Most complex issue is getting agreement on common electronic health record (EHR) structures. Standards define core data, codes, and interoperability that all EHR systems should use. Promoters include a code server, funding, and legislation. Different organizations have roles - the Ministry provides strong steering, Kela provides an archive, TEO a professional PKI, Stakes code content, and a board advises the government. Demand to share information will increase as new legislation requires consent-based sharing and regulates common structures. Budgets support national planning and regional implementations.
This document summarizes the annual results for 2004 of a company founded in 1998 that provides Picture Archiving and Communication Systems (PACS). It reports 50% ongoing growth, an 11% share of new PACS installations in North America in 2004, and being ranked #1 in customer satisfaction in 2003, 2004, and mid-2005 with over 200 installations in over 100 healthcare institutions.
Objective: Design proposal for a body-weight support system to overcome current limitations faced by therapists at Stroke Rehabilitation Center, Buffalo General Hospital.
The design proposal included extensive work on the operations, mechanical, software, electrical, and control aspects.
This document discusses health informatics initiatives in New Zealand. It outlines the goals of Health Informatics New Zealand (HIS-NZ) and the Health Information Strategy Action Committee (HISAC) to develop a national health information strategy. HISAC is working on "action zones" to scope projects like chronic disease management, discharge summaries, and a national primary care collection. The document provides statistics on daily healthcare interactions and seeks input on primary care engagement, funding, and HISAC processes.
Insights into the Canadian eHealth Landscape - MaRS Future of MedicineMaRS Discovery District
In recognition of the need to develop a national digital health strategy and to co-ordinate activity across the country, the Conference of Deputy Ministers established Canada Health Infoway in 2001.
This lecture describes Infoway’s role and the progress that it and its jurisdictional partners have made over the last decade. It outlines the challenges to achieving our collective goal of using technology to improve the health of Canadians and describes key enablers that must be in place for us to be successful. It also contains the results of recent public opinion research conducted with Canadians and healthcare providers and outlines the priorities for moving forward and the opportunities for action.
86% of responding health centers in Iowa submit claims electronically, while none use electronic medical records (EMRs) fully or partially. 57% plan to install a new EMR system within 3 years. The top barriers to adopting EMRs were the inability to integrate EMRs with billing systems and the added investment not justifying the value. While 86% maintain disease registries, only 43% have dedicated health IT staff and 57% utilize additional IT support through networks or contracts.
This document discusses telehealth and telemedicine initiatives in geriatrics in Hong Kong. It describes Hong Kong's electronic patient record system, community health call center, and use of telemedicine in geriatric care. The call center aims to provide telephone support for high-risk elderly patients, improve links to primary care, reduce emergency department visits and hospitalizations, and improve access to healthcare advice. Telemedicine allows for remote consultations, exchange of medical images and videos, and online patient education and assessments to help address issues of patient isolation, frailty, and limited healthcare resources.
This document summarizes the annual results for 2004 of a company founded in 1998 that provides Picture Archiving and Communication Systems (PACS). It reports 50% ongoing growth, an 11% share of new PACS installations in North America in 2004, and being ranked #1 in customer satisfaction in 2003, 2004, and mid-2005 with over 200 installations in over 100 healthcare institutions.
Objective: Design proposal for a body-weight support system to overcome current limitations faced by therapists at Stroke Rehabilitation Center, Buffalo General Hospital.
The design proposal included extensive work on the operations, mechanical, software, electrical, and control aspects.
This document discusses health informatics initiatives in New Zealand. It outlines the goals of Health Informatics New Zealand (HIS-NZ) and the Health Information Strategy Action Committee (HISAC) to develop a national health information strategy. HISAC is working on "action zones" to scope projects like chronic disease management, discharge summaries, and a national primary care collection. The document provides statistics on daily healthcare interactions and seeks input on primary care engagement, funding, and HISAC processes.
Insights into the Canadian eHealth Landscape - MaRS Future of MedicineMaRS Discovery District
In recognition of the need to develop a national digital health strategy and to co-ordinate activity across the country, the Conference of Deputy Ministers established Canada Health Infoway in 2001.
This lecture describes Infoway’s role and the progress that it and its jurisdictional partners have made over the last decade. It outlines the challenges to achieving our collective goal of using technology to improve the health of Canadians and describes key enablers that must be in place for us to be successful. It also contains the results of recent public opinion research conducted with Canadians and healthcare providers and outlines the priorities for moving forward and the opportunities for action.
