Healthcare Professionals Identification at regional and local level: an RFId ...ePractice.eu
The document discusses two projects in Italy related to healthcare identification and traceability: 1) The CRS-SISS project in Lombardy which implements a regional healthcare smart card (CRS) and information system (SISS) to digitize healthcare processes. 2) A project at the Italian National Cancer Institute in Milan using RFID technology for safety and traceability in clinical processes like transfusions. The document proposes a scenario where the Cancer Institute pilots using the regional CRS card with RFID to simplify staff identification and access to clinical applications, which could enhance the regional system's capabilities and enable mobile applications with user identity information.
How Sweden improved patient self service with ehealthJohan Eltes
Since 2006, a national Health Advice Line – 1177 - has been Swedish residents first point of contact with healthcare. In 2006, a national patient portal was set up to facilitate form based, secure information exchange between patients and Swedish care providers. The next step was to introduce fully digitalized self-service e-services. These services offload health care personnel from manual registration tasks and improves the service to the patients. As an example, 1177 provides a national e-service for online appointment management with primary care providers across the country. Another e-service of the national patient portal provides online access to electronic health records from the majority of the EHR systems of Sweden’s 21 county councils and 300 municipalities. The appointment e-service has had a linear increase in patient transactions, starting at 25 000 per year with a current rate of 1,2 million per year. The current development is focused on tele medicine services (a national platform for remote treatment programs), the ability for the patient to share EHR data with apps and services and a national architecture for personal connected health (home monitoring). The presentation gives an overview of e-services offered to patients, their adoption and share some lessons learned.
1) Poland has implemented several e-health initiatives including the Medical Information System (SIM) consisting of the P1, P2, and P4 projects. P1 enabled digital prescription filling and other functionalities. P2 allowed sharing of medical records and registers. P4 involved supplementary domain systems.
2) Pilot telemedicine projects were launched in cardiology and geriatrics to provide teleconsultations, reduce wait times and unnecessary hospitalizations, and evaluate outcomes.
3) Upcoming amendments to the Act on the health information system will require compulsory electronic medical documentation from August 2017 and enable telemedicine services from pharmacists, doctors, and others. Coordination of regional and central e-health systems is
Connected Health & Me - Raul Mill - Nov 24th 2014ipposi
The document discusses Estonia's eHealth system. It provides information on:
- Key statistics on Estonia's economy and healthcare expenditures. Healthcare spending as a percentage of GDP has increased from 5.9% to 6.9% from 2011-2013.
- The development of Estonia's eHealth infrastructure from 2000-present, including the establishment of the eHealth Foundation in 2005 and launch of the national health information exchange platform in 2008.
- The main components of Estonia's eHealth architecture including electronic health records, digital prescriptions, patient portals, and standards for data exchange. Over 1.3 million Estonians have medical data accessible through the patient portal.
An eHealth suite for the support of Primary Health Care.
Athena Triantafyllidi, IT Director at IDIKA explains the developments behind the eGov organisation for Social Security and what led them to be considered one of the leading European examples in implementing a digital reference for all those living in Greece.
Twitter: @idikagr
Digital Health in Context - Insights from Denmark, USA, China, South Korea an...Till Winkler
The document summarizes key aspects of digital health in Denmark. It describes Denmark's healthcare system context, including its universal healthcare model funded through taxes. It discusses Denmark's national digital health strategies and facilitating/inhibiting policy frameworks. It also outlines Denmark's provider-based electronic health record systems, health information infrastructure like the patient portal Sundhed.dk, and vibrant digital health innovation ecosystem. Overall, the document highlights Denmark's early and coordinated investments in digital infrastructure, consistent government strategies, and pragmatic policy approaches as supporting widespread digital health implementation.
Healthcare Professionals Identification at regional and local level: an RFId ...ePractice.eu
The document discusses two projects in Italy related to healthcare identification and traceability: 1) The CRS-SISS project in Lombardy which implements a regional healthcare smart card (CRS) and information system (SISS) to digitize healthcare processes. 2) A project at the Italian National Cancer Institute in Milan using RFID technology for safety and traceability in clinical processes like transfusions. The document proposes a scenario where the Cancer Institute pilots using the regional CRS card with RFID to simplify staff identification and access to clinical applications, which could enhance the regional system's capabilities and enable mobile applications with user identity information.
How Sweden improved patient self service with ehealthJohan Eltes
Since 2006, a national Health Advice Line – 1177 - has been Swedish residents first point of contact with healthcare. In 2006, a national patient portal was set up to facilitate form based, secure information exchange between patients and Swedish care providers. The next step was to introduce fully digitalized self-service e-services. These services offload health care personnel from manual registration tasks and improves the service to the patients. As an example, 1177 provides a national e-service for online appointment management with primary care providers across the country. Another e-service of the national patient portal provides online access to electronic health records from the majority of the EHR systems of Sweden’s 21 county councils and 300 municipalities. The appointment e-service has had a linear increase in patient transactions, starting at 25 000 per year with a current rate of 1,2 million per year. The current development is focused on tele medicine services (a national platform for remote treatment programs), the ability for the patient to share EHR data with apps and services and a national architecture for personal connected health (home monitoring). The presentation gives an overview of e-services offered to patients, their adoption and share some lessons learned.
1) Poland has implemented several e-health initiatives including the Medical Information System (SIM) consisting of the P1, P2, and P4 projects. P1 enabled digital prescription filling and other functionalities. P2 allowed sharing of medical records and registers. P4 involved supplementary domain systems.
2) Pilot telemedicine projects were launched in cardiology and geriatrics to provide teleconsultations, reduce wait times and unnecessary hospitalizations, and evaluate outcomes.
3) Upcoming amendments to the Act on the health information system will require compulsory electronic medical documentation from August 2017 and enable telemedicine services from pharmacists, doctors, and others. Coordination of regional and central e-health systems is
Connected Health & Me - Raul Mill - Nov 24th 2014ipposi
The document discusses Estonia's eHealth system. It provides information on:
- Key statistics on Estonia's economy and healthcare expenditures. Healthcare spending as a percentage of GDP has increased from 5.9% to 6.9% from 2011-2013.
- The development of Estonia's eHealth infrastructure from 2000-present, including the establishment of the eHealth Foundation in 2005 and launch of the national health information exchange platform in 2008.
- The main components of Estonia's eHealth architecture including electronic health records, digital prescriptions, patient portals, and standards for data exchange. Over 1.3 million Estonians have medical data accessible through the patient portal.
An eHealth suite for the support of Primary Health Care.
Athena Triantafyllidi, IT Director at IDIKA explains the developments behind the eGov organisation for Social Security and what led them to be considered one of the leading European examples in implementing a digital reference for all those living in Greece.
Twitter: @idikagr
Digital Health in Context - Insights from Denmark, USA, China, South Korea an...Till Winkler
The document summarizes key aspects of digital health in Denmark. It describes Denmark's healthcare system context, including its universal healthcare model funded through taxes. It discusses Denmark's national digital health strategies and facilitating/inhibiting policy frameworks. It also outlines Denmark's provider-based electronic health record systems, health information infrastructure like the patient portal Sundhed.dk, and vibrant digital health innovation ecosystem. Overall, the document highlights Denmark's early and coordinated investments in digital infrastructure, consistent government strategies, and pragmatic policy approaches as supporting widespread digital health implementation.
Kanta -The Place for Digital Patient Records and Client DataTHL
Kanta is Finland's national digital healthcare records system that provides major benefits to citizens, healthcare providers, and pharmacies. It contains electronic medical records, prescriptions, test results, and more. Key features include My Kanta Pages, which allows citizens online access to their health information, and electronic prescriptions, which improve safety and access to medications. Kanta aims to make healthcare information more available while protecting privacy and engaging citizens in their own healthcare. It is a collaborative effort involving multiple agencies and over 10,000 healthcare providers.
