title: A clinical management system for patient participatory health care support. Assuring the patients' rights and confirming operation of clinical treatment and hospital administration.
abstract: We conducted a drastic change in our hospital information system to support patient participatory health care provided in the New Hiroshima University Hospital (HUH). The new information system in HUH (HU-MIND II-Hiroshima University Hospital Medical Intelligence and Notice Delivery system II) is designed as "clinical management system" (CMS). The core of this CMS is the electronic health record (EHR), which aims to assure both the patients' right to know, and the attendants' accountability. It is evident that the team practice including patients requires close communication. Data in the EHR are written not only by physicians, but also by all coworkers, which will enable them to realize the team communication and the ordering in a reliable way and to leave the evidence of conducted practices. Moreover, the bedside information systems were set-up at all 700 beds. Patients can access their anamnesis and future clinical care procedures themselves. Based on the demand outlined above, the new regulations of HUH are composed of 21 requirements, conditions of information collection, accumulation and use. Our focus was how to make patients' right compatible with attendants' accountability. As the data owners, patients have the facility to access their own data at their bedsides. They can view their own health condition and treatment program and can control the data flow.
authors.affiliation: Medical Informatics and Hospital Systems Management, Hiroshima University Hospital, Hiroshima, Japan.
authors.forename: Kiyomu
authors.initials: K
authors.lastname: Ishikawa
authors.forename: Nakao
authors.initials: N
authors.lastname: Konishi
authors.forename: Hidehiko
authors.initials: H
authors.lastname: Tsukuma
authors.forename: Satoko
authors.initials: S
authors.lastname: Tsuru
authors.forename: Akie
authors.initials: A
authors.lastname: Kawamura
authors.forename: Norikazu
authors.initials: N
authors.lastname: Iwata
authors.forename: Takeshi
authors.initials: T
authors.lastname: Tanaka
mesh_terms: D006751:Hospital Information Systems / Q000458:organization & administration*; D006785:Hospitals, University; D006801:Humans; D007564:Japan; D019982:Organizational Case Studies; D033283:Patient Access to Records; D010348:Patient Care Team