conhIT

Valid and updated key performance indicators are necessary in order to manage hospitals and their internal processes. This applies to management as well as to the various staff departments (controlling, medical controlling, quality management, …) and executive functions (chief medical directors, heads of department, …). However, such diversity also imposes many different demands in terms of key performance indicators.

For example, results have to be concentrated and presented, and communication is another important aspect (digital versus paper). 3M Clinical Business Intelligence is a combined system that meets the requirements of all the various recipients. The fully automated processes supply valid and up to date results for virtually all recipients. With this system reports can be supplied continuously to all principals, with an authorization concept that ensures that each recipient is only able to see those results that are intended for him.

4voice is presenting a more wide-ranging solution for digital speech processing at conhIT: Digital dictation on PCs and with portable dictation machines is already being extensively used. With fixed dictation systems, integrated within the HIS, the dictation is assigned directly to the patient. With the voice4mobile app physicians can now also make use of mobile dictation with specific patient allocation throughout the clinic. Mobile dictation which has already been started on an iPh-one/iPad/iPod Touch can be stored on an interim basis while the user is “on the move” and then completed on a PC, with the inclusion, if necessary, of laboratory readings, visual information or preliminary clinical findings. The app can also be used to send dictation for background speech recognition. Extended speech recognition via the cloud is also being presented at conhIT by 4voice.

Agfa HealthCare puts clinical histories on the iPad and iPhone with ORBIS Mobile Edition (ORBIS ME!). Without the need for a notebook or PC, it enables doctors and nursing staff to access case data, diagnoses and findings, therapies, reports on operations, forms, laboratory readings, vital signs and image data.

Using Agfa Managed Services (AMS) it is possible for hospitals to make a precise selection of operator solutions from the range of Agfa HealthCare services. AMS consists of flexible, harmonized modules which can be individually selected to meet customers’ special requirements. As a result IT platforms can be operated more effectively in order to satisfy specific needs. The benefits are obvious: guaranteed high standards, support that is available 24x7, readily accessible systems and a fixed service fee to facilitate financial planning.

Two new AddOns are now available with ORBIS KIS to make the user’s work even easier. Brief in-patient documentation provides for the same sort of rapid data compilation and documentation that is available with the system for medical practices. The AddOn also clearly presents all the requirements and findings associated with cost centre management. Geriatric documentation supports the workflow for defining therapeutic objectives and the corresponding team discussions. A large number of geriatric tests and assessments are also displayed within the AddOns, to assist with diagnosis and courses of treatment.

IMPAX Heartstation has been designed for the electronic distribution of ECG data, with the electronic display of ECG graphs, archiving in IMPAX and recall from ORBIS as well as links with different ECG systems. Agfa HealthCare is also presenting new features of ORBIS RIS, ORBIS Cardiology, HYDMedia and IMPAX PACS.

With over 60 IT systems houses and trading companies in 13 countries of the EU, Bechtle is among the leading IT e-commerce providers. Founded in 1983, Bechtle currently has a workforce of around 5,600. Serving the needs of more than 75,000 customers, Bechtle provides a comprehensive range for all aspects of IT infrastructure and IT operations from many different manufacturers. Together with selected partners on our stand E102 in Hall 2.2 we are featuring the Bechtle portfolio for healthcare – innovative solutions to meet all kinds of IT requirements for everyday clinical use. The main highlight is the presentation of a defining solution in the field of InMemoryComputing. A num-ber of other fascinating IT-related topics will also be featured, along with invaluable opportunities to compare experiences with experts.

By providing certain aspects of HIS functionality on a mobile platform, Cerner’s native iPad solution PowerChart Touch enables physicians to perform their activities in an office, in a hospital or in the emergency department on a mobile device. By the middle of this year this solution will be available in outpatient departments in the USA, adding a number of desktop functionalities to the iPad.

With this mobile platform physicians can organize their working day, view past or current clinical information, prepare and document requirements and much more. This new app has been designed to meet the specific needs of mobile workflows in both inpatient and outpatient settings, including, for example, mobile rounds, handovers during shift change, documentation of vital signs and intensive care. Physicians can thus access the correct information at the right time, within the relevant stage of the workflow and in the appropriate context by the touch of their finger tips.

