Leading CIOs of Europe, HIMSS Europe Spring 2013 magazine

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Hospital Marina Salud de DĂŠnia:

A Model for Achieving HIMSS Stage 7 HIMSS Analytics Announces New Findings

vicent moncho CIO, Hospital Marina Salud de DĂŠnia, Spain


In This Issue A Model for Achieving HIMSS Stage 7

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Opportunities Uncovered for Driving CPOE Adoption in Germany

6

A Round Up of European EMRAM Award Recipients

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Stage 7 Hospitals Hospital Marina Salud de Dénia

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University Medical Center Hamburg – Eppendorf (UKE)

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Stage 6 Hospitals Badalona Serveis Assistencials

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Centre Hospitalier of Belfort Montbéliard

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Centre Hospitalier Valenciennes

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Clínic de Barcelona

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Clínica Universidad de Navarra

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Corporació de Salut del Maresme i la Selva

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Hospital Comarcal d’Inca

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Parc de Salut

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Geneva University Hospitals (HUG)

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Bern University Hospital

32

ISMETT 34 Landstinget Kronoberg

N/A

Onkologikoa 36 Odense University Hospital

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Povisa Hospital

40

Sint Lucas Andreas Ziekenhuis

42

ULSS 18 Rovigo

44

Son Llàtzer

46

Sosteri

48

Spaarne Ziekenhuis

50

Spital STSAG

52

University Hospital Brussels

54

Westfriesgasthuis 56

For information on how your hospital can be featured in the next edition of Leading CIOs of Europe, contact: Christina Roosen croosen@himss.org +45 40 12 93 95

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“ Last year the Hospital Marina Salud de Dénia in Valencia, Spain, became the second hospital in Europe to achieve full

A Model for Achieving HIMSS Stage 7 ángel giménez, CEO, Hospital Marina Salud de Dénia, Spain vicent moncho, CIO, Hospital Marina Salud de Dénia, Spain

paperless status and reach HIMSS Stage 7. This marked completion of a project begun in 2007 to transform not just how we record care, but how we deliver it. For colleagues across Europe facing the challenge of reaching Stage 7, my advice is simple; not only is digitalisation possible, it is essential to the future of healthcare.” — vicent moncho, CIO, Hospital Marina Salud de Denia, Spain Too often digitalisation projects begin with a timetable. Important strategies and decisions end up being driven by deadlines. However, at the Hospital Marina Salud de Dénia, our starting point was not a delivery deadline, but an understanding that technology could improve the quality and affordability of our care. Therefore, digitalisation was not an objective in our strategy for improvement; it was the mechanism underpinning it. When faced with the long path towards digitalisation, my colleagues across Europe frequently confess to being apprehensive about the scale of the task. This is understandable; hospitals are complex organisations and transforming their operations whilst maintaining high standards is a difficult challenge. Doing so to a tight timetable only increases the pressure. However, our experience in Spain proves that it is possible. Our Cerner Millennium electronic health record system went live in January 2009, just fourteen months after we began the digitalisation process. We then completed the journey to HIMSS Stage 7 in 2012. Now information is not only digitally accessible across our 209-bed hospital, but throughout our broader network of medical centres and practices, which cover 150,000 patients—and double that amount during the peak tourist season.

vicent moncho CIO, Hospital Marina Salud de Dénia, Spain

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Each hospital is different, and every journey to becoming paperless brings unique challenges. However, there are valuable lessons from our experience that can be applied to different health sectors across Europe. The first is to make the whys and wherefores the cen-

tre of the strategy in order to entrench a cultural understanding that technology can help improve outcomes, improve patient safety and deliver efficiencies that can be reinvested in care. This can only be achieved if clinicians are at the heart of the project, helping design a system that supports their workflow rather than obstructs it. Large-scale change requires widespread support. Clinicians and patients are the best ambassadors for technology, but will only become so if they understand what is being done and how it will benefit them. A relentless focus on getting the basics right is essential to building that support. Documents should be simple, training should be timely and attempts to add functionality should never compromise basic system performance. Such work is not glamorous, but it is essential to building confidence in the system. No matter how well planned the process, projects of this scale always encounter unforeseen problems. Marina Salud was not immune to this; our training manuals were too complex, some new staff received training too late and the lack of remuneration for training limited engagement. Far from derailing the process, these issues merely underlined how vital it is to have staff support for the project. If clinicians and patients understand where they are going and why, they are more resilient to teething problems along the way. Some might question whether the outcome justifies the effort. Our experience shows that far from distracting clinicians from delivering care, transition

