eHealth vision & developments

Building a new hospital& Connecting our health network

Arthur GovaertCIO Radboud university medical center

Radboud university medical center: facts and figures

11,000 employees

3,000 students

950 beds

100,000 initial outpatient visits

35,000 operations per year

3,500 publications

€1 billion in revenue

The first university medical center

outside the US that uses Epic

A significant impact on healthcare

Information Management

Education

Digital Learning

Environment (DLE)

Care

Electronic Health Record (EHR)

Research

Digital Research

Environment (DRE)

ICT Infrastructure

Workplace Datacenter

ICT Infrastructure

Network Communication

Business

FinanceLogistics, HRProcurement

(ERP)

Information Management Organization

Director Of Information

Management

Applications & Processes

Infrastructure Services Projects

Strategy & Policy

CNIO

CSIO

CMIO

CBIO

Chief Information Officers:• Medical• Nursing• Science• Business

HIMMS 7 obtained in Feb. 2015

Only 2 other Stage 7s in EuropeZero

Stage 7s in the

Netherlands

Project types

RUNThe replacement or expansion of existing infrastructure and applications with the goal of retaining or creating basic functionality from the perspective of the user.

COMPLYCompliance with legislation and regulations, including safety, by setting up, rearranging, or configuring software, processes, procedures, work methods, and reporting.

TRANSFORMSupporting improvements to the organization and processes at Radboud university medical center with the aim of achieving more effective & efficient business and patientsatisfaction. This leads to increased productivity.

INNOVATETaking full advantage of new (and innovative) opportunities toachieve our:‘to have a significant impact on healthcare’

Innovative ICT solutions

in new construction at Radboud university

medical center“less bricks, more bytes, different behaviour”Radboud university medical center is building a new hospital. How can you make our building more efficient, more sustainable, and more patient-friendly using smart and innovative ICT solutions?

Arthur GovaertCIO Radboud university medical center

Demolition

Less Bricks, More Bytes, Different Behaviour

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High quality & sustainable

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Focused on the patient, tailored to the patient

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Energy performance:30% reduction

compared to legal requirements

High levels of daylight, view out

and thermal comfort

Facade of recycled or

biodegradable materials

A compact and flexible building

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Sustainable campus

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• Reduction in the number of general beds

• Reduction of outpatient clinic capacity

• Reduction in the area of staff housing

• Reduction of laboratory space

• More efficient use of facilities such as operating rooms

Business case: cutting back by roughly 10%

We have to increase the quality of the processes, the facilities, and the spatial environment by investing in the right areas.

Less Bricks, More Bytes, Different Behaviour

More Bytes: how to achieve innovation

• This is not• Building or creating new and innovative solutions

• But it is• Applying the available innovative solutions in a smart way

• The challenge• Acceptance by patients and employees• Embedding it into existing processes• Flexible and agile ICT architecture

A number of innovative solutions are currently being researched.

Using innovative solutions1. Experiential wayfinding (TomTom): smart

direction planner and support for patients

(patient journey), family members,

employees, and students. This begins at

home and ends when you leave the hospital.

2. Next-generation nurse calling and clinical

communication/collaboration: compact,

real-time integrated communication tools to

be used in the point of care.

3. Alarm notification platform: monitoring and

tracking. Provides insight into the status and

freedom of patients (‘better out of bed’

program).

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This begins at home with a notification appointment: once the patient arrives at the hospital, they can find

their way around by using an app and receiving

information and suggestions.

The patient can indicate what is going on or what they need

more clearly.

Continuous monitoring of vitals by using electrodes. Fall and wandering detection in

patient rooms. No closed departments

4. Track & Trace: countless options for knowing

where material and people are and what their

status is. Can be used for resources (IV poles,

beds), but also for employees and patients.

5. Virtual personal assistant / chatbots: smart

digital assistants like Siri or Cortana, that can

be used to e.g. schedule appointments or

answer questions (submitting orders)

6. Robots

1. logistics: automation and activities support

(transport).

2. primary process: things like care robots

(Pepper), check-in desks, etc.

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Self-management where possible using smart

chatbots.

Tracking & Tracing of tools, stock, and

people.

Using innovative solutions

7. Data center: how can we make our storage

and computing needs “greener”. Now that

we have our own data centers, outsourcing

to parties with more energy-efficient data

centers is an option, but the following

application may also be possible:

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Using innovative solutions

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Interoperabilitywithin the region of Nijmegen-Arnhem

Laurens de Groot

Project Manager Transmural

2013Together with introduction of Epic ,we’ve also introduced a newCentral imaging architecture

Moving towards a true regional network

Health Information Exchange Radboudumc networkSharing information

Integrated Care

Home care

Mental Healthcare

Pharmacy

GP

Physiotherapist

Caregiving

mijnRadboud

LSP

Rotterdam Amsterdam

Interregional Expert netwerk

Groningen Breda

XDS

Zorgmail / Zorgdomein

• Filesender• Surfdrive

FactsRadboudumc- 40.000+ DVD’s

- MDO: >1.000 patients per month

- Not geographically bound

- Lots of partners

- Whatsapp, Dropbox, WeTransfer etc.

- Uniform en standard methods & techniques

• Exchange all of patients data regional, national and abroad

• Connect all archives together (EHR, PACS, DMS)

• Achieve real patient engagement

But we’d need

• Collaboration meaning: sharing information

• Infrastructure

• Openness and transparency

• Clear agreements

• Sometimes: adjusting processes

Care Process

Policy

IT Infrastructure

Information

Applications

Communication protocols

Integration in healthcare systems

Defining and coding of information

Alignment of care processes

Collaboration agreements

Care Process

Policy

IT Infrastructure

Information

Applications

Legal and regulatory constraints

Security, Privacy, Governance

What if we could…

The solution

Cross-Enterprise Document Sharing (XDS)

➢ Upload portaal

Industry standard Infrastructuur for exchange of oa

images, lab results, medication.

Pagina 26

What is: XDS?

Pagina 27

Index

TemporaryRepository

UploadPortal

EPDPACS

2PACS

1

Region

Radboudumc

Zkh UZkh Y

Zkh XZkh Z

RegionIndex

XDS

• Building a digital highway

• Fase 1

• Radboud-index

• Integration with Epic & ICIS

• Upload-portal

• Fase 2

• Regional index

• Partners can connect directly

• Portal remains for the moment

Region A

Cross-Enterprise Document Sharing

XDS

WEB

XDS

XDS

Questions