManagerDocumentation Manager

DOCUMENTATION DOCUMENTATION -- REPORTINGREPORTING

ProfessionalProfessional

..SituationSituation Resources.Resources.

. Offer/demand. Offer/demand

.. Vision: fast Vision: fast

short/medium short/medium

termterm

ManagerManager

..Management AlertsManagement AlertsClinical Alerts .Clinical Alerts .

.. VisionVision: fast : fast

short/medium short/medium

termterm

PatientPatient

Signature .Signature . ElectrElectr..

.. AccInstructionsAccInstructions ..

.. Acc.Acc. CartServiceCartService ..

.. Common.Common. MedMed--pacpac

Communication with the citizen must Communication with the citizen must

become the most innovative element become the most innovative element

of theof the New HISNew HIS

Health CardHealth Card

InteroperabilityInteroperability

Human ResourcesHuman Resources

PharmacyPharmacy

RadiologyRadiology

NursingNursing

IANUSIANUSNew HISNew HIS

AnatomyAnatomy

PathologicalPathological

BillingBilling

# Hospital# Hospital DayDay

TriageTriage

……

CITIZENCITIZEN

Health MessagesHealth Messages

Notices Notices

appointmentsappointments

Information Information ……

SIGAPSIGAP•• CitationCitation•• Continuing Care Assistance Continuing Care Assistance

Point Point

•• TeleTele--medicinemedicine•• ……

Replaced systemsReplaced systems

New HISNew HIS

Internet Internet AppointmentAppointment

AppointmentAppointment

byby voice voice

recognitionrecognition

SIHGASIHGAHosp.. Acute, Hosp.. Acute,

New HISNew HIS•• Hosp.. Acute, Hosp.. Acute, psychiatric,psychiatric, SocioSocio--sanitary, sanitary,

Hotel of patients,Hotel of patients, Hosp.HomeHosp.Home

•• NeonatesNeonates•• Emergency DepartmentEmergency Department•• External consultationsExternal consultations•• Waiting ListWaiting List Hosp and surgeryHosp and surgery•• Operating Operating theaterstheaters•• FileFile•• EncodingEncoding•• ……

ExecutiveExecutive SummarySummary

SubprojectSubproject GS3GS3--SH2050SH2050--55

New New HISHIS 20502050

IntegralIntegral Management SystemManagement SystemIntegralIntegral Management SystemManagement System

Of patientsOf patients

Documents

AVANCE SUBPROYECT FILE Project H2050 Subproject 5 ......Tabs Forward subprojects p. 1 AVANCE SUBPROYECT FILE Project H2050 Subproject 5-New HIS - functional model for the hospital