Together with data security, the establishment of networks and secure communication across sectoral bounda-ries are the main issues in healthcare today. Hospitals, rehabilitation clinics and social facilities are being linked both horizontally and also vertically, and are providing scope for additional service providers.

This creates a demand for solutions that cross sectoral boundaries, promote networks and offer a high level of data security, and that can moreover be perfectly integrated within the new group structures and are responsive to new developments.

With the wider possibilities offered by CGM Future.net ,CompuGroup Medical is setting new standards in electronic networking and communication. CGM Future.net demonstrates the progress that has been achieved with the widespread introduction of networking in the healthcare sector and that this future solution has already become reality. The harmonized, cross-sectoral exchange of data links medical practices, medical care centres, hospitals, rehabilitation clinics, pharmacies, and now the patients too. For the latter it is now a simple matter to use the internet to arrange appointments for treatment, order prescriptions online, talk to their physicians in online consultations, or look at their clinical findings.

Patient and treatment data can be quickly, securely and efficiently exchanged by means of CGM Future.net. Using modern, web-based technology, access is available from any location and at any time. Clinics can obtain valid, structured data in advance from referring medical practices or the medical care centre, which can be fed directly into the hospital information system. Rehabilitation clinics can make timely use of their resources and have immediate access to the hospital’s discharge letter.

Subsequent therapy can begin within the prescribed seven-day period. The houseman or specialist receives all the relevant information from the hospital or rehabilitation clinic without delay. They are kept informed at all times about the patient’s condition and location and, if needed, can intervene to provide support. Patients benefit because the processes are perfectly intermeshed, creating the ideal basis for rapid recovery. Conse-quently, all those involved experience significantly improved care quality as a result of the innovativeness of CompuGroup Medical.

The d.3 smart suite offers simply structured user interfaces with maximum integration capabilities, making them ideal for meeting the needs of widely differing user groups. This focus on simplicity is now being applied by d.velop AG to mobile terminals as well. With d.3 smart mobile, easy and secure access to your information is available wherever you are.

With d.3 smart mobile wound documentation photos can be downloaded directly to a patient file using an iPad / iPhone. Using d.3 smart mobile and the powerful workflow component d.ecs flow invoices can be approved when on the move. The use of d.3 simplifies medical and administrative processes.

DMI GmbH & Co. KG provides clearly calculable solutions for revision-proof, digital long term archiv-ing of patient files and data. It is based on continuous data communication between the hospital information system, the archive management (DMI-AVP) and the data from certificated digitali-zation and archiving services (logistic/scan/indexing service).

With DPaaS (Digital Preservation as a Service) DMI provides long term archiving, which is not con-fined to any specific platform, of all “acquired” patient data, over total periods of 30 years or more. This system DMI provides reliable digital and revision-proof archiving that complies with mandatory retention periods and, if necessary, for longer periods. Moreover, in cooperation with HIS/DMS partners in the healthcare system, archiving software can be used in back-up or primary access mode in certificated DMI computing centres. The online archiving service archiv24® guarantees the year-round, 24/7 availability of documents stored using the DMI system. This also applies to older files stored in the DMI security archive, which can be supplied digitally on demand.

The [i/med] Billing module provides a flexible and practical solution for both in-patient and out-patient accounting and also for laboratory accounting purposes. Using such interfaces as HL7, LDT, GDT, BDT and EDIFACT, [i/med] Billing incorporates all the accounting data from all standard external systems in hospitals, medical care centres, laboratories and general practices.

Based on freely definable sets of rules and clearly defined user rights, such data can be easily and rapidly used to prepare invoices. A special module then generates the healthcare accounting data medium and activates checks to determine whether payment has been received, together with an automatic payment demand process.

There is an increasing need for mobile solutions for everyday clinical use. The response by ID, in collaboration with physicians, therapists and nursing staff, has been to develop mobile applications which also support clinical processes in other ways, augmenting the use of PCs in the ward.