86% of responding health centers in Iowa submit claims electronically, while none use electronic medical records (EMRs) fully or partially. 57% plan to install a new EMR system within 3 years. The top barriers to adopting EMRs were the inability to integrate EMRs with billing systems and the added investment not justifying the value. While 86% maintain disease registries, only 43% have dedicated health IT staff and 57% utilize additional IT support through networks or contracts.
This document discusses telehealth and telemedicine initiatives in geriatrics in Hong Kong. It describes Hong Kong's electronic patient record system, community health call center, and use of telemedicine in geriatric care. The call center aims to provide telephone support for high-risk elderly patients, improve links to primary care, reduce emergency department visits and hospitalizations, and improve access to healthcare advice. Telemedicine allows for remote consultations, exchange of medical images and videos, and online patient education and assessments to help address issues of patient isolation, frailty, and limited healthcare resources.
Wragge & Co Mobile Healthcare Industry Summit 2012 Bleddyn Rees3GDR
The document discusses creating permanent mobile health ecosystems. It describes the European Connected Health Alliance as promoting the widespread adoption of connected health devices and services. The Alliance sets up ecosystems to deploy connected health solutions across regions by transferring best practices. Barriers to adoption include complexity, interoperability issues, lack of evidence, and regulatory concerns. The Alliance's ecosystems aim to address these barriers by developing networks focused on integrating healthcare as an investment. Successful business models include managed service models where providers supply services rather than just equipment. The conclusion emphasizes the need for a supportive legal framework and better public education on connected health.
2012 02 11 EHRs - healthcare system chicken soup or rotten eggdvreeman
This document summarizes a presentation on electronic health records (EHRs) given to the CSM 2012 HPA Tech SIG. The presentation covered why EHRs are important, how to select an EHR system, considerations for implementation, and a case study. The presentation discussed how EHRs can help accelerate a vision of coordinated, consumer-centered care by enabling data reuse, clinical decision support, and interoperability between systems through standards. Barriers to EHR adoption include workflow changes and training needs, while success factors include staff participation and data standardization.
Theera-Ampornpunt N. Global or glocal e-Health approaches in Asia: what is new or next? Presented at: Globalizing Asia: Health Law, Governance, and Policy - Issues, Approaches, and Gaps!; 2012 Apr 16-18; Bangkok, Thailand.
The document discusses e-health business models and experiences in the Lower Silesia region of Poland. It outlines several strengths of the region including a well-developed ICT sector and strong academic centers. It also summarizes Poland's national e-health strategy from 2009-2015 and several specific e-health projects implemented in the Lower Silesia region, including the creation of a diagnostic imaging center, implementation of teleradiology, and two regional e-health projects. The main challenges discussed are integrating different health systems and creating standardized electronic medical records across the country.
- Early research on openEHR in China began in 2009 and included PhD theses and papers on openEHR frameworks and models.
- In 2016, the openEHR Technical Committee (TC) was established under the China Medical Software Association to promote openEHR modeling and implementation. It organizes workshops, tutorials and conferences.
- Notable openEHR implementations in China include the CLEVER clinical data registry developed by Zhejiang University and the PHIP population health information platform developed by ZTE-ICT. Both use openEHR archetypes and reference models.
- Over 20 companies and 47 institutions in China have adopted openEHR in their systems and projects, mainly focusing on electronic medical record,
Computerised Theatre Register And Minimum Dataset Presentation - Judy Croninhealthcareisi
This document discusses the development of a standardized computerized theatre register system across acute hospitals in Cork and Kerry. It summarizes the current state of manually recorded paper-based theatre logbooks and identifies key recommendations to computerize and standardize the minimum dataset collected. The project aims to facilitate quality improvement, performance monitoring and clinical research by developing an efficient electronic system to extract comparable theatre data across all hospitals. It provides an overview of the various computer systems currently used nationally and locally, and recommends adoption of the IPMS theatre module and core minimum dataset defined by the project group.
