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D . ICT tools in health care

Petra Knaup-Gregori, Klaus-Hendrik Wolf. D . ICT tools in health care. Health Care in the Information Society. On the prognosis for the Year 2013. D.ICT Tools in Healthcare. Use of T27: computer-based ICT tools T28: mobile devices T29: continuous measures of patient parameters

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D . ICT tools in health care

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  1. Petra Knaup-Gregori, Klaus-Hendrik Wolf D. ICT tools in health care Health Care in the Information Society. On the prognosis for the Year 2013

  2. D.ICT Tools in Healthcare Useof T27: computer-based ICT tools T28: mobile devices T29: continuous measures of patient parameters T30: reference processes On the prognosis for the year 2013 − Part D

  3. Methods • Survey • 11 experts in thefieldof ICT in hospital, answersfor • ownhospital • all hospitals in Germany • Evidence • IT-report Health Care, Focus: IT in Hospitals. Niedersächsisches Ministryfor Economy, Arbeit und Verkehr, Hannover 2012 and 2013 • Dobrev A, Haesner M, Hüsing T, Korte W, Meyer I. Benchmarking ICT Useamong General Practitioners in Europe: Final Report. 2008. On the prognosis for the year 2013 − Part D

  4. D. ICT tools in health care − T27 T27: The use of computer-based ICT tools will increase dramatically in hospitals, practices, and other health care institutions. On the prognosis for the year 2013 − Part D

  5. P27.1: Over 80% of the hospitals will make computer-based ICT tools available to nearly every clinical workplace and to every health care professional. German Experts On the prognosis for the year 2013 − Part D

  6. EvidenceIT-support hospitals(aministration) • P27.1: Over 80% of the hospitals will make computer-based ICT tools available to nearly every clinical workplace and to every health care professional. accounting (inpatient) human resources assetsaccounting accounting (ambulat) medicalcontrolling (DRG) controlling n=180 Source: IT-Report Gesundheitswesen. Schwerpunkt IT im Krankenhaus. Niedersächsisches Ministerium für Wirtschaft, Arbeit und Verkehr, Hannover 2012. page 37. On the prognosis for the year 2013 − Part D

  7. Evidenceclinicaldocumentation • P27.1: Over 80% of the hospitals will make computer-based ICT tools available to nearly every clinical workplace and to every health care professional. admissionnote/statement medicadocumentation OP documentation anesthesiadocumentation medication nursingdocumentation n=180 intenisvecaredoc. Source: IT-Report Gesundheitswesen. Schwerpunkt IT im Krankenhaus. Niedersächsisches Ministerium für Wirtschaft, Arbeit und Verkehr, Hannover 2012. page 29. On the prognosis for the year 2013 − Part D

  8. D. ICT tools in health care − P27.2 P27.2: Over 98% of the privately practicing physicianswill make use of computers. On the prognosis for the year 2013 − Part D

  9. German Expert • P27.2: Over 98% of the privately practicing physicians will make use of computers. On the prognosis for the year 2013 − Part D

  10. Evidence • P27.2: Over 98% of the privately practicing physicians will make use of computers. Source: Dobrev A, Haesner M, Hüsing T, Korte W, Meyer I. Benchmarking ICT Useamong General Practitioners in Europe: Final Report. 2008. • 2007:87% GPs in EU use a computer (administrative data) • Denmark (97%), Estonia (98%), Hungary (100%), the Netherlands (97%), Finland (100%), Sweden (96%), UK (95%), Iceland (99%) and Norway (98%) • Germany: 92.5% On the prognosis for the year 2013 − Part D

  11. D. ICT tools in health care − P27.3 P27.3: At least 20% of the patient rooms will be equipped with a computer in the inpatient health care sector. On the prognosis for the year 2013 − Part D

  12. German Experts • P27.3: At least 20% of the patient rooms will be equipped with a computer in the inpatient health care sector. • . On the prognosis for the year 2013 − Part D

