Leading CIOs of Europe, HIMSS Europe Spring 2013 magazine

Leading CIOs of EuropeSpring 2013

vicent monchoCIO, Hospital Marina Salud de Dénia, Spain

Hospital Marina Salud de Dénia:

A Model for Achieving HIMSS Stage 7HIMSS Analytics Announces New Findings

Stage 7 Hospitals

Hospital Marina Salud de Dénia 10

University Medical Center Hamburg – Eppendorf (UKE) 12

Stage 6 Hospitals

Badalona Serveis Assistencials 14

Centre Hospitalier of Belfort Montbéliard 16

Centre Hospitalier Valenciennes 18

Clínic de Barcelona 20

Clínica Universidad de Navarra 22

Corporació de Salut del Maresme i la Selva 24

Hospital Comarcal d’Inca 26

Parc de Salut 28

Geneva University Hospitals (HUG) 30

Bern University Hospital 32

ISMETT 34

Landstinget Kronoberg N/A

Onkologikoa 36

Odense University Hospital 38

Povisa Hospital 40

Sint Lucas Andreas Ziekenhuis 42

ULSS 18 Rovigo 44

Son Llàtzer 46

Sosteri 48

Spaarne Ziekenhuis 50

Spital STSAG 52

University Hospital Brussels 54

Westfriesgasthuis 56

A Model for Achieving HIMSS Stage 7 4

Opportunities Uncovered for Driving CPOE Adoption in Germany 6

A Round Up of European EMRAM Award Recipients 9

For information on how your hospital can be featured in the next edition of Leading CIOs of Europe, contact: Christina Roosen [email protected] +45 40 12 93 95

In This Issue

Spring 2013 Leading CIOs of Europe Page 3

to a paperless system has improved its delivery. For instance, health outcomes have been improved through the use of automated alerts, which promote the adoption of recommended practices and prevent possible adverse events. Clinicians can also access reference information and evidence at the bed-side, thus resulting in more informed, quicker decisions. Technology is not just recording care; it is being used to improve it.

Full digitalisation has also improved patient safety. By tackling the duplica-tion of data, we have reduced errors caused by inconsistencies. The automa-tion of the complete medication loop, from prescription to administration, has rationalised our use of medicine and reduced dispensing mistakes.

Paperless skeptics often point to the cost of implementing technology. It is not an unreasonable concern. In dif-ficult economic times, hospital man-agers across Europe face constrained budgets and pressure to do more with less. However, by making the paperless vision a reality, we have delivered ef-ficiency savings to reinvest in care. For instance, by rationalising workflows we have freed up nearly 8,000 physician and nursing hours a year. Millennium has also streamlined bed management, thus reducing average stays by 10%and increasing occupancy rates. At a time of constrained budgets, these are savings we cannot afford not to make. Austerity does not preclude investing in technology, it necessitates it.

The transition to HIMSS Stage 7 is an ambitious task. However, the experi-ence of the Hospital Marina Salud de Dénia in Spain should encourage col-leagues across Europe. Rapid digitili-sation is possible. Success hinges on viewing technology not as the end ob-jective, but as the tool for transform-ing the delivery of care. It should be seen as the heart of efforts to improve outcomes, strengthen safety and sav-ings. Achieving paperless status may be difficult, but our experience proves it is worth striving for.

Too often digitalisation projects begin with a timetable. Important strategies and decisions end up being driven by deadlines. However, at the Hospital Ma-rina Salud de Dénia, our starting point was not a delivery deadline, but an understanding that technology could improve the quality and affordability of our care. Therefore, digitalisation was not an objective in our strategy for improvement; it was the mechanism underpinning it.

When faced with the long path towards digitalisation, my colleagues across Eu-rope frequently confess to being appre-hensive about the scale of the task. This is understandable; hospitals are com-plex organisations and transforming their operations whilst maintaining high standards is a difficult challenge. Doing so to a tight timetable only increases the pressure. However, our experience in Spain proves that it is possible. Our Cerner Millennium electronic health record system went live in January 2009, just fourteen months after we began the digitalisation process. We then completed the journey to HIMSS Stage 7 in 2012. Now information is not only digitally accessible across our 209-bed hospital, but throughout our broader network of medical centres and practices, which cover 150,000 pa-tients—and double that amount during the peak tourist season.

Each hospital is different, and every journey to becoming paperless brings unique challenges. However, there are valuable lessons from our experience that can be applied to different health sectors across Europe. The first is to make the whys and wherefores the cen-

L

tre of the strategy in order to entrench a cultural understanding that tech-nology can help improve outcomes, improve patient safety and deliver ef-ficiencies that can be reinvested in care. This can only be achieved if clinicians are at the heart of the project, helping design a system that supports their workflow rather than obstructs it.

Large-scale change requires wide-spread support. Clinicians and patients are the best ambassadors for technol-ogy, but will only become so if they un-derstand what is being done and how it will benefit them. A relentless focus on getting the basics right is essential to building that support. Documents should be simple, training should be timely and attempts to add function-ality should never compromise basic system performance. Such work is not glamorous, but it is essential to building confidence in the system.