to a paperless system has improved its delivery. For instance, health outcomes have been improved through the use of automated alerts, which promote the adoption of recommended practices and prevent possible adverse events. Clinicians can also access reference information and evidence at the bedside, thus resulting in more informed, quicker decisions. Technology is not just recording care; it is being used to improve it. Full digitalisation has also improved patient safety. By tackling the duplication of data, we have reduced errors caused by inconsistencies. The automation of the complete medication loop, from prescription to administration, has rationalised our use of medicine and reduced dispensing mistakes. Paperless skeptics often point to the cost of implementing technology. It is not an unreasonable concern. In difficult economic times, hospital managers across Europe face constrained budgets and pressure to do more with less. However, by making the paperless vision a reality, we have delivered efficiency savings to reinvest in care. For instance, by rationalising workflows we have freed up nearly 8,000 physician and nursing hours a year. Millennium has also streamlined bed management, thus reducing average stays by 10% and increasing occupancy rates. At a time of constrained budgets, these are savings we cannot afford not to make. Austerity does not preclude investing in technology, it necessitates it. The transition to HIMSS Stage 7 is an ambitious task. However, the experience of the Hospital Marina Salud de Dénia in Spain should encourage colleagues across Europe. Rapid digitilisation is possible. Success hinges on viewing technology not as the end objective, but as the tool for transforming the delivery of care. It should be seen as the heart of efforts to improve outcomes, strengthen safety and savings. Achieving paperless status may be difficult, but our experience proves it is worth striving for.

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KNOW WHAT’S NEXT FOR YOUR HOSPITAL TODAY

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HIMSS Analytics, the pre-eminent source of Healthcare IT market intelligence globally, announces new findings from its continuously updated database in Europe and its recently re-

Opportunities Uncovered for Driving CPOE Adoption in Germany

leased Country Comparison report. These findings indicate significant opportunities in Germany for computerized practitioner order entry (CPOE) vendors. CPOE is a critical component of Stage 4 in the HIMSS Analytics Europe Electronic Medical Record Adoption Model (EMRAM). The EMRAM is an internationally accepted certification and roadmap for acute care hospitals that outlines 8 stages (0-7) of IT adoption for achieving a paperless EMR environment with increasingly sophisticated levels of clinical decision support that drive clinical outcomes. In addition to tracking IT adoption associated with over 50 software applications throughout Europe, HIMSS Analytics Europe asks chief information officers and other IT professionals at hospitals if they would recommend an installed product to a friend or colleague. The Net Promoter Score is their response to this question. The scale used for the response is 0 - 10, 0 representing “not at all likely” and 10 “extremely likely.” When software application IT adoption rates were compared to product Net Promoter Scores throughout the countries in Europe, a correlation was uncovered. In Germany, where the Net Promoter Score for CPOE is low, CPOE market adoption is also low at less than 50% which suggests word of mouth negatively impacts CPOE adoption. In Spain, where the Net Promoter Score is high, CPOE adoption is also high at over 75% which suggests word of mouth has a positive impact on CPOE adoption. “These findings are exciting because they further illuminate drivers for IT adoption, and opportunities for suppliers to develop the necessary strategies to improve IT implementation and care delivery” says Uwe Buddrus, Managing Director of HIMSS Ana-

lytics Europe. A low Net Promoter Score in Germany and its correlation to IT adoption suggests vendors develop marketing, sales, and product strategies that counter negative word of mouth to drive CPOE adoption. Given CPOE is a critical component of the HIMSS Analytics EMRAM, improved IT adoption in Germany has the potential to have a significant impact on its clinical outcomes. HIMSS Analytics Europe provides healthcare information technology stakeholders with market intelligence that supports and guides their business objectives. The company’s product portfolio is the most comprehensive, objective and contextualized market intelligence in the European market. These findings are from the HIMSS Analytics Europe Database, which is the company’s flagship product. For more information on HIMSS Analytics Europe and its product portfolio, please contact: David Blazek Director Sales Europe, HIMSS Analaytics Europe, Germany dblazek@himssanalytics.eu Phone + 49 (0) 341 333 95 330 Mobile + 49 (0) 1515 0 689 222

Data from HIMSS Analytics Europe © 2011

The EMRAM model identifies the levels of electronic medical record (EMR) capabilities rangingin from limited ancillary department systems through a paperless EMR environment. HIMSS Analytics Europe has developed a methodology and algorithms to automatically score hospitals in our database relative to their IT enabled clinical transformation status, to provide peer comparisons for hospital organizations as they strategize their path to a complete EMR and participation in an electronic health record (EHR).

YOUR PARTICIPATION IS COMPLIMENTARY – CONTACT US TODAY www.himssanalytics.eu Page 6

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excellence in

HIMSS is a cause-based, not-for-profit organization

Patient Healthcare

exclusively focused on providing global leadership for the optimal use of information technology (IT) and management systems for the betterment of healthcare. Visit www.himss.eu for more information.

