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PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Hannover Medical School Petra Knaup-Gregori, Klaus-Hendrik Wolf D. ICT tools in health care Health.

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Presentation on theme: "PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Hannover Medical School Petra Knaup-Gregori, Klaus-Hendrik Wolf D. ICT tools in health care Health."— Presentation transcript:

1 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Hannover Medical School Petra Knaup-Gregori, Klaus-Hendrik Wolf D. ICT tools in health care Health Care in the Information Society. On the prognosis for the Year 2013

2 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS D.ICT Tools in Healthcare On the prognosis for the year 2013 Part D2 Use of T27: computer-based ICT tools T28: mobile devices T29: continuous measures of patient parameters T30: reference processes

3 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Methods On the prognosis for the year 2013 Part D3 Survey –11 experts in the field of ICT in hospital, answers for own hospital all hospitals in Germany Evidence –IT-report Health Care, Focus: IT in Hospitals. Niedersächsisches Ministry for Economy, Arbeit und Verkehr, Hannover 2012 and 2013 –Dobrev A, Haesner M, Hüsing T, Korte W, Meyer I. Benchmarking ICT Use among General Practitioners in Europe: Final Report

4 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS D. ICT tools in health care T On the prognosis for the year 2013 Part D4 T27: The use of computer-based ICT tools will increase dramatically in hospitals, practices, and other health care institutions.

5 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS German Experts On the prognosis for the year 2013 Part D5 P27.1: Over 80% of the hospitals will make computer-based ICT tools available to nearly every clinical workplace and to every health care professional.

6 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Evidence IT-support hospitals (aministration) On the prognosis for the year 2013 Part D6 Source: IT-Report Gesundheitswesen. Schwerpunkt IT im Krankenhaus. Niedersächsisches Ministerium für Wirtschaft, Arbeit und Verkehr, Hannover page 37. P27.1: Over 80% of the hospitals will make computer-based ICT tools available to nearly every clinical workplace and to every health care professional. n=180 accounting (inpatient) human resources assets accounting accounting (ambulat) medical controlling (DRG) controlling

7 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Evidence clinical documentation On the prognosis for the year 2013 Part D7 Source: IT-Report Gesundheitswesen. Schwerpunkt IT im Krankenhaus. Niedersächsisches Ministerium für Wirtschaft, Arbeit und Verkehr, Hannover page 29. P27.1: Over 80% of the hospitals will make computer-based ICT tools available to nearly every clinical workplace and to every health care professional. n=180 admission note/statement medica documentation OP documentation anesthesia documentation medication nursing documentation intenisve care doc.

8 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS D. ICT tools in health care P On the prognosis for the year 2013 Part D8 P27.2: Over 98% of the privately practicing physicians will make use of computers.

9 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS German Expert On the prognosis for the year 2013 Part D9 P27.2: Over 98% of the privately practicing physicians will make use of computers.

10 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Evidence On the prognosis for the year 2013 Part D : 87% GPs in EU use a computer (administrative data) –Denmark (97%), Estonia (98%), Hungary (100%), the Netherlands (97%), Finland (100%), Sweden (96%), UK (95%), Iceland (99%) and Norway (98%) –Germany: 92.5% Source: Dobrev A, Haesner M, Hüsing T, Korte W, Meyer I. Benchmarking ICT Use among General Practitioners in Europe: Final Report P27.2: Over 98% of the privately practicing physicians will make use of computers.

11 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS D. ICT tools in health care P On the prognosis for the year 2013 Part D11 P27.3: At least 20% of the patient rooms will be equipped with a computer in the inpatient health care sector.

12 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS German Experts On the prognosis for the year 2013 Part D12 P27.3: At least 20% of the patient rooms will be equipped with a computer in the inpatient health care sector..

13 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Evidence – IT report On the prognosis for the year 2013 Part D13 Bedside terminals –243 hospitals –6.2% P27.3: At least 20% of the patient rooms will be equipped with a computer in the inpatient health care sector.. medical_bedside_terminals.html

14 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS D. ICT tools in health care T On the prognosis for the year 2013 Part D14 T28: Beside telephones and personal computers, mobile communication and devices will be in use for communication and data entry. New mobile ICT tools support communication (speech and text, direct and asynchronous (telephone and ) and organization (calendars and task lists)). The connection of mobile end devices will be achieved asynchronously through docking stations or synchronously via radio waves.

