Integration of Medical Technology and Integration of Medical Technology and

ITITTechnology and Organisation Technology and Organisation

Martijn Schasfoort, business manager MITMartijn Schasfoort, business manager MIT

1. History1. History

2. Today2. Today’’s trendss trends

3. Integration3. Integration

4. Organisation4. Organisation

HistoryHistory

Traditional differences between Medical Technology and IT:

Medical devices are life critical

If a life critical system fails or is otherwise compromised, it

will have a significant negative impact on the patients

health,

quality of care or safety.

Information Technology systems are mission critical:

If a mission critical application fails, crashes, or is otherwise

unavailable to the organization, it will have a significant

negative impact upon the business.

1. History1. History

History History ………… culture clashculture clash

Medical Technology Information Technology

patient centric systems centric

response time in

minutes/hours

response time in

hours/days/weeks

accent on patient safety accent on integrity of data &

processes

innovations rules

tailor-made standards

Who is leading / suffering ?Who is leading / suffering ?

Question:Question:

IT in the world of Medical TechnologyIT in the world of Medical Technology

oror

Medical Technology in the world of IT ?Medical Technology in the world of IT ?

1. History1. History

2. Today2. Today’’s trendss trends

3. Technology3. Technology

4. Organisation4. Organisation

1. Trends1. Trends

Trends Trends in Medical Technologyin Medical Technology

Medical devices consist of computers and software

Medical devices store patient data locally on the computer (= part

of patient record).

Functionality in medical devices is increasing causing an increase

of medical data that needs to be collected, analysed and stored in

these devices.

Rapidly growing integration and interconnection of different

medical and IT devices.

Medical data between medical and IT devices is being increasingly

exchanged.

Trends Trends in integration of Medical Technology and ITin integration of Medical Technology and IT

Accessibility, analysis and comparing data from a broad variety of

medical data from different sources :

•Automatic “filling” of data in EPR

•Closed loop systems (output becomes input)

•Integration of messages (e.g. medical alarms)

•Medical devices traceability

•Remote maintenance medical devices (e.g. hemodynamic

patient monitoring)

Trends Trends of Medical Technology hospital wideof Medical Technology hospital wide

•Central storage of medical images (radiology/video)

•Central storage of physiological data

•Remote viewing of digital medical data/information

•Viewing medical images within EPR

•From decentralised to centralised

Trends Trends of Information Technology hospital wideof Information Technology hospital wide

•Central planning (One stop shopping)

•Central storage of patient information

•Remote viewing of stored data/information (e.g. internet)

•Accessibility of medical information (time, place, 24/7)

•Import and export of patient/health information

•From centralised to decentralised

1. History1. History

2. Today2. Today’’s trendss trends

3. 3. TechnologyTechnology

4. 4. OrganisationOrganisation

Key ChallengesKey Challenges

Identify all pieces of the patient record generated in the hospital

All medical devices should be connected (not only the easy ones)

Integration of (medical or IT) devices into a standard environment

(EPD, PACS)

Educate user to store only the relevant data

IT Infrastructural issues should be solved

The MThe Mááxima Approachxima Approach

Idea 1999, pilot 2002, implementation 2005

All medical image data in DICOM format

Using Visus JiveX for integration in EPD

Using Visus JiveX AMG for standardisation of medical image data

Status:

- 70 devices connected (outside Radiology department)

- 8 TBytes central stored

- 110.000 studies available

- 130 studies a day generated

1. History1. History

2. Today2. Today’’s trendss trends

3. 3. TechnologyTechnology

4. 4. OrganisationOrganisation

Key ChallengesKey Challenges

Due to the highly “connected” environment, medical technology

can best be addressed by bringing the expertise of both

professions together in a team effort.

Both professions need to coordinate their efforts and develop

solutions on the industry and the hospital level.

Formal integration of both departments is necessary for

effective coordination

The MThe Mááxima Approachxima Approach

“Old” worlds of Information Technology and Medical Technology

integrated

Identified overlaps and gaps in skill sets, resources and

technologies

Filled gaps when necessary

Realigned skill sets, resources and technologies

Necessary environmental skills ( “you work in an hospital”)

Learn from each other !!

idea implementation continuity

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Clinical physicist

IT security officer

Researchers

Clinical and IT engineers

Account managers

Project managers

Clinical and IT technicians

Integration of Medical Technology and ITIntegration of Medical Technology and IT

Do IT !Do IT !