Difference between revisions of "The MEDAKIS project"

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==Background and aim==
 
==Background and aim==
Need for EHR system at the largest (University) hospitals in Norway. Assumption that EHR systems developed for smaller (non-university, local) hospitals not were suitable for this purpose.
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Need for EHR system at the largest (University) hospitals in Norway. Assumption that EHR systems developed for smaller (non-university, local) hospitals were not suitable for this purpose.
  
 
==Funding==
 
==Funding==
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==Duration==
 
==Duration==
1997-2001
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1997-2003
  
 
==Vendor of system==
 
==Vendor of system==
*[[Siemens healthcare Norway]]
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*[[Siemens Medical Systems Norway]]
  
 
==Participating hospital(s)==
 
==Participating hospital(s)==
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The 5 largest hospitals in Norway (4 of which are university / teaching hospitals)
 
The 5 largest hospitals in Norway (4 of which are university / teaching hospitals)
 
*St.Olavs hospital, Trondheim, Norway ([http://www.stolav.no/stolav/stottefunksjoner/English/ home page])
 
*St.Olavs hospital, Trondheim, Norway ([http://www.stolav.no/stolav/stottefunksjoner/English/ home page])
 
*Haukeland University Hospital, Bergen, Norway ([http://www.helse-bergen.no/english/welcome.htm home page])
 
*Haukeland University Hospital, Bergen, Norway ([http://www.helse-bergen.no/english/welcome.htm home page])
*Ullevaal Hospital, Oslo, Norway
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*Ullevaal University Hospital, Oslo, Norway
 
*Rikshospitalet, Oslo, Norway.
 
*Rikshospitalet, Oslo, Norway.
 
*University hospital of Northern Norway. ([http://www.unn.no/category8697.html home page (Norwegian)])
 
*University hospital of Northern Norway. ([http://www.unn.no/category8697.html home page (Norwegian)])
  
 
==Course of the project==
 
==Course of the project==
The project quickly ran into trouble because of discrepancy between its ambitions and the willingness to fund theese ambitions. Read [http://www.idi.ntnu.no/~ericm/patchwork.pdf this] (PDF) for more info. All hospitals had (legacy) Patient-administrative systems which the new system had to be integrated against. As a consequence of the complexity, deliverances and other important milestones became delayed, and, as of 2001, the resulting system had in some specific areas a [http://bmj.bmjjournals.com/cgi/content/abstract/323/7325/1344 poorer functionality] compared with the two other EHR systems at the Norwegian hospital market, but on the other hand in other areas had [http://bmj.bmjjournals.com/cgi/content/abstract/323/7325/1344 better functionality] than the others. This survey was not measured towards the specification for the Medakis project.
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The project quickly ran into trouble because of discrepancy between its ambitions and the willingness to fund theese ambitions. Read [http://www.idi.ntnu.no/~ericm/patchwork.pdf this] (PDF) for more info. All hospitals had (legacy) Patient-administrative systems which the new system had to be integrated against. As a consequence of the complexity, deliverances and other important milestones became delayed. In an evaluation in 2001, the resulting system had a [http://bmj.bmjjournals.com/cgi/content/abstract/323/7325/1344 poorer functionality] compared with the two other EHR systems at the Norwegian hospital market.
  
 
==Outcome==
 
==Outcome==
[[DocuLive EPR Norwegian version|Doculive EPR system]] implemented at participating hospitals. In 2005 University hospital of Northern Norway changed from [[DocuLive EPR Norwegian version|Doculive EPR system]] to [[DIPS EHR system]]. As of 2006, Haukeland University hospital has decided to switch to another system as well but the implementation of Tieto's (IMX) system has not started.
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DocuLive has recently been rolled out at Norway's specialist hospital for Cancer, Radiumhospitalet. Health Mid Norway (HMN), Rikshospitalet og UUS are still using DocuLive as their main EPR system.
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[[DocuLive EPR Norwegian version|Doculive EPR system]] implemented at participating hospitals. The project ended in 2003. In 2005 University hospital of Northern Norway changed from [[DocuLive EPR Norwegian version|Doculive EPR system]] to [[DIPS]]. As of 2007, Haukeland University hospital also has decided to switch to DIPS. Central Norway Regional Health Authority (8 hospitals) signed an add-on contract to the Medakis for the region (St.Olavs hospital was the only participant in the Medakis project). Rikshospitalet and Ullevaal University hospital are still using DocuLive as their main EPR system. Rikshospitalet has buildt a portal ([http://www.csam.no/csaminfo/index.htm CSAM]) on top of DocuLive.
  
 
==Evaluations==
 
==Evaluations==

Latest revision as of 08:46, 16 October 2011

Background and aim

Need for EHR system at the largest (University) hospitals in Norway. Assumption that EHR systems developed for smaller (non-university, local) hospitals were not suitable for this purpose.

Funding

Mainly funded by the Norwegian government and the participating hospitals.

Duration

1997-2003

Vendor of system

Participating hospital(s)

The 5 largest hospitals in Norway (4 of which are university / teaching hospitals)

  • St.Olavs hospital, Trondheim, Norway (home page)
  • Haukeland University Hospital, Bergen, Norway (home page)
  • Ullevaal University Hospital, Oslo, Norway
  • Rikshospitalet, Oslo, Norway.
  • University hospital of Northern Norway. (home page (Norwegian))

Course of the project

The project quickly ran into trouble because of discrepancy between its ambitions and the willingness to fund theese ambitions. Read this (PDF) for more info. All hospitals had (legacy) Patient-administrative systems which the new system had to be integrated against. As a consequence of the complexity, deliverances and other important milestones became delayed. In an evaluation in 2001, the resulting system had a poorer functionality compared with the two other EHR systems at the Norwegian hospital market.

Outcome

Doculive EPR system implemented at participating hospitals. The project ended in 2003. In 2005 University hospital of Northern Norway changed from Doculive EPR system to DIPS. As of 2007, Haukeland University hospital also has decided to switch to DIPS. Central Norway Regional Health Authority (8 hospitals) signed an add-on contract to the Medakis for the region (St.Olavs hospital was the only participant in the Medakis project). Rikshospitalet and Ullevaal University hospital are still using DocuLive as their main EPR system. Rikshospitalet has buildt a portal (CSAM) on top of DocuLive.

Evaluations

The MEDAKIS project went through a thorough evaluation between 2001 and 2003. See references.

References

  1. Ellingsen G, Monteiro E. Big is beautiful: electronic patient records in large Norwegian hospitals 1980s-2001 Methods Inf Med. 2003;42(4):366-70 (PDF)
  2. Laerum H, Ellingsen G, Faxvaag A. Doctors' use of electronic medical records systems in hospitals: cross sectional survey. BMJ. 2001 Dec 8;323(7325):1344-8 (Full text in BMJ)
  3. Gunnar Ellingsen and Eric Monteiro. A patchwork planet. Integration and cooperation in hospitals, Computer supported coopertive work: the journal, 12(1): 71 – 95, 2003 (PDF)
  4. Eric Monteiro. Integrating health information systems, Methods of Information in Medicine: a critical perspective, 42/4:428 - 432, 2003 (PDF)