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The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands
The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands
The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands
The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands
The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands
The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands
The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands
The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands
The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands
The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands
The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands
The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands
The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands
The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands
The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands
The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands
The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands
The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands
The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands
The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands
The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands
The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands
The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands
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The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands

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The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands. Sprenger M. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

The Use of the eID for Health Professionals within the Nationwide Infrastructure in The Netherlands. Sprenger M. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

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  • 1. The use of e-ID in the national infrastructure of the Netherlands Michiel Sprenger, PhD Senior Adviser IT & Innovation National Institute for IT in Healthcare
  • 2. e-ID for health care professionals and providers
  • 3. Agenda • Introduction to eHealth in the Netherlands • e-ID in the Netherlands • Some application areas • Questions
  • 4. Agenda • Introduction to eHealth in the Netherlands • e-ID in the Netherlands • Some application areas • Questions
  • 5. The Netherlands in EU Area: #22/27 Pop: #8/27
  • 6. IT proliferation • Hospitals: • HIS 100% • PACS 100% • Clinical overview: 80% • Order management (CPOE): 30% • General Practitioners: 100% • Pharmacies: 100% • Nursing homes: 10%
  • 7. Interconnection cross- enterprise - current • Many local and regional initiatives • NO regions in Health system, only in collaboration (+IT) • Dominant: Edifact messaging: • >100M messages / year • Prescriptions • Lab-results • Discharge letters • Patient summaries • Islands, not interconnected • Security doubtful • Need for national standards
  • 8. Healthcare in the Netherlands • Multi-enterprise business model: • 100 hospitals, 4500 GP practices, 1800 pharmacies, 100 locum tenency services for GP’s, each responsable for own finance, medical policies, investments, and IT • Thus: interoperability problems are large on all levels •  Urge for standards •  Much debate (“polder”-model)
  • 9. Upfront Choice for health IT • Leave information at the source • Responsibility • Unambiguousness • Security • Fits to business situation •  Connectivity, not “system” building
  • 10. Nationwide electronic patientrecord (“the EPD”) • It is not a record, nor a system • It is an infrastructure • Leaving information at the source • In the (electronic) working environment of the Health Care Professional or Provider (HCP) • Under the responsibility of the source HCP • Enabling selective and safe information exchange between HCP’s and between HCP’s and patients
  • 11. Standards • HL7v3 for messaging (www.hl7.org) • SNOMED-CT for “language” unification Systematitized Nomenclature of Medicine – Clinical Terms (www.ihtsdo.org) • IHE for implementation guidelines Integrating the Healthcare Enterprise (www.ihe.net) • Many others
  • 12. Infrastructure • Standardised communication • Safe communication • Logging • Identification: patients, HCP’s • Patient consent registration & handling • Index function: search, find, transfer
  • 13. Agenda • Introduction to eHealth in the Netherlands • e-ID in the Netherlands • Some application areas • Questions
  • 14. HCP register - UZI • National register of: • Health care professionals (persons) • Health care providers (institutions) • UZI register (Unique HCP Identification) • UZI card
  • 15. Health care professionals • General Practitioners (8.000) • Pharmacists (1.800) • Nurses (140.000) • Medical specialists • Dentists • Etc • Total >200.000 • Role codes: 70
  • 16. Health care providers • GP practices (4.500) • Pharmacies (1.800) • Hospitals (100) • Etc • Total >8000
  • 17. UZI-certificates • Authenticity (person + institution) • Confidentiality (person + institution) • Non-repudiation (person) – “signature”
  • 18. Authorisation • Identification • Authentication • Role code • Authorisation scheme for application • Patient consent • Treatment relation • Logging of transactions
  • 19. Agenda • Introduction to eHealth in the Netherlands • e-ID in the Netherlands • Some application areas • Questions
  • 20. Diabetes - program • Driver: Quality • Exchange of all data relevant to diabetes between the (many) healthcare professionals involved • Self-management • Reports 20
  • 21. Diabetes HCP’s involved • General Practitioner (often also the manager) • Diabetes nurse • Podotherapist • Physical therapist • Dietician • Internal medicine specialist • Ophthalmologist • Neurologist • ..... 21
  • 22. Diabetes - status • Care standard - ready • Information model – ready • Architecture – ready • Implementation guidelines (44 HL7v3 messages) – ready • 2 pilots running 22
  • 23. Questions ? sprenger@nictiz.nl

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