The nephrology eHealth-system of the metropolitan region of Hannover for digitalization of care, establishment of decision support systems and analysis of health care quality
Pape L, Schneider N, Schleef T, Junius-Walker U, Haller H, Brunkhorst R, Hellrung N, Prokosch HU, Haarbrandt B, Marschollek M, Schiffer M (2019)
Publication Type: Journal article
Publication year: 2019
Journal
Book Volume: 19
Article Number: 176
Journal Issue: 1
DOI: 10.1186/s12911-019-0902-0
Abstract
Background: Even though a high demand for sector spanning communication exists, so far no eHealth platform for nephrology is established within Germany. This leads to insufficient communication between medical providers and therefore suboptimal nephrologic care. In addition, Clinical Decision Support Systems have not been used in Nephrology until now. Methods: The aim of NEPHRO-DIGITAL is to create a eHealth platform in the Hannover region that facilitates integrated, cross-sectoral data exchange and includes teleconsultation between outpatient nephrology, primary care, pediatricians and nephrology clinics to reduce communication deficits and prevent data loss, and to enable the creation and implementation of an interoperable clinical decision support system. This system will be based on input data from multiple sources for early identification of patients with cardiovascular comorbidity and progression of renal insufficiency. Especially patients will be able to enter and access their own data. A transfer to a second nephrology center (metropolitan region of Erlangen-Nuremburg) is included in the study to prove feasibility and scalability of the approach. Discussion: A decision support system should lead to earlier therapeutic interventions and thereby improve the prognosis of patients as well as their treatment satisfaction and quality of life. The system will be integrated in the data integration centres of two large German university medicine consortia (HiGHmed (highmed.org) and MIRACUM (miracum.org)). Trial registration: ISRCTN16755335 (09.07.2019).
Authors with CRIS profile
Hans-Ulrich Prokosch
Lehrstuhl für Medizinische Informatik
Mario Schiffer
Lehrstuhl für Innere Medizin IV
Involved external institutions
Medizinische Hochschule Hannover (MHH) / Hannover Medical School
Germany (DE)
Klinikum Region Hannover
Germany (DE)
symeda GmbH
Germany (DE)
Technische Universität Braunschweig
Germany (DE)
Germany (DE)
Klinikum Region Hannover
Germany (DE)
symeda GmbH
Germany (DE)
Technische Universität Braunschweig
Germany (DE)
How to cite
APA:
Pape, L., Schneider, N., Schleef, T., Junius-Walker, U., Haller, H., Brunkhorst, R.,... Schiffer, M. (2019). The nephrology eHealth-system of the metropolitan region of Hannover for digitalization of care, establishment of decision support systems and analysis of health care quality. BMC Medical Informatics and Decision Making, 19(1). https://doi.org/10.1186/s12911-019-0902-0
MLA:
Pape, L., et al. "The nephrology eHealth-system of the metropolitan region of Hannover for digitalization of care, establishment of decision support systems and analysis of health care quality." BMC Medical Informatics and Decision Making 19.1 (2019).
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