Fichas Avance Subproyectospag1

subproject

Project health-innova

Subproject 7- multilevel intelligent warning system

Main focus: innovative services

1. Total number of proposals recieved and business partners:

2. Project scope/functional analysis:

At the present time, SERGAS has many data flow structures in place in its health centres, none the less

there are no protocols in place for automatic data delivery, nor are there any automatic systems in place in

the case which the data has not been delivered.

This subproject contemplates creating a single system which centralizes all warnings registered in

conjunction with the existing data within the healthcare system, using adequate standards

(en13606,hl7000). The warnings will be detected by a search engine which looks for an event or events

which are considered to be of interest. At the same time, there will be parameters which permit the

update and transmission of a warning which was not considered in a previous revision.

The warnings will be passed on to the recipient via the most convenient method in each case (IANUS,

GACELA, EMAIL, TELEPHONE..), as well as recommendations as to what actions should be taken:

• data: real time analysis of data.

SUBPROJECTNUMBER OF PROPOSALS

LIST OF PARTICIPANTSLAST

SENDING OF PROPOSALS

ACCENTURE

BALIDEA C&P

BULL ESPAÑA S.A.

CANDEDO & ABYPERSONALIZE

CITIC - Centro de Investigación en Tecnoloxías

CITIUS: Centro de Investigación en Tecnoloxías da Información

EPTISA TECNOLOGÍAS DE LA INFORMACIÓN, S.A.

GRADIANT: Fundacion Centro Tecnolóxico de Telecomunicacións de Galicia

HP

IMAXDI REAL INNOVATION

ITMATI (Instituto Tecnológico de Matemática Industrial)

LUCE INNOVATIVE TECHNOLOGIES S.L.

NEXUS IT

OESIA NETWORKS

ORACLE Ibérica SRL

PERSONA FÍSICA: ROCÍO LÓPEZ CONDE

PHILLIPS IBÉRICA, S.A.

SITEMAS AVANZADOS DE TECNOLOGÍA S.A

UTE: COSAGA - CENDISA

UTE: INDRA SISTEMAS, S.A.- TELEFÓNICA SOLUCIONES DE INFORMÁTICA Y

COMUNICACIONES DE ESPAÑA, S.A.

UTE: LABORATORIOS CENDISA- MEGALAB- VALENZUELA

WIRELESS GALICIA S.L

OPEN CALL FOR PROPOSALS FOR

INNOVATIVE SOLUTIONS

IS-7-Multilevel intelligent

warning system25

Up

dat

ed D

ate

of

the

last

pro

po

sals

: 12

/09

/20

13

Fichas Avance Subproyectospag2

Sistema de Alertas

Nuevo evento

Toma de

decisiones

Profesional clínico

ANÁLISIS

ALERTASistema

Información

No es alerta Crear alerta

Enviar a destinatario

Ámbito: Situación futura

• speed: the data should look for recipient.

• communication: delivery of data to chosen recipients in order to achieve an appropriate response

time.

• Security: ensure that all events will be handled even if they are not received by primary recipient.

• automization: take actions without the need for human collaboration.

Strategic goals of the subproject are:

• reduction of healthcare related incidents.

• Increase the efficiency of healthcare assistance.

• Increase in the quality and volume in data collected in order to ensure correct treatment of the

patient.

• Workload reduction due to possible automization of dataflow generated by patients with no

significant incident reports.

3. Identification of innovative elements to be developed:

• Identification and analysis of different origins of existing clinical data in health centres, including

data generated during the innova saude and hospital 2050 projects.

• Integrate a system consisting of a search engine and differing sets of parameters capable of both

proactive and reactive interactions with the sources of data. The system will include a parameter

editor in order to create new parameters.

• Delivery of relevant information from the system to appropriate recipients via any of the following

channels (IANUS, GACELA…)..

• Control of alert reception, allowing for updating of alerts when they have not been received by

desired recipients.

Ámbito: Situación actual

Sistema de información

Nuevo evento Toma

de decisio

nes

Profesional clínico

ACCESO A DATOS

Fichas Avance Subproyectospag3

• Decentralized system with a separate server for each healthcare area.