Presentation of a pre-study on a national ecosystem for a shared medication r...Johan Eltes
This document summarizes a pilot study conducted by Inera, a Swedish company owned by the Swedish Association of Local Authorities and Regions, to explore how healthcare providers can share patient medication request information across electronic health records based on existing national infrastructure and legislation. The study found that a virtual, distributed national medication request list accessed through shared application programming interfaces could allow providers to view, change, and receive notifications of changes to medication requests made by other providers, improving coordination of patient care. Next steps include further legal analysis, standards development, and piloting the proposed solution.
Kanta services for healthcare: Prescription service and Patient Data RepositoryTHL
Kanta services for healthcare: Prescription service and Patient Data Repository.Outi Lehtokari, Development Manager, Finnish Institute for Health and Welfare
Konstantin Hyppönen, Chief Architect for Kanta Services, Kela (Social Insurance Institution, Finland). Webinar on Kanta Services 30 October 2019
National Kanta Services Support Clinical Work in FinlandTHL
National Kanta Services support clinical work in Finland by providing digital services including a prescription center, patient data repository, and personal health record. Kanta services are implemented in stages to integrate many existing health data systems and bring benefits to citizens, pharmacies, and the healthcare sector by facilitating secure access and exchange of health information. Countries in northern Europe like Finland, Sweden, and Denmark are global leaders in digitalization and implementation of national eHealth strategies.
Governmental and private eHealth and telemedicine initiatives in LithuaniaCARRE project
R. Kizlaitis, Governmental and private eHealth and telemedicine initiatives in Lithuania, East Europe eHealth Innovation Summit, Warsaw, 15 January 2015
In this presentation, you will receive an overview of the TicSalut Foundation, the Catalon Healthcare System and the integration of health and social care in Catalonia.
Details of the presentation found in link:
http://www-01.ibm.com/software/city-operations/curam-research-institute/curam-roundtable/index.html
20151028 hd College van Geneesheren-Directeurs - Collège des directeurs médicauxJohan van Bussel
20151028 presentation project healthdata.be to College van Geneesheren-Directeurs - Collège des directeurs médicaux. More info available @ http://www.healthdata.be
Kanta is Finland's national eHealth infrastructure designed for healthcare, social services, pharmacies, and citizens. It includes a Patient Data Repository, Data Repository for Social Services, electronic prescriptions, and My Kanta personal health records. My Kanta Pages allows citizens to store and manage their own health and wellbeing data using approved applications, gives healthcare professionals access to up-to-date patient information, and is part of Finland's strategy to empower citizens and enable self-care through accessible health data and tools.
Presentation at the Parallel Session 1.5
Choosing and using standards for interoperable information systems at the PRINCE MAHIDOL AWARD CONFERENCE 2010, Bangkok, Jan 28-30
This document outlines Moldova's e-Health 2020 vision, strategy, and master plan. The vision is to improve healthcare services through information and communication technologies by 2020. It identifies three pillars: infrastructure, services, and management/governance. The strategy addresses current problems and outlines solutions and principles to accomplish objectives across the three pillars. The master plan details components, mechanisms, standards, flows, architecture, implementation steps, timelines, and budgets to develop an integrated e-health system over multiple years with a total estimated budget of 81.58 million euros. It identifies risks and change management strategies. The conclusions discuss benefits for citizens, businesses, the government, and medical institutions from implementing this e-health plan.
The virtual hospital project is a collaboration between several Finnish hospital districts and aims to provide seamless digital health services nationally. It offers both professionals and citizens digital tools to aid in diagnosis, treatment instructions, remote appointments, and self-care/monitoring. By the end of 2018, over 50 new digital care paths covering various medical areas will be available. The virtual hospital also works with the Finnish personal health record to aggregate data from connected devices to support treatments and enable authorized applications to access this data.
Guest lecture Programme in the Methods of Health Economics (Abteilung für Ges...healthdata be
Guest lecture Programme in the Methods of Health Economics (Abteilung für Gesundheitsökonomie, Zentrum für Public Health an der Medizinische Universität Wien)
THL provides open data resources from Finland including population health, welfare, healthcare performance, social services, infectious diseases, and food composition data. The site offers statistical databases, APIs, metadata, and background information. In addition to open data, THL supports startups, provides data analytics services, and plans to launch an innovation lab to encourage new uses and visualizations of the health and social data through hackathons and other initiatives.
The document discusses electronic health cards from a European perspective. It provides an overview of activities by EU member states in developing electronic cards, including examples from Austria, Belgium, Estonia, Finland, France, Italy, Slovenia, Spain, and Switzerland. It then discusses Germany's target of modernizing its healthcare system using information and communication technologies, including its strategy, concept, and costs of developing the electronic Gesundheitskarte health card and associated infrastructure. Finally, it discusses the need for collaboration across Europe to develop interoperable eHealth systems and services that can be used across borders.
Presentation ehealth data privacy anastasopoulos - tsolias (1)ethemis .gr
The document discusses eHealth and data privacy. It begins with an overview of eHealth, including definitions and categories such as clinical information systems, telemedicine, and secondary usage systems. It then provides statistics on the growth of the global telemedicine market. Regarding data privacy, it outlines the definition of personal data and special categories of data under EU directives. It discusses provisions for processing health data and the obligations of confidentiality. Finally, it discusses EU objectives for eHealth and the application of data protection principles in cross-border healthcare systems.
The Health Research Board (HRB) is a state agency that collects national health information systems to inform policy and service planning. It manages 5 databases covering disabilities, drug/alcohol misuse, and mental health. These databases contain de-identified individual-level records totaling over 100,000. The HRB uses the anonymous data to publish reports on the national, regional, and local levels to support health policy, service delivery, and research.
Health research, clinical registries, electronic health records – how do they...Koray Atalag
This is a talk I gave at my own organisation - National Institute for Health Innovation (NIHI) of the University of Auckland on 6 Aug 2014. Abstract as follows:
In this talk I’ll first cover the topic of clinical registry – an invaluable tool for supporting clinical practice but also gaining momentum in research and quality improvement. NIHI has been very active in this space: we have delivered the prestigious and highly successful National Cardiac Registry (ANZACS-QI) together with VIEW research team and also very recently launched the Gestational Diabetes Registry with Counties Manukau DHB & Diabetes Projects Trust. A few others are in likely to come down the line. This is a huge opportunity for health data driven research and NIHI to position itself as ‘the health data steward’ in the country given our independent status and existing IT infrastructure and “good culture” of working with health data . NIHI’s ‘health informatics’ twist in delivering these projects is how we go about defining ‘information’ – using a scientifically credible and robust methodology: openEHR. This is an international (and now national too) standard to non-ambiguously define health information so that they are easy to understand and also are computable. We build software (even automatically in some cases!) using models created by this formalism. I’ll give basics of openEHR approach and then walk you through how to make sense out of all these. Hopefully you may have an idea about its ‘value proposition’ (as business people call) or Science merit as I like to call it ;)
El documento presenta lineamientos para fortalecer la atención primaria de salud en el marco de la cobertura universal y la descentralización de los sistemas de salud. Resalta la importancia de enfoques integrales y basados en evidencia para abordar los problemas de salud existentes y nuevos desafíos. Propone la promoción de la salud como estrategia clave para lograr mejoras sostenibles en la salud de toda la población.
