1IKTA4-133 projcet presentation, May 22. 2003, Roma

e-HospitalGPs

Internet-based communication between Hospital and General Practitioners

IKTA4-133 PROJECT

Internet-based communication between Hospital and General Practitioners

IKTA4-133 PROJECT

Project co-ordinator: Simon Béla head of IT dep.

simonb@tmkorhaz.terrasoft.hu

Tolna County Hospital H-7100 Szekszárd, Béri Balogh u. 5-7. HUNGARY

2IKTA4-133 projcet presentation, May 22. 2003, Roma

e-HospitalGPs

Bird's eye view of the projectBird's eye view of the project

3IKTA4-133 projcet presentation, May 22. 2003, Roma

e-HospitalGPs

Main objectivesMain objectives

- Accessing the appointments calendar of Hospital, GP can optimise the referring date for patients in accordance with the capacity of specific wards and needs of the patients. In the non-urgent cases, by sending the patient’s data electronically - via the Internet –, the medical staff of the hospital can get rid of the administrative task of entering referring data into the HIS.

- On the aother hand the family doctor can access his/her patient’s care data from HIS automatically as the actual hospital care had been closed with the final documants. In this way the family doctor can see the treatment’s result before patient would show up in the doctor’s office with the paper-formed final report. By merging the final report’s data of hospital cases into the GP’s application system these data can be accessed for any future patient-visit.

4IKTA4-133 projcet presentation, May 22. 2003, Roma

e-HospitalGPs

Expected results, benefitsExpected results, benefits

The integration of the different levels of health care (primary care, outpatient, inpatient care) can improve the quality of curing, nursing and prevention activities on each sides which accompanies the cost-reduction of care, because for example with the information of specific diagnostic examinations’ findings, the number of repeatedly or unnecessarily requested examinations can be decreased. The waiting time for examinations can be shortened significantly by the usage of appointment diary. The medical staff’s work can be planned, scheduled in a better way in accordance with the appointment system. Accessing the hospital treatment’s data the family doctor can have a better view of his/her patient and the facility of automatic insert of the final results into the GP-application, the family doctor can see these data in the future any time.

5IKTA4-133 projcet presentation, May 22. 2003, Roma

e-HospitalGPs

Members of the project-consortiumMembers of the project-consortium

Define Hospital’s needs, operating environment

Elaborate GP’s needs end-users

IT center, security management

Application development

Quality assurance

Tolna County Hospital, Szekszárd

Dr. Schranz Róbert GP

Dr. Tajdina Julianna GP

Synergon Plc.

Datex Ltd.

Computer & Automation Research Institute (HAS)

6IKTA4-133 projcet presentation, May 22. 2003, Roma

e-HospitalGPs

Bird's eye view of Bird's eye view of Hospital in SzekszardHospital in Szekszard

Bird's eye view of Bird's eye view of Hospital in SzekszardHospital in Szekszard

7IKTA4-133 projcet presentation, May 22. 2003, Roma

e-HospitalGPs

Project phases and schedulingProject phases and scheduling

1. Project planning2. Requirements Analysis and

Specification3. Logical and Physical System

Specification4. Application development5. Network improvement6. Teaching7. Operating of trial system8. Audit, project completion 

2002.05.15 – 2002.06.302002.06.30 – 2002.09.30

2002.09.30 – 2003.01.15

2003.01.15 – 2003.05.152003.04.10 – 2003.07.012003.07.01 – 2003.08.152003.08.15 – 2003.09.152003.09.15 – 2003.10.20

In patient care

Patientadministration

Out patientcare

Diagnostics,labs

Researches

Pharmacy MANAGEMENT

Blood bank

Catering

Materialsmanagement

House-keeping

Finance

Humanresources

Medical subsystems

Auxiliary subsystems

National healthcare institutes

Other healthcare institutes

Banks

OEP Vendors

Local government

Min. of Welfare

Family doctor

HIS modelHIS model

e-HospitalGPs IKTA4-133 projcet presentation, May 22. 2003, Roma

9

GP’s requirementsGP’s requirements

Available hardware and software requirementsAppropriate Internet-connectionExisting HIS must be able to send/receive patient’s data to/from GP’s software.Operating appointment scheduling system in the Hospital.On-line booking possibility into the HIS.Data security, data accessing and data protection requirements in accordance with laws.

e-HospitalGPs IKTA4-133 projcet presentation, May 22. 2003, Roma

10

Data transfer requirements for HISData transfer requirements for HIS

Optional data browsing and/or downloadingAutomatic and/or dedicated downloadingData set selection (all patient’s data or selected)Browsing and/or downloading actual and former examinaions.Merging related cases’ dataAccessibility of non praxis-belonged referred patients’ dataUsage of standard interface for linking GP’s and Hospital Information Systems

DMZ

Internet

Firewall

LAN

router

Security administrator

client

Antivírus gateway

Antivírus management

Hospitalservers

Web server, web proxy

E-mail DNS, LDAP server

ExternalWards_1 External

Wards_2

Hospital clients,

antivírus

CA server

Application server

Generalpractitioners

Security solutionsSecurity solutions

DMZ

Internet

Firewall

LAN

router

Security administrator

client

Antivírus gateway

Antivírus management

Hospitalservers

Web server, web proxy

E-mail DNS, LDAP server

ExternalWards_1 External

Wards_2

Hospital clients,

antivírus

CA server

Application server

Generalpractitioners

AAuthenticatiouthenticationn

SSL authentication

User név, jelszó

DMZ

Internet

Firewall

LAN

router

Security administrator

client

Antivirus gateway

Antivirus management

Hospitalservers

Web server, web proxy

E-mail DNS, LDAP server

ExternalWards_1 External

Wards_2

Hospital clients,

antivírus

CA server

Application server

Generalpractitioners

Virus Virus protectionprotection

?ORACLEdatabase-server

LAN / WAN

Server/Server/cclienlienttoperationoperation

Internet

System architectureSystem architecture

ORACLE IAS

internetapplication

server

WEB-WEB-basedbased

operationoperation

ORACLEdatabase-server

LAN / WAN

Server/Server/cclienlienttoperationoperation

Internet

System architectureSystem architecture

Development toolsDevelopment tools

• Common Java, XML, SQL development Common Java, XML, SQL development environmentenvironment

• J2EE 1.3 supportJ2EE 1.3 support EJB 2.0, JSP 1.2, Servlet 2.3 EJB 2.0, JSP 1.2, Servlet 2.3

• UML modelingUML modeling Class Modeler, Activity Modeler Class Modeler, Activity Modeler

• Code tuningCode tuning Error searching (local, remote, distributed)Error searching (local, remote, distributed) Code analysis (execution, memory handling, event Code analysis (execution, memory handling, event handling)handling)

Oracle DeveloperOracle Developer

18IKTA4-133 projcet presentation, May 22. 2003, Roma

e-HospitalGPs

Post-project future planPost-project future plan

Primarycare

Hospital

Pharmacy

Rehabilitation

Integrated Health Care Systems

Helath CareInstitutes

Patients

Social Insurance

19IKTA4-133 projcet presentation, May 22. 2003, Roma

e-HospitalGPs

e-HospitalGPs projecte-HospitalGPs project

hank you for your attention!