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The Danish Digitalization Strategy

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  • Innovating better life for citizens and patients is about providing even and equal access to healthcare services and to healthcare information.It is about patient empowerment, because informed and empowered patients makes healthcare more efficient and provide higher quality of life for patients.It is about prevention and wellness to make our population healthy and avoid lifestyle related diseases.It is about saving lives when accidents happen through a state of the art pre- hospital and emergency services.It is about convenient and safe patient diagnostics which leads to the right treatment.AND It is about healthcare transformation to make future healthcare meet demands in an economically sustainable way.- Other factors are equally important, but I have chosen to focus on these in my presentation
  • One of the aspects of increasing productivity is a clear focus on moving healthcare services closer to the patient.Therefore there is a consistent effort to shift from inpatient treatment to outpatient treatment where ever possible. This has e.g. lead to the introduction of new invasive operation technologies and transforming our healthcare system, municipalities are now responsible for rehabilitation, in order to reduce inpatient stay at hospitals.During recent years, Danish hospitals have also been demanded to increase productivity by typically 2% (sometimes more), every year.
  • In the next ten years Denmark will invest more than 7,5 billion $ in 16 new hospital projects.The projects will modernize around one-third of the current Danish hospital capacity The 16 projects, which are mainly public-private partnerships, are cooperating closely around new innovations, danish design and green technology to reduce energy consumption and environmental impact.
  • Innovating better life for citizens and patients is about providing even and equal access to healthcare services and to healthcare information.It is about patient empowerment, because informed and empowered patients makes healthcare more efficient and provide higher quality of life for patients.It is about prevention and wellness to make our population healthy and avoid lifestyle related diseases.It is about saving lives when accidents happen through a state of the art pre- hospital and emergency services.It is about convenient and safe patient diagnostics which leads to the right treatment.AND It is about healthcare transformation to make future healthcare meet demands in an economically sustainable way.- Other factors are equally important, but I have chosen to focus on these in my presentation
  • Innovating better life for citizens and patients is about providing even and equal access to healthcare services and to healthcare information.It is about patient empowerment, because informed and empowered patients makes healthcare more efficient and provide higher quality of life for patients.It is about prevention and wellness to make our population healthy and avoid lifestyle related diseases.It is about saving lives when accidents happen through a state of the art pre- hospital and emergency services.It is about convenient and safe patient diagnostics which leads to the right treatment.AND It is about healthcare transformation to make future healthcare meet demands in an economically sustainable way.- Other factors are equally important, but I have chosen to focus on these in my presentation
  • Innovating better life for citizens and patients is about providing even and equal access to healthcare services and to healthcare information.It is about patient empowerment, because informed and empowered patients makes healthcare more efficient and provide higher quality of life for patients.It is about prevention and wellness to make our population healthy and avoid lifestyle related diseases.It is about saving lives when accidents happen through a state of the art pre- hospital and emergency services.It is about convenient and safe patient diagnostics which leads to the right treatment.AND It is about healthcare transformation to make future healthcare meet demands in an economically sustainable way.- Other factors are equally important, but I have chosen to focus on these in my presentation
  • Innovating better life for citizens and patients is about providing even and equal access to healthcare services and to healthcare information.It is about patient empowerment, because informed and empowered patients makes healthcare more efficient and provide higher quality of life for patients.It is about prevention and wellness to make our population healthy and avoid lifestyle related diseases.It is about saving lives when accidents happen through a state of the art pre- hospital and emergency services.It is about convenient and safe patient diagnostics which leads to the right treatment.AND It is about healthcare transformation to make future healthcare meet demands in an economically sustainable way.- Other factors are equally important, but I have chosen to focus on these in my presentation
  • Denmark is one of the pioneers in diabetes research, which goes 80 years back in time. Diabetes - and the Steno Diabetes center, which is a cooperation between Novo Nordisk and danish authorities - is also a good example of how danishpharma companies and public authorities work together in public-private partnerships to discover and test new medicine.With COPD, diabetes is also one of the focal areas for supporting chronic patients in Denmark with telehealth solutions. Today, a nationwide telehealth solution to cope with ulcer among diabetes patients has been implemented and in the coming years, Denmark will continue the focus on telehealth support for chronic patients.Telehealth and ambient assisted living technology is also used in Denmark to support elderly people in their own homes. E.g. advanced ceiling lifts and high-tech wheelchairs are being used in elderly homes to improve mobility, which is highly appreciated by the elderly. At the same time this technology means huge cost savings (studies indicate 75% home nurse time savings after the first year) because one home nurse can handle tasks which previously required 2 home nurses. This is not only about technology, it is also very important to get the right balance between the elderly persons use of technology and personal contacts with e.g. nurses and relatives..Studies from different Danish telehealth projects indicate healthcare savings up to 30% through patient empowerment, because empowered chronic patients clearly tend to reduce their use of hospital services. And at the same time, their involvement in their own disease increase their insight and quality of live.