Orange Healthcare provides telecommunication technologies for medicine including mobile and fixed telephony, real-time videoconferencing, and data transmission. They offer a range of health services including telemedicine, home care, health management, prevention and wellness, and health information/education. In Africa, they partner with NGOs and healthcare providers to deliver m-health solutions including health data collection, child and maternity care, epidemiological surveillance, and tele-dermatology and tele-consultation services. As a telecom operator, Orange provides the quality, security, accessibility, and interoperability needed for medical practice, but acknowledges that successful m-health development requires commitment from all stakeholders as the transformation of medical practices can be
The specialized industry of collecting electronic patient-reported outcomes is increasing linearly, in part because global government regulators want to hear directly from the patient, and because the acceleration and availability of electronic collection (vs. paper collection) improves data quality and efficiencies for data analysis and trial management. This document will review the ePRO market, and outline the five ePRO methods what successfully support the collection of patient-reported data
This document discusses plans to develop an electronic health record (eHR) system in Hong Kong called CMS III & eHR. The goals are to improve integrated care, support evidence-based practice, and facilitate information sharing across public and private healthcare settings. Challenges include high patient volumes, an aging population, and currently using paper records. Opportunities include increasing public awareness and more capabilities in the existing CMS system. CMS III will improve quality, efficiency and management. The vision is for a system that supports care delivery, improves outcomes, and facilitates community-wide data sharing. Development will be government-led through a multi-phase process with public-private partnerships.
The document provides a progress report on New Zealand's Health Information Strategy. It discusses increases in the number of health organizations connected to a secure network. Standards have been developed to enable electronic prescribing, referrals, lab results, and discharges. The National Health Index and Health Practitioner Index have been enhanced, with 87% of health practitioners now assigned an identifier number. Work is underway to pilot electronic sharing of pharmacy, lab, and referral information between primary and secondary care.
eHealth Governance in a Local Organisation. The Experience from Pompidou Hospital. Degoulet P. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)
This document discusses the benefits of implementing an electronic medical records (EMR) system for perinatal care. It notes that EMRs can help reduce medical errors, improve communication and patient safety, and support clinical decision making. The document also outlines how EMRs can help healthcare organizations meet meaningful use criteria, enhance defensive medicine practices, and potentially improve their financial bottom line over time. Overall, the document advocates for EMR adoption in perinatal care due to the clinical benefits and opportunities it provides.
Q&A: The Internet of Everything in Clinical TrialsCRF Health
The Internet of Everything (IoE) allows physical devices and sensors to measure and send data without human intervention, enabling its application to clinical trials. IoE can capture better quality data, lower patient burden by reducing site visits, and provide a more complete picture of health through continuously captured data. While IoE use in clinical trials is growing, wider adoption of consumer IoE devices requires more regulatory guidance. Data security, privacy, and the potential for placebo effects also need to be addressed. IoE may increase efficiency by reducing paper use and enabling streamlined, electronic data collection and analysis in real time.
The document summarizes a study that developed a composite index to benchmark electronic health (eHealth) deployment across acute hospitals in Europe. The index assessed eHealth across four areas: infrastructure, applications, health information exchange, and security/privacy. It was based on survey data from over 1,000 hospitals across 12 European countries and analyzed factors like computer systems, electronic health records, picture archiving, telemedicine, and cross-border health information exchange. The goal was to distill a complex reality into a manageable form to inform evidence-based eHealth policymaking at the European level.
Overview of Healthcare IT Security including research based statistics and leveraging best practices to ensure sustainability and compliance for providers
eHealth Tools & Services: Needs of the Member States Report of the WHO Global...Dr Lendy Spires
The document summarizes the findings of the first global survey conducted by the WHO Global Observatory for eHealth (GOe) regarding the needs of WHO Member States for eHealth tools and services. Key findings include that Member States would welcome WHO's involvement in developing generic eHealth tools and guidance for creating and implementing eHealth services. Non-OECD countries expressed a need for guidance across a broad range of eHealth areas. The report recommends actions WHO could take to address Member States' needs, such as facilitating the development of commonly requested tools, providing access to existing tools and services, and supporting knowledge exchange and eHealth information resources.
Arnau valls - Sesión técnica UOC Forum CIS
El Hospital Sant Joan de Déu (HSJD) puso en marcha en 2010 la iniciativa “Hospital Líquido (H2.0)” para prestar servicios y ofrecer contenidos a pacientes y familias a través de plataformas digitales: online care, telemedicina, portal del paciente, redes sociales, comunidades online, apps móviles, etc.
En 2015, el HSJD se plantea avanzar para consolidarse como el hospital pediátrico de referencia en la utilización de tecnologías orientadas a proveer servicios directamente a pacientes y familias.
