微软医院信息化建设方案__培训课件.pptx

医院信息化建设的思考微软中国有限公司决定未来医院形式的三大驱动力Population GrowthIncrease in population across decade expands market for health care servicesGraying PopulationAging of populace, particularly baby boomers, increases population segment most likely to utilize health care servicesLess Restrictive ProductsRelaxation of referral authorization, prevalence of PPO products with low co-pays facilitate access to providers and services人群结构Major Biological AdvancesNew approaches enabled by advanced technologies and better understandingCrowded PCP PanelsLarge panels limit timely access to physicians, hindering prevention efforts and encouraging ED use for primary care services不断提高的就医体验TechnologyPervasive increase in internet and technology useImproved DiagnosticsNew technologies enable detection of disease at earlier stage, increasing number of patient requiring treatment新技术Less Invasive TherapiesAdvances in procedural techniques minimize risk and recovery time, expanding the potential patient baseHeightened Consumer Expectations“Educated” consumers more likely to demand full range of diagnostic and therapeutic technologiesLiving Will1.Resume2.Qualifications3.医院未来发展，对集成、分析、和管理有很高的要求…“When did my patient first visit a clinician and have radiological scans and laboratory tests performed to diagnose her condition? What were the results of the treatments she received? What future action is suggested to improve her condition given her allergies, current research findings, her family’s medical history, her treatment regimen, and her insurance coverage?”Hospital transaction events Access to DiverseHeterogeneousDistributed Data CAT, MRI, Expression Arrays X-Rays, etc.Personal genomics,SNPs EKG, EEG, etc.Analysis,Clinical Recordlab notesPage 未来的医院将会更集成化，有效的集成平台变得日益重要应用间互通一个医院中会包括 6到10个独立的系统CPOE工作站药物之间的相互反应剂量范围的提示ICU：重症监控病房护理系统病人主述监护报警药物反应报警住院人数提示新增系统或功能饮食系统（营养科）药物-食物相互反应IV 到PO的报警提示实验室结果（实时传输、返回临床、要达到治疗的浓度）肾功能报警血小板计数报警血药浓度报警临床数据存储不同科室对系统的要求不同，单一系统无法满足整体要求（护理站系统、医生工作站系统）：孤岛的产生有其必然性发展阶段性药房系统药物之间的相互反应（配伍禁忌）治