ID has developed ID DIACOS® Spezial to provide ergonomic solutions for registering information in the specialist fields of psychiatry and geriatrics as well as in palliative and intensive care and pain relief. Diagnosis and therapy as well as various assessments and team conferences can be docu-mented using mobile applications even while treatment is in progress. Compared with the fixed location PC solution, the forms have a high recognition value and improvements have also been made to facilitate their use with various mobile terminals. The mobile versions also incorporate customers’ requirements from the “normal” solutions. These include expanding the system to include patient lists and a therapist’s view to show a daily or weekly overview. Rights management has also been expanded to permit the selection of stored users.

The eMedication field requires mobile, expert knowledge in a patient context. With ID DIACOS® PHARMA information about medications, as well as their documentation and investigation, will also be possible in a mobile form. A further development of the ID controlling tool, ID EFIX® Geo, adds a new quality to evaluations of geo-data, for example through the explorative analysis of potential admitting physicians in the context of their own range of services. For the international market the ICD search should be of particular interest with reference to the iPad and iPhone.

IGEL Technology, Germany’s leading manufacturer of thin clients, has enhanced its product line with two optional functions. The thin client Shared Workplace feature, which can be separately licensed, allows user-dependent device configuration and is designed for shift worker or roaming user environments, such as hospitals. The optional “High Availability” extension of the management software UMS is primarily intended for those customers with large IT environments and scenarios in which failsafe operation of the UMS is of mission-critical importance. The UMS now includes five test licenses for High Availability.

ICW has introduced a new version of its ICW Master Patient Index (ICW MPI) which concentrates specifically on meeting the needs of the service providers. The objective: to be able to safely identify patients beyond the confines of a particular system. In order to achieve this ICW MPI attaches demographic data and the ID number groups of the referring system, thereby creating a new and unambiguous patient ID.

ICW offers its partners such as the manufacturers of hospital information systems a system of ID management that can be applied immediately for integration in an existing system as an OEM version. This solution can also be expanded with the ICW Professional Exchange Server (PXS), that supports the intersectoral exchange of images, doctors’ certificates and clinical findings.

With CSC, iSOFT is implementing a new development in the form of cloud services, and these are intended to provide significant added value for hospitals. The ‘iSOFT as a Service’ range will offer clinics IT solutions “from a wall socket”, thereby substantially reducing their operating costs. The cloud computing facilities represent a departure from traditional, highly capitalized concepts, replacing them with models that help to optimize the cash flow in healthcare facilities.

With ‘iSOFT as a Service’ infrastructural operations and applications are combined to form a standard service. In this way iSOFT can provide its customers with the widest possible range of applications for clinics, out-patient departments and diagnosis, as well as flexible, needed-based intersectoral solutions such as portal or patient logistics solutions, infrastructural services or IT resources via self-service portals through a private or community cloud.

Rapidly increasing costs, limited financial resources and the obligation to maintain the best possible medical care: all these factors compel healthcare companies to optimize their processes and internal procedures. And this also applies to document management. With the broadly based approach from KYOCERA Managed Document Services (KYOCERA MDS) this Japanese manufacturer of printers and copiers has introduced an effective way of improving documentation management while at the same time reducing costs by up to 30 per cent. The extensive portfolio of resource-conserving printing and multifunction systems as well as intelligent software solutions is an effective response to the pressure of increasing costs.

Intelligent.Decision.Support (i.DS) from LOWTeq is an alarm system for intensive care wards that is activated before a critical situation has arisen. The combination of rules engine and neuronal net-work constantly compares a pattern, comprising numerous monitoring and laboratory readings as well as respiration parameters, with current patient data. This provides the physician with a constant and accurate overview of the patient’s condition, enabling pre-emptive action to be taken. If a critical situation arises i.DS activates an alarm. The supplementary module, integrated in the patient data management system (PDMS) from LOWTeq, improves patient safety as well as relieving some of the pressure on staff.

With its Medical Information Broker, Marabu EDV offers a solution that provides a central hub for both internal and external treatment documents and is a logical refinement of the successful Pegasos patient file. When researching files not only those held internally but also documents from accessible external systems are made available by means of IHE, eFA or various portals. The extensive possibilities for integrating Pegasos with virtually all relevant HIS systems mean that these functions are directly available to users at their own clinical workplaces. Pegasos therefore expands the traditional patient archive, creating a unique patient file that incorporates the data held by other hospitals too.

