Author: pvgorp

Master Thesis Defense Sven Bastianen: Towards an architecture for the support of integrated Personal Health Records

Pieter Van Gorp is proud to announce the very successful completion of the master thesis project of Sven Bastianen.  Sven has worked closely with SAP NL and for the final presentation the large number of attendees confirmed that he tackled a very relevant problem.

Abstract

In the past decade Care Delivery Organizations (CDOs) have widely adopted Electronic Medical Record (EMR) systems for storing patient records digitally. As information technology is developing and healthcare is becoming more patient-centered, we notice the development of Personal Health Record (PHR) systems, which enable individuals to store their health-related information in a digital, online fashion. Together with the upcoming trend of Wearable Health Monitoring Systems (WHMSs), which ideally store their information in a PHR system, it is expected that individuals have a valuable collection of health information that can support the healthcare services that they receive.

In this research we investigate the technical challenges and barriers for integrating EMR systems and PHR systems and how these can be resolved in order to come to a more holistic approach in the way health information is used. We do this by analyzing currently existing PHR systems and investigating the current health information infrastructure in The Netherlands, while having a strong focus on interoperability standards, e.g. HL7 Fast Healthcare Interoperability Resources (FHIR). In order to also cover challenges that arise from a practical sense, we have built a prototype of an integrated PHR by setting up an interoperability scenario between the EMR system i.s.h.med of Cerner, part of SAP for Healthcare, and the PHR system HealthVault, developed by Microsoft. Subsequently we present an integration design for setting up an integrated PHR. The research is concluded with an architecture that implements the integration design into the current Dutch health information exchange infrastructure AORTA.

Thesis Text

Available from the TU/e library and from here. Thanks to SAP for not requiring any form of confidentiality.

IS-HEART session by Stan Lamers

The 2nd IS-HEART session of Feb. 2015 will be scheduled in week 4 instead of week 3.

Title: Physician Order Alert Assessment Support using Data Mining Techniques.

Where: K16
When: 27/02/2015, 12:30-13:30
Also see the online agenda item.

Everybody Welome!

Abstract: During the last four decades there has been a major increase in the number of automatic reporting systems for adverse drug events (ADEs)in the healthcare setting. Computerized prescription alerts can assist in avoiding ADEs but research has indicated that one important example of an ADE is the situation where a medical specialist fails to adequately assess computerized prescription alerts. These computerized prescription alerts can be shown to a physician when for example there is a problem with the dosage of a prescribed medicine or an interaction with other medicines is found. Hospital Pharmacist Drs. P.A.G. De Klaver indicates that Maxima Medical Center’s Pharmacy has to deal with 500-800 prescription alerts on an average day, which is considered to be too high and time consuming. The alert system that is currently in use at the hospital is emphasizing the breadth of coverage instead of clinical relevance or severity of the event, which leads to low clinician acceptance of drug alerts. Many alerts can cause alert fatigue; a state in which the user becomes less responsive to alerts in general.
The aim of this research project is to find data mining techniques to create models that can support processing of prescription alerts at the Maxima Medical Center in Veldhoven. This research will not focus on all ADEs but only on drug-drug interaction effects and their alerts because those alerts are considered to be the most time consuming for pharmacy personnel.

In this presentation, an overview of recent work on improving healthcare alerts systems is given and the overall research proposal is clarified.

GameBus: refinement of business model and initial sketches of UI flows

Yesterday, 29-01-2015, was a great day for GameBus. Paul Brouwers and Carolina Gomez Naranjo crashed the office of me, Pieter Van Gorp, to discuss their current versions of the GameBus business model and the screenflows for the mobile App.

GameBus: initial business model and screenflows
Paul and Carolina in the office of Pieter Van Gorp

It is tough to say no when a motivated and bright team enters your office with promising results.  In any case, GameBus consumes most of our days since its formal start this Month…

Today, we have hands on evaluations of Rapido on the agenda.  We will play BuzzTag etc. outdoors (in the snow).  More about that later…

IS-HEART session: presentation by Wintjes, T.H.M.

Also see the agenda item in our online calendar.

Presentation by Tijmen Wintjes on his bachelor end project entitled “Improving the financial understanding of microtreatments in Mohs Micrographic Surgery”.

Presentation title: Our healthcare reimbursement system and how it affects the financials of innovative care processes.

Presentation abstract: In this talk, we have a look reimbursement of care within hospital and clinics. Who are the important parties within this process? What are their responsibilities? We then consider how our knowledge helps us to understand ways of working in healthcare. As a case study we consider the Mohs Micrographic Surgery process in the MohsA clinic. We will come to argue that the current systematic has a very significant financial impact on the ‘real’ price of the surgery. In our considerations we discuss one of the most valuable information systems in the healthcare business operated by DBC-onderhoud.

