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Joint work at Pudong

Needs analysis at pilots by joint work at Pudong China-Finland e-health project ’ s workshop Jiechen Jiang, Researcher, UKU September 6th 2007 Tekes , Helsinki J iechen.jiang@uku.fi. Joint work at Pudong. Interviews/Surveys Workshops

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Joint work at Pudong

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  1. Needs analysis at pilots by joint work at PudongChina-Finland e-health project’s workshop Jiechen Jiang, Researcher, UKUSeptember 6th 2007Tekes , Helsinki Jiechen.jiang@uku.fi

  2. Joint work at Pudong • Interviews/Surveys • Workshops (Doctors, Nurses, Public Health Providers, Managers and CIO etc) • Workshop at each pilot hospital • Shared workshop • Brainstorming • Project meetings (Monthly)

  3. The Target • The main target for Pudong Newarea is to establish regional health information system • To fulfill the information sharing between all the healthcare organizations • To meet the needs from the government, hospital and citizen Based on Integrated EHR system and Data Center

  4. Needs from Government 1 • To have the unique identification number for patient • To havedecision support system forreal-time statistics analysis for healthcare management • Public health information system integrates with EHR • The patient information needs to be integrated from different recources, Integrated EHR system can be shared between all the health organizations

  5. Needs from Government 2 • Based on the Personal/Family Health Record to evaluate the health status of the elders and make the diagnosis on the health status at the community • To setup the platformfor information sharing between hospitals and to secure the exchanged data • To reduce the duplicated tests and cost • Regional healthcare information sharing in order to offer high quality health service for the patients

  6. Needs from Health Providers 1 • The integration with different systems (EHR, Doctor workstation and other systems) within hospital • Wireless doctor workstation at ward • Evidence based decision support system is needed for health providers, also including Chinese traditional medicine

  7. Needs from Health Providers 2 • The doctor knows health status of his patient, e.g. patient history information, patient basic information, test results, drugs usage, treatment, diagnosis and discharge summary etc • To have effective communication system between health providers (especially between Pubic heatlh providers and GP)

  8. Needs from Citizen • Online checking the health status by citizen • Registration and reservation Center for citizen • Homecare service needs more information technology (video telecommunication) for health providers to have better communication between patient and health providers

  9. Needs for regional information sharing • Information sharing and seamless patient care between healthcare organizations based on the electronic personal health record (EHR) • To have Tele-consultation between Health organizations for communication, academic workshop and training • Network and connection between the central of heath center and its stations

  10. Needs for regional information sharing • To send E-version of lab test result report by SMS and the test report can be printed out at any health organizations. • Patient registration at one health organization is available at any other health organization, and the reservation information can be found at any place.

  11. Needs for regional information sharing • To fulfill the two-way referral systembetween Communtity Health Center and General hospita,Maternal Healthcare management case as a pilot • Standard workflow and information flow of the two-way referral system should be built, and the effective feedback system is needed between health organizations • Standards, to unify the interface standards for data exchange at pilot hospitals based on HL7

  12. The model of data exchanging

  13. The core structured data set (2003) Care related Identifiers ISO OID problems & diagnoses procedures nursing patient functionality risks encounter episode care chains medication Jari Porrasmaa, 2005, CDA experiences from Finland health behaviour summaries laboratory organisation department physiological measurements imaging care plan Independent forms & documents: statements & certificates, Care will, A, B1, B2, Driver's licence,... required by the ministry for EPR software by the end of 2007

  14. Extensions of the core dataset for different specialities: • Psychology, occupational health, dentistry, emergency care, ... structured data for dentistry Uniform data for all dentistry units and software Uniform for all medical specialities Jari Porrasmaa, IHIC 2006, A document oriented approach to building a national EHR -applying CDA R2 in Finland Core dataset

  15. Kob Khun Kap Terima kasih Arigato Gozaimasu Salamat Po 谢谢 Kiitos Shukran Dank U wel Merci beaucoup Thanks a million Gracias Ramba Nandri TACK TAK

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