INFORMATION SYSTEM IN INFORMATION SYSTEM IN EMERGENCY MEDICINEEMERGENCY MEDICINE

Andrej Fink, univ.dipl.org.Andrej Fink, univ.dipl.org.

INTRODUCTIONINTRODUCTION

? IS in EMS to improve:? IS in EMS to improve: Emergency patient management.Emergency patient management. Education and training for EMS.Education and training for EMS. Research in EMS.Research in EMS.

UMCL - UMCL - the biggest health institutionthe biggest health institution in in SLO:SLO: MMedical services are at edical services are at the the highighhestest level level. . Complicated EMS organization.Complicated EMS organization. Poor condition of IS in EMS.Poor condition of IS in EMS.

SYSTEM ANALYSISSYSTEM ANALYSIS

Performance of EMSPerformance of EMS:: long reaction times of Ambulance long reaction times of Ambulance

service emergency dispatch centerservice emergency dispatch center ,, izvajanje predbolnišnične nujne izvajanje predbolnišnične nujne

medicinske pomoči,medicinske pomoči, izvajanje bolnišnične nujne medicinske izvajanje bolnišnične nujne medicinske

pomoči.pomoči. Priložnost prenove procesov na Priložnost prenove procesov na

vseh nivojihvseh nivojih

SYSTEM ANALYSISSYSTEM ANALYSIS

Performance of EMS - problems:Performance of EMS - problems: LLong reaction times of Ambulance ong reaction times of Ambulance

service emergency dispatch centerservice emergency dispatch center.. LLong arrival times of pre hospital ong arrival times of pre hospital

emergency medical teamsemergency medical teams.. LLong event to treatment times in the ong event to treatment times in the

hospital emergency departmenthospital emergency department.. HHigh costs of laborigh costs of labor.. HHigh working loadigh working load..

GOALSGOALS

GOAL DESCRIPTIONGOAL DESCRIPTION IMPORTANCEIMPORTANCE

1.1.shorter response times of Ambulance shorter response times of Ambulance

service emergency dispatch center service emergency dispatch center 2020

2.2.shorter arrival times of pre hospital shorter arrival times of pre hospital

emergency medical teamsemergency medical teams 2525

3.3.shorter event to treatment times in shorter event to treatment times in

the hospital emergency departmentthe hospital emergency department 3030

4.4. lower costs of laborlower costs of labor 1515

5.5. lower working load lower working load 1010

TOTALTOTAL 100100

SOLUTIONSSOLUTIONS

SolutionSolution A ( A (EMS employeesEMS employees):): EEnlargement and better usage of present nlargement and better usage of present

resourcesresources.. SolutionSolution B ( B (private providersprivate providers):):

IInvolvement nvolvement of private providers of private providers in the in the EMSEMS.. SolutionSolution C ( C (professional statementsprofessional statements ):):

GGoal-oriented implementation of information oal-oriented implementation of information technology and proper process renovationtechnology and proper process renovation

goal-oriented implementation of information goal-oriented implementation of information technology and proper process renovationtechnology and proper process renovation..

FUTURE IS in EMS FUTURE IS in EMS MODELMODEL

PROCES RENOVATION PROCES RENOVATION AND OPTIMIZATION AND OPTIMIZATION

>> 22% of present emergency medicine 22% of present emergency medicine process should be renovatedprocess should be renovated. .

The The changes will be needed because ofchanges will be needed because of :: Ambulance service emergency dispatch Ambulance service emergency dispatch

center optimizationcenter optimization.. PPaperless patient administration aperless patient administration

managementmanagement.. SShortening of event to treatment hortening of event to treatment

timestimes.. PProviding telemedicine servicesroviding telemedicine services..

TESTING OF A TESTING OF A TELEMONITORING TELEMONITORING

SOLUTIONSOLUTION

AAgreement between greement between UMCLUMCL management management and A – Form company and A – Form company TThree month testing period of Medtronic hree month testing period of Medtronic

telemonitoring solutiontelemonitoring solution GoalsGoals::

To perform ability analysis of hospital To perform ability analysis of hospital information system in University Medical center information system in University Medical center Ljubljana for data transfer from the ambulance Ljubljana for data transfer from the ambulance to the hospital emergency department.to the hospital emergency department.

To implement and test basic telemonitoring To implement and test basic telemonitoring system.system.

To prepare suggestion of changes for University To prepare suggestion of changes for University Medical center Ljubljana management.Medical center Ljubljana management.

TELEMONITORING TELEMONITORING SOLUTION DESCRIPTIONSOLUTION DESCRIPTION

KOIIMSprejemna postaja

Lifenet RS

Modem

Modem

SNMPSprejemna postaja

Lifenet RS

Modem

Modem

Bazapodatkov

Telekom CentreksKC

Mobitel

IPPSprejemna postaja

Lifenet RS

Reanimacija traumaCode Stat Suite

program

GSM omrežje

fax/data transfer

NRVR - LP12

Modem

Modem

Bazapodatkov

Trauma ambulanta A Sprejemna postaja

Lifenet RS

RPKCCode Stat Suite

program

dom/ambulantaLP12

TESTING RESULTSTESTING RESULTS

> 300 > 300 patient data transferspatient data transfers.. 39% AS, 39% AS, 28% SNMP and 24% IPP28% SNMP and 24% IPP.. 76% all data.76% all data. Mostly archiving and poor patient Mostly archiving and poor patient

condition (38% heart problems).condition (38% heart problems). 77% availability77% availability..

CONCLUSIONCONCLUSION

Proposals to UMCL management.Proposals to UMCL management. Future research in the next fields:Future research in the next fields:

IInformation integration between different nformation integration between different emergency intervention servicesemergency intervention services..

GISGIS in emergency medicine in emergency medicine.. AVLAVL systems and navigation systems in systems and navigation systems in

emergency medicineemergency medicine.. EExpert tools for decision support on operative, xpert tools for decision support on operative,

tactic and strategic level of emergency medicinetactic and strategic level of emergency medicine.. IS IS in EMS - in EMS - integral part of modern integral part of modern

emergency medical systememergency medical system..