No matter how well planned the process, projects of this scale always encounter unforeseen problems. Marina Salud was not immune to this; our train-ing manuals were too complex, some new staff received training too late and the lack of remuneration for training limited engagement. Far from derail-ing the process, these issues merely underlined how vital it is to have staff support for the project. If clinicians and patients understand where they are go-ing and why, they are more resilient to teething problems along the way.

Some might question whether the outcome justifies the effort. Our experi-ence shows that far from distracting cli-nicians from delivering care, transition

Last year the Hospital Marina Salud de Dénia in Valencia,

Spain, became the second hospital in Europe to achieve full

paperless status and reach HIMSS Stage 7. This marked com-

pletion of a project begun in 2007 to transform not just how

we record care, but how we deliver it. For colleagues across

Europe facing the challenge of reaching Stage 7, my advice is

simple; not only is digitalisation possible, it is essential to the

future of healthcare.”

“

A Model for Achieving HIMSS Stage 7

ángel giménez, CEO, Hospital Marina Salud de Dénia, Spain

vicent moncho, CIO, Hospital Marina Salud de Dénia, Spain

— vicent moncho, CIO, Hospital Marina Salud de Denia, Spain

vicent monchoCIO, Hospital Marina Salud de Dénia, Spain

Spring 2013 Leading CIOs of Europe Page 5Page 4 Leading CIOs of Europe Spring 2013

Opportunities Uncovered for Driving CPOE Adoption in Germany

H

In addition to tracking IT adoption associated with over 50 software ap-plications throughout Europe, HIMSS Analytics Europe asks chief informa-tion officers and other IT profession-als at hospitals if they would recom-mend an installed product to a friend or colleague. The Net Promoter Score is their response to this question. The scale used for the response is 0 - 10, 0 representing “not at all likely” and 10 “extremely likely.”

When software application IT adop-tion rates were compared to product Net Promoter Scores throughout the countries in Europe, a correlation was uncovered. In Germany, where the Net Promoter Score for CPOE is low, CPOE market adoption is also low at less than 50% which suggests word of mouth negatively impacts CPOE adoption. In Spain, where the Net Promoter Score is high, CPOE adop-tion is also high at over 75% which suggests word of mouth has a posi-tive impact on CPOE adoption.

“These findings are exciting because they further illuminate drivers for IT adoption, and opportunities for sup-pliers to develop the necessary strat-egies to improve IT implementation and care delivery” says Uwe Buddrus, Managing Director of HIMSS Ana-

lytics Europe. A low Net Promoter Score in Germany and its correlation to IT adoption suggests vendors de-velop marketing, sales, and product strategies that counter negative word of mouth to drive CPOE adoption. Given CPOE is a critical component of the HIMSS Analytics EMRAM, improved IT adoption in Germany has the potential to have a significant impact on its clinical outcomes.

HIMSS Analytics Europe provides healthcare information technology stakeholders with market intelli-gence that supports and guides their business objectives. The company’s product portfolio is the most com-prehensive, objective and contex-tualized market intelligence in the European market. These findings are from the HIMSS Analytics Europe Database, which is the company’s flagship product. For more information on HIMSS Ana-lytics Europe and its product portfo-lio, please contact: David BlazekDirector Sales Europe,

HIMSS Analaytics Europe, Germany

[email protected]

Phone + 49 (0) 341 333 95 330Mobile + 49 (0) 1515 0 689 222

HIMSS Analytics, the pre-eminent source of Healthcare IT

market intelligence globally, announces new findings from its

continuously updated database in Europe and its recently re-

leased Country Comparison report. These findings indicate sig-

nificant opportunities in Germany for computerized practitioner

order entry (CPOE) vendors. CPOE is a critical component of

Stage 4 in the HIMSS Analytics Europe Electronic Medical Re-

cord Adoption Model (EMRAM). The EMRAM is an internation-

ally accepted certification and roadmap for acute care hospitals

that outlines 8 stages (0-7) of IT adoption for achieving a pa-

perless EMR environment with increasingly sophisticated levels

of clinical decision support that drive clinical outcomes.

The EMRAM model identifies the levels of electronic medical record (EMR)

capabilities rangingin from limited ancillary department systems through

a paperless EMR environment. HIMSS Analytics Europe has developed a

methodology and algorithms to automatically score hospitals in our

database relative to their IT enabled clinical transformation status, to provide

peer comparisons for hospital organizations as they strategize their path to

a complete EMR and participation in an electronic health record (EHR).