New evaluation and analytical possibilities have been developed by mediatixx for ixx.report, the add-on module for the ixx.concept editions MVZ/Ambulanz and ixx.vianova. It is now possible to analyze and direct the flow of out-patients more effectively.

According to specific requirements, ixx.report will display, in graphic and tabular form, the times and numbers of out-patients in the practice during the course of a week, a month or even several years. With so-called ABC analyses it is now possible to evaluate referring physicians in terms of both the case as well as the turnover level. The geo-analysis module for ixx.report uses Open-StreetMap to provide a clear and easily understandable display showing the geographical catchment area of patients and of referring physicians.

During the second half of 2012 mediatixx intends to introduce its ixx.patient software for online communication between patients and practices. Safeguarded by a user name and password, it will enable patients to take readings at home and feed them into the portal. It will also be possible to order prescriptions and referrals, thus reducing the amount of telephone usage in the practice.

All patient entries will be encoded and relayed via a secure connection directly to the mediatixx medical information systems – ixx.isynet, ixx.concept, ixx.comfort. They can be entered in the filing system and a short text can be sent as a response.

Digital dictation systems are already widely used by a variety of healthcare facilities, making medical documentation processes clearer and more efficient. Improvements are being achieved with the integration of the dictation system SpeaKING Dictat in HIS. With its new control module SpeaKING Dictat enables these effects to be precisely measured.

This makes it the ideal tool for accurately regulating speech-based documentation processes. MediaInterface already enjoys the confidence of over 250 hospitals and more than 600 medical practices in Germany, Austria and Switzerland, and they particularly value the emphasis placed on the services provided by this Dresden-based software specialist.

MEDNOVO Medical Software Solutions GmbH is a software company for medical documentation systems and has been successfully operating as solutions provider in the health care industry throughout the world. According to our slogan "IT meets medical engineering" we integrate image and measured data giving medical devices into existing IT systems and create comprehensive solutions for our customers worldwide. MediColor as a central MDS – (Medical Documentation System) for image and findings documentation in functional diagnostics and surgery. Further modules for web, HL7, DICOM…

Nursing care is a vital component in the healing process, for which coordination between physicians and nursing staff is essential. This is just one good reason for making electronic documentation an integral part of the nursing care process. This task is dealt effectively by the scalable information system MCC, which enables all the professional groups to operate within the same system. All the information obtained by nursing staff is available immediately to physicians on other wards and can be applied to ongoing treatment.

To provide a more effective overview under hectic everyday working conditions the patient graph incorporates all the necessary information and presents it at the nursing staff’s place of work. Ac-cording to requirements, the graph enables vital parameters, the fluid balance and many other notes to be processed, along with graphic displays. The range of functions is completed by wound documentation together with integrated image management.

Moreover, with MCC.PFLEGE clinics can also create and link various catalogues for the purposes of assessment and care diagnosis, as well as preparing targets and measures. MCC displays the entire nursing care process in accordance with LEPWAUU® and supports the result-oriented care assess-ment ePA-AC© and the recording of highly complex care measures (PKMS).

MCC not only enables clinics to optimize their processes but also to improve patient safety and doc-umentation security. MEIERHOFER is presenting innovative solutions at conhIT 2012 not only for implementing data protection concepts and for coping with breakdowns in central systems but also for avoiding errors in the dispensing of medications.

MESO is exhibiting the DICOM gateway IBox Touch at conhIT. This unit processes the signals being fed into all standard imaging devices such as endoscopes and the cameras used to monitor opera-tions. It also supports HDSDI and DVI signals with full resolution and frame rate. The IBox Touch can store images and image sequences of any length, transmitting them to the clinical PACS via LAN or WLAN. The IBox Touch is operated intuitively via a touchscreen. Images can also be triggered remotely. The IBox Touch is supplied with PC software which enables live images to be display in their full resolution on any network PC. The HL7-DICOM gateway is another new feature and supplies HL7 orders as a DICOM worklist for any modalities.

