Essen (D), 25 juni 2010 http://www.visus.com/de/aktuelles/symposium/m-schasfoort.html?L=7

1. Integration of Medical Technology and
IT
Technology and Organisation
Martijn Schasfoort, business manager MIT

2. 1. History
2. Today’s trends
3. Integration
4. Organisation

3. History
Traditional differences between Medical Technology and IT:
Medical devices are life critical
If a life critical system fails or is otherwise compromised, it
will have a significant negative impact on the patients
health,
quality of care or safety.
Information Technology systems are mission critical:
If a mission critical application fails, crashes, or is otherwise
unavailable to the organization, it will have a significant
negative impact upon the business.

4. History …… culture clash
Medical Technology Information Technology
patient centric systems centric
response time in response time in
minutes/hours hours/days/weeks
accent on patient safety accent on integrity of data &
processes
innovations rules
tailor-made standards
1. History

5. Question:
IT in the world of Medical Technology
or
Medical Technology in the world of IT ?
Who is leading / suffering ?

6. 1. History
2. Today’s trends
3. Technology
4. Organisation

7. Trends in Medical Technology
Medical devices consist of computers and software
Medical devices store patient data locally on the computer (= part
of patient record).
Functionality in medical devices is increasing causing an increase
of medical data that needs to be collected, analysed and stored in
these devices.
Rapidly growing integration and interconnection of different
medical and IT devices.
Medical data between medical and IT devices is being increasingly
exchanged.
1. Trends

8. Trends in integration of Medical Technology and IT
Accessibility, analysis and comparing data from a broad variety of
medical data from different sources :
•Automatic “filling” of data in EPR
•Closed loop systems (output becomes input)
•Integration of messages (e.g. medical alarms)
•Medical devices traceability
•Remote maintenance medical devices (e.g. hemodynamic
patient monitoring)

9. Trends of Medical Technology hospital wide
•Central storage of medical images (radiology/video)
•Central storage of physiological data
•Remote viewing of digital medical data/information
•Viewing medical images within EPR
•From decentralised to centralised

10. Trends of Information Technology hospital wide
•Central planning (One stop shopping)
•Central storage of patient information
•Remote viewing of stored data/information (e.g. internet)
•Accessibility of medical information (time, place, 24/7)
•Import and export of patient/health information
•From centralised to decentralised

11. 1. History
2. Today’s trends
3. Technology
4. Organisation

12. Key Challenges
Identify all pieces of the patient record generated in the hospital
All medical devices should be connected (not only the easy ones)
Integration of (medical or IT) devices into a standard environment
(EPD, PACS)
Educate user to store only the relevant data
IT Infrastructural issues should be solved

13. The Máxima Approach
Idea 1999, pilot 2002, implementation 2005
All medical image data in DICOM format
Using Visus JiveX for integration in EPD
Using Visus JiveX AMG for standardisation of medical image data
Status:
- 70 devices connected (outside Radiology department)
- 8 TBytes central stored
- 110.000 studies available
- 130 studies a day generated

14. 1. History
2. Today’s trends
3. Technology
4. Organisation

15. Key Challenges
Due to the highly “connected” environment, medical technology
can best be addressed by bringing the expertise of both
professions together in a team effort.
Both professions need to coordinate their efforts and develop
solutions on the industry and the hospital level.
Formal integration of both departments is necessary for
effective coordination

16. The Máxima Approach
“Old” worlds of Information Technology and Medical Technology
integrated
Identified overlaps and gaps in skill sets, resources and
technologies
Filled gaps when necessary
Realigned skill sets, resources and technologies
Necessary environmental skills ( “you work in an hospital”)
Learn from each other !!

17. 7 20 45
Clinical physicist Clinical and IT engineers Clinical and IT technicians
IT security officer Account managers
Researchers Project managers
idea implementation continuity

18. Integration of Medical Technology and IT
Do IT !