Kanta -The Place for Digital Patient Records and Client DataTHL
Kanta is Finland's national digital healthcare records system that provides major benefits to citizens, healthcare providers, and pharmacies. It contains electronic medical records, prescriptions, test results, and more. Key features include My Kanta Pages, which allows citizens online access to their health information, and electronic prescriptions, which improve safety and access to medications. Kanta aims to make healthcare information more available while protecting privacy and engaging citizens in their own healthcare. It is a collaborative effort involving multiple agencies and over 10,000 healthcare providers.
Presentation of a pre-study on a national ecosystem for a shared medication r...Johan Eltes
This document summarizes a pilot study conducted by Inera, a Swedish company owned by the Swedish Association of Local Authorities and Regions, to explore how healthcare providers can share patient medication request information across electronic health records based on existing national infrastructure and legislation. The study found that a virtual, distributed national medication request list accessed through shared application programming interfaces could allow providers to view, change, and receive notifications of changes to medication requests made by other providers, improving coordination of patient care. Next steps include further legal analysis, standards development, and piloting the proposed solution.
Kanta services for healthcare: Prescription service and Patient Data RepositoryTHL
Kanta services for healthcare: Prescription service and Patient Data Repository.Outi Lehtokari, Development Manager, Finnish Institute for Health and Welfare
Konstantin Hyppönen, Chief Architect for Kanta Services, Kela (Social Insurance Institution, Finland). Webinar on Kanta Services 30 October 2019
National Kanta Services Support Clinical Work in FinlandTHL
National Kanta Services support clinical work in Finland by providing digital services including a prescription center, patient data repository, and personal health record. Kanta services are implemented in stages to integrate many existing health data systems and bring benefits to citizens, pharmacies, and the healthcare sector by facilitating secure access and exchange of health information. Countries in northern Europe like Finland, Sweden, and Denmark are global leaders in digitalization and implementation of national eHealth strategies.
Governmental and private eHealth and telemedicine initiatives in LithuaniaCARRE project
R. Kizlaitis, Governmental and private eHealth and telemedicine initiatives in Lithuania, East Europe eHealth Innovation Summit, Warsaw, 15 January 2015
In this presentation, you will receive an overview of the TicSalut Foundation, the Catalon Healthcare System and the integration of health and social care in Catalonia.
Details of the presentation found in link:
http://www-01.ibm.com/software/city-operations/curam-research-institute/curam-roundtable/index.html
20151028 hd College van Geneesheren-Directeurs - Collège des directeurs médicauxJohan van Bussel
20151028 presentation project healthdata.be to College van Geneesheren-Directeurs - Collège des directeurs médicaux. More info available @ http://www.healthdata.be
Kanta is Finland's national eHealth infrastructure designed for healthcare, social services, pharmacies, and citizens. It includes a Patient Data Repository, Data Repository for Social Services, electronic prescriptions, and My Kanta personal health records. My Kanta Pages allows citizens to store and manage their own health and wellbeing data using approved applications, gives healthcare professionals access to up-to-date patient information, and is part of Finland's strategy to empower citizens and enable self-care through accessible health data and tools.
Presentation at the Parallel Session 1.5
Choosing and using standards for interoperable information systems at the PRINCE MAHIDOL AWARD CONFERENCE 2010, Bangkok, Jan 28-30
This document outlines Moldova's e-Health 2020 vision, strategy, and master plan. The vision is to improve healthcare services through information and communication technologies by 2020. It identifies three pillars: infrastructure, services, and management/governance. The strategy addresses current problems and outlines solutions and principles to accomplish objectives across the three pillars. The master plan details components, mechanisms, standards, flows, architecture, implementation steps, timelines, and budgets to develop an integrated e-health system over multiple years with a total estimated budget of 81.58 million euros. It identifies risks and change management strategies. The conclusions discuss benefits for citizens, businesses, the government, and medical institutions from implementing this e-health plan.
The virtual hospital project is a collaboration between several Finnish hospital districts and aims to provide seamless digital health services nationally. It offers both professionals and citizens digital tools to aid in diagnosis, treatment instructions, remote appointments, and self-care/monitoring. By the end of 2018, over 50 new digital care paths covering various medical areas will be available. The virtual hospital also works with the Finnish personal health record to aggregate data from connected devices to support treatments and enable authorized applications to access this data.
Guest lecture Programme in the Methods of Health Economics (Abteilung für Ges...healthdata be
Guest lecture Programme in the Methods of Health Economics (Abteilung für Gesundheitsökonomie, Zentrum für Public Health an der Medizinische Universität Wien)
THL provides open data resources from Finland including population health, welfare, healthcare performance, social services, infectious diseases, and food composition data. The site offers statistical databases, APIs, metadata, and background information. In addition to open data, THL supports startups, provides data analytics services, and plans to launch an innovation lab to encourage new uses and visualizations of the health and social data through hackathons and other initiatives.
The document discusses electronic health cards from a European perspective. It provides an overview of activities by EU member states in developing electronic cards, including examples from Austria, Belgium, Estonia, Finland, France, Italy, Slovenia, Spain, and Switzerland. It then discusses Germany's target of modernizing its healthcare system using information and communication technologies, including its strategy, concept, and costs of developing the electronic Gesundheitskarte health card and associated infrastructure. Finally, it discusses the need for collaboration across Europe to develop interoperable eHealth systems and services that can be used across borders.
Presentation ehealth data privacy anastasopoulos - tsolias (1)ethemis .gr
The document discusses eHealth and data privacy. It begins with an overview of eHealth, including definitions and categories such as clinical information systems, telemedicine, and secondary usage systems. It then provides statistics on the growth of the global telemedicine market. Regarding data privacy, it outlines the definition of personal data and special categories of data under EU directives. It discusses provisions for processing health data and the obligations of confidentiality. Finally, it discusses EU objectives for eHealth and the application of data protection principles in cross-border healthcare systems.
The Health Research Board (HRB) is a state agency that collects national health information systems to inform policy and service planning. It manages 5 databases covering disabilities, drug/alcohol misuse, and mental health. These databases contain de-identified individual-level records totaling over 100,000. The HRB uses the anonymous data to publish reports on the national, regional, and local levels to support health policy, service delivery, and research.
Health research, clinical registries, electronic health records – how do they...Koray Atalag
This is a talk I gave at my own organisation - National Institute for Health Innovation (NIHI) of the University of Auckland on 6 Aug 2014. Abstract as follows:
In this talk I’ll first cover the topic of clinical registry – an invaluable tool for supporting clinical practice but also gaining momentum in research and quality improvement. NIHI has been very active in this space: we have delivered the prestigious and highly successful National Cardiac Registry (ANZACS-QI) together with VIEW research team and also very recently launched the Gestational Diabetes Registry with Counties Manukau DHB & Diabetes Projects Trust. A few others are in likely to come down the line. This is a huge opportunity for health data driven research and NIHI to position itself as ‘the health data steward’ in the country given our independent status and existing IT infrastructure and “good culture” of working with health data . NIHI’s ‘health informatics’ twist in delivering these projects is how we go about defining ‘information’ – using a scientifically credible and robust methodology: openEHR. This is an international (and now national too) standard to non-ambiguously define health information so that they are easy to understand and also are computable. We build software (even automatically in some cases!) using models created by this formalism. I’ll give basics of openEHR approach and then walk you through how to make sense out of all these. Hopefully you may have an idea about its ‘value proposition’ (as business people call) or Science merit as I like to call it ;)
El documento presenta lineamientos para fortalecer la atención primaria de salud en el marco de la cobertura universal y la descentralización de los sistemas de salud. Resalta la importancia de enfoques integrales y basados en evidencia para abordar los problemas de salud existentes y nuevos desafíos. Propone la promoción de la salud como estrategia clave para lograr mejoras sostenibles en la salud de toda la población.
Jornada internacional de salud integral inlcuyente en Perú. Agosto 2013
Medicus Mundi Navarra.
