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 i th USA HIS in the USA

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

• r network (CHIN)

G d Grenada

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

Th ilit l C IR The military plan ‐‐ C2IR

 Command – vice admiral Joseph Metcalf, III  Control – task force of 7500 (marines, SEALS, Control task force of 7500 (marines, SEALS, Rangers), battle group USS Independence  Intelligence ‐ Grenada army – 1500 men g y 5  Reconnaissance : 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 d b ff h managed by off‐shore warships

R lt Results

 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 ti U g t F Operation Urgent Fury

 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

T diti l li i l ti C IR Traditional clinical practice C2IR

 Command – doctor  Control – doctors order Control doctors order  Intelligence: laboratory results Intelligence: laboratory results  Reconnaissance – history and physical examination

P bl f M d d di i Problems of Modern day medicine

 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 di i C IR Modern medicine ‐ C4IR

 Command and control, I, R  Computers – HA CMS 2.0 and the HKMA CMS 3.0 (TaoYuan and Wuhan version) ( )  Communication ‐ sharing of clinical and laboratory data, but data standardization is vital to have the link