Oscar solans - Sesión técnica UOC Forum CIS
Beneficis pels ciutadans
•Compromís amb la cura de la seva salut, que li permet major autonomia i comoditat
•Prevenció i monitoratge
•Reconeix LMS com a principal font d’informació de salut
•Interacció amb professionals sanitaris a distància
Beneficis pels proveïdors i els professionals de Salut
•Reducció d'errors i proves redundants
•Visió única dels serveis sanitaris
•Permet contacte no presencial
•Compartir informació millora la qualitat dels serveis de salut
Beneficis per l’Administració
•Un ús millor i més eficient dels recursos sanitaris
•La reducció de costos com a conseqüència de la prevenció dels ciutadans i un major compromís en la cura de la seva salut
•Garantia de transparència
•Les tecnologies ajuden a la personalització dels serveis de salut
Wragge & Co Mobile Healthcare Industry Summit 2012 Bleddyn Rees3GDR
The document discusses creating permanent mobile health ecosystems. It describes the European Connected Health Alliance as promoting the widespread adoption of connected health devices and services. The Alliance sets up ecosystems to deploy connected health solutions across regions by transferring best practices. Barriers to adoption include complexity, interoperability issues, lack of evidence, and regulatory concerns. The Alliance's ecosystems aim to address these barriers by developing networks focused on integrating healthcare as an investment. Successful business models include managed service models where providers supply services rather than just equipment. The conclusion emphasizes the need for a supportive legal framework and better public education on connected health.
2012 02 11 EHRs - healthcare system chicken soup or rotten eggdvreeman
This document summarizes a presentation on electronic health records (EHRs) given to the CSM 2012 HPA Tech SIG. The presentation covered why EHRs are important, how to select an EHR system, considerations for implementation, and a case study. The presentation discussed how EHRs can help accelerate a vision of coordinated, consumer-centered care by enabling data reuse, clinical decision support, and interoperability between systems through standards. Barriers to EHR adoption include workflow changes and training needs, while success factors include staff participation and data standardization.
Theera-Ampornpunt N. Global or glocal e-Health approaches in Asia: what is new or next? Presented at: Globalizing Asia: Health Law, Governance, and Policy - Issues, Approaches, and Gaps!; 2012 Apr 16-18; Bangkok, Thailand.
The document discusses e-health business models and experiences in the Lower Silesia region of Poland. It outlines several strengths of the region including a well-developed ICT sector and strong academic centers. It also summarizes Poland's national e-health strategy from 2009-2015 and several specific e-health projects implemented in the Lower Silesia region, including the creation of a diagnostic imaging center, implementation of teleradiology, and two regional e-health projects. The main challenges discussed are integrating different health systems and creating standardized electronic medical records across the country.
- Early research on openEHR in China began in 2009 and included PhD theses and papers on openEHR frameworks and models.
- In 2016, the openEHR Technical Committee (TC) was established under the China Medical Software Association to promote openEHR modeling and implementation. It organizes workshops, tutorials and conferences.
- Notable openEHR implementations in China include the CLEVER clinical data registry developed by Zhejiang University and the PHIP population health information platform developed by ZTE-ICT. Both use openEHR archetypes and reference models.
- Over 20 companies and 47 institutions in China have adopted openEHR in their systems and projects, mainly focusing on electronic medical record,
Computerised Theatre Register And Minimum Dataset Presentation - Judy Croninhealthcareisi
This document discusses the development of a standardized computerized theatre register system across acute hospitals in Cork and Kerry. It summarizes the current state of manually recorded paper-based theatre logbooks and identifies key recommendations to computerize and standardize the minimum dataset collected. The project aims to facilitate quality improvement, performance monitoring and clinical research by developing an efficient electronic system to extract comparable theatre data across all hospitals. It provides an overview of the various computer systems currently used nationally and locally, and recommends adoption of the IPMS theatre module and core minimum dataset defined by the project group.