Exposición de Luis Miguel León sobre Atención Primaria de Salud en Perú.
Fernando Carbone. Medicus Mundi Perú. "Atención Primaria de Salud en la Práct...medicusmundinavarra
Presentación del actual responsable de Medicus Mundi en Perú y ex ministro de Salud del País en las jornadas internacionales organizadas en Lima en agosto de 2013 sobre el modelo de salud integral incluyetne.
Atencion primaria de la salud en argentina 1hernanborghi
La APS debe ser el primer nivel de contacto entre los individuos, las familias y la comunidad con el sistema de salud nacional. Se trata de una atención sanitaria esencial, basada en métodos científicos y socialmente aceptables, que se dirige a los principales problemas de la comunidad y proporciona servicios de promoción, prevención, tratamiento y rehabilitación. El Plan Federal de Salud de Argentina tiene como objetivo lograr un sistema de salud equitativo e integrado con la estrategia de APS como su organizadora principal.
Este documento presenta información sobre la atención primaria de salud y la promoción de la salud. Explica que la atención primaria de salud no es solo medicina para pobres o prevención, sino que busca proporcionar asistencia sanitaria esencial y accesible a nivel comunitario. También describe los valores, principios y elementos estructurales y funcionales de la atención primaria de salud renovada. Por otro lado, define la promoción de la salud no como atención médica o prevención,
Este documento discute el desafío de la fragmentación de los servicios de salud en las Américas y propone el modelo de Redes Integradas de Servicios de Salud (RISS) como una opción para superarla. La fragmentación se manifiesta en falta de coordinación entre niveles de atención, duplicación de servicios e infraestructura, y falta de acceso y continuidad en la atención para los usuarios. Las RISS buscan integrar los diferentes niveles de atención a través de mecanismos de referencia y contrarreferencia, defin
El documento propone renovar el enfoque de atención primaria de salud para abordar nuevos desafíos de salud, lograr equidad y promover la salud como un derecho humano. Esto requiere transformar los sistemas de salud basándolos en los principios de acceso universal, atención integral e intersectorialidad, con un enfoque en la familia y la comunidad.
1) La atención primaria de salud se orienta a satisfacer las necesidades de salud de individuos, familias y comunidades de manera continua y accesible. 2) Implica el desarrollo de actividades coordinadas de promoción, prevención, tratamiento y rehabilitación con participación comunitaria. 3) Es el primer nivel de contacto con el sistema de salud y juega un papel fundamental en la resolución de problemas de salud de manera eficiente.
1) The document discusses NCHS's participation in health information technology and electronic health record standards development to support the adoption of EHRs.
2) NCHS has developed and maintained many critical classification standards used in healthcare and is engaged in several initiatives to develop standards for exchanging birth/death data with vital records systems and public health reporting from EHRs.
3) The presentation outlines NCHS's future directions, which include gaining experience receiving standardized administrative and EHR-derived data for its surveys as electronic health records become more widely adopted and able to exchange data.
Denmark has a long history of focusing on e-health and healthcare IT networks. The national e-health portal Sundhed.dk, launched in 2003, provides citizens access to their personal health records and the ability to communicate with healthcare providers online. Healthcare professionals also access patient health information through Sundhed.dk. The national electronic health record system allows sharing of health records, test results, and other information between general practitioners and hospitals. Telehealth services have expanded to include remote monitoring of patients with conditions like COPD and diabetes. The goal is to empower patients and support integrated care through personalized telehealth solutions.
New model of information systems and Electronic Health Records in CataloniaJosep Vidal-Alaball
The document summarizes Catalonia's plans to develop a new model for its information systems and electronic health records. It discusses the current state which includes a heterogeneous mix of over 16,000 applications and data silos across the health system. The strategy aims to create a unified electronic health record, establish strong data governance, and leverage new technologies like artificial intelligence, telehealth and the internet of things. The goals are to improve data sharing, clinical decision making, innovation and provide a longitudinal health record for all citizens in Catalonia.
EHR guidelines from CDC SS-08_WILLIAMSON_GUGERTY.pptxanjalatchi
The document summarizes a presentation on the Centers for Disease Control and Prevention's involvement in health information technology and electronic health record standards development. It discusses how CCDC is participating in initiatives to define public health reporting requirements and support the adoption of EHR systems. It also provides an overview of CCDC's core health care surveys and plans to increasingly utilize electronic health data from sources like EHRs, claims, and administrative systems to conduct research more efficiently as adoption of digital health records increases.
Overview of Estonian Health Information System Igor Bossenko
The document provides an overview of the Estonian Health Information System and Health and Welfare Information Systems Centre. It discusses HWISC's responsibilities in developing information systems and ensuring information security. It also outlines some of the main eHealth services in Estonia like the electronic health record, e-prescription, and digital imaging. The document highlights how Estonia's eHealth system copies the model of its e-government system in using the X-Road secure communication network and ID cards for authentication.
Improving Care Coordination with Big Data, Analytics and Technology - Paul Co...Paul Brian Contino
Medical Informatics Update: Analytics and Tools for Care Coordination
IBM Thomas J Watson Research Center
October 16th, 2013
The 2013 edition of the Medical Informatics Update is a joint effort between IBM Research and the Columbia University Center for Advanced Information Management. The general chairs for this workshop are Dr. Shahram Ebadollahi and Dr. Georges Hripcsak.
Jonas Ekström - E-health strategies and solutions in Sweden - e-health 6.6.14Thearkvalais
The document summarizes eHealth strategies and solutions in Sweden. It describes Sweden's healthcare system with regions responsible for healthcare. All hospitals and primary care centers use electronic medical records (EMRs), with six major EMR systems used. A national eHealth strategy focused on security, standards, and deployment from 2005-2010. This led to national solutions like ePrescriptions, a care guide website (1177.se), and a patient portal ("My Care") to access eHealth services. Future plans include expanding MyCare, linking medication databases to EMRs, and personal health accounts.
The document discusses a project called CRS-SISS that aims to integrate medical information nationally and regionally in Italy. The project involves implementing an electronic healthcare system in Lombardy that allows sharing of medical records, prescriptions, and documents across healthcare providers using smart card identification. The system is meant to improve healthcare quality, make administrative processes more efficient, and enable monitoring of the healthcare system. The project has led to cost savings, time savings for citizens, and increased usage of electronic health records among professionals in Lombardy. Lessons learned include that upgrading hospital information systems was more costly than the initial project development, and that security and privacy protection require significant resources.
Claudio Beretta, Dirigente Convenzionato, in charge of innovation technologies and European projects and Luciano Bresciani, Direzione Generale Sanità. Regione Lombardia. Italia
eHealth Summit: "Case Study: How Finland became a leader in eHealth adoption"...3GDR
Slides from National eHealth Summit, 30 Sept 2015 at Carton House, Kildare: Maritta Korhonen, head of development, Ministry of Social Affairs and Health, Finland.
#eHealthSummit15
http://www.ehealthsummit.ie
http://mhealthinsight.com/2015/09/25/mhealth-insights-from-the-ehealth-summit/
Session 5 Implementation and USE OF central Health information systems suppo...COP_HHA
Rwanda has implemented centralized health information systems using open-source DHIS2 and iHRIS platforms to support its decentralized health system. DHIS2 integrates routine health, individual, and disease surveillance data from over 700 public and private health facilities nationwide. iHRIS manages human resources data for the health sector. These systems allow all levels from national to community to access and analyze data for monitoring health status and performance. Challenges include changing mindsets around data use and keeping pace with software updates.
