{"id":47622,"date":"2022-10-07T08:14:21","date_gmt":"2022-10-07T08:14:21","guid":{"rendered":"https:\/\/www.msdconnect.be\/fr\/?p=47622"},"modified":"2025-01-08T13:50:48","modified_gmt":"2025-01-08T13:50:48","slug":"le-geant-hospitalier-anversois-introduit-son-nouveau-dossier-patient-informatise","status":"publish","type":"post","link":"https:\/\/www.msdconnect.be\/fr\/2022\/10\/07\/le-geant-hospitalier-anversois-introduit-son-nouveau-dossier-patient-informatise\/","title":{"rendered":"Le g\u00e9ant hospitalier anversois introduit son nouveau Dossier Patient Informatis\u00e9"},"content":{"rendered":"\n
\"\"<\/figure>\n\n\n\n
Si son approbation remonte \u00e0 deux ans, depuis peu, c\u2019est officiel : HiX, le Dossier Patient Informatis\u00e9 (DPI) du GZA-ZNA est d\u2019application. Le 17 juin 2022, les h\u00f4pitaux de GZA1<\/sup> ont \u00e9t\u00e9 les premiers \u00e0 l\u2019adopter, suivis, mi-septembre, par ceux du ZNA2<\/sup>. Le ZNA transf\u00e8re actuellement les donn\u00e9es de pas moins de 1,6 million de patients vers le nouveau DPI. Le Dr Kristiaan Deckers, m\u00e9decin en chef de GZA, nous explique pourquoi l\u2019\u00e9l\u00e9ment le plus complexe de cette transition est une bonne analyse du business process.<\/h5>\n\n\n\n

\u00abVu l\u2019ampleur de notre r\u00e9seau hospitalier, nous g\u00e9rons une multitude de processus. Prenons l\u2019exemple de l\u2019h\u00f4pital de jour d\u2019oncologie. Le business process commence d\u00e8s la prise d\u2019un simple rendez-vous: fixer la date et l\u2019heure, puis envoyer un SMS au patient, au bon moment et avec des informations correctes. Ensuite, il faut r\u00e9percuter l\u2019enregistrement du patient dans une base de donn\u00e9es financi\u00e8re et m\u00e9dicale. Le patient doit se pr\u00e9senter au rendez-vous \u00e0 l\u2019heure convenue, le logiciel de planification doit donc optimiser cet horaire. De son c\u00f4t\u00e9, le m\u00e9decin doit avoir acc\u00e8s aux ant\u00e9c\u00e9dents du patient dans le dossier, mais aussi pouvoir modifier tous les plans de traitement transmis \u00e0 la pharmacie. Il est par ailleurs tr\u00e8s important de consigner dans le DPI tous les \u00e9l\u00e9ments touchant \u00e0 la s\u00e9curit\u00e9 et \u00e0 l\u2019exp\u00e9rience du patient.\u00bb<\/p>\n\n\n\n

Et ce n\u2019est l\u00e0 qu\u2019un exemple du DPI, pour l\u2019h\u00f4pital de jour d\u2019oncologie uniquement. Ces travaux pr\u00e9paratoires appliqu\u00e9s \u00e0 l\u2019\u00e9chelle du r\u00e9seau hospitalier sont donc titanesques. Toutefois, le Dr Deckers est convaincu que ces efforts porteront leurs fruits, notamment gr\u00e2ce aux principes d\u00e9finis d\u00e8s sa conception. Nous pensons ici au principe Only Once, en vertu duquel les donn\u00e9es ne sont saisies qu\u2019une seule fois dans le dossier d\u2019un patient. \u00abNous n\u2019y sommes pas encore tout \u00e0 fait, mais nous nous en approchons. L\u2019id\u00e9e est l\u00e0, tout du moins\u00bb, assure le Dr Deckers.<\/p>\n\n\n\n

Accessibilit\u00e9<\/strong><\/h5>\n\n\n\n

L\u2019accessibilit\u00e9 maximale du DPI, par \u00e9tapes, est un autre objectif. \u00abLes m\u00e9decins g\u00e9n\u00e9ralistes et les prestataires de premi\u00e8re ligne ne peuvent pas encore b\u00e9n\u00e9ficier du nouveau DPI, mais ils y auront acc\u00e8s dans les prochains mois, une fois le syst\u00e8me optimis\u00e9\u00bb, affirme le m\u00e9decin en chef de GZA. \u00abLes patients y auront \u00e9galement acc\u00e8s, \u00e0 terme. Sur une plus grande plate-forme d\u00e9di\u00e9e, les patients pourront consulter plus d\u2019\u00e9l\u00e9ments du DPI. Work in progress<\/em>, mais on avance.\u00bb<\/p>\n\n\n\n

Le Dr Deckers admet que le RGPD3<\/sup> constitue parfois un obstacle. D\u2019o\u00f9 les discussions r\u00e9guli\u00e8res avec le Data Protection Officer<\/em> (DPO, d\u00e9l\u00e9gu\u00e9 \u00e0 la protection des donn\u00e9es). \u00abParfois, la r\u00e9alit\u00e9 clinique et le RGPD sont tr\u00e8s \u00e9loign\u00e9s\u00bb, explique le Dr Deckers. \u00abDu collaborateur logistique qui distribue les repas dans l\u2019ensemble de la cha\u00eene, au m\u00e9decin et au patient, divers acteurs aux r\u00f4les tr\u00e8s diff\u00e9rents interviennent. Et tout le monde n\u2019a pas une relation th\u00e9rapeutique avec le patient. Pourtant, le collaborateur logistique doit pouvoir apporter le bon repas au bon patient. Heureusement, notre DPO est formidable et toujours pr\u00eat \u00e0 ouvrir la r\u00e9flexion!\u00bb<\/p>\n\n\n\n

