Hospital Information Systems
In February 2016 CBIM has transferred the business unit Hospital Information Systems to the new company GBIM LTD, established in partnership with the GPI Group S.p.A. Trento, a leading company in the field of social and health informatics and innovative technology services at the national level and with growing international presence.
A collaboration between a large company characterized by a continuous process of growth and innovation and a research consortium with over twenty years experience in the healthcare will draw inspiration, on the basis of consolidated references, for the development of new innovative solutions.
Hospital Information System Architecture
“The last twenty years have been characterized by a continuous medical knowledge fragmentation, without a general consideration of the needed change for a methodological approach to the patient. The medical skills have been more and more oriented to specialization, thus generating a leading professional model in which the knowledge fragmentation could guarantee individual freedom.
On the other hand, in these years diagnostic and therapeutic technologies availability strongly increased. So the hospital management has been organized on individual skills and technologies, thus hindering an integrated and holistic patient’s vision.
Consequently the
Hospital Information Systems based on these concepts have been focused
only on costs monitoring and economic indexes, rather than on quality
and clinical outcomes. From these concepts you might understand the
best way to rebuild relationships between information, knowledge and
value system: analyze, know better, standardize and integrate medical
activity on which any Healthcare organization is based. “
The investments that supported the growth of Hospital Information Systems in the ‘90s, above described in Chapter Two, promoted computerized management of the complete Hospital Information Flow (Hospitalization, Out-patient Booking, Emergency, ..) and, consequently, contributed to the incremental implementation of the Electronic Patient Record.
Starting from this achievement, the actual goal is to reach functional interoperability between software applications, to share patient clinical data, both for care processes improvement as well as to make them available via Internet, ensuring security and privacy.
This represents the core of Patient Information Portal, conceived as an integration middleware that, avoiding data replication, refers to a unique Patient Identification Code, making available an easy consultation of referrals and patients findings, thus ensuring privacy terms on the basis of different users’ access permissions.
In this way some clinical activities, such as patient Follow-up and monitoring, could be implemented as eHealth services at home level, avoiding re-hospitalization.
However, the patient mobility could represent a potential problem in terms of patient data fragmentation, mainly when these information are recorded in different hospitals in metropolitan areas.
Indeed Patient Portal implementation as an Electronic Record Tool is today the common goal of several Regional Healthcare Information Systems. The Health and Social Information System of the Region of Lombardy was the first promoted at Italian level in 1999.
CBIM, since 2004, actively participated to this Regional project, to ensure integration of large Hospital Information Systems to the Regional middleware.