YOUR PARTICIPATION IS COMPLIMENTARY – CONTACT US TODAY

KNOW WHAT’S NEXT FOR YOUR HOSPITAL TODAY

www.himssanalytics.eu

Data from HIMSS Analytics Europe © 2011

Page 6 Leading CIOs of Europe Spring 2013

A Round Upof EuropeanEMRAMAward Recipients

excellence in

PATIENTHEALTHCARE

HIMSS is a cause-based, not-for-profit organization

exclusively focused on providing global leadership for

the optimal use of information technology (IT) and

management systems for the betterment of healthcare.

Visit www.himss.eu for more information.

HIMSS Analytics EuropeSchwaegrichenstrasse 9, 04107 Leipzig, GermanyT: +49 (0) 341 33395 [email protected]

HIMSS EuropeRue de la Loi 67. 1040 Brussels, BelgiumT: +32 (2) 793 76 [email protected]

Spring 2013 Leading CIOs of Europe Page 9

Hospital Marina Salud de Dénia

Licensed Beds: 204CIO: Vicent MonchoAwarded Stage 7: May 2012

Partida Beniadlà, S/N

03700 Dénia, Alicante

Spain

Tel: +34 966 42 90 00

www.marinasalud.es

“The transition to HIMSS Stage 7 is an ambitious task. However, the experience of the Hospital Marina Salud de Dénia in Spain should en-courage colleagues across Europe. Rapid digitilisation is possible. Suc-cess hinges on viewing technology not as the end objective, but as the tool for transforming the delivery of care. It should be seen as being at the heart of efforts to improve out-comes, strengthen safety and make savings. Achieving paperless status may be difficult, but our experience proves it is worth striving for.”vicent moncho CIO, Hospital Marina Salud de Dénia, Spain

Hospital Marina Salud de Dénia is truly paperless with no medical records on the nursing units. All physicians enter orders online and this is supported by an intelligent clini-cal decision support system. Staff document their clinical notes online where the latest results and impressions are instantly available for all care givers. The medical imaging department is completely digital, making all images across the hospital network available online. One of the key fac-tors which contributed to Hospital Marina Salud de Dénia’s Stage 7 achievement was its very sophisticated clinical and business intelligence program to analyze care quality and efficiency, making it a “data driven” organization.


The first European hospital to achieve top rating on HIMSS Analytics’ EMRAM scale, The University Hospital of Hamburg Eppendorf provides a blueprint for transform-ing healthcare through IT: in just three years it has imple-mented a hospital-wide IT system that allows the entire continuum of care to be managed through an electronic patient record. Paper is now superfluous. The benefits are apparent on several levels: thanks to IT systems, patient healthcare can now be delivered more quickly and to a higher standard.

University Medical Center Hamburg – Eppendorf (UKE)

Licensed Beds: 1,300CIO: Henning SchneiderAwarded Stage 7: November 2011

Martinistr. 52

20246 Hamburg,

Germany

Tel: +49 040 7410-0

www.uke-io.de

“For us, the Stage 7 Award is a valuable and important bench-mark. Even though the EMRAM Model is often misinterpreted as only focused to a paperless process, we believe in the gain of patient’s safety and the ef-ficiency of treatment which are improved by effectively utilizing digital information as described in the EMRAM Model. We, and all those involved in the treat-ment process, are very proud to have implemented a system at the UKE which satisfies these requirements as a first in Europe and which has been graded Stage 7 by 6 inspectors.”

henning schneider CIO, UKE, Germany


Badalona Serveis Assistencials

Licensed Beds: 154CIO: Jordi Morell VilanovaAwarded Stage 6: May 2011

Via Augusta, 9-13

8911 Badalona

Spain

Tel: +93 464 83 00

www.bsa.cat

“The problem of measuring the IT de-velopment ended up when HAE im-plemented its EMR Adoption Model and when we got the Stage 6 Award. It recognized the work being done by all the professionals in our organization and gave us some fresh air and moti-vation to keep working hard in a crisis environment.”jordi morell vilanova CIO, Badalona, Spain

Rendering integrated healthcare services means cover-ing all of a person’s healthcare needs. This is the chal-lenge that drives Badalona Serveis Asistencials SA (BSA) every day, a municipal organization that provides health services and care dependency to the people of “Barcelo-nès Nord and Baix Maresme”, to promote, preserve and restore individual and collective health and promote the welfare of the people.

With 10 centres and 1,200 professions providing services to a population of over 435,000 people in the “Barcelonès Nord and Maresme” districts, BSA is the municipal com-mitment to a quality healthcare and dependency assis-tance offer.


The Centre Hospitalier of Belfort Montbéliard is a multiple-site hospital with 1,200 beds and nearly 2000 employees. CHBM focuses on adopting and integrating innovative technologies in order to improve the services provided to its patients.