HIMSS Europe Rue de la Loi 67. 1040 Brussels, Belgium T: +32 (2) 793 76 30

HIMSS Analytics Europe Schwaegrichenstrasse 9, 04107 Leipzig, Germany T: +49 (0) 341 33395 300

europe@himss.org

welcome@himssanalytics.eu

A Round Up of European EMRAM Award Recipients

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Hospital Marina Salud de Dénia Hospital Marina Salud de Dénia is truly paperless with no medical records on the nursing units. All physicians enter orders online and this is supported by an intelligent clinical decision support system. Staff document their clinical notes online where the latest results and impressions are instantly available for all care givers. The medical imaging department is completely digital, making all images across the hospital network available online. One of the key factors which contributed to Hospital Marina Salud de Dénia’s Stage 7 achievement was its very sophisticated clinical and business intelligence program to analyze care quality and efficiency, making it a “data driven” organization. Licensed Beds: 204 CIO: Vicent Moncho Awarded Stage 7: May 2012

“The transition to HIMSS Stage 7 is an ambitious task. However, the experience of the Hospital Marina Salud de Dénia in Spain should encourage colleagues across Europe. Rapid digitilisation is possible. Success hinges on viewing technology not as the end objective, but as the tool for transforming the delivery of care. It should be seen as being at the heart of efforts to improve outcomes, strengthen safety and make savings. Achieving paperless status may be difficult, but our experience proves it is worth striving for.”

vicent moncho

CIO, Hospital Marina Salud de Dénia, Spain

Partida Beniadlà, S/N 03700 Dénia, Alicante Spain Tel: +34 966 42 90 00 www.marinasalud.es

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University Medical Center Hamburg – Eppendorf (UKE) The first European hospital to achieve top rating on HIMSS Analytics’ EMRAM scale, The University Hospital of Hamburg Eppendorf provides a blueprint for transforming healthcare through IT: in just three years it has implemented a hospital-wide IT system that allows the entire continuum of care to be managed through an electronic patient record. Paper is now superfluous. The benefits are apparent on several levels: thanks to IT systems, patient healthcare can now be delivered more quickly and to a higher standard.

“For us, the Stage 7 Award is a valuable and important benchmark. Even though the EMRAM Model is often misinterpreted as only focused to a paperless process, we believe in the gain of patient’s safety and the efficiency of treatment which are improved by effectively utilizing digital information as described in the EMRAM Model. We, and all those involved in the treatment process, are very proud to have implemented a system at the UKE which satisfies these requirements as a first in Europe and which has been graded Stage 7 by 6 inspectors.”

Licensed Beds: 1,300 CIO: Henning Schneider Awarded Stage 7: November 2011

henning schneider CIO, UKE, Germany

Martinistr. 52 20246 Hamburg, Germany Tel: +49 040 7410-0 www.uke-io.de

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Badalona Serveis Assistencials Rendering integrated healthcare services means covering all of a person’s healthcare needs. This is the challenge that drives Badalona Serveis Asistencials SA (BSA) every day, a municipal organization that provides health services and care dependency to the people of “Barcelonès Nord and Baix Maresme”, to promote, preserve and restore individual and collective health and promote the welfare of the people. With 10 centres and 1,200 professions providing services to a population of over 435,000 people in the “Barcelonès Nord and Maresme” districts, BSA is the municipal commitment to a quality healthcare and dependency assistance offer.

Licensed Beds: 154 CIO: Jordi Morell Vilanova Awarded Stage 6: May 2011

“The problem of measuring the IT development ended up when HAE implemented its EMR Adoption Model and when we got the Stage 6 Award. It recognized the work being done by all the professionals in our organization and gave us some fresh air and motivation to keep working hard in a crisis environment.”

jordi morell vilanova CIO, Badalona, Spain

Via Augusta, 9-13 8911 Badalona Spain Tel: +93 464 83 00 www.bsa.cat

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“We are very proud of the distinction that is attributed to our establishment. It is the culmination of the hard work and continuous involvement of our medical staff, caregivers and IT team in this ambitious project, and also the quality of collaboration with our partner, Cerner. The main objective of our project has always been the improvement of care for our patients with the continuing effort to provide our health care teams an effective information system, so we are particularly pleased with the results obtained so far. They encourage us to continue in the same spirit. Finally, as our project has a regional dimension, we would like to associate the GCS Emosist and the five other hospitals engaged with us in this great achievement.”

