This document discusses the eHealth platform in Belgium and its role in facilitating collaboration and secure electronic data exchange between healthcare providers. The platform provides 10 basic services including user authentication, encryption, coding of personal health data, and access to national registries. It also supports over 67 value-added services. The platform aims to optimize healthcare quality, safety, and administrative efficiency while protecting privacy. Key functions include developing standards, coordinating a data exchange network between hospitals and providers, and requiring informed patient consent and therapeutic relationships for data sharing.
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
eHealth: some challenges by Frank RobbenCONFENIS 2012
The document discusses some challenges facing eHealth, including more chronic care needs, remote care, mobile care, and integrated care. It also notes needs for reliable knowledge management, efficient processes, and information security and privacy protections. The Belgian approach to addressing these challenges involves creating a governance structure and technical platform to enable secure electronic information exchange between healthcare actors while respecting privacy.
The document summarizes MedTech information assets available from IMS Health, including:
1) National and subnational sales, claims, and patient data, as well as technology tools to analyze this information.
2) Services including analytics, sales effectiveness, and competitive intelligence.
3) Specific data assets like hospital supply sales, medical claims, charge master data, and linked consumer data.
4) Customer profile information on healthcare organizations and professionals.
MedTech provides services related to business intelligence and reporting, data management, sales force effectiveness, health economic research, marketing effectiveness, pricing and market access, reimbursement management, and ensuring compliance and audit readiness. Their core capabilities include hosting data solutions, data integration and warehousing, advisory consulting, outcomes research, and contract and regulatory management to support pharmaceutical and medical device companies.
This document discusses the Vietnam Health Information Technology Program (VHITP) and its goals of creating an integrated health information network called Healthnet (Healthnet.vn) to distribute health information to communities in Vietnam. The network aims to securely collect health data to provide better healthcare services and support the doctor-patient relationship. It also aims to aggregate data in real-time for managers and decision makers. Key objectives of Healthnet.vn include collecting secure clinical data to provide authorized professionals with up-to-date patient information and using combined data to provide health authorities a real-time view of community health and services usage.
This document discusses managing IT, telecommunications, personal data rules, and software regulatory requirements in the EU and global environment, including case studies. It covers the EU political context regarding eHealth initiatives and changes to regulations for medicinal products, medical devices, and health data protection. Specific issues addressed include the proposed General Data Protection Regulation, regulation of software as medical devices, reimbursement, licensing, and liability in cross-border healthcare and eHealth. A case study is also presented.
EU Medical Device Clinical Research under the General Data Protection RegulationErik Vollebregt
Presentation about medical devices patient data management under the EU General Data Protection Regulation at the Medical Device Clinical Research Conference in November 2015
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
eHealth: some challenges by Frank RobbenCONFENIS 2012
The document discusses some challenges facing eHealth, including more chronic care needs, remote care, mobile care, and integrated care. It also notes needs for reliable knowledge management, efficient processes, and information security and privacy protections. The Belgian approach to addressing these challenges involves creating a governance structure and technical platform to enable secure electronic information exchange between healthcare actors while respecting privacy.
The document summarizes MedTech information assets available from IMS Health, including:
1) National and subnational sales, claims, and patient data, as well as technology tools to analyze this information.
2) Services including analytics, sales effectiveness, and competitive intelligence.
3) Specific data assets like hospital supply sales, medical claims, charge master data, and linked consumer data.
4) Customer profile information on healthcare organizations and professionals.
MedTech provides services related to business intelligence and reporting, data management, sales force effectiveness, health economic research, marketing effectiveness, pricing and market access, reimbursement management, and ensuring compliance and audit readiness. Their core capabilities include hosting data solutions, data integration and warehousing, advisory consulting, outcomes research, and contract and regulatory management to support pharmaceutical and medical device companies.
This document discusses the Vietnam Health Information Technology Program (VHITP) and its goals of creating an integrated health information network called Healthnet (Healthnet.vn) to distribute health information to communities in Vietnam. The network aims to securely collect health data to provide better healthcare services and support the doctor-patient relationship. It also aims to aggregate data in real-time for managers and decision makers. Key objectives of Healthnet.vn include collecting secure clinical data to provide authorized professionals with up-to-date patient information and using combined data to provide health authorities a real-time view of community health and services usage.
This document discusses managing IT, telecommunications, personal data rules, and software regulatory requirements in the EU and global environment, including case studies. It covers the EU political context regarding eHealth initiatives and changes to regulations for medicinal products, medical devices, and health data protection. Specific issues addressed include the proposed General Data Protection Regulation, regulation of software as medical devices, reimbursement, licensing, and liability in cross-border healthcare and eHealth. A case study is also presented.
