Embed Size (px)
Citation preview
© 2007 IBM Corporation
Emergency Medical RescueNord/Pas de Calais - France
Gilles Gras
Business Development Executive – Healthcare
IBM France
September 13th, 2007
© 2007 IBM Corporation2
The actors of Emergency Medical Services
in France are facing important challenges.
Tremendous increase of the number of emergency calls.
Need to take into account the social scope of the calls.
La plate-forme télé-médico-socialeP. GOLDSTEIN, A. FACON
Negative change in the private medical organization.
Need to collaborate with the other players
of emergency.
0
20 000
40 000
60 000
80 000
100 000
120 000
140 000
160 000
180 000
200 000
220 000
240 000
260 000
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
dossiers médicaux samu59
affaires SAMU 62
© 2007 IBM Corporation3
What is a SAMU?
Hosted by the hospital
Doctors and Paramedics Call Center for Medical Emergencies : dial 15
Vehicles & Medical equipment
© 2007 IBM Corporation4
Emergency Medical Services in France - business
needs
Emergency care is among the highest priorities
of the French Healthcare system.
Each year 15 millions of French citizens need Emergency care.
The French government launched several action plans :
« 2012 Hospital » :
The IT budget of the French hospitals will move from 1.7 % of the total budget to
3% by 2012. The priority is Emergency.
« Emergency action plan » :
Today, less than 45% of the patients in Emergency situations are managed by IT,
0% before they arrive at the hospital. The objective is to reach 85% by end 2007
and 100% by 2008.
© 2007 IBM Corporation5
Emergency Medical Services in France - business
needs
In the world, the Emergency Medical Services is addressed
in two different ways:
The anglo-saxon system (UK, USA) : a fast « pick up » and a rapid transfer to the hospital (scoop and run) involving paramedics
The French system, based on pre-hospital medical care on the site of the disaster (stay and stabilize) involving doctors
In Europe, several countries are more or less compliant with the « French mode of operation »
Our solution is well adapted to “Stay and Stabilize”
© 2007 IBM Corporation6
Project OverviewClient Description : SAMU of Lille and SAMU of Arras
• Project Description :
• Regional Platform for Emergency Medical Services in north of France
• The 2 SAMU decided to join their efforts to improve the quality and the efficiency of their organisations using Information Technologies
• Scope of the project
• Call Centers, patient management, decision making, workflow management, equipment & people optimisation, GIS, …
• Mobile Patient Record including real time monitoring
• GPS localisation of vehicles and navigation system
• Business Objectives are :
• To face the increasing number of incoming phone calls
• To optimize resources engagement and to improve synergy between the 2 SAMU
• To improve collaboration between the various actorsinvolved in the Emergency care system (SAMU, Fire dept, GP’s, Hospital emergency departments, Medicine society, …) in the region
• To improve the quality of pre-hospital care
© 2007 IBM Corporation7
NORTH / PAS de CALAIS region – Main Figures
A very dense region : 300+ citizens/km², ranked #1 in France
A high risk area :The Channel Tunnel
A lot of industries and plants (o/w 36
are labelled as SEVESO –
ranked #4 in France)
A low economic performance
The public services are highlyused
© 2007 IBM Corporation8
SAMU’s organisation
• 10 Locations (SMUR)
• 16 Medical teams
• 36 Vehicles
• 27 Cars & ambulances
• 7 Emergency and Reanimation ambulances (o/w 2 for neonatology)
• 1 helicopter
• 1 Field command vehicle
University Hospital & SAMU of Lille - Main Figures
� The University hospital of Lille is the 4th largest CHU in France (2.700 beds)
� The SAMU of Lille is the largest with 1.500.000 calls/year (in/out), 230.000
patient records/year, 37.000 “missions”/year
� The SAMU of Lille belong to the North Defense Area : he is the pilot site
� The Hospital of Lille belongs to the G4,
built to create synergies between the
4 University Hospitals in north of Paris
(Lille, Rouen, Amiens, Caen).