  13. Evidence – IT report • P27.3: At least 20% of the patient rooms will be equipped with a computer in the inpatient health care sector. • . http://www.extenway.com/en/medical_bedside_terminals.html • Bedsideterminals • 243 hospitals • 6.2% On the prognosis for the year 2013 − Part D

  14. D. ICT tools in health care − T28 T28: Beside telephones and personal computers, mobile communication and devices will be in use for communication and data entry. New mobile ICT tools support communication (speech and text, direct and asynchronous (telephone and email) and organization (calendars and task lists)). The connection of mobile end devices will be achieved asynchronously through ‘docking stations’or synchronously via radio waves. On the prognosis for the year 2013 − Part D

  15. D. ICT tools in health care − P28.1 P28.1: The average number of ICT tools in hospitals will surpass the average numberof employees. On the prognosis for the year 2013 − Part D

  16. German Experts • P28.1: The average number of ICT tools in hospitals will surpass the average number of employees. On the prognosis for the year 2013 − Part D

  17. EvidenceIT-support hospitals(aministration) • P27.1: Over 80% of the hospitals will make computer-based ICT tools available to nearly every clinical workplace and to every health care professional. • P28.1: The average number of ICT tools in hospitals will surpass the average number of employees. Numberofuseraccounts Numberofcomputerdesks Source: Böckmann B, Akce A. Effectiv‐IT.Wertschöpfung von IT – Hemmnisse und ökonomische Bewertung von health-IT in Krankenhäusern. Abschlussbericht. FH Dortmund. page 37. On the prognosis for the year 2013 − Part D

  18. D. ICT tools in health care − P28.2 P28.2: The mobile ICT tools will find use in over 10% of the hospitals, however, wide spread use will be achieved in only 5%. On the prognosis for the year 2013 − Part D

  19. German Experts • P28.2: The mobile ICT tools will find use in over 10% of the hospitals, however, wide spread use will be achieved in only 5%. On the prognosis for the year 2013 − Part D

  20. Evidence – IT report • P28.2: The mobile ICT tools will find use in over 10% of the hospitals, however, wide spread use will be achieved in only 5%. n=185 On the prognosis for the year 2013 − Part D

  21. D. ICT tools in health care − P28.3 P28.3: On average, the hospitals will use more mobile than ‘stationary’ ICT tools. On the prognosis for the year 2013 − Part D

  22. German Experts • P28.3: On average, the hospitals will use more mobile than ‘stationary’ ICT tools. • . On the prognosis for the year 2013 − Part D

  23. Evidence – IT report 2013 • P28.3: On average, the hospitals will use more mobile than ‘stationary’ ICT tools. • . n=243 On the prognosis for the year 2013 − Part D

  24. Evidence - IT report 2013 • P28.3: On average, the hospitals will use more mobile than ‘stationary’ ICT tools. • . n=243 On the prognosis for the year 2013 − Part D

  25. D. ICT tools in health care − P28.4 P28.4: Mobile ICT tools at the clinical work places will posses data transfer rates large enough to transfer nearly all patient data via radio waves, with the exception of videos. On the prognosis for the year 2013 − Part D

  26. German Experts • P28.4: Mobile ICT tools at the clinical work places will posses data transfer rates large enough to transfer nearly all patient data via radio waves, with the exception of videos. • . • . On the prognosis for the year 2013 − Part D

  27. Evidence – IT report Availablepatientdata on ward roundson mobile tools • P28.4: Mobile ICT tools at the clinical work places will posses data transfer rates large enough to transfer nearly all patient data via radio waves, with the exception of videos. • . • . n=192 On the prognosis for the year 2013 − Part D

  28. D. ICT tools in health care − T29 T29: The use of computer-based ICT tools for direct, permanent monitoring of patients’ vital signs, as well as the direct, synchronous transfer of these data to health care institutions, will increase. This will result in part through implanted devices (insulin pumps, etc.). On the prognosis for the year 2013 − Part D