Centre Hospitalier of Belfort Montbéliard The Centre Hospitalier of Belfort Montbéliard is a multiplesite hospital with 1,200 beds and nearly 2000 employees. CHBM focuses on adopting and integrating innovative technologies in order to improve the services provided to its patients. Licensed Beds: 1,200 CIO: Corinne Casoli Awarded Stage 6: May 2012

corinne casoli

CIO, Centre Hospitalier of Belfort Montbéliard, France

14 Rue de Mulhouse 90016 Belfort France Tel: +33381988000 www.chbm.fr

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Centre Hospitalier Valenciennes The Centre Hospitalier de Valenciennes has approximately 2000 beds, half of which are dedicated to surgery, medicine and obstetrics. After the Teaching University Hospital of Lille (CHRU de Lille), Centre Hospitalier de Valenciennes provides the highest quality patient care in the Calais region. The Centre Hospitalier de Valenciennes also acts as a regional reference for some of its medical and surgical specialties. Licensed Beds: Around 2,000 CIO: Frédéric André CMIO: Nicolas Houdre Awarded Stage 6: November 2012

nicolas houdre CMIO, Centre Hospitalier Valenciennes, France

“The HIMSS Stage 6 Award is more than a recognition, it demonstrates the possibility of synergy between the world of caregivers and the world of information technology. Everything was made possible by the close collaboration with technical ancillaries such as the pharmacy laboratory and radiology.”

frédéric andré

CIO, Centre Hospitalier Valenciennes, France

Avenue Desandroin 59300 Valenciennes France Tel: +33 3 27 14 33 33 www.ch-valenciennes.fr

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Clínic de Barcelona Hospital Clinic de Barcelona is a teaching hospital founded in 1906, and covers almost all medical specialties, surgical and mental health. Hospital Clinic de Barcelona has demonstrated a deep level of integration of various clinical subsystems from a variety of vendors with their central HIS/ EMR solution. Most outstanding is the implementation of CDSS for thoracic pain patients which is notable as a good practice for other. Closed Loop Medication Administration (CLMA) is in place including ePrescribing, second line validation, Automated Dispensing Machine (ADM) dispensing for ICU medications, and bed side documentation in an electronic medication administration record (eMAR) for standard medications. Licensed Beds: 850 CIO: David Vidal Awarded Stage 6: November 2011

“This award recognizes the innovative culture of our institution and the efforts put forth by all our professionals, clinicians and IT staff in the development, deployment and daily usage of the tools and technologies that have allowed us to offer a greater quality and safety of patient care standards.”

david vidal

CIO, Clinic Barcelona, Spain

Carrer de Villarroel 170 8036 Barcelona Spain Tel: +93 227 54 00 Fax: +93 227 54 54 www.hospitalclinic.org

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Clínica Universidad de Navarra The Clínica Universidad de Navarra created in 1961 is a medical center and hospital known for its high degree of medical specialization, constant technological innovation and teamwork. It is a private non-profit organization guided by Christian principles. Researching, teaching and assistance are made together with the Faculties of Medicine, Science, Pharmacy and Nursing and the Center for Applied Medical Research (CIMA). Clínica Universidad de Navarra has utilized its in-house information technology expertise to develop a mature IT solution to achieve the highest stages of the HIMSS Europe Electronic Medical Record Adoption Model (EMRAM). Licensed Beds: 321 CIO: Jesús Redrado Awarded Stage 6: November 2011

“For the Clínica Universidad de Navarra, constantly seeking excellence for the benefit of patient care, receiving an award as prestigious as this one has been an incentive to continue our commitment to innovation and continuous improvement.”

jesus redrado

CIO, Clinica Universidad de Navarra, Spain

Avda. Pío XII, 36 31008 Pamplona Spain Tel: +34 948 255 400 Fax: +34 948 296 500 www.cun.es

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Corporació de Salut del Maresme i la Selva The Corporació de Salut del Maresme i la Selva employs approximately 1,500 professionals. With 8 primary care centers, 2 hospitals and 3 social care centers, the hospital delivers care to a regional population of 195,000. Licensed Beds: 160 (Hospital Sant Jaume de Calella) CIO: Domingo Barrabés Moreno Awarded Stage 6: May 2012

“From its creation, to the merger of the two hospitals of a distance of 20 km, creating the Coporació de Salud del Maresme i Selva including Health Corporation, we opted for a holistic model of care that was strengthened by the management of 7 health centers and three centers for long stay. This model could only be sustained to be effective and efficient in a single clinical information system, to provide a comprehensive and professional tool to bridge the cultural gap between the different levels of care. Today and after 10 years of work between the healthcare professionals involved, and systems professionals in health information technology and a technology partner as SisInf, the Stage 6 recognition by HIMSS represents an important milestone reached and a stimulus for further progress.”

