A Composite Index for Benchmarking eHealth Deployment in European Acute hospitals

A Composite Index for Benchmarking eHealth Deployment in European Acute hospitals Catalonia Presentació Pla de Salut i Pla Estratègic SITIC 2012-2015 23 Març 2012 Francisco Lupiáñez-Villanueva @flupianez http://www.ictconsequences.net Information Society Unit European Commissions Joint Research Centre (JRC) Institute for Prospective Technological Studies (IPTS) The views expressed in this presentation are those of the authors and do not necessarily reflect the position of the European Commission.Neither the Commission nor any person acting on behalf of the Commission can be hold responsible for the use which is made of this presentation

IPTS: Part of Joint Research Centre (JRC) ofthe EC: 7 Research Institutes across EUAs a service of the European Commission, themission is to provide customer-driven scientificand technical support for the conception,development, implementation and monitoringof EU policies.JRC functions as a reference centre of scienceand technology for the Union. It serves thecommon interest of the Member States, whilebeing independent of special interests, whetherprivate or national.

eHealth has figured high in the European CommissionInformation Society policy agenda for a decade:•eEurope framework•i2010 strategy•Digital Agenda for Europe (2010-2015) – Pillar 7: ICT for SocietalChallenges • Action 75a: Give Europeans secure online access to their medical health data • Action 75a: achieve widespread telemedicine deployment • Action 76: Propose a recommendation to define a minimum common set of patient data • Action 77: Foster EU-wide standards, interoperability testing and certification of eHealth

BenchmarkingeHealthDeployment inEuropean AcuteHospitalsCodagnone, C. and F. Lupiañez-Villanueva, (2011). A composite index for the benchmarking of eHealth Deployment in European acute Hospitals. Distilling reality in manageable form for evidence based policy. Institute for Prospective Technological Studies (IPTS) - European Commissions Joint Research Centre (JRC).

Codagnone, C. and F. Lupiañez-Villanueva, (2011). A composite index for the benchmarking of eHealth Deployment in European acute Hospitals. Distilling reality in manageable form for evidence based policy. Institute for Prospective Technological Studies (IPTS) - European Commissions Joint Research Centre (JRC).

Overall indicator Infrastructure Application HIE Security and Privacy Factor Analysis Factor Analysis Factor Analysis Factor Analysis Computer system Electronic Patient Security and privacy Clinical Information Laboratory results connected Record (EPR) electronic patient data With a hospital Broadband above Personal Health or hospitals outside With a hospital or hospitals outside 50 MBps Record (PHR) National level your own hospital your own hospital system system Hospital support Picture archiving External general wireless and Communication External general practitioners Regional level communications practitioners systems (PACS) Hospital video An integrated system Protect the patientconference facilities for billing management External specialists External specialists data Encryption An integrated system to Health care providers in Health care providers in send or receive electronic referral letters All stored data other EU countries other EU countries An integrated system to Health care providers Health care providers send electronic discharge letters All transmitted data outside the EU countries outside the EU countries An integrated system for Protect the patient tele-radiology Medication list Radiology reports data Workstations A computerized system for With a hospital or hospitals outside With a hospital or hospitals outside with access only through ePrescribing your own hospital your own hospital system health professional cards system An adverse health events External general with access only through report system External general practitioners practitioners fingerprint information An electronic Clinical with access only through External specialists External specialists a password Tests An electronic service Health care providers in Health care providers in Protect the patient data order placing other EU countries other EU countries with digital signature An electronic appointment Health care providers Health care providers booking system outside the EU countries outside the EU countries Tele-homecare/tele-monitoring services to outpatients (at home)

eHealth Hospital Deployment Overall indicator (weighted sum) 0.25 weighted 0.25 weighted 0.25 weighted 0.25 weighted Application HIE Security & Privacy Infrastructure Dimension Dimension Dimension Dimension Summary indicator Summary indicator Summary indicator Summary indicator (weighted sum) (weighted sum) (weighted sum) (weighted sum) Factor Analysis Factor Analysis Factor Analysis Factor AnalysisPhysical oriented Clinical and Image Country Encryption(Sub-dimension) (Sub-dimension) (Sub-dimension) (Sub-dimension) EPR and patientServices oriented management Health professionals Regulation(Sub-dimension) Intra-mural (Sub-dimension) (Sub-dimension) (Sub-dimension) Patient access and Medication list Workstation safety (Sub-dimension) (Sub-dimension) (Sub-dimension) PHR & tele-monitoring Hospital Extra-mural (Sub-dimension) (Sub-dimension)