15 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS D. ICT tools in health care P On the prognosis for the year 2013 Part D15 P28.1: The average number of ICT tools in hospitals will surpass the average number of employees.

16 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS German Experts On the prognosis for the year 2013 Part D16 P28.1: The average number of ICT tools in hospitals will surpass the average number of employees.

17 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Evidence IT-support hospitals (aministration) On the prognosis for the year 2013 Part D17 Source: Böckmann B, Akce A. Effectiv IT. Wertschöpfung von IT – Hemmnisse und ökonomische Bewertung von health-IT in Krankenhäusern. Abschlussbericht. FH Dortmund. page 37. P27.1: Over 80% of the hospitals will make computer-based ICT tools available to nearly every clinical workplace and to every health care professional. Number of computer desks Number of user accounts P28.1: The average number of ICT tools in hospitals will surpass the average number of employees.

18 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS D. ICT tools in health care P On the prognosis for the year 2013 Part D18 P28.2: The mobile ICT tools will find use in over 10% of the hospitals, however, wide spread use will be achieved in only 5%.

19 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS German Experts On the prognosis for the year 2013 Part D19 P28.2: The mobile ICT tools will find use in over 10% of the hospitals, however, wide spread use will be achieved in only 5%.

20 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Evidence – IT report On the prognosis for the year 2013 Part D20 P28.2: The mobile ICT tools will find use in over 10% of the hospitals, however, wide spread use will be achieved in only 5%. n=185

21 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS D. ICT tools in health care P On the prognosis for the year 2013 Part D21 P28.3: On average, the hospitals will use more mobile than stationary ICT tools.

22 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS German Experts On the prognosis for the year 2013 Part D22 P28.3: On average, the hospitals will use more mobile than stationary ICT tools..

23 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Evidence – IT report On the prognosis for the year 2013 Part D23 n=243 P28.3: On average, the hospitals will use more mobile than stationary ICT tools..

24 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Evidence - IT report On the prognosis for the year 2013 Part D24 n=243 P28.3: On average, the hospitals will use more mobile than stationary ICT tools..

25 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS D. ICT tools in health care P On the prognosis for the year 2013 Part D25 P28.4: Mobile ICT tools at the clinical work places will posses data transfer rates large enough to transfer nearly all patient data via radio waves, with the exception of videos.

26 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS German Experts On the prognosis for the year 2013 Part D26 P28.4: Mobile ICT tools at the clinical work places will posses data transfer rates large enough to transfer nearly all patient data via radio waves, with the exception of videos..

27 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Evidence – IT report On the prognosis for the year 2013 Part D27 P28.4: Mobile ICT tools at the clinical work places will posses data transfer rates large enough to transfer nearly all patient data via radio waves, with the exception of videos.. Available patient data on ward rounds on mobile tools n=192

28 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS D. ICT tools in health care T On the prognosis for the year 2013 Part D28 T29: The use of computer-based ICT tools for direct, permanent monitoring of patients vital signs, as well as the direct, synchronous transfer of these data to health care institutions, will increase. This will result in part through implanted devices (insulin pumps, etc.).

29 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS D. ICT tools in health care P On the prognosis for the year 2013 Part D29 P29.1: Special computers will regularly monitor the health condition of over 5% of the chronically ill patients (vital signs, i.e. pulse, blood pressure, etc.) and transfer the results to the treating health care institution.

30 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS German Experts On the prognosis for the year 2013 Part D30 P29.1: Special computers will regularly monitor the health condition of over 5% of the chronically ill patients (vital signs) and transfer the results to the treating health care institution..

31 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Evidence On the prognosis for the year 2013 Part D31 P29.1: Special computers will regularly monitor the health condition of over 5% of the chronically ill patients (vital signs) and transfer the results to the treating health care institution.. Source:

32 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS D. ICT tools in health care P On the prognosis for the year 2013 Part D32 P29.2: In over 5% of the chronically ill patients, these special computers will also be used therapeutically, for example by administering a specified dosage of a prescribed medication when the monitored parameters drop or rise above a specified level.

33 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS German Experts On the prognosis for the year 2013 Part D33 P29.2: In over 5% of the chronically ill patients, these special computers will also be used therapeutically.

34 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Evidence On the prognosis for the year 2013 Part D34 P29.2: In over 5% of the chronically ill patients, these special computers will also be used therapeutically.

35 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS D. ICT tools in health care T On the prognosis for the year 2013 Part D35 T30: The importance of reference processes will increase.