núria constans

CEO, Hospital Sant Jaume de Calella, Spain

domingo barrabés moreno

CIO, Corporació de Salut del Maresme i la Selva, Spain

Sant Jaume, 209 - 217 08370 Calella Spain Tel: +34 937690201 www.salutms.cat/web

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Hospital Comarcal d’Inca Hospital Comarcal d’Inca is a secondary public hospital founded in 2007 and located on the island of Mallorca (Balearic Islands). With 165 beds and nearly 760 professionals attending to roughly 117,000 patients, it handles 135,000 outpatients and 7,500 inpatients (discharges) each year. Hospital Comarcal d’Inca’s entire staff has been committed to the search for efficiency and productivity through new technologies and information systems. Most significant of these has been the implementation of a EMR that integrates all the hospital’s existing systems and devices; an alert system with automated warnings (which helps the medical staff in decision making), e-prescribing, potential drug interactions, automatic medicine dispensation, bedside nurse help for medicine administration and a full PACS with all modalities. Licensed Beds: 165 CIO: Ramón Riba Álvarez Awarded Stage 6: November 2012

“It’s a real honor to have obtained the EMRAM Award, given the prestige of this distinction. Especially, because we had the opportunity to receive an external evaluation, with the result of strength and verification of our work related to the design and implementation of new applications for health management in our hospital, which give us a satisfactory evolution.”

ramón riba álvarez

CIO, Hospital Comarcal d’Inca, Spain Ctra. Vieja in Llubi s / n 07300 Inca Spain Tel: +34971888500 www.hcin.es

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Parc de Salut Hospital Parc de Salut Mar is a comprehensive organization of healthcare services with approximately 1,000 beds that forms a great Healthcare Park. Parc de Salut Mar is located on the coast of Barcelona, an area known for its concentration of dynamic research, care and knowledge pools. Licensed Beds: Around 1,000 CIO: Elisabeth Izquierdo Asensio Awarded Stage 6: November 2012

“This award recognizes over 20 years of our work, promoting integration and upgrading technology to achieve improvements in the management and the safety of care processes. As a key of success to this overall computerization, I would highlight the involvement of the entire organisation’s staff.”

elisabeth izquierdo asensio CIO, Parc de Salut, Spain

Passeig Maritim 25-29 08003 Barcelona Spain Tel: +34932483000 www.parcdesalutmar.cat

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Geneva University Hospitals (HUG) The University Hospitals of Geneva (HUG) is the largest public hospital consortium in Switzerland, with more than 2,000 beds, 50,000 inpatients admissions and 850,000 outpatient visits each year. Covering the whole range of primary, secondary and tertiary care, the HUG, with more than 10,000 collaborators representing about 8,500 FTEs, is the largest employer of Geneva state. The HUG serves as a community public hospital and a teaching and reference center for the region, including highly specialized medicine such as organ transplants, cellular therapy, genetics and clinical neurosciences. Licensed Beds: 1400 CIO: Antoine Geissbuhler Awarded Stage 6: November 2010

“The stage 6 EMRAM award provided a useful external peer-recognition. We used it to communicate within our hospitals about the opportunities and challenges to move to higher levels of functionality.�

antoine geissbuhler

CIO, Geneva University Hospitals, Switzerland

Rue Gabrielle-Perret-Gentil 4 1211 Geneva 14 Switzerland Tel: +41 22 372 33 11 www.hug-ge.ch

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Bern University Hospital Inselspital Universitätsspital Bern is a university hospital in the Swiss health system. Founded in 1354 Inselspital Universitätsspital has 7,100 employees and approximately 52,000 inpatients and more than 263,000 outpatients annually. Inselspital Bern has demonstrated a deep level of integration of various clinical sub-systems from a variety of vendors. A notable good practice at Inselspital Bern is a self-developed clinical decision support system for stem cell transplantation, whereby physician documentation and diagnostic data trigger different pathways.

Licensed Beds: 960 CIO: Daniel Voellmy Awarded Stage 6: November 2011

“The key success factor in our EMRAM Stage 6 EMR project was communication: a strong commitment of the hospital management concerning the goals of the EMR project, and a steady dialogue with hundreds of stakeholders in the clinics and wards.”

daniel voellmy

CIO, Bern University Hospital, Switzerland

Freiburgstrasse 18 3010 Bern Switzerland Tel: +41 31 632 21 11 www.insel.ch

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ISMETT The Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione (ISMETT) is a joint public-private partnership between the Region of Sicily, through Civico and Cervello hospitals in Palermo, and UPMC, an integrated global health enterprise headquartered in Pittsburgh, USA, and one of the leading nonprofit health systems in the United States. The partnership has brought together resources, intellectual capital, and advanced technologies to offer state-of-the-art treatment. Over the past decade, ISMETT has become one of the leading organ transplant centers in Europe and a major referral center for other Mediterranean countries. More than 1000 transplant procedures have been performed at ISMETT with outstanding clinical results. ISMETT’s one-year survival rate for liver transplant recipients is the highest in Italy. Licensed Beds: 70 CIO: Tommaso Piazza Awarded Stage 6: November 2010