  29. D. ICT tools in health care − P29.1 P29.1: Special computers will regularly monitor the health condition of over 5% of the chronically ill patients (vital signs, i.e. pulse, blood pressure, etc.) and transfer the results to the treating health care institution. On the prognosis for the year 2013 − Part D

  30. German Experts • P29.1: Special computers will regularly monitor the health condition of over 5% of the chronically ill patients (vital signs) and transfer the results to the treating health care institution. • . • . • . On the prognosis for the year 2013 − Part D

  31. Evidence • P29.1: Special computers will regularly monitor the health condition of over 5% of the chronically ill patients (vital signs) and transfer the results to the treating health care institution. • . • . • . Source: http://www.aerztezeitung.de/praxis_wirtschaft/telemedizin/article/836596/telemedizin-ebm-pauschale-rueckt-weite-ferne.html On the prognosis for the year 2013 − Part D

  32. D. ICT tools in health care − P29.2 P29.2: In over 5% of the chronically ill patients, these special computers will also be used therapeutically, for example by administering a specified dosage of a prescribed medication when the monitored parameters drop or rise above a specified level. On the prognosis for the year 2013 − Part D

  33. German Experts • P29.2: In over 5% of the chronically ill patients, these special computers will also be used therapeutically. On the prognosis for the year 2013 − Part D

  34. Evidence • P29.2: In over 5% of the chronically ill patients, these special computers will also be used therapeutically. On the prognosis for the year 2013 − Part D

  35. D. ICT tools in health care − T39 T30: The importance of reference processes will increase. On the prognosis for the year 2013 − Part D

  36. D. ICT tools in health care − P30.1 P30.1: Reference processes exist for core organizational processes, i.e. admission, transfer, cooperative care, within, as well as, among health care provision institutions. On the prognosis for the year 2013 − Part D

  37. German Experts • P30.1: Reference processes exist for core organizational processes, i.e. admission, transfer, cooperative care, within, as well as, among health care provision institutions. On the prognosis for the year 2013 − Part D

  38. Evidence – IT report n=69 • P30.1: Reference processes exist for core organizational processes, i.e. admission, transfer, cooperative care, within, as well as, among health care provision institutions. On the prognosis for the year 2013 − Part D

  39. D. ICT tools in health care − P30.2 P30.2: The quality of the processes will be decisive in the accreditation of the institutions. On the prognosis for the year 2013 − Part D

  40. German Experts • P30.2: The quality of the processes will be decisive in the accreditation of the institutions. On the prognosis for the year 2013 − Part D

  41. Evidence SBG V § 135a Verpflichtung zur Qualitätssicherung (1) Die Leistungserbringer sind zur Sicherung und Weiterentwicklung der Qualität der von ihnen erbrachten Leistungen verpflichtet. Die Leistungen müssen dem jeweiligen Stand der wissenschaftlichen Erkenntnisse entsprechen und in der fachlich gebotenen Qualität erbracht werden. (2) Vertragsärzte, medizinische Versorgungszentren, zugelassene Krankenhäuser, Erbringer von Vorsorgeleistungen oder Rehabilitationsmaßnahmen und Einrichtungen, mit denen ein Versorgungsvertrag nach § 111a besteht, sind nach Maßgabe der §§ 137 und 137d verpflichtet, 1. sich an einrichtungsübergreifenden Maßnahmen der Qualitätssicherung zu beteiligen, die insbesondere zum Ziel haben, die Ergebnisqualität zu verbessern und 2. einrichtungsintern ein Qualitätsmanagement einzuführen und weiterzuentwickeln, wozu in Krankenhäusern auch die Verpflichtung zur Durchführung eines patientenorientierten Beschwerdemanagements gehört. • P30.2: The quality of the processes will be decisive in the accreditation of the institutions. On the prognosis for the year 2013 − Part D

  42. Summary On the prognosis for the year 2013 − Part D

  43. Acknowledgement Ouranonymousexpertsfrom all over Germany Ursula Hübner On the prognosis for the year 2013 − Part D

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