EU Medical Device Clinical Research under the General Data Protection RegulationErik Vollebregt
Presentation about medical devices patient data management under the EU General Data Protection Regulation at the Medical Device Clinical Research Conference in November 2015
Blockchain Technology for Patients Medical RecordseHealth Forum
Med-iFile uses blockchain technology & cryptographic processes to provide a unique infrastructure to patients’ medical records. We aim at creating a nationwide database and communications framework for the medical sector. Under the proposed technological framework, we can ensure data integrity, protect the privacy of sensitive data & enhance the capabilities of clinical research.
Med-iFile team:
George Efthymiou, Sotiria Kalivi, Fotis Papastergiou, Christos Martinis, Nikos Drakopoulos
The challenges and benefits of implementing and using personal health and car...Patients Know Best
This document discusses the challenges and benefits of implementing personal health records from the perspectives of suppliers, clinicians, and patients. It outlines how current systems fragment patient information across different providers and exclude patients from their own information. A patient-controlled integrated digital care record is proposed as a solution to integrate information and put patients in control by allowing them to share their health information with whoever they choose through granular consent options. Benefits include coordinated care through secure sharing, improved communication, remote management of care plans and test results, and collaborative care planning. The document provides examples of how Patients Know Best software enables these features and has been adopted widely in the UK and other countries.
EU General Data Protection Regulation top 8 operational impacts in personal c...Erik Vollebregt
Presentation to the Personal Connected Health Alliance about the top 8 operational impacts of the EU General Data Protection Regulation on companies in the personal connected health field.
This document provides information about an upcoming webinar series on fundamentals in healthcare law. The first webinar will focus on HIPAA privacy and security and will be presented by two attorneys from Parsons Behle & Latimer. It includes legal disclaimers, an overview of what has been learned in the 20 years since HIPAA was implemented, the most common HIPAA complaints, and perspectives on privacy and security compliance.
eHealth - Medical Systems Interoperability & Mobile Healthulmedical
The Medical Device industry is rapidly adopting technologies that enable communication and connectivity of health products and systems to improve both speed and quality of care as well as patient safety. The users (i.e. hospitals and others) are demanding an approach that will support interoperability among multiple independently sourced medical devices. Industry will require standardization to support such interoperability. Government and regulators, on behalf of the patients and in compliance with their mission to protect public health, as well as users and manufacturers require that such interoperability is safe. This complementary webinar will introduce the eHealth sector and applications, outline the challenges and risks inherent in connecting heterogeneous equipment into medical device systems, and provide insights to how manufacturers can demonstrate compliance with the rapidly changing regulatory landscape for interoperable medical devices.
This webinar was presented by UL eHealth experts on October 30, 2013.
This document discusses patient-initiated information exchange and supporting patient-driven care coordination through technology. It describes several technologies for sharing health information, including Blue Button, iBlue Button, personal health records (PHRs), and patient portals. However, fully seamless sharing of health data has not been achieved due to technical, financial, cultural, and legal barriers. These include a lack of data standards, unclear data ownership, cost barriers, and a physician-directed rather than patient-centered model of care. The goal remains to empower patients to access and share their health information through digital tools.
HXR 2016: Free the Data Access & Integration -Jonathan Hare, WebShieldHxRefactored
Utilizing the power of data can empower patients and arm developers in the creation of new tools and platforms. Whether it’s authenticating data, downloading it via BlueButton, or connecting data with other applications using BlueButton on FHIR, increased data accessibility is a win for everyone. Presenters will give an overview of the opportunities and challenges that exist today and share the newest technologies and initiatives that are overcoming them.
QDXTM HealthID is a secure service that provides end-to-end visibility for infectious disease testing and immunization on a global scale. It offers an easy to use "Immunization Passport" to verify an individual's health status and compliance with requirements. The service ensures identities and test results are authenticated and validated using identification documents and a verifiable chain of custody for test kits. It presents an individual's health and immunization status in a user-friendly passport that can be configured to different compliance standards worldwide.
This document describes a proposed platform that would integrate patient-generated medical data from devices and applications into enterprise health systems. The platform would allow for remote patient monitoring, predictive modeling of patient metrics, facilitation of disease diagnosis through telemedicine, and development of interactive patient health records. It would aggregate data from various sources and make it available to both patients and providers through their existing health systems. The document outlines several components and functionalities of the proposed platform, and discusses potential partnerships that could support development.