“We are very proud of the Stage 6 designation, because this award means that ISMETT’s electronic medical records can provide intelligent, evidence-based reminders to physicians as they enter electronic orders for patients and on the consequence is able to contribute in delivering a better patient care to our patients. Stage 6 designation reflects ISMETT’s commitment to offer the highest levels of patient safety and quality care. We are steadily working towards attaining a Stage 7 designation that would result in further improvements in quality of patient care inside our hospital, and in the community we serve.”

tommaso piazza Via Ernesto Tricomi

CIO, ISMETT, Italy

190127 Palermo Italy Tel: +39 091 2192111 www.ismett.edu

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Onkologikoa

“For us, IT people, we are very happy with the award because it shows the rest of the organisation that we are working in the right direction. It shows our patients that their clinical data is safe and it is correctly treated.”

ramón lerchundi CIO, Onkologikoa, Spain

Onkologikoa, kutxa Cancer Institute is a Centre monograph prevention, diagnosis and treatment of cancer. The functional structure is based on multidisciplinary functional units, each case is studied by the corresponding functional unit and offer a treatment plan for each patient. Over 300 professionals from various fields provide patient services using electronic health records. Outstanding IT practices at Onkologikoa include self-developed closed loop medication administration using Automated Dispensing Machines (ADM)s in pharmacy and at the ward, as well as bar coding, with strong clinical decision support especially for chemotherapy: there are several protocols for chemotherapy, so called ‘super sets’ for chemotherapy medication ordering, including adjuvant meds, and alerts based on clinical documentation, e.g., duplicate checking for chemotherapy protocol related orders, some interaction with lab results to adjust drug dosage. Licensed Beds: 75 CIO: Ramón Lerchundi Awarded Stage 6: November 2011

Paseo Doctor Begiristain, 121 20014 Donostia - San Sebastián Spain Tel: +34 943 328000 Fax: +34 943 281278 www.onkologikoa.com

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Odense University Hospital Odense University Hospital is a centre of major importance within the Danish hospital and specialist services system, as are Rigshospitalet in Copenhagen and Aarhus University Hospital. It is a highly specialised hospital whose functions cover all medical specialist areas, collated within a single framework. There are approximately 8,000 employees at OUH, which makes the hospital one of the largest in northern Europe. Licensed Beds: 1300 CIO: Claus Duedal Pedersen Awarded Stage 6: November 2010

“For Odense University Hospital the Stage 6 Award means that our many years of work with the implementation of the electronic medical records have succeeded and been recognized be an independent audit. This gives us the foundation for the future development of our services and improving the IT system’s ability to support the clinical workflow. ‘Stage 6’ designation reflects OUH’s commitment to provide the highest levels of patient safety and quality care. We are today working towards a Stage 7 designation that would result in further improvements in quality of patient care inside our hospital, and in the community.”

claus duedal

CIO, Odense University Hospital, Denmark

Sdr. Boulevard 29 5000 Odense C Denmark Tel: +45 66 11 33 33 www.ouh.dk

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Povisa Hospital Povisa is a privately owned general hospital that opened its doors in 1973. The hospital currently provides assistance to more than 500,000 patients, 143,000 of whom are members of the Galician Health Service (SERGAS). Povisa has 40,000 m2, 400 beds, 12 operating rooms and 1,500 professionals (including 272 doctors) and offers 48 medical and surgical specialties. Specialties include maxillofacial surgery, treatment of major burns and microsurgery associated with the re-implantation of upper limbs. Licensed Beds: 400 CIO: Juan Fernandez Brea Awarded Stage 6: May 2012

“The Hospital has electronic medical records (EMR) and manages its hospital activity through computer systems (“without papers”), all thanks to the use of the computer tools designed and developed with our in-house resources. This is based on our commitment to provide our professionals with a tool that is reliable, accessible, agile, and integrated to enable them to develop their daily work with the highest quality and safety.”

juan fernandez brea CIO, Povisa Hospital, Spain

Rua Salamanca 5 36211 Vigo Spain Tel: +349864144 www.povisa.es

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Sint Lucas Andreas Ziekenhuis Sint Lucas Andreas Ziekenhuis is located in Amsterdam and offers high-standard, patient-centered care in a multicultural setting. Sint Lucas Andreas Ziekenhuis has 550 beds, employs 2,200 healthcare professionals and treats over 200,000 patients every year. Specialties include mother/child care, obesity, sleep apnea, neurology and psychiatry. The hospital also offers extensive training and research resources. Licensed Beds: 550 Manager Bureau ZIS/EPD: Latifa Schilpzand Yousif Awarded Stage 6: November 2012

