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Showing posts with the label HDA

Introducing AI, LLMs, and RPA in Belgian Hospitals: A Governance-Led Implementation Model

Abstract Introducing Artificial Intelligence (AI), Large Language Models (LLMs), and Robotic Process Automation (RPA) in a Belgian hospital should not be treated primarily as an IT procurement exercise. It is a clinical, legal, organizational, and ethical transformation. AI can support diagnosis, triage, logistics, population health, and administrative optimization; LLMs can assist with documentation, translation, summarization, coding, and knowledge retrieval; and RPA can automate repetitive digital workflows such as data entry, report routing, claims preparation, and system monitoring. In Belgium, however, implementation must be aligned with the General Data Protection Regulation (GDPR), the EU Artificial Intelligence Act, the European Health Data Space (EHDS) Regulation, Belgian health-data governance structures, and the hospital’s duty to preserve clinical safety, security and patient trust. The safest introduction model is therefore phased: establish governance, select low-risk hi...
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Designing the Belgian “To Be” State: Transforming MZG/RHM and Finhosta for Patient-Based Costing, Care-Process Alignment, and DRG Reform

Introduction In Belgium, hospital financing reform should start from the target state to be achieved rather than from the inherited institutional configuration to be incrementally adjusted. That is especially important because the Belgian health system is structurally path-dependent: it combines near-universal compulsory insurance with direct access, predominantly fee-for-service remuneration, and a division of responsibilities between the federal state and the federated entities that was deepened by the sixth State reform. In hospital financing, Belgium already uses All Patient Refined Diagnosis Related Groups (APR-DRG)/Severity of Illness (SOI) information for budget allocation, but not as a true case-based payment system with national cost weights; the current B2 logic of the Budget of Financial Means (BFM) uses national average length of stay by APR-DRG/SOI as a proxy for resource use. At the same time, Belgium has two mandatory hospital datasets with major strategic value: Minima...
Location: België
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Wat betekenen de Data Act, de Data Governance Act en de European Health Data Space voor Belgische ziekenhuizen?

Inleiding De Europese Data Act (Verordening (EU) 2023/2854), de Data Governance Act (DGA) (Verordening (EU) 2022/868) en de European Health Data Space (EHDS) (Verordening (EU) 2025/327) vormen samen het nieuwe fundament voor gegevensuitwisseling in de gezondheidszorg. Voor Belgische ziekenhuizen raakt dit aan governance, ICT-architectuur, contracten met leveranciers (bv. cloud/EPD), patiëntenrechten en onderzoek. Hieronder probeer ik de kernverplichtingen en de praktische impact op organisatie en werking van ziekenhuizen in België op een rij te zetten. Uiteraard is dit slechts een vereenvoudigde weergave van een complexe materie. 1) Strategisch kader: drie puzzelstukken die op elkaar ingrijpen De Data Governance Act (DGA)  verhoogt vertrouwen in vrijwillige datadeling: ze regelt databemiddelingsdiensten en data-altruïsme, en opent (onder voorwaarden) hergebruik van bepaalde beschermde overheidsdata. Ze geldt sinds 24 september 2023. België wees o.a. de FOD Economie aan als be...
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