Healthcare in Blockchain overview by Lea Dias, CEO, Quaefacta, November 11, 2020. Key use cases include the following:
1) PHARMA & MEDICAL DEVICES SUPPLY CHAIN TRACEABILITY
2) MEDICAL RECORDS INTEROPERABILITY
3) DIGITAL IDENTITY
4) CLINICAL TRIALS VERIFICATION
5) GENOMICS DATA SEQUENCING
21st Century Act and its Impact on Healthcare ITCitiusTech
This document gives an overview, core objectives of the act and enumerates purpose of each part / division of the 21st Century Act. It lists down the sections of the act which have a direct impact on Healthcare IT and gives a brief overview of each section.This document also explains the impact of 21st Century Cures Act on regulatory bodies: FDA / NIH / HSS.
Telemedicine refers to providing health services using digital devices like phones and computers, allowing patients to get medical advice and care from home. While challenges like security and training exist, telemedicine has grown rapidly since 2010 and surged during the COVID-19 pandemic as a safe alternative to in-person care. The pandemic drove widespread adoption of telemedicine and highlighted its benefits of preserving equipment, protecting healthcare workers, and monitoring patients remotely. As awareness and need have increased, telemedicine appears poised to continue playing an important role in healthcare going forward.
mHealth Israel_Technology, Data & Medical Technologies- the Perfect Storm_Bos...Levi Shapiro
Presentation by Jonathan Goldstein, Director, Corporate R&D and Venture at Boston Scientific on November 5th, 2020. Covers the historical progression of transformational technological disruption and the opportunities in cardiac devices. These include heart failure products, proctoring in pacemakers as well as Clinical Data and Big Data.
David Farber (http://bit.ly/2DFnvJ1), Head of the FDA and Reimbursement Practice at King & Spalding in Washington DC, leads a workshop for medtech and digital health companies seeking US reimbursement. He brings 30+ years of experience in US Healthcare reimbursement, lobbying and FDA regulatory issues. In addition to ongoing reimbursement challenges, 2020 will see a fundamental transformation in US medical reimbursement (http://bit.ly/2YWlYbt), particularly in digital health. That includes 394 Current Procedural Terminology (CPT) code changes, 248 new codes, 71 deletions and 75 revisions
The document summarizes the key accomplishments and privacy challenges of the New Mexico Health Information Collaborative (NMHIC). It discusses how NMHIC was established in 2004 with funding from government agencies and community matching funds to create a statewide health information exchange. It describes the major privacy issues encountered, including balancing data sharing for treatment while respecting patient privacy and developing a hybrid consent model. It also outlines lessons learned around the importance of stakeholder engagement, education, and public trust for a sustainable health information exchange.
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.
This presentation was presented online by Dr.Vinothini as a part of PG Seminar Presentation and the full video presentation can be found in official YouTube channel of IAPSM eConnect
Link for the video: https://www.youtube.com/watch?v=eqR1J9jjCgs
MiHIN Overview - Health Information Exchange Meet and Greet v7 10 22-14mihinpr
The document provides an overview of MiHIN, which is a statewide health information exchange network in Michigan. It describes how MiHIN connects various healthcare organizations across the state through a common framework to enable the secure sharing of patient health information. MiHIN uses a "use case" approach where specific clinical scenarios define how data will be shared for different purposes, such as care coordination, public health reporting, and quality improvement. It also outlines MiHIN's governance structure and stakeholder groups that help guide its operations.
Blockchain Technology for Patients Medical RecordseHealth Forum
Med-iFile uses blockchain technology & cryptographic processes to provide a unique infrastructure to patients’ medical records. We aim at creating a nationwide database and communications framework for the medical sector. Under the proposed technological framework, we can ensure data integrity, protect the privacy of sensitive data & enhance the capabilities of clinical research.
Med-iFile team:
George Efthymiou, Sotiria Kalivi, Fotis Papastergiou, Christos Martinis, Nikos Drakopoulos
The challenges and benefits of implementing and using personal health and car...Patients Know Best
This document discusses the challenges and benefits of implementing personal health records from the perspectives of suppliers, clinicians, and patients. It outlines how current systems fragment patient information across different providers and exclude patients from their own information. A patient-controlled integrated digital care record is proposed as a solution to integrate information and put patients in control by allowing them to share their health information with whoever they choose through granular consent options. Benefits include coordinated care through secure sharing, improved communication, remote management of care plans and test results, and collaborative care planning. The document provides examples of how Patients Know Best software enables these features and has been adopted widely in the UK and other countries.
EU General Data Protection Regulation top 8 operational impacts in personal c...Erik Vollebregt
Presentation to the Personal Connected Health Alliance about the top 8 operational impacts of the EU General Data Protection Regulation on companies in the personal connected health field.
