Healthc Inform Res.  2012 Jun;18(2):145-152. 10.4258/hir.2012.18.2.145.

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

• Yoo S
• Lee KH
• Lee HJ
• Ha K
• Lim C
• Chin HJ
• Yun J
• Cho EY
• Chung E
• Baek RM
• Chung CY
• Wee WR
• Lee CH
• Lee HS
• Byeon NS
• Hwang H

• KMID: 2045578
• DOI: http://doi.org/10.4258/hir.2012.18.2.145

Abstract

OBJECTIVES
Seoul 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).
METHODS
SNUBH 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.
RESULTS
The 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.
CONCLUSIONS
Beyond 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.

Keyword

Hospital Information Systems; Electronic Health Records; Quality of Health Care; Patient Safety

MeSH Terms

Achievement
Disasters
Electronic Health Records
Electronics
Electrons
Hospital Information Systems
Information Systems
North America
Patient Care
Patient Safety
Quality of Health Care

Figure

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  Figure 1 Applications of Bundang hospital Electronic System for Total Care (BESTCare) system. ABC: activity-based costing, Bz: business, CDSS: clinical decision support system, CDW: clinical data warehouse, CLMA: closed loop medication administration, CP: clinical pathway, CPOE: computerized physician order entry, CRA: Clinical Research Associate, CRM: custom relation management, DR: disaster recovery, EMR: electronic medical records, HIE: health information exchange, HIRA: Health Insurance Review & Assessment Service, IMS: integrated management system, Mngt: management, NEDIS: National Emergency Department Information System. NEMC: National Emergency Medical Center, PACS: picture archiving and communication system, PDA: personal device assistant, PMS: practice management system, RFID: radio frequency identification, SMS: short message service.

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  Figure 2 System architecture of Bundang hospital Electronic System for Total Care (BESTCare) system. EAM: enterprise authorization management, EMR: electronic medical records, HIE: health information exchange, HIS: hospital information system, KMI: key management infrastructure, RFID: radio frequency identification, SSO: single sign-on.

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  Figure 3 Basic layout of user interface of Bundang hospital Electronic System for Total Care (BESTCare).

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  Figure 4 Electronic consent system that provides electronic consent forms and gets patient's signature using iPad (A) or PC sign pad (B).

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  Figure 5 Medication administration system using radio frequency identification (RFID) and barcode.

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