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Lessons From Abroad - James Brennan
- 1. James Brennan BBS ACMA MICS MSc (Health informatics) Department of Computer Science and Information Systems University of Limerick james.brennan@ul.ie
- 2. ๏ก Involved in e-Health projects for 20 years ๏ก Hospitals, Specialist Clinics, Disability Sector ๏ก Primary Care & Acute Sector ๏ก Public and Private Sectors ๏ก 2010 - MSc in Health Informatics ๏ก 2011 - PhD candidate (Health Informatics)
- 3. NO TYPE NUMBER 1 Journal Articles 343 2 Published Reports 64 3 Newspaper Articles 32 4 Textbooks 31 5 Pamphlets 11 6 Conference Proceedings 10 7 Websites 9 8 Academic Dissertations 7 TOTAL 507
- 4. Country EHR % E-Prescribing % Finland 99 100 Denmark 99 95 Sweden 99 70 Norway 98 95 The Netherlands 98 85 United Kingdom 95 90 New Zealand 92 78 Australia 79 81 Ireland 60 34 Germany 42 59 United States 29 20 Canada 20 11 Japan 10 0
- 5. ๏ก Denmark ๏ก Sweden ๏ก Finland ๏ก Norway ๏ก The Netherlands ๏ก The UK ๏ก New Zealand ๏ก Estonia
- 6. How ?
- 9. 1. National integrated health service 2. National unifying organisation for e-Health 3. National e-Health leadership 4. National e-Health strategy 5. National governance model 6. National communication channels 7. National education & training in e-Health 8. Method to consult with national software industry
- 10. 1. Legal regulation of data privacy 2. Clear consent rules for e-Health use 3. Unique ID system for patients, professionals, providers & institutions 4. Legally secure systems (e.g. Digital signatures, transaction logging, legal penalties) 5. Regulation of e-record in the medical domain 6. Certification of e-health software
- 11. 1. Agreed national technical standards for data exchange (EDIFACT, XML, HL7) 2. Agreed national semantic data structures (SNOMED CT, ATC codes) 3. Secure national e-health networks 4. Secure national e-registries with online access 5. Availability of nation-specific EHR software 6. Availability of Interoperability products &
- 12. ๏ Behind the leaders in all 20 areas ๏ But going in the right direction .... ๏ HSE & HIQA & DOH&C โ moving towards an integrated universal health system ๏ Proposed health information bill since 2008 ๏ Proposed new system of unique health identifiers ๏ Proposed ICT strategy (HSE) ๏ GPIT Group - certify software since 2007 & IT training ๏ Healthlink โ moving towards a national network ๏ HIQA โ 12 GP messaging standards/HL7 2.4 in 2010
Editor's Notes
- Over 500 References in the last 10 years, and thousands more that were rejected (e.g. Clinical aspects of e-p)
- Link between EHR & E-PUSA โ 3b prescriptions pa โ over 100m now by ETP Finland a case in point 2006 abandoned2011 โ new national e-p centre being built where all prescriptions will be routed through Australia โ national tender 2009, cancelled Jan 2010ETP is a very challenging area for most countries for many reasons
- From all research it became very clear that the leading countries are ...
- From all research it became very clear that the leading countries are ...
- The aorta is the largest artery in the body, originating from the left ventricle of the heart and extending down to the abdomen, where it branches off into two smaller arteries (the common iliacs). The aorta distributes oxygenated blood to all parts of the body through the systemic circulation.[2]
- The foundations are beginning to appear
- The aorta is the largest artery in the body, originating from the left ventricle of the heart and extending down to the abdomen, where it branches off into two smaller arteries (the common iliacs). The aorta distributes oxygenated blood to all parts of the body through the systemic circulation.[2]