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One solution of Deutsche Telekom Group Complex IT solution for a Hungarian Children's Hospital György Velkey MD general director Bethesda Children’s Hospital of the Hungarian Reformed Church What are the expectations … … of EU? • Development of healthcare IT infrastructure • Broadband access (wired or wireless) • Online health services: telemedicina, telediagnostics, e-receipt Government What are the expectations… … of the Government? • Higher standard of patient service • Cost and effort efficiency • Co-operations without geographical borders Hospital What are the expectations … Hospital … of the patients? • High standard service, better accomodation • Efficient management storage and process of patients’ data What are the expectations… … 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 Hospital infrastructure Main question patients data At appropriate place, in appropriate time staff members devices 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: 2007. Infocommunication system before the project: • Telephony: 2 PBXs, 220 extension • 151 PCs, 70% older than 3 years 2007.: year of changing • Changing healthcare system in Hungary – Changing structure – lowering capacities – Changing financing modes – Changing rules • New infocommunication system in Bethesda Hospital The complex IT solution for Bethesda Hospital supplied by T-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 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 Devices donated By T-Systems • • • • • • • 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 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 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 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 Then and now… Then • Running or making phonecalls 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… 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-datavideo • Unified communications network, unified monthly fee, easy operation Then and now… 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… 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… Then Now • Determined time and location of trainings • E-learning – anytime, anywhere Then and now… Then • • • • Several Several Several Several systems, suppliers, platforms, SLA-s Now • One system, supplier, platform • One SLA • System integration and project management from TSystems 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-oforder 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 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 Modern infocommunication system at a church hospital? High professional standards Better technical possibilities „Curing community” Better possibilities in communication Holistic, child and family centered care Comfort of children and parents Partner in Bulgaria