Presentation at the National Capitalization conference of the Swiss-Ukrainian Mother and Child Health Programme (Kyiv, Ukraine, April 23, 2015)
http://motherandchild.org.ua/eng/event/768
eHealth Practice in Europe: where do we stand?chronaki
eHealth as the use of Information and communication technologies in the practice of health care comprises Electronic health records, Healthcare information exchange cross-jurisdictions, Personal health records, Telehealth, telemedicine and remote monitoring.
There are several efforts to reflect and measure the practice of eHealth including efforts by the OECD and WHO, but in general there is little reported sharing of health data particularly with patients. Specific barriers frequently mentioned are supporting policies and coherent widely implemented standards.
The presentation discusses relevant efforts and programs supported by the European Commission such as the eHealth DSI, eStandards, ASSESS CT, and openMedicine aiming at large scale eHealth adoption It calls for engagement of European Society, its national societies, and its members.
Présentation à l'occasion de la Conférence HIMSS Amsterdam 2013 du DMP, "French PHR/EHR" on its creation, usage and lessons learnt with a national e-health record by François MACARY (ASIP Santé)
2C Salo From Health and Social Care Reform and Standardization to Ecosystem E...IKT-Norge
The document discusses health and social care reform in Finland and the city of Oulu's approach. It notes that a small percentage of the population accounts for most health care spending. It outlines national reforms in Finland that will consolidate the health system into five regions. It also describes Oulu's efforts to create an "OuluHealth ecosystem" and "Smart Service Model" centered around citizens to improve care through greater interoperability, standardization, and use of eHealth technologies.
The document discusses data management in Uganda's health sector. It notes that data, both electronic and paper-based, is governed by technical working groups for health information systems and eHealth. Data is collected from communities, health facilities, and aggregated and transmitted to the national level. Access to the data is managed at the national and district levels. The Ministry of Health also uses a health service delivery hotline to collect community complaints and feedback to improve services. On a quarterly basis, data is cleaned, analyzed, and shared through reports to review health sector performance and inform efforts to harmonize health information systems.
The document discusses various sources of public health data in epidemiology. It describes census data as the largest source providing comprehensive demographic, social and economic data. It also discusses registration of vital events like births and deaths which provides continuous health information if complete. However, registration in India is unreliable. The document then describes the sample registration system, a large demographic survey used as an alternative to the deficient civil registration system in India. It continuously enumerates births and deaths to provide annual estimates.
Data
Information
Intelligence
Health information system
Sources of data
Census
Registration of vital events
Sample registration system
Notification of diseases
Hospital records
Disease registers
Record linkage
Epidemiological surveillance
Other health service records
Environmental health data
Health manpower statistics
Population surveys
Other routine statics related to health
Non – quantifiable information
Health management information system
Central Bureau of health Ingelligence
National health profile
WHO Reports
Global Health Observatory
World bank
Health stats
eConsentiment- Experiències en signatura electrònica manuscrita: Hospital de ...Fundació TicSalut
El Consorci Sanitari Maresme i la Fundació TicSalut han organitzat una jornada sobre consentiment electrònic amb l’objectiu de donar-lo a conèixer entre els professionals del sector salut.
eConsentiment- Experiències en signatura electrònica manuscrita: Clínica Cora...Fundació TicSalut
El Consorci Sanitari Maresme i la Fundació TicSalut han organitzat una jornada sobre consentiment electrònic amb l’objectiu de donar-lo a conèixer entre els professionals del sector salut
eConsentiment- Aspectes legals, tecnològics i d’implementació Signatura elect...Fundació TicSalut
Marc Giró, Director Comercial firmaprofessional
El Consorci Sanitari Maresme i la Fundació TicSalut han organitzat una jornada sobre consentiment electrònic amb l’objectiu de donar-lo a conèixer entre els professionals del sector salut.
eConsentiment- Aspectes legals, tecnològics i d’implementació Sr. Daniel Mart...Fundació TicSalut
El Consorci Sanitari Maresme i la Fundació TicSalut han organitzat una jornada sobre consentiment electrònic amb l’objectiu de donar-lo a conèixer entre els professionals del sector salut. Durant l’acte s’ha parlat de l’ús de la signatura manuscrita en l’àmbit sanitari, així com dels seus aspectes legals, organitzatius i tecnològics.
eConsentiment- Experiències en signatura electrònica manuscrita: Hospital de ...Fundació TicSalut
El Consorci Sanitari Maresme i la Fundació TicSalut han organitzat una jornada sobre consentiment electrònic amb l’objectiu de donar-lo a conèixer entre els professionals del sector salut.
eConsentiment- Experiències en signatura electrònica manuscrita: Hospital de ...Fundació TicSalut
El Consorci Sanitari Maresme i la Fundació TicSalut han organitzat una jornada sobre consentiment electrònic amb l’objectiu de donar-lo a conèixer entre els professionals del sector salut.
eConsentiment- Perspectives des de la Història Clínica Compartida de Cataluny...Fundació TicSalut
Perspectives des de la Història Clínica Compartida de Catalunya (HC3)
Francesc García Cuyàs, Coordinador General de les TIC i Director de la Fundació TicSalut
eConsentiment- Experiències en signatura electrònica manuscrita: EdataliaFundació TicSalut
El Consorci Sanitari Maresme i la Fundació TicSalut han organitzat una jornada sobre consentiment electrònic amb l’objectiu de donar-lo a conèixer entre els professionals del sector salut.
Jordi Grifoll, Hospital Universitari Joan XXIII de TarragonaFundació TicSalut
JORDI GRIFOLL LLORENS
Hospital Universitari Joan XXIII de Tarragona
El seu equip està treballant en aplicacions pràctiques d’una tecnologia nova com son les Google Glasses en entorns quirúrgics.
2a jornada de treball per detectar les oportunitats de participació de les organitzacions de l’entorn TIC, Salut i Social en el nou marc de finançament Horizon 2020.
Espai de debat on es presentaran diferents propostes a la cerca de socis, càpsules amb la voluntat que les empreses puguin exposar el seu projecte i així obrir la porta a possibles col·laboracions i per oferir l’expertesa de les empreses per participar en un possible projecte.
Antilope donarà suport a la difusió i adopció del Marc Europeu d'Interoperabilitat i es basarà en aquestes recomanacions, plans de treball , projectes d'interoperabilitat locals i nacional/ regionals.
Antilope donarà suport a la difusió i adopció del Marc Europeu d'Interoperabilitat i es basarà en aquestes recomanacions, plans de treball , projectes d'interoperabilitat locals i nacional/ regionals.
Antilope donarà suport a la difusió i adopció del Marc Europeu d'Interoperabilitat i es basarà en aquestes recomanacions, plans de treball , projectes d'interoperabilitat locals i nacional/ regionals.
This document discusses establishing a European quality label and certification process to support eHealth interoperability. It proposes designing a harmonized process that operates with existing country-specific processes. This would benefit healthcare providers through a unified European market and ability to exchange data between regions and nations, and benefit industry through a single recognized European quality label and avoidance of duplicate testing. A functional model and case studies from France and the epSOS project are presented and guidelines are provided for deploying quality label and certification processes.
Antilope donarà suport a la difusió i adopció del Marc Europeu d'Interoperabilitat i es basarà en aquestes recomanacions, plans de treball , projectes d'interoperabilitat locals i nacional/ regionals.
Telemonitorització de tensió arterial a les oficines de farmàciaFundació TicSalut
El documento describe un estudio que evalúa la coordinación entre la atención primaria y las oficinas de farmacia en el seguimiento de pacientes con hipertensión arterial. El estudio asignó aleatoriamente a pacientes a un grupo de control o intervención, donde este último grupo recibió medidas de la tensión arterial en las oficinas de farmacia utilizando un protocolo y registro común. Los resultados mostraron que las medidas en las farmacias son fiables y proporcionan un mayor control y seguimiento de los pacientes.