© 2007 IBM Corporation9
SAMU’s Organisation
• 7 Locations (SMUR)
• 11 Medical teams
• 23 Vehicles
• 17 Cars & ambulances
• 4 Emergency and Reanimationambulances
• 1 helicopter
• 1 Field command vehicle
Hospital & SAMU of Arras - Main Figures
� The CH of Arras is a middle size hospital (1.200 beds), located at 40 km
of Lille
� The activity of the SAMU of Arras is a approximately ½ of the activity of
the SAMU of Lille (130.000 patient records/year; 17.000 “missions”/year) :
#5 in france
© 2007 IBM Corporation10
Value proposition - Scope of the project
A regional repository shared by all the involved organisations2 medical call centers
A mobile Patient Record with remote connections
Geo localization and GPS navigation
Information system
dedicated to crisis
management
© 2007 IBM Corporation11
2 medical call centers
Information
system
dedicated
to crisis
management
A regional database shared by all
the involved organisations
Geo localization
and GPS navigationA mobile Patient Record with remote
connections
Information system
dedicated to crisis
management
Value proposition - Solution proposed by IBM
Crisis
management
Crisis
management
RégulationDépartementale
County call center
Account N°Account N°
TelephoneTelephone
Medical RecordMedical Record
Call center
Information
System
Call center
Information
System
GPS locationGPS location
Geo-localisation
HISHIS
France Télécom
Reverse Phonebook
France Télécom
Reverse Phonebook Other databsesOther databses
Regional Repository
PortalPortalData banksData banks
GeographicDatabase
GeographicDatabase
Mobile medical Record
Mobile Administrative
&
Medical record
Mobile Administrative
&
Medical record
AmbulancesAmbulances
Fire DeptFire Dept
GPsGPs
Private
ambulances
Private
ambulances
PolicePolice
Etc…Etc…
HospitalsHospitals
Private clinicsPrivate clinics
Social securitySocial security
Medical SocietyMedical Society
EHREHR
backup
© 2007 IBM Corporation12
Ambulance
HOSPITAL
SAMUPatient history
- Administrative data - Victim geolocalisation- Pre diagnosis- Patient history- Etc …
Geo localization
© 2007 IBM Corporation13
The medical Tablet PC
RFID reader
Vital signs Monitoring
Bluetooth ou
Compact Flash
USB
Webcam
PC CardGSM/GPRS/EDGEIncluding voice
USB CompactFlash
Health card reader
Bluetooth
Head Phone
Printer
Bluetooth
© 2007 IBM Corporation14
Ambulance
HOSPITAL
SAMUPatient history
- Administrative data - Victim geolocalisation- Pre diagnosis- Patient history- Etc …
- Administrative data- Patient record
- Diagnosis- Prescriptions - Vital signs
- Ambulance geolocalisation
Mobile Patient Record
Mobile Patient Record
© 2007 IBM Corporation15
The key success factors• A high level of collaboration between the 2 SAMU, providing a real regional
emergency response :
• A well designed business application
• A common repository used by both SAMU
• A high level CTI solution based on Genesys & Avaya
• High availability and resilience architecture
• A solution based on assets both existing but innovating :
• RRAMU is the first experience in France of Regional Platform of Emergency Medical Services (SAMU of Rouen,Le Havre, Evreux). It went live in June 2005
• The mobile medical record ResUrgences has been implemented by IBM in SAMU of La Martinique. It went live in March 2005.
• IBM middleware makes the solution more robust, flexible & perennial.
• IBM Full Equation.
© 2007 IBM Corporation16
To make this project a success, IBM has selected
the following partners.
RR
AM
U H
au
te-N
orm
an
die
Regional repository
&
Call center
GPS-localisation
&
Navigation assistance
Vehicles equipment IBM HW
Tablet PC
Mobile medical record
© 2007 IBM Corporation17
Thanks for your attention
Bedankt voor uw aandacht
Merci de votre attention