Orange Healthcare provides telecommunication technologies for medicine including mobile and fixed telephony, real-time videoconferencing, and data transmission. They offer a range of health services including telemedicine, home care, health management, prevention and wellness, and health information/education. In Africa, they partner with NGOs and healthcare providers to deliver m-health solutions including health data collection, child and maternity care, epidemiological surveillance, and tele-dermatology and tele-consultation services. As a telecom operator, Orange provides the quality, security, accessibility, and interoperability needed for medical practice, but acknowledges that successful m-health development requires commitment from all stakeholders as the transformation of medical practices can be
The specialized industry of collecting electronic patient-reported outcomes is increasing linearly, in part because global government regulators want to hear directly from the patient, and because the acceleration and availability of electronic collection (vs. paper collection) improves data quality and efficiencies for data analysis and trial management. This document will review the ePRO market, and outline the five ePRO methods what successfully support the collection of patient-reported data
This document discusses plans to develop an electronic health record (eHR) system in Hong Kong called CMS III & eHR. The goals are to improve integrated care, support evidence-based practice, and facilitate information sharing across public and private healthcare settings. Challenges include high patient volumes, an aging population, and currently using paper records. Opportunities include increasing public awareness and more capabilities in the existing CMS system. CMS III will improve quality, efficiency and management. The vision is for a system that supports care delivery, improves outcomes, and facilitates community-wide data sharing. Development will be government-led through a multi-phase process with public-private partnerships.
The document provides a progress report on New Zealand's Health Information Strategy. It discusses increases in the number of health organizations connected to a secure network. Standards have been developed to enable electronic prescribing, referrals, lab results, and discharges. The National Health Index and Health Practitioner Index have been enhanced, with 87% of health practitioners now assigned an identifier number. Work is underway to pilot electronic sharing of pharmacy, lab, and referral information between primary and secondary care.
eHealth Governance in a Local Organisation. The Experience from Pompidou Hospital. Degoulet P. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)
This document discusses the benefits of implementing an electronic medical records (EMR) system for perinatal care. It notes that EMRs can help reduce medical errors, improve communication and patient safety, and support clinical decision making. The document also outlines how EMRs can help healthcare organizations meet meaningful use criteria, enhance defensive medicine practices, and potentially improve their financial bottom line over time. Overall, the document advocates for EMR adoption in perinatal care due to the clinical benefits and opportunities it provides.
Q&A: The Internet of Everything in Clinical TrialsCRF Health
The Internet of Everything (IoE) allows physical devices and sensors to measure and send data without human intervention, enabling its application to clinical trials. IoE can capture better quality data, lower patient burden by reducing site visits, and provide a more complete picture of health through continuously captured data. While IoE use in clinical trials is growing, wider adoption of consumer IoE devices requires more regulatory guidance. Data security, privacy, and the potential for placebo effects also need to be addressed. IoE may increase efficiency by reducing paper use and enabling streamlined, electronic data collection and analysis in real time.
The document summarizes a study that developed a composite index to benchmark electronic health (eHealth) deployment across acute hospitals in Europe. The index assessed eHealth across four areas: infrastructure, applications, health information exchange, and security/privacy. It was based on survey data from over 1,000 hospitals across 12 European countries and analyzed factors like computer systems, electronic health records, picture archiving, telemedicine, and cross-border health information exchange. The goal was to distill a complex reality into a manageable form to inform evidence-based eHealth policymaking at the European level.
Overview of Healthcare IT Security including research based statistics and leveraging best practices to ensure sustainability and compliance for providers
eHealth Tools & Services: Needs of the Member States Report of the WHO Global...Dr Lendy Spires
The document summarizes the findings of the first global survey conducted by the WHO Global Observatory for eHealth (GOe) regarding the needs of WHO Member States for eHealth tools and services. Key findings include that Member States would welcome WHO's involvement in developing generic eHealth tools and guidance for creating and implementing eHealth services. Non-OECD countries expressed a need for guidance across a broad range of eHealth areas. The report recommends actions WHO could take to address Member States' needs, such as facilitating the development of commonly requested tools, providing access to existing tools and services, and supporting knowledge exchange and eHealth information resources.
Arnau valls - Sesión técnica UOC Forum CIS
El Hospital Sant Joan de Déu (HSJD) puso en marcha en 2010 la iniciativa “Hospital Líquido (H2.0)” para prestar servicios y ofrecer contenidos a pacientes y familias a través de plataformas digitales: online care, telemedicina, portal del paciente, redes sociales, comunidades online, apps móviles, etc.
En 2015, el HSJD se plantea avanzar para consolidarse como el hospital pediátrico de referencia en la utilización de tecnologías orientadas a proveer servicios directamente a pacientes y familias.
