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Mise à jour le 22/05/2012 17:25
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   CIO en VO : la Thaïlande découvre les avantages d'un dossier médical électroniqueEdition du 14/05/2009 - par IDG News Service Un hôpital thaïlandais a constaté qu'un SIH (Système d'Information Hospitalier) complet permettait de gagner de l'argent et de sauver des vies. The unique IT tools for each specialty area have created a complexity and cost that is not sustainable, she said. But many of the systems may not ultimately be necessary. Just as most people only use a fraction of the features in their word processing software, some specialty IT systems at hospitals may be overkill, she believes. "In the U.S. we've become much more accustomed to saying we need something that's highly specialized to our discipline and I think the reality is somewhere in between," Reel said. That wasn't a problem for Bumrungrad, an example of a hospital that has benefited from the U.S. experience. Some of the software developers at Global Care Solutions previously worked on hospital IT systems in the U.S. and Europe, and were able to bring best practices to the effort. The software maker was also able to troubleshoot issues specific to Bumrungrad by working with doctors and nurses. The result of a single software set for all Bumrungrad departments is a system able to communicate with itself throughout the hospital, and manipulate data in any way the hospital deems useful. The hardware is also simplified to use equipment from one vendor, Dell. Bumrungrad's entire system, including backup, includes two database servers, Dell 1950s, three application servers, also Dell 1950s, and Dell/EMC CX3-80 SANs for storage. Every PC, monitor and printer at the hospital is also from Dell, making it easy for the IT staff to take out and replace broken computers. Around 20 people work for the IT department at Bumrungrad, far fewer than at U.S. hospitals of a similar size. U.S. IT systems are so complex that Microsoft sells an entirely different software for electronic medical records there, called Amalga UIS (Unified Information System). As the name suggests, the main function of the software is simply to unify the data collected by all of the other proprietary systems at a hospital to create an electronic medical record. Bumrungrad's experience suggests that an e-health records system will become essential once other hospitals see the cost reductions and other benefits. The safety improvements alone at Bumrungrad could slash costs in the U.S. by reducing the errors that lead to lawsuits. "I have seen the actual effect, when physicians are nervous about litigation," said Pat Downing, a founder of Global Care Solutions and now senior director of Amalga HIS products at Microsoft. "They order more than, perhaps, they need to, to protect themselves. Frankly, there is also a lot of over-ordering related to poor coordination of care, when doctors do not know what other doctors are doing in real time."
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