  • Innovating better life for citizens and patients is about providing even and equal access to healthcare services and to healthcare information.It is about patient empowerment, because informed and empowered patients makes healthcare more efficient and provide higher quality of life for patients.It is about prevention and wellness to make our population healthy and avoid lifestyle related diseases.It is about saving lives when accidents happen through a state of the art pre- hospital and emergency services.It is about convenient and safe patient diagnostics which leads to the right treatment.AND It is about healthcare transformation to make future healthcare meet demands in an economically sustainable way.- Other factors are equally important, but I have chosen to focus on these in my presentation
  • Transcript

    • 1. The Danish Digitalization Strategy Hans Erik Henriksen CEO, Healthcare DENMARK E-mail: heh@healthcaredenmark.dk 17.03.14
    • 2. Healthcare DENMARK is a public-private partnership
    • 3. Healthcare DENMARK activities • Delegation visits to Denmark • Danish delegations abroad • Conferences • Press and communication • Healthcare DENMARK website
    • 4. “In Denmark, our focus on putting the patient first – combined with constant efforts to improve efficiency and quality – has resulted in a wide array of innovative healthcare solutions. I sincerely believe Danish technologies, products and expertise can have a positive impact on global health.” 20-03-2014 4 Her Royal Highness Crown Princess Mary is patron for Healthcare Denmark
    • 5. Agenda • E-health in Denmark • MedCom • Sundhed.dk • Telehealth in Denmark • Ambient Assisted Living
    • 6. 6 Danish citizens are happy with their lives and with healthcare services Denmark ranking, Quality of life in Europe report 2012
    • 7. A consistent focus on healthcare efficiency and quality help ensure equal access to sustainable healthcare • Shortest average EU admission time per patient • Focus on moving healthcare services closer to the patient • Ambitious productivity improvement targets each year • Lean and accreditation • 100% hospital EMR coverage • Focus on clinician support • Highly structured EMR’s
    • 8. 16 new hospitals will be the backbone of patient centric healthcare • Public-private partnerships • New innovations • Danish design • Green
    • 9. Agenda • The Danish Healthcare System • E-health in Denmark • Telehealth in Denmark • Ambient Assisted Living
    • 10. Agenda • E-health in Denmark • MedCom • Sundhed.dk • Telehealth in Denmark • Ambient Assisted Living
    • 11. A long term focus on health data networks and on e-health provide efficient access to healthcare information MedCom Health Data Network 1994 - Sundhed.dk E-health Portal 2003 - Who is behind? Ministry of Health, Danish Regions, Ministry of Interior, National Association of Local Authorities, National Board of Health, Copenhagen Hospital Corporation, Danish Pharmaceutical Association
    • 12. National eHealth organisations • MedCom (1994) • MedCom8 • Sundhed.dk (2002) • The National Healthportal • National Board of eHealth NSI-(2008) • National IT Strategy and infrastructure • NSP, FMK, • Regional Health IT – RSI (2010) • Strategy and 15 Milestones • KL/Combit (2011) • Telesundhed
    • 13. Hospital IT 2012
    • 14. Primary Care IT 2012
    • 15. Use of IT systems More than 60 IT vendors with more than 100 IT systems
    • 16. MedCom Who is behind ? u Ministry of Health (chair) u Danish Regions (co-chair) u Danish Municipalities u Danish Doctors u Danish Pharmacies u - and they also pay! What do we do ? u Making IT projects “cross sector borders” u Design standardized solutions u Focus on large-scale national implementation
    • 17. Before: Paper Based Communication Micbiology Outpatient Report TeleConsult Hospita l Doctors Letter Radiology Chem Lab Pathology Discharge Letter Specialist letters HomeCare letters Prescription In a typical health region with 1 mill inhabitants 10 mill paper based letters are exchanged in a health sector each year.
