The Rhône-Alpes Health Platform

Abstract

Summary Objectives: The purpose of this workis to develop a health information platform connecting most health facilities in the Rhône-Alpes region. The health platform called SIS-RA is used through a Web interface. An iconic interface is dedicated to the platform and presents information in a unique way for all users. Methods: Newtechniques have been used to develop this platform which will be used by a great number of Rhône-Alpes doctors in the future. We chose a user-centered design which takes into account doctors’ requirements (hospital and GP). We also consider that no system has to be rebuilt, but a direct connection to the legacysystems should be provided. Results: The platform permits fast and more appropriate medical decisions than those made without this information system. The iconic interface presents all medical documents in a uniform way. Currently, 11 healthcare facilities and 15 community health networks are connected to SIS-RA sharing more than 60,000 records with 1.2 million indexed items. 3200 doctors use the system. Conclusion: The platform is approved by French supervision authorities (regional hospitals association (ARH)), regional practitioners union (URML) and Rhônes-Alpes region administration and is known as the official shared health record.

The use of regional platforms for managing electronic health records for the production of regional public health indicators in France

“…The platform is fully described in another publication [9], and we will briefly mention its essential aspects here (Figure 2). For level 3 to 5 health institutions, a direct connection was established between the HIS and the platform with connectors developed in partnership with the software editors of each corresponding institution.…”

“…For level 3 to 5 health institutions, a direct connection was established between the HIS and the platform with connectors developed in partnership with the software editors of each corresponding institution. For level 0 to 2 institutions, PEPS, also linked to the platform by connector, was introduced [9]. These connectors were created by more than 20 medical record editors funded by SISRA in the amount of €500,000.…”

Health Information Systems: Current Challenges and Developments

“…This selection indicates that medical record systems can be successfully enhanced to tackle health problems in a developing country [9]. It shows again this year that new architectures can be successfully implemented to federate many regional health care institutions [8]. The selection also mentions that assessing the quality of hospital information systems is still an important task that needs to be based on a standardized and carefully designed methodology [20].…”

“…These will allow a sophisticated access to the internet where the cell phone will be used as a portal for health information, follow-up and monitoring [6,7]. Improved user interfaces have made interacting with information systems easier and more intuitive [8,9]. The informatics methodology and technology are expected to address new challenges such as continuous quality of care in aging societies, developing solutions to tackle specif ic health problems in developing countries, and opening novel opportunities for global access to health services and medical knowledge.…”

Présentation et visualisation des documents médicaux. Le dossier médical numérique

“…Une solution alternative est constituée par les réseaux de soins qui créent des dossiers ad hoc indépendants des dossiers traditionnels sur lesquels les médecins saisissent les informations patients (Abbas et al, 2007). Une autre solution consiste à développer des plateformes de consultation des données médicales communes à tous les praticiens inscrits mais qui nécessitent la conception de connecteurs permettant d'alimenter facilement ce dossier partagé (DPPR Rhône-Alpes) (Durand et al, 2007). Même si cette dernière solution semble constituer une avancée considérable dans le partage des informations médicales et donc le soin collaboratif au patient, il reste encore des points de blocage : lenteur des connexions, attribution d'identifiants patients régionaux, développement de connecteurs ad hoc, aide à la saisie des données dans la plateforme, etc.…”