Healthc Inform Res.  2011 Sep;17(3):184-189. 10.4258/hir.2011.17.3.184.

Leveraging Devices, Data and Discovery for Smarter Healthcare in Japan

• Sawa T

• KMID: 1974245
• DOI: http://doi.org/10.4258/hir.2011.17.3.184

Abstract

OBJECTIVES
Over the past decade, hospitals and clinics have gradually adopted hospital information systems, including provider order entries and electronic health records. Although these systems have helped to improve patient safety and efficiency of healthcare providers, not all healthcare providers and patients are satisfied with the current situation. Healthcare should be smarter. Thus, there is a need for state-of-the-art medical and healthcare devices that can handle massive amounts of data with the help of sophisticated information processing and discovery technologies.
METHODS
This article compares hospital information systems with the information systems of other social infrastructures. It also explores the possibilities of smarter healthcare, including personal health devices and personal health records with interoperability.
RESULTS
The main traits of the iEHR at Teikyo University Hospital in Tokyo include IT governance, unification, and workflow efficiency.
CONCLUSIONS
Smarter healthcare can be achieved by leveraging the full capabilities of devices, data, and sophisticated algorithms.

Keyword

Hospital Information Systems; Electronic Health Records; Personal Health Records; Equipment and Supplies

MeSH Terms

Automatic Data Processing
Delivery of Health Care
Electronic Health Records
Equipment and Supplies
Health Personnel
Health Records, Personal
Hospital Information Systems
Humans
Information Systems
Japan
Patient Safety
Tokyo

Figure

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  Figure 1 A cycle of clinical processes and hospital information systems. POE: provider order entries.

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  Figure 2 Connecting human to information systems.

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  Figure 3 Bio, clinical, and life data.

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  Figure 4 Adding components for personalized warning.

Reference

1. Kohh LT, Corrigan J, Donaldson MS. To err is human: building a safer health system. 2000. Washington DC: National Academy Press.

2. Institute of Medicine (US). Committee on Quality of Health Care in America. Crossing the quality chasm: a new health system for the 21st century. 2001. Washington DC: National Academy Press.

3. A grand design of information systems in healthcare [Internet]. Ministry of Health, Labour and Welfare of Japan. 2001. cited at 2011 Aug 1. Tokyo: Ministry of Health, Labour and Welfare of Japan;Available from: http://www.mhlw.go.jp/shingi/0112/s1226-1a.html.

4. A work schedule of information systems in healthcare [Internet]. Ministry of Health, Labour and Welfare of Japan. 2001. cited at 2011 Aug 1. Tokyo: Ministry of Health, Labour and Welfare of Japan;Available from: http://www.mhlw.go.jp/shingi/0112/s1226-1c.html.

5. Electronic health record/personal health record [Internet]. Health Level Seven International. c2077-2011. cited at 2011 Aug 1. Ann Arbor, MI: Health Level Seven International;Available from: http://www.hl7.org/implement/standards/ehrphr.cfm.

6. Electronic health record (EHR) [Internet]. Healthcare Information and Management Systems Society. cited at 2011 Aug 1. Healthcare Information and Management Systems Society;Available from: http://www.himss.org/ASP/topics_ehr.asp.

7. Rowley J. The wisdom hierarchy: representations of the DIKW hierarchy. J Inf Sci. 2007. 33:163–180.

8. Zins C. Conceptual approaches for defining data, information, and knowledge. J Am Soc Inf Sci Technol. 2007. 58:479–493.

9. Saito K. CIO magazine: a case file [Internet]. Teikyo University Hospital. 2009. cited 2011 Aug 1. Tokyo: IDG Japan;Available from: http://www.ciojp.com.

10. VoIP system: Teikyo University Hospital [Internet]. NEC Corporation. c1994-2011. cited 2011 Aug 1. Tokyo: NEC Corporation;Available from: http://www.nec.com/global/cases/teikyo-uh/contents.html.

11. Teikyo University Hospital: realizing IT governance in healthcare [Internet]. Nikkei Medical Online. c2006-2011. cited 2011 Aug 1. Tokyo: Nikkei Business Publications Inc;Available from: http://medical.nikkeibp.co.jp/leaf/all/special/it/casestudy/201005/515206.html.

12. Teikyo University Hospital improves patient care by enabling real-time data delivery to doctors. Oracle customer case study [Internet]. Oracle. c2010. cited 2011 Aug 1. Redwood Shores, CA: Oracle;Available from: http://www.oracle.com/us/corporate/customers/teikyo-case-study-080251.pdf.

13. Reforming hospital information systems [Internet]. RBB Today. 2010. cited 2011 Aug 1. Tokyo: RBB Today;Available from: http://www.rbbtoday.com/article/2010/07/17/69227.html.

14. Continua Health Allicance [Internet]. c2010. cited 2011 Aug 1. Beaverton, OR: Continua Health Allicance;Available from: http://www.continuaalliance.org/index.html.

15. ASTM E2369 - 05e1 standard specification for continuity of care record [Internet]. ASTM International. c1996-2011. cited 2011 Aug 1. West Conshohocken, PA: ASTM International;Available from: http://www.astm.org/Standards/E2369.htm.

16. Clinical document architecture [Internet]. Health Level Seven International. c2077-2011. cited 2011 Aug 1. Ann Arbor, MI: Health Level Seven International;Available from: http://www.hl7.org/implement/standards/cda.cfm.

17. A proposal of PHR platform using cloud services [Internet]. Nikkei Medical Online. c2006-2011. cited 2011 Aug 1. Tokyo: Nikkei Business Publications Inc;Available from: http://medical.nikkeibp.co.jp/leaf/all/special/it/casestudy/201106/520224.html.