Centre Hospitalier of Belfort Montbéliard

Licensed Beds: 1,200CIO: Corinne CasoliAwarded Stage 6: May 2012

14 Rue de Mulhouse

90016 Belfort

France

Tel: +33381988000

www.chbm.fr

“We are very proud of the distinc-tion that is attributed to our es-tablishment. It is the culmination of the hard work and continuous involvement of our medical staff, caregivers and IT team in this ambitious project, and also the quality of collaboration with our partner, Cerner. The main objec-tive of our project has always been the improvement of care for our patients with the continuing effort to provide our health care teams an effective information system, so we are particularly pleased with the results obtained so far. They en-courage us to continue in the same spirit. Finally, as our project has a regional dimension, we would like to associate the GCS Emosist and the five other hospitals engaged with us in this great achievement.”

corinne casoli CIO, Centre Hospitalier of Belfort Montbéliard, France


The Centre Hospitalier de Valenciennes has approximately 2000 beds, half of which are dedicated to surgery, medi-cine and obstetrics. After the Teaching University Hospital of Lille (CHRU de Lille), Centre Hospitalier de Valenciennes provides the highest quality patient care in the Calais region. The Centre Hospitalier de Valenciennes also acts as a regional reference for some of its medical and surgical specialties.

Centre Hospitalier Valenciennes

Licensed Beds: Around 2,000CIO: Frédéric AndréCMIO: Nicolas HoudreAwarded Stage 6: November 2012

“The HIMSS Stage 6 Award is more than a recognition, it demonstrates the possibility of synergy between the world of caregivers and the world of information technology. Everything was made possi-ble by the close collaboration with technical ancillaries such as the pharmacy labo-ratory and radiology.”

frédéric andréCIO, Centre Hospitalier Valenciennes, France

nicolas houdreCMIO, Centre Hospitalier Valenciennes, France

Avenue Desandroin

59300 Valenciennes

France

Tel: +33 3 27 14 33 33

www.ch-valenciennes.fr


Hospital Clinic de Barcelona is a teaching hospital founded in 1906, and covers almost all medical specialties, surgical and mental health. Hospital Clinic de Barcelona has dem-onstrated a deep level of integration of various clinical sub-systems from a variety of vendors with their central HIS/EMR solution. Most outstanding is the implementation of CDSS for thoracic pain patients which is notable as a good practice for other. Closed Loop Medication Administra-tion (CLMA) is in place including ePrescribing, second line validation, Automated Dispensing Machine (ADM) dispens-ing for ICU medications, and bed side documentation in an electronic medication administration record (eMAR) for standard medications.

Clínic de Barcelona

Licensed Beds: 850CIO: David VidalAwarded Stage 6: November 2011

“This award recognizes the innova-tive culture of our institution and the efforts put forth by all our pro-fessionals, clinicians and IT staff in the development, deployment and daily usage of the tools and technologies that have allowed us to offer a greater quality and safety of patient care standards.”

david vidal CIO, Clinic Barcelona, Spain

Carrer de Villarroel 170

8036 Barcelona

Spain

Tel: +93 227 54 00

Fax: +93 227 54 54

www.hospitalclinic.org


The Clínica Universidad de Navarra created in 1961 is a medical center and hospital known for its high degree of medical specialization, constant technological innovation and teamwork. It is a private non-profit organization guided by Christian principles. Researching, teaching and assis-tance are made together with the Faculties of Medicine, Science, Pharmacy and Nursing and the Center for Applied Medical Research (CIMA). Clínica Universidad de Navarra has utilized its in-house information technology expertise to develop a mature IT solution to achieve the highest stages of the HIMSS Europe Electronic Medical Record Adoption Model (EMRAM).

Clínica Universidad de Navarra

Licensed Beds: 321CIO: Jesús RedradoAwarded Stage 6: November 2011

Avda. Pío XII, 36

31008 Pamplona

Spain

Tel: +34 948 255 400

Fax: +34 948 296 500

www.cun.es

“For the Clínica Universidad de Navarra, constantly seeking excel-lence for the benefit of patient care, receiving an award as prestigious as this one has been an incentive to continue our commitment to innova-tion and continuous improvement.”

jesus redrado CIO, Clinica Universidad de Navarra, Spain


Licensed Beds: 160 (Hospital Sant Jaume de Calella)CIO: Domingo Barrabés MorenoAwarded Stage 6: May 2012

Sant Jaume, 209 - 217

08370 Calella

Spain

Tel: +34 937690201

www.salutms.cat/web

Corporació de Salut del Maresme i la Selva

“From its creation, to the merger of the two hospitals of a distance of 20 km, creating the Coporació de Salud del Maresme i Selva in-cluding Health Corporation, we opted for a holistic model of care that was strengthened by the management of 7 health centers and three centers for long stay. This model could only be sustained to be effective and efficient in a single clinical information system, to pro-vide a comprehensive and professional tool to bridge the cultural gap between the different levels of care. Today and after 10 years of work between the healthcare professionals involved, and systems professionals in health informa-tion technology and a technology partner as SisInf, the Stage 6 recognition by HIMSS rep-resents an important milestone reached and a stimulus for further progress.”

domingo barrabés moreno CIO, Corporació de Salut del Maresme i la Selva, Spain

núria constans CEO, Hospital Sant Jaume de Calella, Spain

The Corporació de Salut del Maresme i la Selva employs approximately 1,500 professionals. With 8 primary care centers, 2 hospitals and 3 social care centers, the hospital delivers care to a regional population of 195,000.


