Sustainably increase efficiency and quality in clinical processes through interoperability

Staff shortages, high workloads and a large amount of documentation are a burden on everyday clinical practice and clinical workflows. To make matters worse, there are media discontinuities between the systems used in many places. These media disruptions cause friction losses in clinical processes and lead to a poorer or delayed information situation with regard to patients. This has an impact on efficiency, can affect the quality of treatment and, in exceptional cases, can also have an effect on patient safety.

Patient well-being and employee well-being should be at the heart of clinical processes. Accordingly, clinical workflows should also be based on integrative, relevant and non-delayed data flows, designed appropriately and provide optimal support for people. This is the goal of our range of services.

Situation in clinics with a view to data

The problems described above in the area of data transfer are caused by insufficient or non-existent interoperability between the workflow-supporting IT systems. This applies in particular when different wards or functional units and their IT systems are involved in processes. Processes with maximum efficiency, effectiveness, quality and safety for patients and staff can only be guaranteed on the basis of complete patient data.

One option is the use of an interoperability platform (IOP), which uses a communication server and data repository (e.g. HL7 FHIR) to integrate data from different source systems in near real time, making it exchangeable and usable for clinical workflows. Such a platform facilitates the use of data from different areas (wards, functional areas) of a hospital in an integrated clinical workflow.

Interoperabilität im Krankenhaus
© Fraunhofer IESE
KIS= Hospital Information System, ICMS= Intensive Care Management System, LIS= Laboratory Information System

Even without an interoperability platform, targeted use of data from different source systems is possible for specific applications and workflows.

Use cases for interoperability-based clinical workflows

Data flow problems often occur between wards or functional units. These can have a negative impact in the form of delays in information, duplication of work, stress and, in rare cases, patient safety:
 

Typical problems for improving clinical workflows based on data and interoperability:
 

  • Transfer of patients between wards, especially if the wards are operated with different systems, e.g. emergency department, intensive care unit, normal ward
  • Comprehensive diagnostic overview of a person to be treated along the entire patient pathway in the clinic to date
  • Longitudinal overview of all diagnoses and analyses of multiple case IDs (inpatient and outpatient stays) of patients
Anwendungsfälle von klinischen Workflows
© Fraunhofer IESE

Example of an application that can interoperably access data from different wards. On the screens of the application, data from the ICU system, including medication, is integrated with data from the normal ward to which a patient was recently transferred from the ICU. In addition, the entire bed occupancy of the normal ward and the individual ward pathway for each patient are shown. The overview provides doctors and nurses with a compact, quick, summarized and informative overview of critical and important information on a newly transferred patient - this significantly increases the efficiency of information gathering and, thanks to the more complete picture of the patient, also the quality of therapeutic and nursing decisions.

Our offer - our services

We support your clinic in improving clinical workflows based on innovative data utilization through interoperability between clinical systems - with or without an interoperability platform. Through the targeted design and implementation of data-based clinical workflows, we integrate data from the systems relevant to the respective process and make it usable. This can significantly improve efficiency, quality and patient safety in clinical workflows.

The typical process of such projects consists of various targeted steps. The exact process is always tailored to the situation.

This is what we are working on for you ...

These are the results ...

Initial survey and analysis of clinical workflows to identify optimization needs and potentials in close coordination with the respective stakeholders.

  • Prioritized list of workflows for further analysis and optimization (e.g. with regard to specific benefits and criticality)

Survey and analysis of the clinical systems with relevance to the workflows surveyed, detailed derivation of the IT landscape in its current state

  • Architectural starting position
  • Relevant and missing interfaces
  • Assessment of interoperability

Detailed analysis of the affected workflows and design of improvements (process, requirements, IT solution) in the form of interviews, workshops or job shadowing

  • Interaction and visual design of the applications
  • Description of the use cases or user stories of the application

Architectural development

  • Architecture of the application and interfaces to clinical systems and IOP
  • Description of the application's use cases and user stories

Development of a prototype IT solution or MVP

  • clickable and usable prototype or MVP

Setting up a server (if required) as part of an interoperability platform (IOP), e.g. with HL7 FHIR data format

  • Setting up a server (if required) as part of an interoperability platform (IOP), e.g. with HL7 FHIR data formatRunning IOP server for development and testing purposes, either in the hospital environment, the cloud or at Fraunhofer IESE, e.g. HAPI FHIR server

Comprehensive evaluation of the concept and prototype implementation with regard to the project objectives (e.g. technical feasibility, user experience)

  • Evaluation of the prototype or MVP in terms of efficiency, usability, etc.

Support with integration into the clinical system landscape

  • Integrated interoperability and workflow solution for the selected clinical workflows

Are you interested?

Would you like to take your clinical workflows to a new level of efficiency, effectiveness and quality through targeted innovation in the area of data consistency? Would you like to find out more about our services in the field of clinical workflows and interoperability? Then please get in touch! We look forward to discussing your problems with you and identifying solutions.

 

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