title: Approaches towards a regional, shared electronic patient record for health care facilities of different health care organizations--IT-strategy and first results.
abstract: Today, information processing in healthcare facilities is usually primarily directed towards the information needs of the respective institution. This stands in apparent contradiction to the fact that patients may not be solely treated in one general practice or hospital. More information processing towards patient-centered, shared care would better support high quality as well as efficient health care. We developed a stepwise approach transforming trans-institutional information system architectures (TISAs) from an inefficient state caused by redundancy and media cracks towards a state which better supports patient centered, shared care. In a total of three steps we want to establish electronic communication between existing information systems of different healthcare facilities for transmission of discharge summaries and diagnostic results. In further stages we plan to expand this communication solution to a regional comprehensive and consistent electronic patient record for multiple hospitals and general practices in Tyrol, Austria. In addition, two related approaches towards supporting shared care have been compared with our approach. The aim of this paper is to report on our approach and first experiences.
authors.affiliation: University for Health Informatics and Technology, Tyrol Institute for Health Information Systems, Innsruck, Austria. thomas.schabetsberger@umit.at
authors.forename: Thomas
authors.initials: T
authors.lastname: Schabetsberger
authors.forename: Erich
authors.initials: E
authors.lastname: Gross
authors.forename: Reinhold
authors.initials: R
authors.lastname: Haux
authors.forename: Georg
authors.initials: G
authors.lastname: Lechleitner
authors.forename: Thomas
authors.initials: T
authors.lastname: Pellizzari
authors.forename: Klaus
authors.initials: K
authors.lastname: Schindelwig
authors.forename: Christian
authors.initials: C
authors.lastname: Stark
authors.forename: Raimund
authors.initials: R
authors.lastname: Vogl
authors.forename: Immanuel
authors.initials: I
authors.lastname: Wilhelmy
mesh_terms: D000555:Ambulatory Care Information Systems / Q000458:organization & administration; D001317:Austria; D005194:Family Practice / Q000458:organization & administration; D006751:Hospital Information Systems / Q000458:organization & administration; D006755:Hospital Shared Services / Q000458:organization & administration; D006801:Humans; D008498:Medical Record Linkage; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D018802:Patient-Centered Care / Q000458:organization & administration; D012041:Regional Medical Programs; D017216:Telemedicine