In the healthcare industry Microsoft has a worldwide commitment to improving people’s health standards and medical care through innovations in software. For more than 16 years Microsoft has been continually increasing its investment in the health sector, with the emphasis on addressing the challenges facing consumers and service providers in the healthcare industry, in care and social institutions and in health insurance schemes and research facilities. A major factor in our strategy is the close collaboration with our partners. They are the driving force and the key to innovation. Our partners also cooperate with one another, combining their skills and capabilities and presenting overarching solutions.

The NEXUS / HIS is fundamentally aimed at achieving simplicity and user-friendliness as well as the use of state of the art technology. Its “one click to information” concept has been designed to facili-tate the work of physicians, nurses and care personnel. The new generation of clinical information systems provides for even faster access to patient data, and the use of mobile solutions (such as iPad, iPhone or tablet PCs) ensures that all the relevant information that is needed is available to the staff in clinics at all times. User-defined apps for medical and nursing care purposes facilitate everyday tasks in clinics and offer system-wide redundancy. The wide range of NEXUS products comprehensively covers all kinds of clinical requirements with regard to modern software systems, from patient management to ERP, and every aspect of medical treatment including obstetrics and RIS. Within the modules the outstanding features are the extensive functional scope, for example, in the care modules, which includes the integrated ward and intensive care charts.

With its new 360 | Development Platform, Nuance Healthcare is introducing speech recognition for the healthcare system as a cloud-based solution for the first time in Germany. It enables hospitals and medical practices to equip any existing healthcare IT solution with advanced speech recognition without incurring the costs of integration and implementation. At the press of a button and within minutes high quality speech recognition can be made available to any physician throughout the hospital. The conversion of the spoken word into written text is achieved in real time via live streaming. The platform already supports 22 languages and is made available in hospitals via a protected private cloud.

Philips is expanding its range of picture archiving systems (PACS, Picture Archiving and Communica-tions System) and will in future be offering a deployment model as well as a PACS that will be available to purchase. In this way Philips is providing its customers with more scope for decision-making and is offering highly optimized solutions for the respective deployment scenarios.

Philips has launched a new healthcare-IT brand, IntelliSpace, and with IntelliSpace PACS DCX it offers high performance and a wide range of innovative clinical functions with maximum cost-effectiveness, combined with a traditional sales model.

Based on the SAP patient management system IS-H, the RZV development “MDK (Health Insurers’ Medical Services) Workstation 3.0” supports the ongoing documentation of cases undergoing treatment for which the health insurer has reduced funding and/or has declared an HIMS suspected case on the basis of the case configuration. The module has access to data already available in IS-H such as DRGs, accounting data and §301 data, and permits complete documentation of all activities taking place in connection with the HIMS processes, up to and including the final conclusion of the case. In addition to its primary administrative function MDK Workstation 3.0 contains various other useful features, such as the ability to produce informative overviews, calculation of the value of the claim, the imposition of dunning blocks, determination of the expenditure allowance in the event of unsuccessful HIMS checks and the provision of an alternative group result with the aid of DRG simulation.

For clinics and groups GeDoWin QS-Monitor is the ideal tool for producing benchmarking evalua-tions. The display showing the IK number (the identifying number for institutions providing services) and the business premises enables comparisons to be made between any number of facilities and flexibly definable groups, for example by region or hospital classification.

In addition, when entering the QS and routine data, the information can be filtered according to the admission time and department, or aggregated to provide a comparative view. In this way any facilities or departments that display some degree of non-conformity can be identified immediately and counter-measures can be rapidly adopted. Moreover, QS-Monitor can also provide indicator results in a direct comparison over a number of years.

The electronic patient file SAP EMR (SAP® Electronic Medical Record) is the professional application that provides rapid, mobile access to medical data at the patient’s bedside, and has already proved highly successful in the practical tests conducted by the initial customers.

In-Memory-Computing (SAP HANA®) offers completely new possibilities for healthcare providers who want to be able to evaluate large quantities of data in seconds and to use this information in order to improve medical care.