Oscar solans - Sesión técnica UOC Forum CIS
Beneficis pels ciutadans
•Compromís amb la cura de la seva salut, que li permet major autonomia i comoditat
•Prevenció i monitoratge
•Reconeix LMS com a principal font d’informació de salut
•Interacció amb professionals sanitaris a distància
Beneficis pels proveïdors i els professionals de Salut
•Reducció d'errors i proves redundants
•Visió única dels serveis sanitaris
•Permet contacte no presencial
•Compartir informació millora la qualitat dels serveis de salut
Beneficis per l’Administració
•Un ús millor i més eficient dels recursos sanitaris
•La reducció de costos com a conseqüència de la prevenció dels ciutadans i un major compromís en la cura de la seva salut
•Garantia de transparència
•Les tecnologies ajuden a la personalització dels serveis de salut
Joan rodón sesión técnica uoc-forum cis
helsenorge.no:
- Mapeo de los servicios/sistemas ya existentes (nacional, regional, proveedor)
- Ofrecer al ciudadano acceso unificado a información de alta de ingreso, informes de urgencias, diagnósticos, derivaciones, informes de pruebas de laboratorio, radiología, etc.
Este documento describe el sistema de Registros Personales de Salud implementado en el Hospital Universitario Quirón Dexeus. El sistema tiene como objetivos empoderar al paciente dándole acceso a su información médica de forma ubicua y segura, mejorar la adherencia a tratamientos, y reducir costes. Las funcionalidades incluyen ver el perfil, carpeta de salud con documentos médicos, solicitar citas y documentos, ver el equipo médico, y nuevas funcionalidades como integración con videoconferencia. Los pacientes opinan positivamente sobre la
Josep vilalta - sesión técnica uoc forum cis
Interoperabilidad transversal DACS + Blue Button
Capacidad para decidir con quién comparte su información.
Dr Frederic Llordachs - Responsable d’ eHealth
Cada cop hi ha més evidència que facilitant que el ciutadà es responsabilitzi (EMPODERANT) del seu estat de salut i del maneig de la seva salut es milloren els resultats tant des d’un punt de vista social, clínic i econòmic.
Este documento describe el caso de Vicente, un hombre de 84 años con enfermedad pulmonar obstructiva crónica e insuficiencia renal leve que fue enviado al hospital por disnea progresiva. Se le diagnosticó una estenosis aórtica severa mediante ecocardiograma. Debido a su edad avanzada y comorbilidades, presentaba un alto riesgo quirúrgico. Sin embargo, rechazó someterse a una intervención de válvula aórtica transcatéter debido a que es el principal cuidador de su esposa, que
Este documento discute la necesidad de sistemas de información que apoyen el flujo de atención en SARquavitae. Actualmente, SARquavitae atiende a más de 10,000 personas en 56 centros residenciales y ha experimentado un aumento significativo en la actividad asistencial entre 2010-2014. Se propone un sistema de información multidisciplinar que registre todo el proceso de atención y permita la coordinación entre profesionales. También se propone un sistema de información integrado que conecte todos los niveles de atención que SARquav
Miguel Ángel Mayer - Research Programme on Biomedical Informatics (GRIB) de l’IMIM-UPF: La reutilització de la informació clínica per la recerca biomèdica
El documento describe la plataforma Phemium de servicios personalizados de telemedicina. Phemium ofrece una variedad de herramientas para la interacción entre pacientes y proveedores, así como la personalización de procesos clínicos y modelos de negocio según cada proyecto. La plataforma también permite la integración con dispositivos médicos, aplicaciones clínicas y geolocalización para brindar múltiples escenarios de telemedicina de manera única para cada cliente.
El documento describe la evolución del sistema de información de servicios sociales en Cataluña hacia un modelo más integrado centrado en el ciudadano. Se detalla el estado actual del sistema y su visión a corto y medio plazo, con el objetivo de mejorar los procesos de atención, implementar la interoperabilidad con otros sistemas y gestionar la información de forma más efectiva.
La telemonitorización es un instrumento de atención sociosanitaria que permite el monitoreo remoto de pacientes. Ofrece beneficios como mayor autocuidado, prevención, disminución de la frecuentación en atención primaria y de la estancia hospitalaria, y disminución de reingresos y desplazamientos. Aunque es una realidad constatada sus beneficios, el mercado de la telemonitorización aún es inmaduro y lento debido a resistencias al cambio.