“Five years ago we started our endeavour to modernize out internal and external communications with and about the patient. We are very proud that we have reached HIMSS Stage 6! We see it as a stimulus to go for Stage 7.�

latifa schilpzand yousif

Manager Bureau ZIS/EPD, Sint Lucas Andreas Ziekenhuis, The Netherlands

barbara gaus lips

Application Coordinator, Epic-care, Sint Lucas Andreas Ziekenhuis, The Netherlands

Jan Toorospstraat 164 1061 Amsterdam The Netherlands Tel: +34205108737 www.sintlucasandreasziekenhuis.nl

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ULSS 18 Rovigo With 636 beds in total, the Hospitals San Luca di Trecenta and Santa Maria della Misericordia deliver a wide range of health services and social services. In recent years, great attention was also given to the adaptation of technology and information technology for hospitals, as a strategy necessary to achieve the best efficiency of health services. Azienda ULSS 18 has demonstrated a deep level of integration of various clinical sub-systems from a variety of vendors. A notable good practice is Azienda ULSS 18’s process of ensuring IT supported medication safety. Closed Loop Medical Administration (CLMA) is in place including ePrescribing for all meds, software assisted preparation for all critical meds by nurses at ward, bar code scanning of every patient for administration, and bed side documentation in the electronic medicine administration record (eMAR). Outstanding is the use of codification and scaling systems to generate discrete data elements driving Clinical Decision Support System (CDSS) functionalities. Licensed Beds: 644 CIO: Alessio Gasparetto Awarded Stage 6: November 2011

“Stage 6 for Rovigo Local Healthcare Authority represents a confirmation that the investments and the efforts made during the last nine years for improving the quality of healthcare services and for producing better outcomes using IT have followed the right direction and pathway.”

alessio gasparetto CIO, ULSS 18 Rovigo, Italy

Santa Maria della Misericordia Viale Tre Martiri, 140 45100 Rovigo (Ro) Italy Tel: +39 0425 3931 www.azisanrovigo.it

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Son Llàtzer Son Llàtzer Hospital is a public hospital and part of the network of Health and Consumer Department of the Balearic Islands Government. Opened in December 2001, Son Llàtzer is a modern hospital that employs over 2000 health professionals and is recognized as a pioneer in the use of computerized healthcare systems. Licensed Beds: 377 CIO: Maria Ponseti Awarded Stage 6: November 2012

“Our information system is an essential tool to be able to take care of our patients, it makes it possible to improve decision making and patient safety in the interest of good quality of care.”

xavier feliu

CEO, Son Llàtzer, Spain

maria ponseti CIO, Son Llatzer, Spain

Ctra. Manacor, Km 4 07198 Palma de Mallorca, Illes Balears Spain Tel: +34871202000 www.hsll.es

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“The information systems have been systematically, long-term and consistently developed to support the whole process on healthcare. Our aim has always been to develop the processes on healthcare as a whole, in order to get the integration between different information systems, and to get the information systems high availability, as well as a holistic management process support. The commitment of the hospital staff and management to information systems and business process development has been outstanding, even when development work was done along with other work and even when it has caused costs. It really has been worth of it.”

Sosteri Located in eastern Finland, the Itä-Savo Hospital District employs approximately 2,000 staff members and has 64 separate units and 411 beds. The organization provides primary and secondary healthcare and social services for the elderly, and its well-designed healthcare IT solutions have helped make it a successful model for seamless patient care services, from patient’s home to hospital and back home again. Licensed Beds: 411 CIO: Arti Patsi Awarded Stage 6: May 2012

arti patsi

CIO, Sosteri, Finland

Keskussairaalantie 6, Builinding F1 PL 111 57101 Savonlinna Finland Tel: +35 15 52 77 100 www.isshp.fi

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Spaarne Ziekenhuis Spaarne Hospital is a modern tertiary teaching hospital in the Netherlands. The hospital devotes much of its time and energy to training its staff and medical specialists to provide their patients the best possible care. Licensed Beds: 400 Program Manager: Johan Ensing Awarded Stage 6: November 2011

“This confirms that we, Spaarne Hospital, in the Netherlands, lead the way with the use of the EMR. At Spaarne Hospital, all patient data and care processes are digital. Uniquely, all appointments, applications and results are processed digitally. As a result, all data is immediately and fully available for each caregiver member. The system makes clever use of knowledgeable guidelines and treatment protocols to support caregivers in their daily work. This increases patient care.�

johan ensing

Program Manager, Spaarne Ziekenhuis, The Netherlands

Spaarnepoort 1 2134 TM Hoofddorp The Netherlands Tel: +31238908900 www.spaarneziekenhuis.nl

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Spital STSAG The Spital Thun has 209 beds and delivers care to the region’s population. With a dedicated training center for various medical professionals it is also the main employer of the region.

