Hemodialysis Record Sharing: Solution for Work Burden Reduction and Disaster Preparedness.

Area of Science:

• Health Informatics
• Medical Networking
• Disaster Preparedness

Background:

• Following the 2011 Great East Japan Earthquake, backup clinical information systems were established in Japan.
• The Miyagi Medical and Welfare Information Network (MMWIN) functions as a health information exchange network for opted-in patients.
• Hemodialysis facilities require seamless access to patient data for daily operations and disaster readiness.

Purpose of the Study:

• To enhance clinical data sharing for patients undergoing hemodialysis across multiple facilities.
• To integrate hemodialysis reporting into the MMWIN for improved data accessibility.

Main Methods:

• Implementation of a document-sharing system to upload hemodialysis reports to MMWIN.
• Recruitment of hospitals and clinics to participate in data sharing.
• Fostering network connections between emergency services and dialysis clinics.

Main Results:

• MMWIN now provides comprehensive patient data, including specific hemodialysis information, diagnosis, prescriptions, lab results, and imaging.
• As of June 2021, 22 facilities (12 clinics, 10 hospitals) in Miyagi joined MMWIN.
• The number of hemodialysis patients in Miyagi increased by over 40%.

Conclusions:

• The implemented backup system successfully established a connected network for hemodialysis facilities.
• Accumulated data aids in preventing patient information fragmentation and facilitates efficient patient transfer during emergencies.
• The system enhances care continuity and disaster response for hemodialysis patients.