Data sharing the Grenada g lesson Dr Ho Chung Ping, JP, MH 20120720 - PowerPoint PPT Presentation

Data sharing –the Grenada g lesson Dr Ho Chung Ping, JP, MH 20120720 e_HR project

HIS in the USA HIS i th USA  1960 – Hospital information system using mainframe computers, mainly for billing  1970 – include labs and pharmacy services using mid ‐ range computers  1980 – include clinical information with client ‐ server  1980 i l de li i l i fo tio ith lie t e e computing  1983 – Grenada invasion 1983 Grenada invasion  1900 – Community Health information system (CHIS) or network (CHIN)

G Grenada d  A country in the Caribbean sea  Population 110,000  19 October, 1983 – a coup t t to topple the government l th g t  25 October,1983 The United States invaded United States invaded Grenada, Operation Urgent Fury

Th The military plan ‐‐ C2IR ilit l C IR  C ommand – vice admiral Joseph Metcalf, III  C ontrol – task force of 7500 (marines, SEALS, C ontrol task force of 7500 (marines, SEALS, Rangers), battle group USS Independence  I ntelligence ‐ Grenada army – 1500 men g y 5  R econnaissance : tour guide map from a travel agency

B ttl Pl Battle Plan  Marines attacked from the North  Rangers landed on the Saline Point Airport in the south  Radio ‐ communication managed by off ‐ shore d b ff h warships

R Results lt  Rangers under heavy attack, radioed marines for support but failed but failed  SEALS surrounded, saw helicopters above but communication failed communication failed  SEAL called Fort Briggs using commercial phone  Fort Briggs ordered  Fort Briggs ordered helicopters to support via satellite

O Operation Urgent Fury ti U g t F  Operation Urgent Fury is the military equivalent of a Japanese Kabuki dance, created by 3 ‐ 4 p y 3 choreographers, speaking different languages, all working independently of each other  Congressional hearing – to revamp the strategy  C4IR

C IR C4IR  Command  Control  Computers  Communication  Intelligence – human, satellites, drone  Reconnaissance – topographic maps  Very successful in the Gulf wars

Traditional clinical practice C2IR T diti l li i l ti C IR  Command – doctor  Control – doctors order Control doctors order  Intelligence: laboratory results Intelligence: laboratory results  Reconnaissance – history and physical examination

Problems of Modern day medicine P bl f M d d di i  More complicated cases  More than one doctor More than one doctor  Multiple specialties  Battery of investigations Battery of investigations  Communications between doctors vital, but  Doctors more busy  Doctors more busy  Higher patient expectations

M d Modern medicine ‐ C4IR di i C IR  C ommand and c ontrol, I, R  C omputers – HA CMS 2.0 and the HKMA CMS 3.0 (TaoYuan and Wuhan version) ( )  C ommunication ‐ sharing of clinical and laboratory data, but data standardization is vital to have the link