complex it solution for a hungarian children's hospital györgy velkey md general director...
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Complex IT solution for a Hungarian Children's
HospitalGyörgy Velkey MDgeneral director
Bethesda Children’s Hospital of the
Hungarian Reformed Church
One solution of One solution of Deutsche Telekom GroupDeutsche Telekom Group
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What are the expectations …
… … of EU?of EU?• Development of healthcare IT
infrastructure
• Broadband access (wired or wireless)
• Online health services: telemedicina, telediagnostics, e-receipt GovernmeGovernme
ntnt
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… … of the of the Government?Government?
• Higher standard of patient service
• Cost and effort efficiency
• Co-operations without geographical borders
HospitalHospital
What are the expectations…
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… … of the of the patients?patients?
• High standard service, better accomodation
• Efficient management storage and process of patients’ data
HospitalHospital
What are the expectations …
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… … of the Hospitals?of the Hospitals?• Exact and fair financing • 24 hours running, flawless systems
• Quick access to correct information anywhere, anytime
• Applications and services in integrated systems
• Increasing efficiency of therapies
• Communication without limits
• Quick access to external databasis
Hospitalinfrastructure
What are the expectations…
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Main question
datapatients
staff membersdevices
At appropriate place, in appropriate time
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Key parameters of Bethesda
Hospital• Owned by the Hungarian Reformed Church• General paediatric hospital in Budapest• National center in burn injury and neurology,
regional center in intensive care, traumatology, rehabilitation• 135 active and 25 rehabilitation beds, outpatient services• 8-9.000 inpatients, 120.000 – 140.000 outpatients yearly• Two locations – 1 km distance• 306 employees (49 doctors, 159 assistant, 98 other)• Budget: 5,0 M EUR/year
New infocommunication system: T systems – Cisco project: New infocommunication system: T systems – Cisco project: 2007.2007.
Infocommunication system before the project:• Telephony: 2 PBXs, 220 extension• 151 PCs, 70% older than 3 years
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• Changing healthcare system in Hungary – Changing structure – lowering capacities– Changing financing modes– Changing rules
• New infocommunication system in Bethesda Hospital
2007.:year of
changing
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The complex IT solution for Bethesda Hospital supplied
byT-Systems, Cisco and
GlobeNet • Integrated IT and telco solutions• T-Systems, Cisco and GlobeNet supplied
complex solution, not only hardware and software
• Elements are of best practice
Advantages:• Flexibly sizeable, self-defending network• Securely separable functions (internet access
to anyone, access to the medical systems only for authorised personnel)
• Mobile: achievable anywhere, anytime
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Elements of the project
• Wired and wireless LAN, 100%- WiFi penetration• IP telephony• integrated mobile-IP telephony• RFID localisation system• VPN remote access• MedWorkS medical system• Integrated customer calling system• Internet access anywhere in the hospital• Electronic signature • New hardware and software infrastructure
(PCs, printers)• Wireless devices (Tablet PC, PDA).• E-learning
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Devices donated
• 75 desktops and 3 tablet PCs• PDA-s• PACS monitors• Wireless LAN (Wifi)• Expanded existing wired LAN • Active RFID devices• Nokia E61 dual-phones
By T-Systems By Cisco
• WiFi Access Points• AP Management és Localisation • Call Manager cluster• IP telephony (wired & wireless)• IP Video telephone (Cisco 7985)• Voice Gateway (C2801)• LAN switching (3750, 3560)• Security (CSA, ACS, ASA)• Nokia E61, E71 telephone
Cisco/Nokia Licence
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Services donated by T-
Systems• ISDN30 voice gateway to the PSTN telephony
network• E-signature and time pass (for 5 persons)• Remote access (via ADSL) to the server of the
Hospital for 5 people • e-Learning, in order to educate the employees on
the new medical system and the use of new devices
• Client call system• Projectmanagement • Management of the IT infrastructure until
December 31, 2009
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Then and now…
Then• Patients waiting for
examination dont know where to go
• Long waiting
Now
• Intelligent client call system (integrated into the medical system) shows where, and when the patient has to be present
Further development opportunities:
• Online scheduling• Scheduling via call center
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Then• Running or making
phone-calls about find the doctors, assistants, or equipments
Now
• Equipments protected by RFID
• Internal WiFi IP telephone, intelligent messaging and alarm functions
• Dual phone (integrated mobile-IP telephone)
Then and now…
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Then• Separate telephony and
IT network, internet access only on a couple of PC-s, high access and usage fees, difficult operation
Now
• Integrated voice-data-video
• Unified communications network, unified monthly fee, easy operation
Server
Server
Then and now…
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Then
• Information can only be accessed from one specific place
Now
• The patients’ data are achievable anywhere (at the bed, from home) , anytime due to the wireless LAN and the mobile devices
Then and now…
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Then• Several different
applications: accounting, controlling medical, laboratory – several suppliers, several monthly fees
Now
• One integrated medical system (including diagnostics, pharmacy, logistics, controlling, finance functions) – unified monthly fee
Medworks – Globenet
Then and now…
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Then
• Determined time and location of trainings
Now
• E-learning – anytime, anywhere
Then and now…
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Then• Several systems, • Several suppliers, • Several platforms, • Several SLA-s
Now
• One system, supplier, platform
• One SLA • System integration
and project management from T-Systems
Then and now…
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White Paper
What is it? • All steps of the
development are documented in this White Paper from the initial steps to the hand over
• The results due to the new IT system can be measured via indicators. Highlights the return on investment and gained advantages
Indicators
• Average time spent on gathering and process of data reduced
• Costs of operation per asset value reduced
• Occurence of system out-of-order reduced
• The average age of the IT devices reduced from 5.5 years to 1.5 years
• Number of work places with internet access grown
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Further opportunities…
• Replication of this project in other hospitals and healthcare institutions
75 billion HUF (EUR 288 million) of EU funds have just become available to develop regional primary hospitals
Key issue is financing
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Modern infocommunication system at a church
hospital?
High professional High professional standardsstandards
„„Curing community”Curing community”
Holistic, child and family Holistic, child and family centered carecentered care
Better technical possibilities
Better possibilities in communication
Comfort of children and parents
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Partner in Bulgaria