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Un hôpital thaïlandais a constaté qu'un SIH (Système d'Information Hospitalier) complet permettait de gagner de l'argent et de sauver des vies.

But the adoption of electronic health records has been slow in many countries despite the apparent advantages. A study published in the New England Journal of Medicine last month found that only 1.5 percent of U.S. hospitals had a comprehensive electronic health record system, while an additional 7.6 percent had just a basic system. There are a number of reasons why e-health efforts have not moved more quickly. Privacy has been a major concern, with fears that insurance companies might deny coverage to people they know are suffering from an illness, making the security of digital records vital. Cost is another major factor. Electronic health record systems can cost between $20 million and $200 million, a big investment for hospitals in the middle of a recession. Bumrungrad's tab was less expensive because it worked with Global Care Solutions to streamline its system, and as a private hospital operating in a relatively low-cost environment, it was able to set aside more funds for new technology. The New England Journal of Medicine study says U.S. hospitals cite cost as the top barrier to building an electronic record system, followed by concerns over maintenance cost and resistance from physicians. The huge budget passed by the U.S. is an attempt to solve the funding problem, but even that figure "is a long way from being sufficient to cover the total cost," according to market researcher Ovum. But there is another hurdle, and one that Bumrungrad was fortunate not to face: the problem of legacy equipment. Ironically, hospitals that moved aggressively in the past to computerize their health systems may now face the biggest challenge in creating a unified electronic records system. In the U.S., for example, IT systems entered hospitals through expert physicians and specialty departments, who often introduced various types of equipment and proprietary software from preferred vendors. Over time, the number of different IT systems multiplied at individual hospitals, making the collection of data into a single health record an integration nightmare. One of the top medical centers in the U.S., The Johns Hopkins Hospital, for example, uses software from dozens of vendors, including Microsoft, GE, Eclipsys, Meditech, Siemens and SAP, running on hardware ranging from IBM to Dell to Apple and more. Of course, Johns Hopkins is even unique among U.S. hospitals because it's a research hospital attached to a university, not just a care provider. The specialists working there demand the best tools possible for their jobs. "We'd be reluctant to settle for a system that's 'good enough'," said Stephanie Reel, vice president of information services at Johns Hopkins. "We have very demanding scientists, doctors and nurses, so we go for the top of the line systems... and there's a cost associated with that."

ACTUALITES A LA UNE Juridique Le rapport annuel de la Cour des Comptes souligne les déficiences informatiques de l'Etat 09/02/2012 - La Cour des Comptes a publié ce 8 février 2012 son rapport annuel. Elle y fustige entre autres choses les manquements de (...) Carrière Les centres de contacts bousculés par l'arrivée du social CRM 10/02/2012 - CIO : Comment passe-t-on des responsabilités de DSI à la création de société ? (...) Chiffres-clés Baromètre HiTechPros/CIO : le marché de la prestation informatique reste stable Biblio La révolution sociétale des réseaux sociaux Juridique La Cour des Comptes fustige l'informatisation du dossier patient à Marseille Projets Steria bascule la bureautique de 20 000 utilisateurs internes en SaaS Biblio Le Cigref et l'Ademe publient un guide du Green-IT >> Toute l'actualité
CONFERENCES LE CLOUD COMPUTING A L'EPREUVE DE LA REALITE : Bâtir le système d'information de l'entreprise numérique 16/02/2012 De 8h30 à 14h00 au Pavillon Dauphine - Paris 16e Programme   Inscrivez-vous Toutes les conférences		AGENDA L'intranet 2.0 et les Réseaux Sociaux d'Entreprise au service du travail collaboratif et de la communication interne Du mardi 13 mars 2012 au jeudi 15 mars 2012 Porte de Versailles - Pavillon 4 - Paris en savoir plus Tout l'agenda
		CONTRIBUTIONS Combiner informatique et marketing pour réussir Nigel Fenwick - Parole d'expert Principal Analyst de Forrester Research Les directeurs des systèmes d'information doivent combiner informatique et marketing pour réussir dans (...) La communication de la DSI Laurent Dherbecourt - Parole d'expert Partner chez Sopra Consulting Le jour où les informaticiens arrêteront de parler et commenceront à communiquer, leur sort sera meilleur... (...) Toutes les expertises

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