El passat 10 de febrer de 2015 va tenir lloc la Jornada: Traslladar l'aportació de valor de les TIC als estats econòmics de les organitzacions sanitàries. Els pressupostos TIC i el reflex econòmic dels intangibles. Presentació de la jornada realitzada per Rafael Lledó, Director general Hospital de Granollers
Col·legi d’Economistes de la Salut - OSI i Fòrum CIS
Bcn meeting questions23.2.07
1. Knowledge for welfare and health Päivi Hämäläinen Unit for eHealth and eWelfare
1
Most complex issue; to get agreement on the commons structures of
EHR
(The EHR strategy defines the common semantic and technical
structure that should be used in every EPR system in all
organisations (includes core data, codes, interoperability standards)
Used standards;
commonly defined core data, codes, (semantic
interoperability), open standards for interoperability (xml-
based HL7 CDA R2-standards, Diacom)
Promoters:
code server, support for easy use for professionals, funding for
HR system purchasers (municipalities, hospitals),
legislation
The technical infrastructure for sharing information has to be
built also, common standards of structure do not help
13.10.2006
alone National Research and Development Centre for Welfare and Health
2. Knowledge for welfare and health Päivi Hämäläinen Unit for eHealth and eWelfare
2
Different roles;
Strong steering role by the Ministry
The National Social Insurance Institute (Kela) will provide
the archive system
National PKI system for professionals by the National
Authority for medicolegal Affairs (TEO)
National code server content by Stakes
A permanent national advisory board will nominated by
the government in July
The Association of Local and Regional Authorities leads the work of
vendors and municipalities to implement core data in to products
Hospital districts and municipalities participate in projects
(pay 50 % of the development costs)
National Research and Development Centre for Welfare and Health 13.10.2006
3. Knowledge for welfare and health Päivi Hämäläinen Unit for eHealth and eWelfare
3
Demands to share information
The new legislation will make it obligatory
to share patient data (with patient
consent)
The new legislation will regulate some of
the common structures that have to be in
the products
National Research and Development Centre for Welfare and Health 13.10.2006
4. Knowledge for welfare and health Päivi Hämäläinen Unit for eHealth and eWelfare
4
Digital patient information exchange between
organizations
100
80
60
40
20
0
Patient record Images Laboratory
Hospitals Health centres
The proportion (%) of hospitals and health centres able to exchange EHR
information, digital images and laboratory requests/results
in regional networks or in bilateral set ups in 2005.
Since 2003 the use of the systems
have generalized significantly.
National Research and Development Centre for Welfare and Health 13.10.2006
5. Knowledge for welfare and health Päivi Hämäläinen Unit for eHealth and eWelfare
5
The ability to accept electronic referrals and
deliver electronic discharge letters in hospital
districts
2003
in use 48%
in use pilot ing none
The progress
2005
planning(4)
piloting (1) in use 76%
in use (16)
in use pilot ing none
Genimap Oy
National Research and Development Centre for Welfare and Health 13.10.2006
6. Knowledge for welfare and health Päivi Hämäläinen Unit for eHealth and eWelfare
6
Electronic referral and discharge letters in
primary health care centres
2003
in use 24 %
in use pilot ing none
The progress
2005
in use 45 %
piloting (12)
in use pilot ing none
in use (151)
Primary care centres able to send electronic referrals to
specialized care and receive electronic discharge letters in
2005
Genimap Oy
National Research and Development Centre for Welfare and Health 13.10.2006
7. Knowledge for welfare and health Päivi Hämäläinen Unit for eHealth and eWelfare
7
The current regional networks
for exchange of electronic patient The regions are not able to communicate
information With each other because there is no full
interoperability
Information is exchanged also
outside to regional networks in
bilateral set ups. (messages)
A new national plan to have a national
ICT architecture where all organizations
are able to exchange digital information
Is needed
planning(6)
piloting (3)
in use (11)
Genimap Oy
National Research and Development Centre for Welfare and Health 13.10.2006
8. Knowledge for welfare and health Päivi Hämäläinen Unit for eHealth and eWelfare
8
Program budgets
MoH budget for national level planning/implementation
800 000 euros/year 2003-07
Regional implementation, state funding circa 10 milj euros
yearly 2004 - 2005 and 5 milj 2006 and 15 milj expected
2007. (+ same amount from hospital districts and
municipalities )
2003-2006 total amount 13,3 milj/year (2,6 euros per
inhabitant) and budget for 2007 is 40,8 milj (7,4 euros per
inhabitant) (not all final decisions for 2007)
National Research and Development Centre for Welfare and Health 13.10.2006