“Spital Thun is a publicly owned primary and secondary acute care hospital. Its clinical information system is used in an interdisciplinary setting and covers inpatients as well as ambulatory settings for more than 10 years. Complete electronic order entry (drugs and all other orders), electronic medication distribution systems on all wards and bedside scanning for drugs, blood samples and blood products enable a fully integrated closed loop system. Additionally, assorted clinical pathways and guideline implementations are closing the gap between evidence-based medicine proposals and actually delivered care in order to maximize both, patient safety and quality of care.”

Licensed Beds: 209 CMIO: Marc Oertle Awarded Stage 6: May 2012

marc oertle

CMIO, Spital STSAG, Switzerland

Krankenhausstrasse 12 3600 Thun Switzerland Tel: +41337292626 www.spitalstag.ch/spital-thun/

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University Hospital Brussels The University Hospital of Brussels is a university hospital with a staff of around 3,400. It has 721 hospital beds and every year accounts for more than 28,000 admissions and 400,000 out-patients, comprising both nationals and foreigners. UZE has its own in-house electronic medical record development with a strong focus on ordering, decision and workflow support, integrating a variety of specialized vendor solutions for image management, scanning, filing, speech recognition, coding, data warehousing. A notable good IT practice is UZE’s design and implementation of clinical decision support and workflow system based, among others, on a large and ever increasing number of screens and templates used in medical services. Licensed Beds: 721 CIO: Rudi Van de Velde Awarded Stage 6: November 2011

“The HIMSS recognition for reaching this Level 6 of excellence is an added bonus and acknowledges the enormous effort by a multidisciplinary team. This validates our inhouse developed holistic EMR across our hospital, eHealth and physician practices utilizing the advanced functionality to provide safe, efficient and effective care for our patients.”

rudi van de velde

CIO, Universitair Ziekenhuis, Belgium

Campus Jette Laarbeeklaan 101 B – 1090 Brussels Belgium Tel: +32 (0) 2 477 41 11 www.uzbrussels.be

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Westfriesgasthuis Westfriesgasthuis is a general, regional hospital with a capacity of 506 beds and approximately 258,000 outpatient visits per year. The medical staff represents 26 different specialties. Licensed Beds: 506 CIO: Nic Kaldenbach Awarded Stage 6: November 2012

“We are proud to have achieved the Stage 6 EMRAM Award. We consider it a laureate for extensively improving the quality and safety of healthcare by the implementation of our electronic medical dossier.”

nic kaldenbach

CIO, Westfriesgasthuis, The Netherlands

Malensonstraat 3 1624 NP Hoorn The Netherlands Tel: +31 229 257 257 www.westfriesgasthuis.nl

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Unmatched Global Experience Cerner clients have achieved HIMSS Stage 6 & 7 across 8 countries

“Cerner Millennium is a world class solution that allowed us to achieve HIMSS Stage 7.” Vicent Moncho, Chief Information Officer, Hospital Marina Salud de Dénia, Valencia, Spain

Cerner clients are leading the way in achieving HIMSS Stage 6 & 7 in countries outside the U.S. Stage 7 Clients:

Hospital Marina Salud de Dénia - Valencia, Spain 1st and only HIMSS Stage 7 in Spain, 2nd in Europe

 33 US clients recognised with HIMSS Stage 7 Awards  Cerner Added more Stage 7 sites than any other vendor in 2012  Only 1.8% of US hospitals hold Stage 7 certification

Stage 6 Clients:

King Faisal Specialist Hospital & Research Centre, Gen Org, Riyadh, Saudi Arabia KFSH, 1st in the Middle East to achieve Stage 6 King Faisal Specialist Hospital & Research Centre, General Org, Jeddah, Saudi Arabia KFSH, 1st in the Middle East to achieve Stage 6 Corniche Hospital, Abu Dhabi, UAE 1 of only 4 Stage 6 hospitals in the UAE Al Gharbia Hospitals, Al Gharbia, UAE 1 of only 4 Stage 6 hospitals in the UAE

Centre Hospitalier de Belfort-Montbéliard, Franche-Comté, France 1st French Hospital to achieve Stage 6

Tawam Hospital, Al Ain, UAE 1 of only 4 Stage 6 hospitals in the UAE

Centre Hospitalier de Valenciennes, France 1 of only 2 Stage 6 Hospitals in France

Prince Court Medical Centre, Kuala Lumpur, Malaysia 1st and only Stage 6 Hospital in Malaysia

North York General Hospital - Ontario, Canada 1 of only 3 large hospitals in Canada to achieve Stage 6

 152 US clients recognised with HIMSS Stage 6 Awards  Only 6% of US hospitals hold Stage 6 certification

Clínica las Condes, Las Condes, Santiago de Chile, Chile 1st and only Stage 6 Hospital in South America

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