This document provides information about an upcoming webinar series on fundamentals in healthcare law. The first webinar will focus on HIPAA privacy and security and will be presented by two attorneys from Parsons Behle & Latimer. It includes legal disclaimers, an overview of what has been learned in the 20 years since HIPAA was implemented, the most common HIPAA complaints, and perspectives on privacy and security compliance.
eHealth - Medical Systems Interoperability & Mobile Healthulmedical
The Medical Device industry is rapidly adopting technologies that enable communication and connectivity of health products and systems to improve both speed and quality of care as well as patient safety. The users (i.e. hospitals and others) are demanding an approach that will support interoperability among multiple independently sourced medical devices. Industry will require standardization to support such interoperability. Government and regulators, on behalf of the patients and in compliance with their mission to protect public health, as well as users and manufacturers require that such interoperability is safe. This complementary webinar will introduce the eHealth sector and applications, outline the challenges and risks inherent in connecting heterogeneous equipment into medical device systems, and provide insights to how manufacturers can demonstrate compliance with the rapidly changing regulatory landscape for interoperable medical devices.
This webinar was presented by UL eHealth experts on October 30, 2013.
This document discusses patient-initiated information exchange and supporting patient-driven care coordination through technology. It describes several technologies for sharing health information, including Blue Button, iBlue Button, personal health records (PHRs), and patient portals. However, fully seamless sharing of health data has not been achieved due to technical, financial, cultural, and legal barriers. These include a lack of data standards, unclear data ownership, cost barriers, and a physician-directed rather than patient-centered model of care. The goal remains to empower patients to access and share their health information through digital tools.
HXR 2016: Free the Data Access & Integration -Jonathan Hare, WebShieldHxRefactored
Utilizing the power of data can empower patients and arm developers in the creation of new tools and platforms. Whether it’s authenticating data, downloading it via BlueButton, or connecting data with other applications using BlueButton on FHIR, increased data accessibility is a win for everyone. Presenters will give an overview of the opportunities and challenges that exist today and share the newest technologies and initiatives that are overcoming them.
QDXTM HealthID is a secure service that provides end-to-end visibility for infectious disease testing and immunization on a global scale. It offers an easy to use "Immunization Passport" to verify an individual's health status and compliance with requirements. The service ensures identities and test results are authenticated and validated using identification documents and a verifiable chain of custody for test kits. It presents an individual's health and immunization status in a user-friendly passport that can be configured to different compliance standards worldwide.
This document describes a proposed platform that would integrate patient-generated medical data from devices and applications into enterprise health systems. The platform would allow for remote patient monitoring, predictive modeling of patient metrics, facilitation of disease diagnosis through telemedicine, and development of interactive patient health records. It would aggregate data from various sources and make it available to both patients and providers through their existing health systems. The document outlines several components and functionalities of the proposed platform, and discusses potential partnerships that could support development.
Healthcare in Blockchain overview by Lea Dias, CEO, Quaefacta, November 11, 2020. Key use cases include the following:
1) PHARMA & MEDICAL DEVICES SUPPLY CHAIN TRACEABILITY
2) MEDICAL RECORDS INTEROPERABILITY
3) DIGITAL IDENTITY
4) CLINICAL TRIALS VERIFICATION
5) GENOMICS DATA SEQUENCING
21st Century Act and its Impact on Healthcare ITCitiusTech
This document gives an overview, core objectives of the act and enumerates purpose of each part / division of the 21st Century Act. It lists down the sections of the act which have a direct impact on Healthcare IT and gives a brief overview of each section.This document also explains the impact of 21st Century Cures Act on regulatory bodies: FDA / NIH / HSS.
Telemedicine refers to providing health services using digital devices like phones and computers, allowing patients to get medical advice and care from home. While challenges like security and training exist, telemedicine has grown rapidly since 2010 and surged during the COVID-19 pandemic as a safe alternative to in-person care. The pandemic drove widespread adoption of telemedicine and highlighted its benefits of preserving equipment, protecting healthcare workers, and monitoring patients remotely. As awareness and need have increased, telemedicine appears poised to continue playing an important role in healthcare going forward.
mHealth Israel_Technology, Data & Medical Technologies- the Perfect Storm_Bos...Levi Shapiro
Presentation by Jonathan Goldstein, Director, Corporate R&D and Venture at Boston Scientific on November 5th, 2020. Covers the historical progression of transformational technological disruption and the opportunities in cardiac devices. These include heart failure products, proctoring in pacemakers as well as Clinical Data and Big Data.