Hospital Comarcal d’Inca is a secondary public hospital founded in 2007 and located on the island of Mallorca (Balearic Islands). With 165 beds and nearly 760 profes-sionals attending to roughly 117,000 patients, it handles 135,000 outpatients and 7,500 inpatients (discharges) each year. Hospital Comarcal d’Inca’s entire staff has been committed to the search for efficiency and productivity through new technologies and information systems. Most significant of these has been the implementation of a EMR that integrates all the hospital’s existing systems and devices; an alert system with automated warnings (which helps the medical staff in decision making), e-prescribing, potential drug interactions, automatic medicine dispensa-tion, bedside nurse help for medicine administration and a full PACS with all modalities.

Hospital Comarcal d’Inca

Licensed Beds: 165CIO: Ramón Riba Álvarez Awarded Stage 6: November 2012

Ctra. Vieja in Llubi s / n

07300 Inca

Spain

Tel: +34971888500

www.hcin.es

“It’s a real honor to have obtained the EMRAM Award, given the prestige of this distinction. Espe-cially, because we had the oppor-tunity to receive an external evalu-ation, with the result of strength and verification of our work related to the design and imple-mentation of new applications for health management in our hos-pital, which give us a satisfactory evolution.”

ramón riba álvarez CIO, Hospital Comarcal d’Inca, Spain


Parc de Salut

Licensed Beds: Around 1,000CIO: Elisabeth Izquierdo AsensioAwarded Stage 6: November 2012

Passeig Maritim 25-29

08003 Barcelona

Spain

Tel: +34932483000

www.parcdesalutmar.cat

“This award recognizes over 20 years of our work, promoting integration and upgrading technology to achieve improvements in the management and the safety of care processes. As a key of success to this overall comput-erization, I would highlight the in-volvement of the entire organisation’s staff.”

elisabeth izquierdo asensio CIO, Parc de Salut, Spain

Hospital Parc de Salut Mar is a comprehensive organization of healthcare services with approximately 1,000 beds that forms a great Healthcare Park. Parc de Salut Mar is located on the coast of Barcelona, an area known for its concentra-tion of dynamic research, care and knowledge pools.


Rue Gabrielle-Perret-Gentil 4

1211 Geneva 14

Switzerland

Tel: +41 22 372 33 11

www.hug-ge.ch

“The stage 6 EMRAM award provided a use-ful external peer-recognition. We used it to communicate within our hospitals about the opportunities and challenges to move to higher levels of functionality.”

antoine geissbuhler CIO, Geneva University Hospitals, Switzerland

The University Hospitals of Geneva (HUG) is the largest public hospital consortium in Switzerland, with more than 2,000 beds, 50,000 inpatients admissions and 850,000 outpatient visits each year. Covering the whole range of primary, secondary and tertiary care, the HUG, with more than 10,000 collaborators representing about 8,500 FTEs, is the largest employer of Geneva state. The HUG serves as a community public hospital and a teaching and reference center for the region, including highly specialized medicine such as organ transplants, cellular therapy, genetics and clinical neurosciences.

Geneva University Hospitals (HUG)

Licensed Beds: 1400CIO: Antoine GeissbuhlerAwarded Stage 6: November 2010


Inselspital Universitätsspital Bern is a university hospital in the Swiss health system. Founded in 1354 Inselspital Universitätsspital has 7,100 employees and approximately 52,000 inpatients and more than 263,000 outpatients an-nually. Inselspital Bern has demonstrated a deep level of integration of various clinical sub-systems from a variety of vendors. A notable good practice at Inselspital Bern is a self-developed clinical decision support system for stem cell transplantation, whereby physician documentation and diagnostic data trigger different pathways.

Bern University Hospital

Licensed Beds: 960CIO: Daniel VoellmyAwarded Stage 6: November 2011

Freiburgstrasse 18

3010 Bern

Switzerland

Tel: +41 31 632 21 11

www.insel.ch

“The key success factor in our EMRAM Stage 6 EMR project was communication: a strong commit-ment of the hospital management concerning the goals of the EMR project, and a steady dialogue with hundreds of stakeholders in the clinics and wards.”

daniel voellmyCIO, Bern University Hospital, Switzerland


Licensed Beds: 70CIO: Tommaso PiazzaAwarded Stage 6: November 2010

Via Ernesto Tricomi

190127 Palermo

Italy

Tel: +39 091 2192111

www.ismett.edu

ISMETT

“We are very proud of the Stage 6 designation, because this award means that ISMETT’s electronic medical records can provide intel-ligent, evidence-based reminders to physicians as they enter elec-tronic orders for patients and on the consequence is able to con-tribute in delivering a better pa-tient care to our patients.