Consentiments mèdics electrònics. Una oportunitat de tenir una eSanitat completa+B2
Mario Yélamos, Director Catalunya ECM, Product Manager Biometric Signature
II TecnoWeek. El potencial de mHealth per ajudar a transformar la provisió de serveis de salut i benestar.
Task Force sobre implementació de mHealth a la Unió EuropeaFundació TicSalut
Task Force sobre implementació de mHealth a la Unió Europea,
Joan Cornet, Director de mHealth Competence Center, Mobile World Capital Barcelona
II TecnoWeek. El potencial de mHealth per ajudar a transformar la provisió de serveis de salut i benestar.
Accelerador de spin-off mHealth,
Gary van Broekhoven, CEO de Health Mavericks
II TecnoWeek. El potencial de mHealth per ajudar a transformar la provisió de serveis de salut i benestar.
Telèmac: Telemonitorització de pacients crònics complexesFundació TicSalut
Telèmac: Telemonitorització de pacients crònics complexes.
Sílvia Cordomí, Adjunta a la Gerència - Àmbit d'Atenció Primària de Barcelona Ciutat Institut Català de la Salut
II TecnoWeek. El potencial de mHealth per ajudar a transformar la provisió de serveis de salut i benestar.
Skybuffer SAM4U tool for SAP license adoptionTatiana Kojar
Manage and optimize your license adoption and consumption with SAM4U, an SAP free customer software asset management tool.
SAM4U, an SAP complimentary software asset management tool for customers, delivers a detailed and well-structured overview of license inventory and usage with a user-friendly interface. We offer a hosted, cost-effective, and performance-optimized SAM4U setup in the Skybuffer Cloud environment. You retain ownership of the system and data, while we manage the ABAP 7.58 infrastructure, ensuring fixed Total Cost of Ownership (TCO) and exceptional services through the SAP Fiori interface.
For the full video of this presentation, please visit: https://www.edge-ai-vision.com/2024/06/temporal-event-neural-networks-a-more-efficient-alternative-to-the-transformer-a-presentation-from-brainchip/
Chris Jones, Director of Product Management at BrainChip , presents the “Temporal Event Neural Networks: A More Efficient Alternative to the Transformer” tutorial at the May 2024 Embedded Vision Summit.
The expansion of AI services necessitates enhanced computational capabilities on edge devices. Temporal Event Neural Networks (TENNs), developed by BrainChip, represent a novel and highly efficient state-space network. TENNs demonstrate exceptional proficiency in handling multi-dimensional streaming data, facilitating advancements in object detection, action recognition, speech enhancement and language model/sequence generation. Through the utilization of polynomial-based continuous convolutions, TENNs streamline models, expedite training processes and significantly diminish memory requirements, achieving notable reductions of up to 50x in parameters and 5,000x in energy consumption compared to prevailing methodologies like transformers.
Integration with BrainChip’s Akida neuromorphic hardware IP further enhances TENNs’ capabilities, enabling the realization of highly capable, portable and passively cooled edge devices. This presentation delves into the technical innovations underlying TENNs, presents real-world benchmarks, and elucidates how this cutting-edge approach is positioned to revolutionize edge AI across diverse applications.
HCL Notes and Domino License Cost Reduction in the World of DLAUpanagenda
Webinar Recording: https://www.panagenda.com/webinars/hcl-notes-and-domino-license-cost-reduction-in-the-world-of-dlau/
The introduction of DLAU and the CCB & CCX licensing model caused quite a stir in the HCL community. As a Notes and Domino customer, you may have faced challenges with unexpected user counts and license costs. You probably have questions on how this new licensing approach works and how to benefit from it. Most importantly, you likely have budget constraints and want to save money where possible. Don’t worry, we can help with all of this!
We’ll show you how to fix common misconfigurations that cause higher-than-expected user counts, and how to identify accounts which you can deactivate to save money. There are also frequent patterns that can cause unnecessary cost, like using a person document instead of a mail-in for shared mailboxes. We’ll provide examples and solutions for those as well. And naturally we’ll explain the new licensing model.
Join HCL Ambassador Marc Thomas in this webinar with a special guest appearance from Franz Walder. It will give you the tools and know-how to stay on top of what is going on with Domino licensing. You will be able lower your cost through an optimized configuration and keep it low going forward.
These topics will be covered
- Reducing license cost by finding and fixing misconfigurations and superfluous accounts
- How do CCB and CCX licenses really work?
- Understanding the DLAU tool and how to best utilize it
- Tips for common problem areas, like team mailboxes, functional/test users, etc
- Practical examples and best practices to implement right away
Discover top-tier mobile app development services, offering innovative solutions for iOS and Android. Enhance your business with custom, user-friendly mobile applications.
Main news related to the CCS TSI 2023 (2023/1695)Jakub Marek
An English 🇬🇧 translation of a presentation to the speech I gave about the main changes brought by CCS TSI 2023 at the biggest Czech conference on Communications and signalling systems on Railways, which was held in Clarion Hotel Olomouc from 7th to 9th November 2023 (konferenceszt.cz). Attended by around 500 participants and 200 on-line followers.
The original Czech 🇨🇿 version of the presentation can be found here: https://www.slideshare.net/slideshow/hlavni-novinky-souvisejici-s-ccs-tsi-2023-2023-1695/269688092 .
The videorecording (in Czech) from the presentation is available here: https://youtu.be/WzjJWm4IyPk?si=SImb06tuXGb30BEH .
"Frontline Battles with DDoS: Best practices and Lessons Learned", Igor IvaniukFwdays
At this talk we will discuss DDoS protection tools and best practices, discuss network architectures and what AWS has to offer. Also, we will look into one of the largest DDoS attacks on Ukrainian infrastructure that happened in February 2022. We'll see, what techniques helped to keep the web resources available for Ukrainians and how AWS improved DDoS protection for all customers based on Ukraine experience
Connector Corner: Seamlessly power UiPath Apps, GenAI with prebuilt connectorsDianaGray10
Join us to learn how UiPath Apps can directly and easily interact with prebuilt connectors via Integration Service--including Salesforce, ServiceNow, Open GenAI, and more.
The best part is you can achieve this without building a custom workflow! Say goodbye to the hassle of using separate automations to call APIs. By seamlessly integrating within App Studio, you can now easily streamline your workflow, while gaining direct access to our Connector Catalog of popular applications.
We’ll discuss and demo the benefits of UiPath Apps and connectors including:
Creating a compelling user experience for any software, without the limitations of APIs.
Accelerating the app creation process, saving time and effort
Enjoying high-performance CRUD (create, read, update, delete) operations, for
seamless data management.
Speakers:
Russell Alfeche, Technology Leader, RPA at qBotic and UiPath MVP
Charlie Greenberg, host
How information systems are built or acquired puts information, which is what they should be about, in a secondary place. Our language adapted accordingly, and we no longer talk about information systems but applications. Applications evolved in a way to break data into diverse fragments, tightly coupled with applications and expensive to integrate. The result is technical debt, which is re-paid by taking even bigger "loans", resulting in an ever-increasing technical debt. Software engineering and procurement practices work in sync with market forces to maintain this trend. This talk demonstrates how natural this situation is. The question is: can something be done to reverse the trend?
The Microsoft 365 Migration Tutorial For Beginner.pptxoperationspcvita
This presentation will help you understand the power of Microsoft 365. However, we have mentioned every productivity app included in Office 365. Additionally, we have suggested the migration situation related to Office 365 and how we can help you.