    • 18. MedCom standards – Why ? IT IT IT IT IT IT Referral Prescription Home Care Report Radiology Report Discharge Letter etc. IT IT IT IT IT IT MedCom Good Profiles
    • 19. The Six Flow The basic clinical communication in primary care Hospital Discharge Outpatient Referral Specialist Homecare Notify Care reports Doctors Letters Pharmacy Prescription Primary Care Laboratories Chemical, pathology and microbiology Results and request Radiology Request Report Insurance Reimbursements
    • 20. Messages each month MedCom Messages • 6 mio. each month • + 330.00 each år • + 500.000 in 2012 • 6000 organisations • 65 vendors • 110 IT systems • Net savings 80 mio. euro in 2008
    • 21. Example: Homecare – Hospital messages Municipality Hospital
    • 22. 2007: ePrescription EU/Empirica: Benchmarking ICT use among General Practitioners in Europe 2007
    • 23. From ePrescription to SMC National Net PharmacyPrimary Care National Repository
    • 24. From ePrescription to SMC Pharmacy Primary Care National SMC Home Care Hospital Citizen
    • 25. SMC Today? SMC end 2013 SMC covering end 2013 • GPs  65% technical implementet – rest in 2014  1 Mill SMC each month- around 1/3 of all • Hospitals  Large tech. implemented  But only little use • Homecare  Technical impl.2014  Organisational impl. 2015
    • 26. Agenda • E-health in Denmark  MedCom  Sundhed.dk • Telehealth in Denmark • Ambient Assisted Living
    • 27. SERVICES FOR CITIZENS • Access to personal health data on treatment • E.g. e-Record from hospitals and GPs and Shared Medication Card • Communication with health care providers • E.g. Contact information and e-services like booking, prescription renewals and electronic communication • General information on health service • E.g. quality in health care, patient rights • Accurate and updated information on health, disease and treatment • E.g. medical handbook • Personal home care/hospital solutions • E.g. diabetes and anticoagulant therapy • Patient to patient dialogue
    • 28. SERVICES FOR HEALTH CARE PROFESSIONALS • Access to personal health data on patients – E.g. e-Record, laboratory data and Shared Medication Card • Contact and service information on other health care providers • General information on health service – E.g. waiting lists, quality in health care, health and prevention programs, visitation • Accurate and updated information on health, disease and treatment – E.g. medical handbook, treatment feedback and benchmarking • Personal home care/hospital solutions – E.g. diabetes and anticoagulant therapy
    • 29. sundhed.dk
    • 30. Citizen Access to own data
    • 31. Example: Medication profile
    • 32. Example: eRecord Web Access to EHR
    • 33. INTERNATIONAL RECOGNITION
    • 34. • Citizens can be traced from the cradle to the grave • Diseases can be traced through generations • We have data on millions of individuals (whole population) • Research results with great certainty Personal identification number given at birth Diseases Microbiological diagnoses Medicine usage Vaccinations Laboratory results Biological samples Education Family, residence, profession Danish healthcare data are unique for research and telehealth
    • 35. 20-03-2014 35 In 2013 Denmark launched the strategy for the next 4 years • National EHR and E-health architecture • International standards • HL7 • Continua Health Allicance • First fully regional telehealth implementations • Coordinated strategy: • Ministry of Health and Prevention • Danish Regions • Danish Municipalities
    • 36. 36 The National Health-IT strategy and Telehealth plan will expand the National Service platform during the coming years 2014: National Image Index • Radiology • Ultrasound • Telehealth 2015- : National Telehealth • Device data • General (e.g. weight) • Diagnostic (e.g. ECG) Other national initiatives: • New re-imbursement solution • National cancer screening • National Biobank • IT standards development • HL7 • SNOMED CT • Continua Health Alliance
    • 37. Agenda • E-health in Denmark • MedCom • Sundhed.dk • Telehealth in Denmark • Ambient Assisted Living
    • 38. Telehealth improve quality of life for chronic patients and elderly citizens • Chronic diseases – e.g. diabetes: • 80 years diabetes research excellence • Nationwide Ulcer telehealth • Medical Home telehealth support • Elderly citizens • Keeping citizens healthy in their own home • Technology/personal care balance
    • 39. 20-03-2014 39 The Danish Telehealth plan will establish a mature market for Telehealth solutions Telecare North: • COPD patients • Diabetes patients • Heart patients CIH (Clinically Integrated Home monitoring): • Ulcer patients • COPD patients • Diabetes patients • Pregnancy
    • 40. Agenda • E-health in Denmark • MedCom • Sundhed.dk • Telehealth in Denmark • Ambient Assisted Living
    • 41. 20-03-2014 41 The e-health and telehealth strategy will align with the 2013 – 2020 Assisted Living strategy • Full scale implementation of proven solutions • Ceiling lifts • Digital rehabilitation • Selected robot technology • Full scale Smart Home implementation • Smart Home technology for disabled citizens • Coordinated strategy: • Ministry of Health and Prevention • Danish Regions • Danish Municipalities
    • 42. 20-03-2014 42 Ambient Assisted Living technology Reducing homecare resources Home rehabilitation Robot technology Surveillance and smart home
    • 43. Conclusion • Denmark is one of the most mature e-health countries in the world • A national e-health service platform • Moving towards full scale Telehealth implementation • Assisting Living innovation • Full scale Smart Homes 20-03-2014 43
    • 44. Hans Erik Henriksen, CEO Healthcare DENMARK heh@healthcaredenmark.dk20-03-2014 44