Stage 6 designation reflects IS-METT’s commitment to offer the highest levels of patient safety and quality care. We are steadily working towards attaining a Stage 7 designation that would result in further improvements in quality of patient care inside our hospital, and in the community we serve.”

tommaso piazza CIO, ISMETT, Italy

The Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione (ISMETT) is a joint public-private partner-ship between the Region of Sicily, through Civico and Cer-vello hospitals in Palermo, and UPMC, an integrated global health enterprise headquartered in Pittsburgh, USA, and one of the leading nonprofit health systems in the United States. The partnership has brought together resources, intellectual capital, and advanced technologies to offer state-of-the-art treatment. Over the past decade, ISMETT has become one of the leading organ transplant centers in Europe and a major referral center for other Mediterranean countries. More than 1000 transplant procedures have been performed at ISMETT with outstanding clinical results. IS-METT’s one-year survival rate for liver transplant recipients is the highest in Italy.


Onkologikoa, kutxa Cancer Institute is a Centre monograph prevention, diagnosis and treatment of cancer. The func-tional structure is based on multidisciplinary functional units, each case is studied by the corresponding functional unit and offer a treatment plan for each patient. Over 300 professionals from various fields provide patient services using electronic health records. Outstanding IT practices at Onkologikoa include self-developed closed loop medica-tion administration using Automated Dispensing Machines (ADM)s in pharmacy and at the ward, as well as bar coding, with strong clinical decision support especially for che-motherapy: there are several protocols for chemotherapy, so called ‘super sets’ for chemotherapy medication order-ing, including adjuvant meds, and alerts based on clinical documentation, e.g., duplicate checking for chemotherapy protocol related orders, some interaction with lab results to adjust drug dosage.

Onkologikoa

Licensed Beds: 75CIO: Ramón LerchundiAwarded Stage 6: November 2011

“For us, IT people, we are very happy with the award because it shows the rest of the organisation that we are working in the right direction. It shows our patients that their clinical data is safe and it is correctly treated.”

ramón lerchundiCIO, Onkologikoa, Spain

Paseo Doctor Begiristain, 121

20014 Donostia - San Sebastián

Spain

Tel: +34 943 328000

Fax: +34 943 281278

www.onkologikoa.com


Odense University Hospital

Licensed Beds: 1300CIO: Claus Duedal PedersenAwarded Stage 6: November 2010

“For Odense University Hospital the Stage 6 Award means that our many years of work with the implementation of the electronic medical records have succeeded and been recognized be an inde-pendent audit. This gives us the foundation for the future devel-opment of our services and im-proving the IT system’s ability to support the clinical workflow.

‘Stage 6’ designation reflects OUH’s commitment to provide the highest levels of patient safety and quality care. We are today working towards a Stage 7 desig-nation that would result in furtherimprovements in quality of pa-tient care inside our hospital, and in the community.”

claus duedal CIO, Odense University Hospital, Denmark

Odense University Hospital is a centre of major importance within the Danish hospital and specialist services system, as are Rigshospitalet in Copenhagen and Aarhus University Hospital. It is a highly specialised hospital whose functions cover all medical specialist areas, collated within a single framework. There are approximately 8,000 employees at OUH, which makes the hospital one of the largest in north-ern Europe.

Sdr. Boulevard 295000 Odense CDenmarkTel: +45 66 11 33 33www.ouh.dk


Rua Salamanca 5

36211 Vigo

Spain

Tel: +349864144

www.povisa.es

“The Hospital has electronic medi-cal records (EMR) and manages its hospital activity through computer systems (“without papers”), all thanks to the use of the computer tools designed and developed with our in-house resources. This is based on our commitment to pro-vide our professionals with a tool that is reliable, accessible, agile, and integrated to enable them to develop their daily work with the highest quality and safety.”

juan fernandez brea CIO, Povisa Hospital, Spain

Povisa is a privately owned general hospital that opened its doors in 1973. The hospital currently provides assistance to more than 500,000 patients, 143,000 of whom are members of the Galician Health Service (SERGAS). Povisa has 40,000 m2, 400 beds, 12 operating rooms and 1,500 professionals (including 272 doctors) and offers 48 medi-cal and surgical specialties. Specialties include maxillofacial surgery, treatment of major burns and microsurgery associ-ated with the re-implantation of upper limbs.

Povisa Hospital

Licensed Beds: 400CIO: Juan Fernandez BreaAwarded Stage 6: May 2012


Sint Lucas Andreas Ziekenhuis is located in Amsterdam and offers high-standard, patient-centered care in a mul-ticultural setting. Sint Lucas Andreas Ziekenhuis has 550 beds, employs 2,200 healthcare professionals and treats over 200,000 patients every year. Specialties include mother/child care, obesity, sleep apnea, neurology and psychiatry. The hospital also offers extensive training and research resources.

