Seoul National University Bundang Hospital's Electronic System for Total Care

Abstract

ObjectivesSeoul National University Bundang Hospital, which is the first Stage 7 hospital outside of North America, has adopted and utilized an innovative and emerging information technology system to improve the efficiency and quality of patient care. The objective of this paper is to briefly introduce the major components of the SNUBH information system and to describe our progress toward a next-generation hospital information system (HIS).MethodsSNUBH opened in 2003 as a fully digital hospital by successfully launching a new HIS named BESTCare, "Bundang hospital Electronic System for Total Care". Subsequently, the system has been continuously improved with new applications, including close-loop medication administration (CLMA), clinical data warehouse (CDW), health information exchange (HIE), and disaster recovery (DR), which have resulted in the achievement of Stage 7 status.ResultsThe BESTCare system is an integrated system for a university hospital setting. BESTCare is mainly composed of three application domains: the core applications, an information infrastructure, and channel domains. The most critical and unique applications of the system, such as the electronic medical record (EMR), computerized physician order entry (CPOE), clinical decision support system (CDSS), CLMA, CDW, HIE, and DR applications, are described in detail.ConclusionsBeyond our achievement of Stage 7 hospital status, we are currently developing a next-generation HIS with new goals of implementing infrastructure that is flexible and innovative, implementing a patient-centered system, and strengthening the IT capability to maximize the hospital value.

Optimizing Surveillance Performance of Alpha-Fetoprotein by Selection of Proper Target Population in Chronic Hepatitis B

“…This single centre retrospective cohort study recruited CHB patients from a structured chronic liver disease database that has been maintained since 2003 as a part of the electronic medical record system developed by our hospital (BESTCare) [27]. All consecutive CHB patients aged over 18 years with or without liver cirrhosis who received HCC surveillance between May 2003 and October 2015 were retrieved from the database.…”

Prediction of risk for hepatocellular carcinoma by response of serum α‐fetoprotein to entecavir therapy

“…The study cohort was composed of all nucleos(t)ide‐naïve CHB patients who started ETV therapy between March 2007 and February 2009. The patients who met the enrollment criteria were identified from a structured chronic liver disease database, which has been maintained as a part of our hospital's electronic medical record system (BESTCare) . Patients who were found to have HCC during initial screening or who were lost to follow‐up within 6 months were excluded from the cohort.…”

“…The patients who met the enrollment criteria were identified from a structured chronic liver disease database, which has been maintained as a part of our hospital's electronic medical record system (BESTCare). 16,17 Patients who were found to have HCC during initial screening or who were lost to follow-up within 6 months were excluded from the cohort. The indications for ETV treatment were hepatitis B e antigen (HBeAg)-positive CHB patients with HBV-DNA titers > 20 000 IU/mL or HBeAg-negative CHB patients with HBV-DNA titers > 2000 IU/mL and elevated alanine aminotransferase (ALT) levels > 80 IU/L; HBV-associated compensated liver cirrhosis patients with HBV-DNA titers > 2000 IU/ mL; and HBV-associated decompensated liver cirrhosis patients with detectable HBV-DNA levels.…”

Impact of an electronic consultant system on hypersensitivity reactions to iodinated radiocontrast media: an observational study

“…It uses a fully computerised electronic medical record (EMR) system. SNUBH opened in 2003 as a fully digital hospital, successfully launching a new hospital information system named “BESTCare” (Bundang Hospital Electronic System for Total Care) 18. In October 2010, SNUBH was accredited as having a stage 7 comprehensive EMR system according to the Healthcare Information and Management Systems Society (HIMSS) Analytics Electronic Medical Record Adoption Model (EMRAM); this was the first stage 7 accreditation outside North America 23.…”