Un choix fondamental<\/strong><\/h5>\n\n\n\n

L\u2019AZ Delta Roeselare, l\u2019AZ Klina Brasschaat, le Ziekenhuis Oost-Limburg et le Ziekenhuis Geel utilisent d\u00e9sormais HiX de ChipSoft. \u00abD\u2019autres grands h\u00f4pitaux h\u00e9sitent encore entre ce DPI et celui de l\u2019UZ Leuven (Nexuzhealth). Ce choix sera d\u00e9cisif pour la Flandre.\u00bb La multiplicit\u00e9 des syst\u00e8mes de DPI ne devrait pas poser de probl\u00e8me, selon le m\u00e9decin en chef: \u00abTant que toutes les donn\u00e9es sont disponibles dans chaque h\u00f4pital et que les syst\u00e8mes peuvent s\u2019\u00e9changer des donn\u00e9es, cela ne nous pose pas de probl\u00e8me. Un syst\u00e8me uniforme unique n\u2019est donc pas n\u00e9cessaire, si l\u2019interop\u00e9rabilit\u00e9 avec eHealth est suffisante.\u00bb<\/p>\n\n\n\n

1. GZA: Gasthuiszusters Antwerpen. 2. ZNA: Ziekenhuisnetwerk Antwerpen. 3. RGPD: R\u00e8glement g\u00e9n\u00e9ral sur la protection des donn\u00e9es.<\/p>\n\n\n\n

Ce num\u00e9ro a \u00e9t\u00e9 r\u00e9alis\u00e9 gr\u00e2ce au support de MSD. Son contenu refl\u00e8te l\u2019opinion des auteurs mais pas n\u00e9cessairement celle de MSD. <\/p>\n","protected":false},"excerpt":{"rendered":"

Si son approbation remonte \u00e0 deux ans, depuis peu, c\u2019est officiel : HiX, le Dossier Patient Informatis\u00e9 (DPI) du GZA-ZNA est d\u2019application. Le 17 juin 2022, les h\u00f4pitaux de GZA1 ont \u00e9t\u00e9 les premiers \u00e0 […]<\/p>\n","protected":false},"author":52645,"featured_media":47773,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mhh_sticky_footer_settings":{"entityId":0},"_mhh_sticky_footer_posts":"","_mhh_sticky_footer_expanded":false,"_mhh_mcn_text_direction":"","_mhh_mcn_language":"","_mhh_mcn_left_sidebar_settings":{"entityId":0},"_mhh_mcn_sidebar_settings":{"entityId":0},"mhh_mcn_side_navigation_style":{"fontSize":{"l":"","m":"","s":""},"lineHeight":{"l":1.5,"m":1.5,"s":1.5},"itemColor":"","hoverItemColor":"","currentItemColor":"","borderItemColor":"","backgroundItemHoverColor":"","themeColor":""},"_mhh_mcn_child_page_navigation":{"isActive":false,"isSticky":false},"hide_header":false,"show_top_bar":false,"hide_footer":false,"full_width_layout":false,"icon":null,"job_code":"","hide_featured_image":true,"primary_tag":0,"editor_notices":[],"footnotes":"","sidebar_toogle":0,"sidebar_toogle_notification_warning":true,"sidebar_toogle_notification_alert":true,"content_expiration_sidebar_date":"","content_expiration_sidebar_expired_post_status":"","content_expiration_sidebar_redirection":""},"categories":[1],"tags":[],"ga4_page_audience":[],"ga4_page_birn_id":[],"ga4_page_branding":[],"ga4_page_businessunit":[],"ga4_page_campaign":[],"ga4_page_content_purpose":[],"ga4_page_customer_journey_stage":[],"ga4_page_customer_specialty":[],"ga4_page_experience":[],"ga4_page_indication":[],"ga4_page_material_intent":[1533],"ga4_page_product":[],"ga4_page_region":[],"ga4_page_therapeuticarea":[],"tx-therapeutic-area":[],"tx-product":[],"tx-pathology":[],"tx-content-type":[629],"tx-active-ingredient":[],"mhh-area-of-interest":[],"access":[],"user_status":[],"user_role":[],"class_list":["post-47622","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"\nLe g\u00e9ant hospitalier anversois introduit son nouveau Dossier Patient Informatis\u00e9 - MSD Belgium - FR<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.msdconnect.be\/fr\/2022\/10\/07\/le-geant-hospitalier-anversois-introduit-son-nouveau-dossier-patient-informatise\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Le g\u00e9ant hospitalier anversois introduit son nouveau Dossier Patient Informatis\u00e9 - MSD Belgium - FR\" \/>\n<meta property=\"og:description\" content=\"Si son approbation remonte \u00e0 deux ans, depuis peu, c\u2019est officiel : HiX, le Dossier Patient Informatis\u00e9 (DPI) du GZA-ZNA est d\u2019application. 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