Uwe Buddrus. Chronic disease management

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Uwe Buddrus. Chronic disease management

  1. 1. Subtitle THE STATUS OF CHRONIC DISEASE MANAGEMENT PROGRAMMES IN EUROPE An overview in the context of EMR Adoption in European acute hospitalsPRESENTED BY: UWE BUDDRUS, MANAGING DIRECTOR HIMSS ANALYTICS EUROPEIV JORNADA TIC BSA, BADALONA, 26 OCTOBER 2012 © HIMSS Analytics Europe – European eHealth Overview - 1
  2. 2. PYRAMID OF CARE ... chronic Subtitle diseases occur in every level and are “diseases of long duration and generally slow progression” e.g. HIV, Cancer, etc. e.g. Cardiovascular diseases, COPD, Depression, Kidney diseases, Multiple Sclerosis, etc. e.g. Asthma, Allergy, Diabetes, GERD, Psoriasis, Obesity, etc.Copyright © 2011-2012 Silicon & Software Systems Ltd.© HIMSS Analytics Europe – European eHealth Overview - 2
  3. 3. THE COORDINATED CARE ECOSYSTEMDiseaseSubtitle management is defined as “a system of coordinated healthcareinterventions and communications for populations with conditions in whichpatient self-care efforts are significant”. Copyright © 2011-2012 Silicon & Software Systems Ltd.© HIMSS Analytics Europe – European eHealth Overview - 3
  4. 4. THE OPERATIONAL PROCESS ... applicable to most Chronic Diseases Subtitle Devices and Apps, Telemedicine Electronic Medical Record with eMAR, CPOE, CDSSElectronic Patient / g Health Record enin s c re for eters param of the ion rminat D ete © HIMSS Analytics Europe – European eHealth Overview - 4
  5. 5. THE TECHNICAL ECOSYSTEM… in principal a personal telehealth ecosystemSubtitle© HIMSS Analytics Europe – European eHealth Overview - 5
  6. 6. FROM SILO TO INTEGRATED CARE… the role of EMR adoption in chronic disease managementSubtitle EMR = GATHER & PHR STORE data = EMPOWER the patient n t io i na o rd Co e C ar d te g ra n te I IE ILIZE H B O a M dat EHR = = SHARE data© HIMSS Analytics Europe – European eHealth Overview - 6
  7. 7. THE EUROPEAN EMR ADOPTION MODEL… in 7SubtitleStages to Highest Quality in Patient Care “Paperless” patient record environment for highest quality of care, data continuity & full HIE Full electronic clinical decision support, and highest medication safety Completely electronic diagnostic image management Electronic order entry with decision support and result reporting Clinical ordering and documentation – especially nursing care A patient-centered electronic data repository Electronic diagnostic and pharmacy department information© HIMSS Analytics Europe – European eHealth Overview - 7
  8. 8. EMR ADOPTION IN EUROPE... basedSubtitle on HIMSS Analytics European EMR Adoption Model Ø0 Ø1 Ø1 Ø2 Ø3 Countries currently under reviewSource: HIMSS Analytics Europe eHospital Census 2012© HIMSS Analytics Europe – European eHealth Overview - 8
  9. 9. KEY APPLICATION OVERVIEWElectronicSubtitle Patient Record, Telemedicine, Chronic Disease Management SystemAcute Hospitals with Installations 2012, % of Institutions© HIMSS Analytics Europe – European eHealth Overview - 9
  10. 10. STANDARDS FOR INFORMATION EXCHANGE Current Subtitle Use (% of Acute Hospitals, 2012) and Trend Germany Italy Poland Portugal SpainHL7 CCD 96,0% 90,5% 57,2% 59,6% 94,2% Trend (2011 vs. 2009/10)DICOM 86,2% 97,2% 50,6% 92,3% 88,4% Trend (2011 vs. 2009/10)IHE - Integrating Healthcare Enterprise 2,7% 29,1% 0,0% 11,9% 1,5% Trend (2011 vs. 2009/10)CORBAMED 1,4% 26,2% 0,0% 4,9% 0,0% Trend (2011 vs. 2009/10)CEN TC/251 0,0% 21,0% 0,0% 1,7% 0,0% Trend (2011 vs. 2009/10)XML 17,2% 58,0% 88,9% 82,8% 33,6% Trend (2011 vs. 2009/10)XDS 0,0% 29,0% 0,0% 24,9% 2,5% Trend (2011 vs. 2009/10)Other 4,0% 0,0% 3,3% 23,2% 7,7% Trend (2011 vs. 2009/10) N (valid)* 143 98 112 35 111© HIMSS Analytics Europe – European eHealth Overview - 10
  11. 11. TELEMEDICINE PROJECTS IN EUROPE... moreSubtitle than pilots?!• « Tele-Diabetes » (Auvergne - France) – self-management of insulin dosage• « ePatch » (Syddanmark - Denmark) – self-management and telemonitoring of cardiac activity• « NEXES » (Barcelona - Spain) - follow-up management of patients suffering from coronary artery disease or COPD• « TelemonitoringNI » (Northern Ireland – UK) - telemonitoring service supporting patients with long-term conditions to manage their own health• « PALANTE » (EU sustained; started 1/02/2012) – 9 pilot projects in 8 countries aiming at developing a support service for chronic diseases, e.g.: • Diabetes (Andalusia - Spain and Norway) • Cardiac failure (Lombardia - Italy) • Severe osteoarthritis (Turkey) • Respiratory diseases (Basque Country - Spain)© HIMSS Analytics Europe – European eHealth Overview - 11
  12. 12. Subtitle© HIMSS Analytics Europe – European eHealth Overview - 12
  13. 13. CONTACT HIMSS ANALYTICS EUROPESubtitle Uwe Buddrus Managing Director HIMSS Analytics Europe Schwägrichenstraße 9 04107 Leipzig, GERMANY e-mail: ubuddrus@himssanalytics.eu phone: +49 341 333 95 111For further information visit: www.himssanalytics.eu© HIMSS Analytics Europe – European eHealth Overview - 13

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