The following demonstrates ma design model of the proposed solution:

The following image demonstrates how the integrated multilevel intelligent warning system will work with

existing data and corporate applications..

Fichas Avance Subproyectospag4

4. Documentación anexa:

Executive Summary

Subproject INTELLIGENT ALERTS SYSTEM

OF MULTILEVEL

Santiago Compostela, 22 February Of 2013

Overview

Unique system that centralizes all the alerts recorded on the set of existing data

Multiple structures of

data sources in the

health centers

Lack of automated

protocols for sending

information

Absence of a chain of automatic

scaling in case of non-receipt of

the message

Unique system that centralizes all the alerts recorded on the set of existing data

sources in the healthcare environment using the most appropriate standards

(EN13606, HL7, … ). The alerts will be detected through a engine of rules that look for

those events or set of events that are considered to be of interest at the time, there

will be rules that allow a scaling of the alert in case it does not have te be dealt with by

the first set of recipients.

The system shall provide the alerts to recipients by using the most appropriate means

in each case (IANUS, gazelle, e-mail, telephone, … ), as well as recommended actions to

treat the alert.

Identified needs

• Information:Real-time analysis of the data as a whole and not by areas .

• Quickly:The information should look to the recipient.

• Communication:Sending information to recipients chosen to make an adequate response time in terms of

the severity of the event.the severity of the event.

• Security:Ensure that the events will be treated even if they have not been received by their

primary target.

• Automatism:Respond to events without the need of human collaboration.

Scope: current situation

Information

System

New

Event

Decision-Decision-

making

Clinical

ACCESS TO

DATA

Alert

System

New

Event

ANALYSI

S

It is not alert Create alert

Scope: future Situation

Decision-

makingClinical

ALERTInformation

System

Send to recipient

Strategic Objectives

• Decrease negative events in health care.

• Increase efficiency in attention.

• Increase in the quality and the volume of information received on the correct treatment of the patients.

• Reduction in the workload due to the possibility of automation in patients without relevant events (automation of routine tasks).

Tasks to develop and design of the solution

• Identification and analysis of the various existing data sources in the health centers, including the plans developed during the InnovaSaude And Hospital 2050.

• Integrate A System consisting mainly of a rules engine and different sets of rules with a capacity of interaction both proactive and reactive with the sources of information, the system will include a rule editor for the creation of these.

• Sending relevant information from the system to the appropriate recipients in each case, using one or several media (IANUS, gazelle, mobile media, … ).

• Control of receipt of the alerts, with the ability to scale if they have not been received by the primary recipient.

• Decentralized System with a server by health area.

Tasks to develop and design of the solution

• Minimum Set of types of admissible rules by the application:

1. Simple Rules (reports validated / partially validated):• Result { >, <, =, >} Value.• Result inside / outside of the range.• Result contains 'text'.• Results of a specimen type / area specific.• Existence.• Voluntary Alarms (Laboratories).• Voluntary Alarms (Laboratories).

2. Complex rules:• Set of results of a request.• Historical:

a) First occurrence in a period of time.b) Occurrence after occurrence contrary.c) Number of occurrences in a period of time.

Alert System

Tasks to develop and design of the solution, e.g.

Laboratory

Information

System

1 Results.

Crop 2.To Request new

Results

3.Send new

Results (cultivation

Positive to Aspergillus)

4: To evaluate rules

(If positive culture to Aspergillus,

Send notice to preventive service and

Send notice to petitioner and medical

Preventive

Service

Doctor

Petitioner

Positive to Aspergillus)Send notice to petitioner and medical

Send notice to doctor)

5.Send alert

Doctor

Bedside

Rules

Engine

Classification

Rules

Radiology

Information

System

Laboratory

Information

System

System ofTraceability

HospitalIn house

Home

New data

sources

Existing data

sources

IANUS Gazelle

Corporate Applications

Other

Subscription

Rules

Rule Editor

Mobile MediaSecure

Communicatio

n

Components that are likely to purchase innovative public

HomeDigital

Other

Hospital

Information

System

Rules of BehaviorEscalation

Rules

Request

Sending information

Sending alert

Other

Executive Summary

Subproject INTELLIGENT ALERTS SYSTEM

OF MULTILEVEL

Santiago Compostela, 22 February Of 2013