Sint Lucas Andreas Ziekenhuis

Licensed Beds: 550Manager Bureau ZIS/EPD: Latifa Schilpzand YousifAwarded Stage 6: November 2012

barbara gaus lipsApplication Coordinator, Epic-care, Sint Lucas Andreas Ziekenhuis, The Netherlands

Jan Toorospstraat 164

1061 Amsterdam

The Netherlands

Tel: +34205108737

www.sintlucasandreasziekenhuis.nl

“Five years ago we started our en-deavour to modernize out internal and external communications with and about the patient. We are very proud that we have reached HIMSS Stage 6! We see it as a stimulus to go for Stage 7.”

latifa schilpzand yousifManager Bureau ZIS/EPD, Sint Lucas Andreas Ziekenhuis, The Netherlands


With 636 beds in total, the Hospitals San Luca di Trecenta and Santa Maria della Misericordia deliver a wide range of health services and social services. In recent years, great attention was also given to the adaptation of technology and information technology for hospitals, as a strategy necessary to achieve the best efficiency of health services. Azienda ULSS 18 has demonstrated a deep level of integra-tion of various clinical sub-systems from a variety of ven-dors. A notable good practice is Azienda ULSS 18’s process of ensuring IT supported medication safety. Closed Loop Medical Administration (CLMA) is in place including ePre-scribing for all meds, software assisted preparation for all critical meds by nurses at ward, bar code scanning of every patient for administration, and bed side documentation in the electronic medicine administration record (eMAR). Outstanding is the use of codification and scaling systems to generate discrete data elements driving Clinical Decision Support System (CDSS) functionalities.

ULSS 18 Rovigo

Licensed Beds: 644CIO: Alessio GasparettoAwarded Stage 6: November 2011

“Stage 6 for Rovigo Local Health-care Authority represents a con-firmation that the investments and the efforts made during the last nine years for improving the quality of healthcare services and for producing better outcomes using IT have followed the right direction and pathway.”

alessio gasparettoCIO, ULSS 18 Rovigo, Italy

Santa Maria della Misericordia

Viale Tre Martiri, 140

45100 Rovigo (Ro)

Italy

Tel: +39 0425 3931

www.azisanrovigo.it


Son Llàtzer Hospital is a public hospital and part of the network of Health and Consumer Department of the Bale-aric Islands Government. Opened in December 2001, Son Llàtzer is a modern hospital that employs over 2000 health professionals and is recognized as a pioneer in the use of computerized healthcare systems.

Son Llàtzer

Licensed Beds: 377CIO: Maria PonsetiAwarded Stage 6: November 2012

“Our information system is an es-sential tool to be able to take care of our patients, it makes it pos-sible to improve decision making and patient safety in the interest of good quality of care.”

xavier feliu CEO, Son Llàtzer, Spain

maria ponseti CIO, Son Llatzer, Spain

Ctra. Manacor, Km 4

07198 Palma de Mallorca, Illes Balears

Spain

Tel: +34871202000

www.hsll.es


Located in eastern Finland, the Itä-Savo Hospital District employs approximately 2,000 staff members and has 64 separate units and 411 beds. The organization provides pri-mary and secondary healthcare and social services for the elderly, and its well-designed healthcare IT solutions have helped make it a successful model for seamless patient care services, from patient’s home to hospital and back home again.

Sosteri

Licensed Beds: 411CIO: Arti PatsiAwarded Stage 6: May 2012

Keskussairaalantie 6, Builinding F1

PL 111

57101 Savonlinna

Finland

Tel: +35 15 52 77 100

www.isshp.fi

“The information systems have been systematically, long-term and consistently developed to support the whole process on healthcare. Our aim has always been to develop the processes on healthcare as a whole, in order to get the integration between dif-ferent information systems, and to get the information systems high availability, as well as a holistic management process support. The commitment of the hospital staff and management to information systems and business process de-velopment has been outstanding, even when development work was done along with other work and even when it has caused costs. It really has been worth of it.”arti patsiCIO, Sosteri, Finland


Spaarne Hospital is a modern tertiary teaching hospital in the Netherlands. The hospital devotes much of its time and energy to training its staff and medical specialists to provide their patients the best possible care.

Spaarne Ziekenhuis

Licensed Beds: 400Program Manager: Johan EnsingAwarded Stage 6: November 2011

“This confirms that we, Spaarne Hospital, in the Netherlands, lead the way with the use of the EMR. At Spaarne Hospital, all patient data and care processes are digital. Uniquely, all appointments, appli-cations and results are processed digitally. As a result, all data is immediately and fully available for each caregiver member. The system makes clever use of knowl-edgeable guidelines and treatment protocols to support caregivers in their daily work. This increases patient care.”

johan ensing Program Manager, Spaarne Ziekenhuis, The Netherlands

Spaarnepoort 1

2134 TM Hoofddorp

The Netherlands

Tel: +31238908900

www.spaarneziekenhuis.nl


Spital STSAG

Licensed Beds: 209CMIO: Marc OertleAwarded Stage 6: May 2012

“Spital Thun is a publicly owned primary and secondary acute care hospital. Its clinical informa-tion system is used in an inter-disciplinary setting and covers inpatients as well as ambulatory settings for more than 10 years. Complete electronic order entry (drugs and all other orders), elec-tronic medication distribution systems on all wards and bedside scanning for drugs, blood samples and blood products enable a fully integrated closed loop system. Ad-ditionally, assorted clinical path-ways and guideline implementa-tions are closing the gap between evidence-based medicine propos-als and actually delivered care in order to maximize both, patient safety and quality of care.”

marc oertleCMIO, Spital STSAG, Switzerland

The Spital Thun has 209 beds and delivers care to the region’s population. With a dedicated training center for various medical professionals it is also the main employer of the region.