IS-HEART sessions are organized every first and third Friday of the month. Sometimes, extra sessions are organized or sessions are moved for example to the fourth week of the month. Such exceptions are scheduled as separate events in the IS agenda.

IS-HEART session: presentation by Ivo Canjels (Philips)

Also see the agenda item in our online calendar.

Ivo Canjels is Product architect at Philips Medical Systems. He has had previous positions at IBM and Sagantec.  In his talk, Ivo will describe the Philips Healthsuite Digital Platform with a focus on Interventional X-Ray technologies.  In a preparation meeting, some opportunities for collaboration were already identified (e.g., on TraceBook but also on mining large repositories of data from Philips devices.) The purpose of this session is to identify the top collaboration opportunities and make concrete agreements afterwards.

IS-HEART sessions are organized every first and third Friday of the month. Sometimes, extra sessions are organized or sessions are moved for example to the fourth week of the month. Such exceptions are scheduled as separate events in the IS agenda.

Preparations for GameBus are heating up!

While work on the GameBus project will officially start in January 2015, we are already making various preparations.  The most important preparation is the recruiting of two new group members.  One group member has been selected from the User System Interaction pool of PDEng trainees.  This member will focus on the end user experience as well as on the business model aspects of GameBus.  A second PDEng trainee was selected from the Software Technology pool.  This member will focus on the integration of game components on the bus.

Besides PDEng projects, we have defined two master thesis projects on GameBus.  One student will focus on GameBus business model aspects as part of a graduation in Innovation Management.  A second student will focus on GameBus backend aspects as part of a graduation in Business Information Systems.

A GameBus kick-off meeting will be organized as a side activity of the EIT ICT Labs Health and Wellbeing End-of-Year Event 2014.  In this way, we involve also our Italian partners in the preparations such that in January 2015 we can take a flying start!

Stay tuned…

IS-HEART talk on Datawarehousing by Patrick Lubbers

Title: Building a Translational DWH @ AVL

Abtract: Presentatie betreft het proces en uitdagingen die er zijn om data uit verschillende klinische informatiesystemen samen te brengen binnen 1 DWH. Waarom willen we dit? Welke methodiek passen we toe? Dieper ingaan op de uitdagingen van semantiek van data, de problematiek bij het vergelijken van data, het modelleren van data objecten, het opzetten van de technische architectuur, het opzetten van een data governance beleid (“wie mag wat zien”), wat hebben we op dit moment gerealiseerd en waar willen we in de toekomst naar toe.
When/where: Fri Oct. 3rd, Paviljoen K16

IS-HEART Talk on Lean Management by Pieter Dat

On Friday, September 5th 2014, Pieter Dat will present the results of his second master thesis. Pieter has completed his first master thesis in our TU/e IS group (see previous post). Last month, he has completed his second master on Care Management, at Erasmus University Rotterdam. In his second thesis, Pieter has investigated Lean Management at the Maxima Medisch Centrum.

As usual, the IS-HEART session is organized in Paviljoen K16, from 12:30 to 13:30.

Further information:

Abstract master thesis (EUR): evidence in Lean Management (“Lean capacity planning and accessibility of healthcare services:
Development of a continuous improvement culture or application of instruments and tools”)

Research question and objective:
Lean Management is characterised by a continuous improvement culture within an organisation and has resulted in improvements of business processes in several industries. A differentiation in the theory of Lean Management can be made between an organisational and an operational perspective. Lean Management is increasingly applied in the healthcare domain. In the Máxima Medisch Centrum (MMC, Eindhoven / Veldhoven) employees working at the operational level use instruments and tools to apply Lean Management. The central scientific research question is formulated as: “How can Lean Management tools and instruments contribute to continuous process improvement in the Máxima Medisch Centrum?” This research project aimed at analysing how the use of instruments and tools leads to (the development of) continuous improvement in the organisation.

Research design and research methodologies:
The research consisted of case studies at two outpatient departments in the Máxima Medisch Centrum. Four research methodologies are applied, in a triangular approach: 1) semi-structured questionnaire, 2) data analysis of Key Performance Indicators (KPI’s), 3) document analysis and 4) semi-structured interviews.

Results and conclusion:
The master thesis project lead to insights in the current maturity of the application of Lean Management in the Máxima Medisch Centrum. Recommendations, regarding the applicability and prerequisites, are drawn for further development of a continuous improvement culture in the hospital.