HIMSS Europe - World of Health IT 2016 - Barcellona

Azienda Socio Sanitaria Territoriale PapaAzienda Socio Sanitaria Territoriale Papa Giovanni XXIII - Bergamo - Italy

Azienda Socio Sanitaria Territoriale Papa

Realization 1927-1930, pavilions building

Realization 2007-2012, central building + 7 towers

2012: from ‘Ospedali Riuniti’ to ‘Ospedale Papa Giovanni XXIII’

Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII - Bergamo - Italy


Ospedale Papa Giovanni XXIII: the context

Covered surface: ~ 320000 m2

Diagnostic imaging area: ~ 9000 m2

ER Department area: ~ 4000 m2, helicopter base: 24x7

Beds: ~ 1000 (ordinary, cradle, dialysis, day hospital, …)

Outpatient Ambulatory: ~ 230 rooms

Intensive Care: 88 beds, 6 ICU + neonatology

Medical Specialties: all, 86 Units, 13 Departments

Operating rooms: 36 (main building)

Emergency: trauma and high-mountain center, anti-poison center

Cancer center, rare diseases center, cell factory, biobank

Bergamo Province residents > 1100000



Ospedale Papa Giovanni XXIII: 2015, facts and numbers of the year

Inpatient admissions: ~ 35000

Outpatient services: ~ 3750000

Day Hospital admissions: ~ 9000

Surgeries: ~ 37000

Emergency treatments: ~ 98000

Hospitalization day (avg): 8.3

Bed occupation ratio: 88.2 %

Transplant (adult & children)-(liver, lung, marrow, …): ~ 330

Daily facts: 3300 prepared meals, 1000 clean delivered uniform

Pharmaceutics expense: ~ 100 M€ (89% innovative medicines)

Personnel > 4500



Ospedale Papa Giovanni XXIII: ICT, some facts and numbers

PC (fixed, laptop): ~ 3000

Mobile PC on carts: ~ 180

Printer (personal, multifunction): ~ 1500

Phone (fixed, mobile, wi-fi): ~ 3500

LAN: 6 ‘core switch’, 410+ switch, 610+ wifi AP, 16000 cabled points

Surveillance IP camera: ~ 350

Smart Queue System: 25 totem, 200+ user displays

‘Single-dose’ medicines dispense cabinet: 40

Cisco UCS Blade: 19 (two separated datacenters)

VmWare Virtual Machines: 240+ (high availability)

EMC2 SAN/NAS/Backup: ~ 400 TB (replicated, virtualized)

Dell/HP/IBM Servers: ~ 25 (ancillary services)



Regional Health Services & Bergamo: from the past to the future


… XX° century 2012 2015...

Law 23/2015

(15) Lombardy (8) (7) Bergamo (3)

Aggregation, rationalization ‘continuity of care’


Law 23/2015: from ‘Local Health’ to ‘Territorial Social Health’

2015 2016(L. 23)

Bergamo Province


Law 23/2015: ‘programming’, ‘executing’, ‘delivery’, ‘continuity of care’


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ProvincePrimary CareMonitoring

ProvinceHealth Level

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Law 23

‘fragmented health’ Law 23 ‘continuity of care’


A.S.S.T. Papa Giovanni XXIII: from ‘EMR Model’ to ‘Continuity of Care model’


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Law 23 patient


A.S.S.T. Papa Giovanni XXIII: ICT, as a strategic support to Law 23


Integration: connect new territorial sites/services with efficiency (a.k.a. hub & spoke)

Consolidation: SW/HW systems moved at Province level (i.e. main datacenter)

Continuity & Recovery: high level of ‘service & system availability’ (i.e. Tier IV datacenter & DR)

Implementation: service to support ‘continuity of care’ (e.g. medical aids management)

Change mgmt: software/tools to support ‘multidisciplinary approach’ to patient (e.g. collaboration)

Evolution: patient ‘empowerment & engagement’ (e.g. virtual community, integrated health record)


A.S.S.T. Papa Giovanni XXIII: a new distributed network (WAN)


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A.S.S.T. Papa Giovanni XXIII: ICT as ‘composition of software’


Main software: ~ 100 uptime 99.96% (70 system monitored)

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A.S.S.T. Papa Giovanni XXIII: ICT, continuity & recovery



A.S.S.T. Papa Giovanni XXIII: medical aids logistics & distribution


Feed

• Enteral nutrition bags

• Special Diet Food, …

Therapy

• Oxygen therapy

• Incontinence pads, …

Aids

• Wheelchair

• Beds, …

delivery to homerequest from patient


A.S.S.T. Papa Giovanni XXIII: ICT, new provincial clinical services


)‘Legal Medicine Center’ (e.g. judicial collaboration on violence/abuse)

‘Addiction Center’ (multidisciplinary, e.g. drugs, alcohol, gambling)

Territorial Vaccination service (i.e. programming and execution)

‘Family Counselling Center’ (e.g. mother, woman, child … well-being)

2016

December

December

November


A.S.S.T. Papa Giovanni XXIII: ICT toward patients & health actors


Socialize@PG23

Chat

PHR & Docs

Selfcare APPs

Community

Videoconf


Date post:	11-Jan-2017
Category:	Healthcare
Upload:	antonio-fumagalli
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HIMSS Europe - World of Health IT 2016 - Barcellona

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