With cloud computing complex IT infrastructures can be dynamically adapted to meet specific re-quirements. Trade visitors can obtain a wealth of information about the transition from standard processes that further enhances the professional quality of healthcare services.

HIS monitoring with SM-BOX and SM-VIEW places the emphasis on clinical processes in the monitoring of the IT components of medical technology, applications and interfaces. SM-BOX can be used to make rapid decisions about occurrences that could interfere with clinical operations. For example, problems affecting an interface can be identified before a breakdown occurs. SM-VIEW is a unique means of translating technical details into the language of the user and the management level. With Change-Management it is possible to see at a glance the impact that the change will have on individual processes. The degree to which hospital processes are dependent on IT and medical technology is clearly revealed.

"Personalized healthcare and the role of information technology" – this subject forms the focus of the display by Siemens Healthcare at this year’s conhIT. A mobile touch application system is availa-ble on the stand to show visitors the Siemens concept for personalized healthcare. Explanations are also provided of current projects and applications which already form a realistic basis for the world of healthcare of the future.

Siemens’ hospital information systems (HIS) are increasingly linking knowledge with organizational processes and providing support for the decisions made by those providing treatment in order to filter out the right information from a constantly expanding flow of data. As part of this process it is vital to bring medical and organizational data closer to the patient.

Siemens is working on a number of different applications for mobile communication with the patient and is presenting some commercially viable solutions. In order to be able to link up this information throughout the entire chain of treatment a number of solutions are available, such as Soarian Inte-grated Care, which involve practicing physicians and medical care centres in the Siemens HIS in order to achieve integrated planning of appointments and resources.

Managed Services provide support for the fundamental aspects in this concentration process

In many cases hospitals are unwilling to continue to cope on their own in their efforts to master the future challenges presented by IT. Consequently hospitals find it an increasingly attractive option to outsource part of their IT management. As can be seen at conhIT, Siemens’ range encompasses individual remote services as well as taking over full operational responsibility. Hospitals appreciate the value of reducing the burden on their IT personnel and the flexible availability of technical knowledge. In addition to a wide range of technical skills, Siemens’ medical expertise offers another additional benefit for customers.

By going mobile iMedOne®, the HIS from Tieto, now allows dictation on the move, directly from the HIS context, using a system that is fully integrated in the HIS and without the need for any special hardware. With the mobile dictation system on display at conhIT 2012 Tieto is presenting an effec-tive addition to its “iMedOne Mobile” application.

All doctors are familiar with the situation: after examining a patient, and on the way to the next patient, notes have to be dictated for an anamnesis, a clinical report or another medical certificate. But maybe the ward office is too far away, or the doctor may be on another ward. The clinical report is urgently needed, and there is no suitable offline solution. With its mobile dictation app Tieto can now provide the ideal way of augmenting the iMedOne mobile app.

Mobile dictation relieves doctors from such administrative tasks as formatting or spell-checking when preparing medical certificates and clinical reports, allowing them to devote more time to providing medical treatment for their patients. The parallel deployment of professional staff to write up these reports reduces the time taken to prepare a medical certificate.

Doctors can dictate their texts while on the move, and send the completed text to the transcription service for typing up. As a result patients can leave the clinic with an almost completely written medical certificate which can then be presented to their GP to enable him to continue with the treatment.

In Germany there is also a growing trend towards image management in areas other than radiology. This requires a platform that can encompass left heart catheter measuring stations, ECG, EEG and ultrasound equipment, endoscopy, digital cameras and operating theatre equipment, ophthalmology, dentistry, radiotherapy and nuclear medicine as well as other PACS. This has led to the creation of the new generation of PACS, PACS-II.

JiveX meets all these requirements. In order to seamlessly integrate all image-related hospital pro-cesses in all aspects of clinical processes this solution, based on HL7, XML or GDT, produces a uniform DICOM worklist for all modalities. To ensure that everything operates smoothly, central web distribution is essential, recording all the incoming image data and integrated within the hospital information system (HIS). The source of the images is immaterial. JiveX operates with a diversity of systems, providing a standard viewer. As a result the image management platform becomes a central access point for all image data in the clinical workflow.