The Situation

CHAM has six operational centres: accident and emergency, surgery, medical, natal/anti-natal unit, medical-technical, geriatrics, psychiatry and disability.

At the end of 2009, the hospital extension allowed CHAM to extend its geriatric unit as well as reorganising the hospital, thanks to the new space, thereby supporting better care for patients.

By the end of 2012 two new buildings opened: a home for older disabled adults at Campagne-lesHesdin and a psychiatry day care unit at Fruges

At the end of 2014, CHAM continues to improve its care services for users by:

opening a building dedicated to accommodating new MRI (magnetic resonance imaging) medical imaging equipment; deploying its new Interoperable Electronic Health Record (IEHR); rebuilding the psychiatry day care unit in the town of Berck sur Mer.

The Solution

In response to the challenging issue of managing appointments on the medical imaging technical platform, CHAM’s Information Systems Management has developed a web application called “OPPRAD”, which in English stands for Radiology Technical Platform Planning Tool. The benefits of the “OPPRAD” application are numerous and in particular facilitate increasing the flexibility and the time taken to record appointments previously completed in a paper book located in radiology, limiting the number of steps taken by the handler (listing in the patient record after connecting and searching for the patient and then the activity based on a paper thesaurus as well as enforcing a consistency check), increasing the completeness of data collection; records are very often non-matching or incomplete or contain inputting errors and also to automatically manage the work lists in particular avoiding identity validation errors (multiple copies of the same information, etc.), and making healthcare service schedules available in real time.

In view of the ergonomics of the application and the general satisfaction on the part of users, it has been extended to managing all appointments throughout endoscopy departments, outpatient consultations, surgical units – as well as other services such as accident and emergency under the name of “Gest@g”, which in English stands for Agenda Management. Other services such as sterilisation are to be brought on line and other functions, such as the follow-up of Implantable Medical Devices – IMD – that are to be deployed in the very near future.

The selected equipment should meet a number of criteria very strictly defined by CHAM. In particular, the equipment should be capable of undergoing bio-cleaning (disinfection), demonstrate outstanding impact-resistance (IP54 or more), operate in an outdoor and changing environment to guarantee access to existing applications such as Gest@g, EHR and other applications such as the database of drugs and medications. The tablets should also include a significant number of functions (barcode reader, camera, microphone and speakers, Wi-Fi connection, etc.), have a reasonably large touch-screen allowing you to put it in the pocket of your gown and be equipped with programmable shortcut keys, and offer good battery life whilst remaining a reasonable weight.
Following technical approval, CHAM has purchased 15 six-inch MioCARE™ tablets to equip the whole of the accident and emergency department.

The Future

CHAM does not intend to stop there and would also like to complete the process of digitising all of the hospital’s surgical units by deploying MioCARE™ tablets fitted with a 10-inch screen in each theatre. These will specifically be used for completing the operating checklist in real time, providing access to online protocols, for taking photographs, where necessary, to be attached to the EHR, reading barcodes of Implantable Medical Devices (IMD), as well as accessing the mobile version of the Electronic Health Record (EHR) or the drugs and medication database, etc. In parallel with this, other prototypes are also in development, such as the implementation of IMD management (traceability of IMD per patient, stock management, etc.), as well as implementing the management of sterilisation (traceability and geolocation of surgical boxes).