You can also read: https://www.systoolsgroup.com/updates/office-365-tenant-to-tenant-migration-step-by-step-complete-guide/
Monitoring and Managing Anomaly Detection on OpenShift.pdfTosin Akinosho
Monitoring and Managing Anomaly Detection on OpenShift
Overview
Dive into the world of anomaly detection on edge devices with our comprehensive hands-on tutorial. This SlideShare presentation will guide you through the entire process, from data collection and model training to edge deployment and real-time monitoring. Perfect for those looking to implement robust anomaly detection systems on resource-constrained IoT/edge devices.
Key Topics Covered
1. Introduction to Anomaly Detection
- Understand the fundamentals of anomaly detection and its importance in identifying unusual behavior or failures in systems.
2. Understanding Edge (IoT)
- Learn about edge computing and IoT, and how they enable real-time data processing and decision-making at the source.
3. What is ArgoCD?
- Discover ArgoCD, a declarative, GitOps continuous delivery tool for Kubernetes, and its role in deploying applications on edge devices.
4. Deployment Using ArgoCD for Edge Devices
- Step-by-step guide on deploying anomaly detection models on edge devices using ArgoCD.
5. Introduction to Apache Kafka and S3
- Explore Apache Kafka for real-time data streaming and Amazon S3 for scalable storage solutions.
6. Viewing Kafka Messages in the Data Lake
- Learn how to view and analyze Kafka messages stored in a data lake for better insights.
7. What is Prometheus?
- Get to know Prometheus, an open-source monitoring and alerting toolkit, and its application in monitoring edge devices.
8. Monitoring Application Metrics with Prometheus
- Detailed instructions on setting up Prometheus to monitor the performance and health of your anomaly detection system.
9. What is Camel K?
- Introduction to Camel K, a lightweight integration framework built on Apache Camel, designed for Kubernetes.
10. Configuring Camel K Integrations for Data Pipelines
- Learn how to configure Camel K for seamless data pipeline integrations in your anomaly detection workflow.
11. What is a Jupyter Notebook?
- Overview of Jupyter Notebooks, an open-source web application for creating and sharing documents with live code, equations, visualizations, and narrative text.
12. Jupyter Notebooks with Code Examples
- Hands-on examples and code snippets in Jupyter Notebooks to help you implement and test anomaly detection models.
Dandelion Hashtable: beyond billion requests per second on a commodity serverAntonios Katsarakis
This slide deck presents DLHT, a concurrent in-memory hashtable. Despite efforts to optimize hashtables, that go as far as sacrificing core functionality, state-of-the-art designs still incur multiple memory accesses per request and block request processing in three cases. First, most hashtables block while waiting for data to be retrieved from memory. Second, open-addressing designs, which represent the current state-of-the-art, either cannot free index slots on deletes or must block all requests to do so. Third, index resizes block every request until all objects are copied to the new index. Defying folklore wisdom, DLHT forgoes open-addressing and adopts a fully-featured and memory-aware closed-addressing design based on bounded cache-line-chaining. This design offers lock-free index operations and deletes that free slots instantly, (2) completes most requests with a single memory access, (3) utilizes software prefetching to hide memory latencies, and (4) employs a novel non-blocking and parallel resizing. In a commodity server and a memory-resident workload, DLHT surpasses 1.6B requests per second and provides 3.5x (12x) the throughput of the state-of-the-art closed-addressing (open-addressing) resizable hashtable on Gets (Deletes).
Freshworks Rethinks NoSQL for Rapid Scaling & Cost-EfficiencyScyllaDB
Freshworks creates AI-boosted business software that helps employees work more efficiently and effectively. Managing data across multiple RDBMS and NoSQL databases was already a challenge at their current scale. To prepare for 10X growth, they knew it was time to rethink their database strategy. Learn how they architected a solution that would simplify scaling while keeping costs under control.
Regional Service Card. Health & Social Care Information System. Lombardia. Sr. Nicola Contardi
1. Regional Service Card
Health & Social Care Information System
(CRS-SISS Program)
29 October 2010
Nicola Contardi
Lombardia Informatica
2. Summary
• Lombardy Region
• The Healthcare Network of Lombardia
• Lombardy’s Region Healthcare Information System evolution
• The CRS-SISS Program
• The underlying philosophy
• Goals and main streams
• Services and Architecture
• Project principles
• Smart Cards Technology
• The “Pillars”: Regional Registry, Electronic Health Record (EHR),
Reception Processes Improvement
• The Electronic Health Record (EHR)
• Main results in 2010
• Open issues
2
3. Lombardy Region
• Is one of the twenty Italian Regions
• About 16% of Italy’s citizens
• Is one of the most populated Regions of Europe (more
populated than 14 EU member States)
• Its GNP is about 20% of Italy’s GNP
3
4. The Healthcare Network of Lombardia
• 9.500.000 Citizens
• 150.000 Health & Social Care
Operators
• 7.700 General Practitioners
and Pediatricians
• 2.500 Pharmacies
• 15 Local Healthcare Units
• 34 Public Healthcare Services
Suppliers (29 Public Hospital
and 5 Public Medical Research
Institutes)
• Over 2500 Private Healthcare
Services Suppliers
4
• Lombardy, like every Italian Region, is directly responsible for HC service provision
REGIONE
LOMBARDIA
PHARMACIES
HEALTH & SOCIAL
ASSISTANCE
GENERAL
PRACTITIONERS
LOCAL HEALTH
CARE UNITS
CITIZENS
HOSPITALS
REGIONE
LOMBARDIA
PHARMACIES
HEALTH & SOCIAL
ASSISTANCE
GENERAL
PRACTITIONERS
LOCAL HEALTH
CARE UNITS
CITIZENS
HOSPITALS
5. Lombardia Informatica
• Lombardia Informatica is a public-owned service company which
was constituted in December 1981 as an initiative of the Lombardy
Regional Government.
• The company designs and develops ICT Systems for the regional
government and is responsible for management of the latter’s
already-existing systems.
• Lombardia Informatica has around 500 employees and a revenue of
about €240.000.000 (2009).
• Lombardy Region has entrusted Lombardia Informatica with the
management and overall responsibility for the CRS-SISS project
(Regional Service Card Health & Social Care Information
System).
5
6. Lombardy’s Region Healthcare Information System
evolution
6
1978 Collection and filing of hospitalizations
Collection and filing of outpatient visits data1997
1985 Collection and filing of pharmaceutical acquisitions
1982 Regional personal data Registry of Citizens and General Practitioners
CRS-SISS
Project
requirements
definition and
feasabilty
analysis
CRS-SISS
On site pilot
project in
the Lecco District
(300.000 citizens)
1999 2000 -2001 2002
CRS-SISS
Project Financing
and beginning of
the expansion to
all Districts
2008
CRS-SISS
Healthcare
Private Sector
2004 2005
CRS-SISS
2 million
citizens
CRS-SISS
All
Lombardy’s
citizens
(9,5 million)
7. Healthcare DataHealthcare Data
Administrative DataAdministrative Data
General Practiotioner
Practitioner
ASL
Healthcare Local Unit
Pharmacy
Hospital
Healthcare DataHealthcare Data
Administrative DataAdministrative Data
General Practiotioner
Practitioner
ASLASL
Healthcare Local Unit
Pharmacy
Hospital
Data WareHouse
Cluster of Patients
Electronic Health Record
Vision per single Patient
Data WareHouse
Cluster of Patients
Electronic Health Record
Vision per single Patient
The underlying philosophy
7
SISS is a Regional Healthcare Information
Network; the Citizen is its centre.
All the data are gathered, organized and
reported on the basis of the citizen’s clinical
treatment within the Regional Healthcare
Network.
