Integration MT and IT
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This document discusses the integration of medical technology and IT. 1) Historically, medical devices focused on patient safety while IT focused on data integrity, leading to cultural clashes. 2) Today, medical devices increasingly include computers and software, store patient data, and are interconnected. Medical data is exchanged between devices. 3) Challenges include identifying all patient record elements, connecting all relevant devices, and integrating devices into standard systems while educating users. 4) The author's hospital approach brought together medical technology and IT expertise into integrated teams to develop solutions.
Integration MT and IT
- 1. Integration of Medical Technology and IT Technology and Organisation Martijn Schasfoort, business manager MIT
- 2. 1. History 2. Today’s trends 3. Integration 4. Organisation
- 3. History Traditional differences between Medical Technology and IT: Medical devices are life critical If a life critical system fails or is otherwise compromised, it will have a significant negative impact on the patients health, quality of care or safety. Information Technology systems are mission critical: If a mission critical application fails, crashes, or is otherwise unavailable to the organization, it will have a significant negative impact upon the business.
- 4. History …… culture clash Medical Technology Information Technology patient centric systems centric response time in response time in minutes/hours hours/days/weeks accent on patient safety accent on integrity of data & processes innovations rules tailor-made standards 1. History
- 5. Question: IT in the world of Medical Technology or Medical Technology in the world of IT ? Who is leading / suffering ?
- 6. 1. History 2. Today’s trends 3. Technology 4. Organisation
- 7. Trends in Medical Technology Medical devices consist of computers and software Medical devices store patient data locally on the computer (= part of patient record). Functionality in medical devices is increasing causing an increase of medical data that needs to be collected, analysed and stored in these devices. Rapidly growing integration and interconnection of different medical and IT devices. Medical data between medical and IT devices is being increasingly exchanged. 1. Trends
- 8. Trends in integration of Medical Technology and IT Accessibility, analysis and comparing data from a broad variety of medical data from different sources : •Automatic “filling” of data in EPR •Closed loop systems (output becomes input) •Integration of messages (e.g. medical alarms) •Medical devices traceability •Remote maintenance medical devices (e.g. hemodynamic patient monitoring)
- 9. Trends of Medical Technology hospital wide •Central storage of medical images (radiology/video) •Central storage of physiological data •Remote viewing of digital medical data/information •Viewing medical images within EPR •From decentralised to centralised
- 10. Trends of Information Technology hospital wide •Central planning (One stop shopping) •Central storage of patient information •Remote viewing of stored data/information (e.g. internet) •Accessibility of medical information (time, place, 24/7) •Import and export of patient/health information •From centralised to decentralised
- 11. 1. History 2. Today’s trends 3. Technology 4. Organisation
- 12. Key Challenges Identify all pieces of the patient record generated in the hospital All medical devices should be connected (not only the easy ones) Integration of (medical or IT) devices into a standard environment (EPD, PACS) Educate user to store only the relevant data IT Infrastructural issues should be solved
- 13. The Máxima Approach Idea 1999, pilot 2002, implementation 2005 All medical image data in DICOM format Using Visus JiveX for integration in EPD Using Visus JiveX AMG for standardisation of medical image data Status: - 70 devices connected (outside Radiology department) - 8 TBytes central stored - 110.000 studies available - 130 studies a day generated
- 14. 1. History 2. Today’s trends 3. Technology 4. Organisation
- 15. Key Challenges Due to the highly “connected” environment, medical technology can best be addressed by bringing the expertise of both professions together in a team effort. Both professions need to coordinate their efforts and develop solutions on the industry and the hospital level. Formal integration of both departments is necessary for effective coordination
- 16. The Máxima Approach “Old” worlds of Information Technology and Medical Technology integrated Identified overlaps and gaps in skill sets, resources and technologies Filled gaps when necessary Realigned skill sets, resources and technologies Necessary environmental skills ( “you work in an hospital”) Learn from each other !!
- 17. 7 20 45 Clinical physicist Clinical and IT engineers Clinical and IT technicians IT security officer Account managers Researchers Project managers idea implementation continuity
- 18. Integration of Medical Technology and IT Do IT !