Smart hospital conceptualisations by experts in teams

Objective – The concept of Smart hospitals looks to future hospitals as infrastructures for effective and efficient clinical processes as well as infrastructures for supportive social interactions between patients and health professionals with the objective to design places that increase health service quality, productivity and patient's positive experience. This requires teams of experts that bring in knowledge from different disciplines like medicine and healthcare sciences, Information and Communication Technology, Social Sciences and Architecture. Background - One of the biggest challenges in healthcare is the rising demand for services, while there is a decrease in workforce due to an aging society. Given the current budget constraints, healthcare systems are therefore under pressure to provide cost effectively high-quality services which requires fundamental reforms. When healthcare process data becomes more detailed and accurate, leveraging the concept of smart hospitals could contribute to better use of healthcare resources, including the hospital buildings. Research question - What is a smart hospital? How can various disciplines contribute to smart hospitals? How will healthcare processes change by applying smart technologies? Methodology – 5 interdisciplinary student groups of in total 28 students (12 medicine, 5 economy, 5 social sciences and 6 Technology) explored the concepts for future Smart Hospitals during a 4-week intensive course in Experts in Team. The projects included 3 phases: (1) conceptualisation; (2) writing an article based on literature research and; (3) integrating the findings in a proposal for a product. Results - The 5 projects reflect the students’ research on the application of smart technologies in future hospitals, ranging from: (1) the use of drones for acute healthcare: (2) application of artificial intelligence for improving diagnosis; (3) use of Building Information Models to optimise use of healthcare resources; (4) reducing hospital acquired infections by tracking flow of objects and people and; (5) home delivery of diagnostic services to reduce number of patients in the hospital. Conclusion - The link between healthcare services and the physical environment has the potential to be re-invented through digitalisation and analytics of hospital process data leading to predictability and reduction of variation to support decision making. This requires cross-cutting solutions from healthcare management, logistic management and facility management in combination with ICT and social sciences.publishedVersio

Reference catalogue for ICT services in healthcare : model for ICT service management, controlling and benchmarking : version 1.0

Translation of the German original

The Promise of Health Information Technology: Ensuring that Florida's Children Benefit

Substantial policy interest in supporting the adoption of Health Information Technology (HIT) by the public and private sectors over the last 5 -- 7 years, was spurred in particular by the release of multiple Institute of Medicine reports documenting the widespread occurrence of medical errors and poor quality of care (Institute of Medicine, 1999 & 2001). However, efforts to focus on issues unique to children's health have been left out of many of initiatives. The purpose of this report is to identify strategies that can be taken by public and private entities to promote the use of HIT among providers who serve children in Florida

NEOREG : design and implementation of an online neonatal registration system to access, follow and analyse data of newborns with congenital cytomegalovirus infection

Today's registration of newborns with congenital cytomegalovirus (cCMV) infection is still performed on paper-based forms in Flanders, Belgium. This process has a large administrative impact. It is imortant that all screening tests are registered to have a complete idea of the impact of cCMV. Although these registrations are usable in computerised data analysis, these data are not available in a format to perform electronic processing. An online Neonatal Registry (NEOREG) System was designed and developed to access, follow and analyse the data of newborns remotely. It allows patients' diagnostic registration and treatment follow-up through a web interface and uses document forms in Portable Document Format (PDF), which incorporate all the elements from the existing forms. Forms are automatically processed to structured EHRs. Modules are included to perform statistical analysis. The design was driven by extendibility, security and usability requirements. The website load time, throughput and execution time of data analysis were evaluated in detail. The NEOREG system is able to replace the existing paper-based CMV records

A Framework for the Design of a Mobile-Based Alert System for Outpatient Adherence in Nigeria

Nigeria ranks among the countries with the highest child and maternal mortality rate. Chronic diseases are the most common contributors to the diseases burden in Nigeria most especially Malaria, Tuberculosis (TB) and HIV/AIDS. Adherence to long-term therapy in out-patient condition is required to reduce and curb the prevalence of these diseases. Poor adherence to long-term therapies severely compromises the effectiveness of treatment; making this a critical issue in population health both from the perspective of quality of life and of health economics. This work introduces a m-technology based system that will provide an easy way of complying with drug regimen. It will make use of the Short Messaging Service (SMS) of mobile phones to provide reminders at dosing times. It will design architecture for mobile health interventions and develop a prototype SMS-based system to improve out-patient adherence. This system will be deployed over a period of time at selected hospitals and chronic disease management centers in selected states in Nigeria, and the adherence rates measured via health outcomes and evaluated. This would provide a significant positive return on investment through primary prevention (of risk factors) and secondary prevention of adverse health outcomes. It will also inform predictions of future population health outcomes predicted by treatment efficacy data. Keywords: out-patient, m-technology, adherence, chronic diseases, Nigeria, SM

DEVELOPMENT OF A MEDICAL STAFF RECRUITMENT SYSTEM FOR TEACHING HOSPITALS IN NIGERIA

Recruitment of staff into teaching hospitals in Nigeria, acts as the first step towards creating competitive strength and strategic advantage for such institutions. However, one of the major problems associated with these institutions in the South Western part of Nigeria is their mode of staff recruitment. In this research paper, we developed a suitable staff recruitment system for some health institutions in Nigeria, focusing specifically on some teaching hospitals. Three teaching hospitals in south west Nigeria, were visited and relevant information was collated through personal interviews and questionnaires administration to the staff of Human Resource Departments and other relevant health professionals of these teaching hospitals. The design and development of the system employs 3-tier web architecture. System design of the staff recruitment system consisted of design activities that produce system specifications satisfying the functional requirements that were developed in the system analysis process. A formal model of the staff recruitment system was built using Unified Modeling Language (UML). The UML, as a modeling system, which provides a set of conventions that were used to describe the software system in terms of objects, offers diagrams that provide different perspective views of the system parts. The Web-based Medical Recruitment System (WBMRS) was designed to be user friendly and it is easy to navigate

Providing secure remote access to legacy applications

While the widespread adoption of Internet and Intranet technology has been one of the exciting developments of recent years, many hospitals are finding that their data and legacy applications do not naturally fit into the new methods of dissemination. Existing applications often rely on isolation or trusted networks for their access control or security, whereas untrusted wide area networks pay little attention to the authenticity, integrity or confidentiality of the data they transport. Many hospitals do not have the resources to develop new ''network-ready'' versions of existing centralised applications. In this paper, we examine the issues that must be considered when providing network access to an existing health care application, and we describe how we have implemented the proposed solution in one healthcare application namely the diabetic register at Hope Hospital. We describe the architecture that allows remote access to the legacy application, providing it with encrypted communications and strongly authenticated access control but without requiring any modifications to the underlying application. As well as comparing alternative ways of implementing such a system, we also consider issues relating to usability and manageability, such as password management