Krankenhausstrasse 12

3600 Thun

Switzerland

Tel: +41337292626

www.spitalstag.ch/spital-thun/

Page 52 Leading CIOs of Europe Spring 2013 Spring 2013 Leading CIOs of Europe Page 53

The University Hospital of Brussels is a university hospital with a staff of around 3,400. It has 721 hospital beds and every year accounts for more than 28,000 admissions and 400,000 out-patients, comprising both nationals and for-eigners. UZE has its own in-house electronic medical record development with a strong focus on ordering, decision and workflow support, integrating a variety of specialized vendor solutions for image management, scanning, filing, speech recognition, coding, data warehousing. A notable good IT practice is UZE’s design and implementation of clinical decision support and workflow system based, among others, on a large and ever increasing number of screens and templates used in medical services.

University Hospital Brussels

Licensed Beds: 721CIO: Rudi Van de VeldeAwarded Stage 6: November 2011

Campus Jette

Laarbeeklaan 101

B – 1090 Brussels

Belgium

Tel: +32 (0) 2 477 41 11

www.uzbrussels.be

“The HIMSS recognition for reach-ing this Level 6 of excellence is an added bonus and acknowledges the enormous effort by a multi-disciplinary team. This validates our inhouse developed holistic EMR across our hospital, eHealth and physician practices utilizing the advanced functionality to pro-vide safe, efficient and effective care for our patients.”

rudi van de velde CIO, Universitair Ziekenhuis, Belgium


Westfriesgasthuis is a general, regional hospital with a capac-ity of 506 beds and approximately 258,000 outpatient visits per year. The medical staff represents 26 different specialties.

Westfriesgasthuis

Licensed Beds: 506CIO: Nic KaldenbachAwarded Stage 6: November 2012

Malensonstraat 3

1624 NP Hoorn

The Netherlands

Tel: +31 229 257 257

www.westfriesgasthuis.nl

“We are proud to have achieved the Stage 6 EMRAM Award. We con-sider it a laureate for extensively improving the quality and safety of healthcare by the implementa-tion of our electronic medical dos-sier.”

nic kaldenbach CIO, Westfriesgasthuis, The Netherlands


Unmatched Global Experience Cerner clients have achieved HIMSS Stage 6 & 7 across 8 countries

“Cerner Millennium is a world class solution that allowed us to achieve HIMSS Stage 7.”

Vicent Moncho, Chief Information Officer, Hospital Marina Salud de Dénia, Valencia, Spain

Cerner clients are leading the way in achieving HIMSS Stage 6 & 7 in countries outside the U.S. Stage 7 Clients: Hospital Marina Salud de Dénia - Valencia, Spain 1st and only HIMSS Stage 7 in Spain, 2nd in Europe 33 US clients recognised with HIMSS Stage 7 Awards Cerner Added more Stage 7 sites than any other vendor in

2012 Only 1.8% of US hospitals hold Stage 7 certification Stage 6 Clients: Centre Hospitalier de Belfort-Montbéliard, Franche-Comté, France 1st French Hospital to achieve Stage 6 Centre Hospitalier de Valenciennes, France 1 of only 2 Stage 6 Hospitals in France North York General Hospital - Ontario, Canada 1 of only 3 large hospitals in Canada to achieve Stage 6 Clínica las Condes, Las Condes, Santiago de Chile, Chile 1st and only Stage 6 Hospital in South America

King Faisal Specialist Hospital & Research Centre, Gen Org, Riyadh, Saudi Arabia KFSH, 1st in the Middle East to achieve Stage 6 King Faisal Specialist Hospital & Research Centre, General Org, Jeddah, Saudi Arabia KFSH, 1st in the Middle East to achieve Stage 6 Corniche Hospital, Abu Dhabi, UAE 1 of only 4 Stage 6 hospitals in the UAE Al Gharbia Hospitals, Al Gharbia, UAE 1 of only 4 Stage 6 hospitals in the UAE Tawam Hospital, Al Ain, UAE 1 of only 4 Stage 6 hospitals in the UAE Prince Court Medical Centre, Kuala Lumpur, Malaysia 1st and only Stage 6 Hospital in Malaysia 152 US clients recognised with HIMSS Stage 6 Awards Only 6% of US hospitals hold Stage 6 certification

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