Benchmarking eHealth Deployment - Parameters Indicators Overall Dimension Sub-dimension Weight of Weights of Weights of weight factors in variables in selected dimensions summary factor** variables in indicators*** factor*** Sub-dimensionComputer system connected Infrastructure 0.381 0.464 0.512Broadband above 50 MBps physical oriented 0.441 0.536 0.25 InfrastructureHospital support wireless communications Infrastructure 0.711 0.717 0.488Hospital video conference facilities service oriented 0.28 0.283Picture archiving and communication 0.294 0.383systems (PACS)An integrated system for tele-radiology Emphasis on 0.242 0.316 0.305An electronic Clinical Tests clinical and image 0.11 0.143An electronic service order placing? (e.g. 0.121 0.158test/diagnostic results)?An integrated system to send electronic 0.231 0.309discharge letters Emphasis on EPRAn integrated system to send or receive and patient 0.294 0.223 0.299electronic referral letters management 0.25 ApplicationA computerized system for ePrescribing (intramural) 0.171 0.229Electronic Patient Record (EPR) 0.122 0.163An integrated system for billing 0.37 0.549management Emphasis onAn electronic appointment booking patient demand 0.234 0.165 0.245system? and safetyAn adverse health events report system 0.139 0.206Tele-homecare/tele-monitoring services to Emphasis on PHR 0.509 0.647outpatients and tele 0.168Personal Health Record (PHR) monitoring 0.278 0.353

Laboratory results Health care providers outside the EU 0.149 0.154countriesRadiology reports Health care providers outside the EU 0.136 0.140countriesClinical information: Health care providers outside the 0.126 0.130EU countriesMedication lists information Health care providers 0.122 0.126outside the EU countries Country 0.353Laboratory results Health care providers in other EU 0.12 0.124countriesRadiology reports Health care providers in other EU 0.116 0.120countriesClinical information: Health care providers in other EU 0.104 0.107countriesMedication lists information Health care providers in 0.096 0.099other EU countriesLaboratory results External specialists 0.25 HIE 0.14 0.179Laboratory results External general practitioners 0.137 0.175Radiology reports External general practitioners Health 0.136 0.174 0.328Clinical informacion: External general practitioners professionals 0.131 0.168Clinical information: External specialists 0.119 0.152Radiology reports External specialists 0.118 0.151Medication lists information External specialists 0.255 0.346Medication lists information External general Medication list 0.164 0.252 0.341practitionersMedication lists information With a hospital or hospitals 0.231 0.313outside your own hospital systemRadiology reports With a hospital or hospitals outside 0.257 0.364your own hospital systemClinical information: With a hospital or hospitals outside Hospital 0.154 0.226 0.320your own hospital systemLaboratory results With a hospital or hospitals outside 0.224 0.317your own hospital systemProtect the patient data Encryption of all stored data 0.521 0.537 Emphasis onProtect the patient data Encryption of all transmitted 0.346 encryption 0.45 0.463dataSecurity and privacy of electronic patient data at 0.499 0.527national level Emphasis on Security & 0.344Security and privacy of electronic patient data at 0.25 regulation Privacy 0.447 0.473regional levelProtect the patient data Workstations with access only 0.569 0.593through health professional cards Emphasis on 0.31Protect the patient data Data entry certified with digital workstation 0.391 0.407signature

,000 0 ,100 0 ,200 0 ,300 0 ,400 0 ,500 0 ,600 0 ,700 0 ,800 0 ,900 0 1,000 0 IRELANDD DENMARK K ICELANDD FINLAND D SWEDEN N NORWAY Y UK K AUSTRIAA CATALONIA A NETHERLANDS S LUXEMBOURG G SPAIN N BELGIUM M BULGARIA A CROATIA A FRANCEE PORTUGAL L AVERAGE ECZECH REPUBLIC H C Infrastructure e LATVIA A ITALY Y GERMANY Y CYPRUSS HUNGARY Y MALTAA LITHUANIA A ROMANIA A SLOVANIA A GREECEE ESTONIA A POLAND D SLOVAKIA A

,000 0 ,100 0 ,200 0 ,300 0 ,400 0 ,500 0 ,600 0 ,700 0 ,800 0 ,900 0 1,000 0 UK K ESTONIA A SWEDEN N IRELAND D ICELAND D CATALONIA A SPAIN N NORWAY Y AUSTRIA A DENMARK K PORTUGAL L ROMANIA A ITALY Y NETHERLANDS S y GERMANY Y AVERAGE E FRANCE E FINLAND D BELGIUM M Privacy & Security yCZECH REPUBLIC H C POLAND D HUNGARY Y LUXEMBOURG G MALTA A LITHUANIA A GREECE E SLOVANIA A CROATIA A SLOVAKIA A CYPRUS S BULGARIA A LATVIA A

Composite index as: Transparent and robust policy-making tool Monitoring (results - targets) Learning (inputs – process) Impact assessment – health indicators

Moltes gràcies Francisco Lupiáñez-Villanueva @flupianez http://www.ictconsequences.net Information Society Unit European Commissions Joint Research Centre (JRC) Institute for Prospective Technological Studies (IPTS) The views expressed in this presentation are those of the authors and do not necessarily reflect the position of the European Commission.Neither the Commission nor any person acting on behalf of the Commission can be hold responsible for the use which is made of this presentation

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A Composite Index for Benchmarking eHealth Deployment in European Acute hospitals

by Francisco Lupiáñez-Villanueva

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A Composite Index for Benchmarking eHealth Deployment in European Acute hospitals Presentation Transcript