36 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS D. ICT tools in health care P On the prognosis for the year 2013 Part D36 P30.1: Reference processes exist for core organizational processes, i.e. admission, transfer, cooperative care, within, as well as, among health care provision institutions.

37 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS German Experts On the prognosis for the year 2013 Part D37 P30.1: Reference processes exist for core organizational processes, i.e. admission, transfer, cooperative care, within, as well as, among health care provision institutions.

38 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Evidence – IT report On the prognosis for the year 2013 Part D38 P30.1: Reference processes exist for core organizational processes, i.e. admission, transfer, cooperative care, within, as well as, among health care provision institutions. n=69

39 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS D. ICT tools in health care P On the prognosis for the year 2013 Part D39 P30.2: The quality of the processes will be decisive in the accreditation of the institutions.

40 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS German Experts On the prognosis for the year 2013 Part D40 P30.2: The quality of the processes will be decisive in the accreditation of the institutions.

41 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Evidence On the prognosis for the year 2013 Part D41 P30.2: The quality of the processes will be decisive in the accreditation of the institutions. SBG V § 135a Verpflichtung zur Qualitätssicherung (1) Die Leistungserbringer sind zur Sicherung und Weiterentwicklung der Qualität der von ihnen erbrachten Leistungen verpflichtet. Die Leistungen müssen dem jeweiligen Stand der wissenschaftlichen Erkenntnisse entsprechen und in der fachlich gebotenen Qualität erbracht werden. (2) Vertragsärzte, medizinische Versorgungszentren, zugelassene Krankenhäuser, Erbringer von Vorsorgeleistungen oder Rehabilitationsmaßnahmen und Einrichtungen, mit denen ein Versorgungsvertrag nach § 111a besteht, sind nach Maßgabe der §§ 137 und 137d verpflichtet, 1. sich an einrichtungsübergreifenden Maßnahmen der Qualitätssicherung zu beteiligen, die insbesondere zum Ziel haben, die Ergebnisqualität zu verbessern und 2. einrichtungsintern ein Qualitätsmanagement einzuführen und weiterzuentwickeln, wozu in Krankenhäusern auch die Verpflichtung zur Durchführung eines patientenorientierten Beschwerdemanagements gehört.

42 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Summary On the prognosis for the year 2013 Part D42

43 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Acknowledgement On the prognosis for the year 2013 Part D43 Our anonymous experts from all over Germany Ursula Hübner

44 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS On the prognosis for the year 2013 Part D44 END

45 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Evidence On the prognosis for the year 2013 Part D45 P28.3: On average, the hospitals will use more mobile than stationary ICT tools..

46 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Evidence On the prognosis for the year 2013 Part D46 Yes! P28.4: Mobile ICT tools at the clinical work places will posses data transfer rates large enough to transfer nearly all patient data via radio waves, with the exception of videos..

47 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Evidence - Klinische Datenerfassung (Mehrfachnennungen möglich) [n=178] On the prognosis for the year 2013 Part D47 Source: IT-Report Gesundheitswesen. Schwerpunkt IT im Krankenhaus. Niedersächsisches Ministerium für Wirtschaft, Arbeit und Verkehr, Hannover page 40. P28.2: The mobile ICT tools will find use in over 10% of the hospitals, however, wide spread use will be achieved in only 5%..

48 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Evidence On the prognosis for the year 2013 Part D48 P27.1: Over 80% of the hospitals will make computer-based ICT tools available to nearly every clinical workplace and to every health care professional.

49 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Hauptpriorität in Hinblick auf klinische Informationssysteme [n=173] On the prognosis for the year 2013 Part D49 Source: IT-Report Gesundheitswesen. Schwerpunkt IT im Krankenhaus. Niedersächsisches Ministerium für Wirtschaft, Arbeit und Verkehr, Hannover page 54. P27.1: Over 80% of the hospitals will make computer-based ICT tools available to nearly every clinical workplace and to every health care professional.

50 PETER L. REICHERTZ INSTITUTE FOR MEDICAL INFORMATICS Use of electronic medial record [n=177] On the prognosis for the year 2013 Part D50 Source: IT-Report Gesundheitswesen. Schwerpunkt IT im Krankenhaus. Niedersächsisches Ministerium für Wirtschaft, Arbeit und Verkehr, Hannover page 45. P27.1: Over 80% of the hospitals will make computer-based ICT tools available to nearly every clinical workplace and to every health care professional.


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