SISS implements a work-flow based on the
typical healthcare processes:
• Pharmaceutical
• Outpatient examinations
• Hospitalization
• Emergency
• …
8. CRS-SISS - Goals
8
• Improve Services for
Citizens: reducing the
“distance” between Citizen and
HC Service Providers by
simplifying procedures and
shortening waiting time (e-
booking, access HER, e-
precription)
•Improve quality of prescription,
diagnosis and care
(appropriateness) processes by
Citizens’ clinical data sharing,
through EHR, among qualified HC
Professionals, securing Citizens’
Privacy Rights
•Improve Governance of Social
and HC System managing
costs: enhancing planning and
controlling instruments
(DataWarehouse, Business
Intelligence)
• Improve internal process
efficiency of HC Service
Providers by a generalized diffusion
of new technologies (digital
signature, electronic filing,
electronic prescription)
to dematerialize documents
SISS
Planning and
Governance of
HC expenditures
Efficiency and
Simplification
Social and HC
Internal
Processes
Assure continuity and
quality of care
For Citizens and HC Professionals
For Administrations
(Regional Government and HC Providers)
•The prerequisite of the Project was the distribution of the personal Smart Card.
•The main objectives of the CRS-SISS Program are to unify and to protect, within a co-ordinated
system, all the information related to the citizens’ state of health.
Reduce the gap
between Citizen
and HC Services
Providers
9. CRS-SISS Main Streams
• creation of new services at
regional level for Citizens and
HC Professionals (Electronic
Health Record)
• creation of a large
technological infrastructure
• implementation of an
integrated regional
information system
• central data base and clinical
data repository (administrative
data, service codes, Patient
Record,…)
• solutions for clinical
management of patients
• application integration of
Organization’s Information
Systems through an
integration middleware
Healthcare Extranet
as main instrument of innovation
and integration framework
among all actors:
Develop HC Organizations’
(Hospitals, HC Local Units, …)
Internal Information Systems,
promoting features such as:
9
10. CRS-SISS Services
• Citizen Identification: Regional General Registry and Citizen Card
• e-Prescriptions Management to enable a truly digital use of prescriptions
during their life cycle
• Electronic Health Record (EHR): shares clinical data among HC
Professionals (events, prescriptions, reports, care profile, …), enables on-
line access for Citizens
• Booking and Payment Services for Citizens by Internet, GP, Pharmacies,
Regional Call Center, to improve citizen’s access to HC services
• Business Intelligence and DataWarehouse to make analyses and
forecasts of epidemiological trends and to manage and forecast regional
healthcare expenditure trends
• Digitalization of all medical and administrative documents in order to
improve efficiency and effectiveness of processes
• Accounting information flow management: incremental records of
administrative data in order to ensure on-line updating of Business
Intelligence and Data Warehousing Systems
• Electronic signature, mailing system, encryption functionality
10
11. CRS-SISS - Architecture
11
General
Practitioner,
Pediatrician
Level 2
Healthcare
Extranet
Hospital, Operators,
Chemists, …
Provider Provider
HealthcareSocial Services
Level 1
Central Repository
Level 3
Operators and
Organisations
Integration Management
Unit
Citizens
SERVICES
Lombardy Region Central Systems
12. CRS-SISS Project Principles
• Web technologies
• Evolution and integration, not replacement, of existing applications
• Strict enforcement of personal data protection (privacy): high
security technologies
• Process reengineering to improve efficiency
• Extensive deployment of digital signature and electronic documents
(dematerialization)
• Smart cards
• Make available to existing applications a common infrastructure
for integration
• Integrate, not substitute, existing functionalities
• Preserve the current user interface as is
• Minimize enhancements to operator's behaviour
12
13. Smart Cards Technology
• Identification and authentication
• Data storage required for emergency care
(Netlink standard)
• Access to Public Administration services
• Certification of the “presence” of the
Citizen (through electronic signature of
documents)
• Identification and authentication
• Authorization access to the System
(according to operator’s profile)
• Electronic Signature
13
Citizen Card
Operator Card
14. CRS-SISS “Pillars”
• Regional General Registry
• Electronic Health Record (EHR)
• Reception processes improvement (booking
and payment Services)
14
15. Electronic Health Record (EHR): 2 level architecture
15
Hospital
Hospital
ASLASLASL
Healthcare Local Unit
Events Link
EHR
Clinical
Doc
PS
Hospital
Clinical
Doc
Clinical
Doc
• Health documents
• Healthcare Local Unit
• Patient Summary
• Vaccine File
• Hospitals
• Test results
• Health Documents
• Therapeutical plans
• …
Electronic Health Record (1)
16. Electronic Health Record (EHR): main features
• Based on a “patient centric” structure, is the fundamental
support for the care of the citizen
• Gathers and organizes summary information from
organizations and citizens for medical care purposes
• Allows the sharing of medical documents between all the
actors involved into the care processes of the citizen
16
Electronic Health Record (2)
17. 17
Electronic Health Record (EHR): How does it work ?
GP
Pediatricians
HospitalDiagnostic Test Medical Specialist
Electronic Patient Record (EHR)
Patient health
conditions
Exams results
Material
Healthcare
Occurrences
Medical
Reports
Ospedale
Specialista
Diagnostic Test
Hospital
2: Results
Exam
Medical Specialist
Diagnostic Test
1: Test
2: Admission
8: Discharge
4: Investigation
5: Results
6: Consultation
7: Advice
Electronic Health Record (3)
18. Electronic Health record (EHR): functions
• Give an integrated view of the sanitary history of a specific citizen to the
doctor who is treating him/her in a specific healthcare episode, with respect to all
the privacy aspects.
• Give consultation functions able to increase the efficacy and efficiency of the
clinical intervention.
• Make clinical reports available to the citizen on-line, reducing need for citizen
to retrieve physically results and, thus, queues
• Simplify the activities of clinical operatives, allowing information exchange,
import/export of documents (e.g. for admission, GP change, …)
• Interface decision support systems to allow secondary usage of information
(health policy, administration, education, research, statistics, …)
18
Electronic Health Record (4)
19. 19
• “Personal zone” for the citizen in his EHR
• Asyncronous Electronic Document consultation
• Diagnostic &Therapuetic plans
• Admissions clinical documents management
• Extensive use of structured documents
• Image mangement
Electronic Health Record - Main evolutions (5)
20. CRS-SISS – Main Results in 2010*
20
• Over 9 millions of CRS smartcards delivered
• 96% General Practitioners and Pediatricians in the Network
• 100% Pharmacies in the Network
• 75 millions prescriptions
• 14 millions of Clinical Electronic Documents (most referrals)
• 5,8 millions of “active” EHR
• 1,2 millions of EHR consultations from GPs
• All Healthcare Local Units and Public Hospitals of the Region have integrated
their applications to the network
• Private Hospitals started integration in the Network
• Pathology Networks: Oncology, Rare Diseases, Epilepsy, Emathology, Acute
Myocardial Infarction, Nephrology, Emergency, Hearing, Stroke, Sudden Infant Death
Syndrome
• Available on line services for citizens: access to EHR, booking, choice and
revocation of GP, …
* Projection to the end of 2010
21. 21
• Customer-orientation
A system also for the healthy
A user-interface even more user-friendly
Simple functions in a little time-to-market
Simple bi-directional services for citizens
• An open world
The citizen may take a care where he prefers
Privacy: how much of his record the citizen may choose to share ?
Open Issues: EHR for the Regional System
22. 22
• EHR for e-Health government
Developing systems more and more citizen-data centric
Try to modify some Regional rules in order to exploit system capabilities
• More earned value for professionals
To improve the collaboration among the private professional, the general practioner and the
citizen
Focus on mobile services
Active involvement of all the stakeholders
Open Issues: EHR for the Regional System
23. 23
• Interoperability at a regional and european level
• Applications more oriented to the Inetrnet world
• Re-use
• Creation of an eco-system of parterns cooperating in developing the
overall system
Open Issues: EHR for the Regional System