Hospital Italiano de Buenos Aires (HIBA)
HIBA (Hospital Italiano de Buenos Aires) is a non-profit, tertiary care, teaching and research hospital with more than a 150 year-old history. It has 750 inpatient beds with 200 intensive care units. The Hospital admits 36.000 inpatients and has more than 2.400.000 outpatient visits annually, with an average of 20.000 surgical interventions. For almost 30 years it also has its own Health Maintenance Organization (HMO) that takes care of a population of 140,000 patients. Since 1998 a full-scale Hospital Information System (HIS) has gradually been implemented, including an ambulatory Electronic Health Record (EHR), emergency care information system, inpatient discharge summary, inpatient tracking systems, home-care tracking systems, scheduling systems, ADT (admission, discharge, transfer), management and reporting systems for ancillary services (imaging diagnosis, path lab, cardiology, nuclear medicine, clinical laboratory), clinical data repository, clinical event monitor, and administrative systems (Human resources, Inventory, Accounts, Pharmacy). A Terminology server (TS) was developed and its software is composed of a local interface vocabulary (Thesaurus) mapped to a reference vocabulary, SNOMED CT. The thesaurus was created from almost 2 million free text inputs extracted from the clinical data repository. The most important achievements of TS is the centralization of knowledge representation, using a much more detailed terminology system. Clinical data entered at any place of the institution and level of care, is represented uniformly through the whole health information system. Finally, the Hospital projects a PACS (Picture Archiving Communication Systems) to be integrated to the HIS. Over 110 professionals work at Information Systems Department distributed in five main areas: Developments, Technology, Epidemiology, Policies and Procedures and Medical Informatics. Since 2002, the hospital has a medical informatics residency program. It is the only 'medical informatics' post-graduate career for physicians in Argentina and they work as links between clinicians and the development team throughout the systems life cycle.
Regarding medical informatics training programs the hospital has developed the Spanish version of "AMIA 10x10 Program" including the major domains in the field of informatics: health care (including personal health management, electronic and personal health records, health information exchange, standards and terminology, and health care quality and error prevention), public health/population informatics and translational bioinformatics. Based on the patient centered information system the chronic disease management program profiles patients according to a calculated risk index. A multidisciplinary group of professionals perform preventive activities on the patient and their family. Risk evaluation relays on the terminology services provided by the Health Information System, unifying information from all levels of care. This program was awarded with the "Best International Disease Management Program" prize, during the 5th Annual DMAA (Disease Management Association of America) Conference in 2003, Chicago, USA.
Dr. Fernán González Bernaldo de Quirós
Dr. Fernán González Bernaldo de Quirós, is the Vice Director of Strategic Planning, chair of Human Physiology at the School of Medicine and Head of the Area of Research at the Internal Medicine Division in HIBA. He is member of IMIA and he coordinates Education projects in Medical Informatics in Latin America for IMIA-LAC (International Medical Informatics Association-Latin American Chapter) from April 2007 and elected President for the XVI National Meeting of Internal Medicine that will be held in Buenos Aires in November 2007. He obtained his M.D. degree in Medicine with honours from the University of Buenos Aires in 1987.