David Farber (http://bit.ly/2DFnvJ1), Head of the FDA and Reimbursement Practice at King & Spalding in Washington DC, leads a workshop for medtech and digital health companies seeking US reimbursement. He brings 30+ years of experience in US Healthcare reimbursement, lobbying and FDA regulatory issues. In addition to ongoing reimbursement challenges, 2020 will see a fundamental transformation in US medical reimbursement (http://bit.ly/2YWlYbt), particularly in digital health. That includes 394 Current Procedural Terminology (CPT) code changes, 248 new codes, 71 deletions and 75 revisions
The document summarizes the key accomplishments and privacy challenges of the New Mexico Health Information Collaborative (NMHIC). It discusses how NMHIC was established in 2004 with funding from government agencies and community matching funds to create a statewide health information exchange. It describes the major privacy issues encountered, including balancing data sharing for treatment while respecting patient privacy and developing a hybrid consent model. It also outlines lessons learned around the importance of stakeholder engagement, education, and public trust for a sustainable health information exchange.
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.
This presentation was presented online by Dr.Vinothini as a part of PG Seminar Presentation and the full video presentation can be found in official YouTube channel of IAPSM eConnect
Link for the video: https://www.youtube.com/watch?v=eqR1J9jjCgs
MiHIN Overview - Health Information Exchange Meet and Greet v7 10 22-14mihinpr
The document provides an overview of MiHIN, which is a statewide health information exchange network in Michigan. It describes how MiHIN connects various healthcare organizations across the state through a common framework to enable the secure sharing of patient health information. MiHIN uses a "use case" approach where specific clinical scenarios define how data will be shared for different purposes, such as care coordination, public health reporting, and quality improvement. It also outlines MiHIN's governance structure and stakeholder groups that help guide its operations.
This document discusses building consensus for electronic health records (EHRs) in healthcare. It begins by outlining goals for improving healthcare quality put forth by the Institute of Medicine. It then discusses executive mandates for implementing EHRs and defines EHRs and how they differ from electronic medical records. Factors driving the need for EHRs are described. The stages of EHR implementation and meaningful use requirements are outlined. Attributes of EHRs that support continuity of care are listed. Considerations for EHR implementation including costs, downtime, caregiver assistance, and data integrity are also discussed.
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.
1Running head PATIENT DATA15Running head PATIENT DATA.docxfelicidaddinwoodie
1
Running head: PATIENT DATA
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Running head: PATIENT DATA
Protecting Patient Data
Walden University
Since the inception of recording-keeping medical records have earned a place in society where the population of medical data from each individual patient is essential not only to trend progression but also as a general record-keeping system of a patients overall health. Accordingly, a patient file tends to generally contain: Hospital summaries (admittance, discharge, and follow-up care), radiological images, consultation reports, list if medications, allergy information, physical exams, etc. However, certain things such as the exchange of information between lawyers, doctors, and medical indemnity providers tend to be excluded based on current law and should not to be taken as part of a patient’s medical record (Ken, 2009). As such, patient records tend to contain a significant amount of sensitive information that must be safeguarded thus the need to provide proper safety and security measures are essential to patient care.
Since compilation, storage, and access of information is such an important part of patient care it is essential to provide proper safeguards to prevent unauthorized access such as steel enclosures with locks for those still utilizing paper records or complicated encryptions methods for those utilizing electronic medical records. However, with the enactment of newer laws and compliance measures of meaningful use the value of a safe and secure medical record system should not be overlooked. Thus, a comprehensive record-keeping system that is secure and fulfills the needs of patients, physicians, various other health care providers, insurance billers, and other third party entities is of the utmost importance. After analysis of United General’s policy manual some of the proposed changes below could a comprehensive update that is able to fulfill all requirements:
· Records should be kept in a secure electronic format that is legible, easily understood, written with American Medical Association approved acronyms and/or abbreviations, and easily transmissible from one organization to another.
· The medical record, at a minimum, must contain a thorough history, physical examination findings, tests and/or procedures performed on the patient along with their results, possible consultations, assessment and plan, medication history, and any other medically relevant information that allows a comprehensive compiling of patient-specific medical data.
· The medical record should include all possible discussions regarding any proposed procedures and/or the treatment options, along with risk to benefit analysis, in order to clearly demonstrate that all options were presented to the patient and they were allowed to choose without prejudice or cohesion.
· The medical record must safeguard, via encryption methods, files of any written consent issued by AND to the patient for any and all medica ...
The Role of Technology in Transforming Primary CareNHS England
The document discusses the role of technology in transforming primary care in the UK. It outlines key challenges facing primary care like an aging population and increasing complex patient needs. It then discusses how digital transformation can help by enabling self-care for patients, increasing practice efficiencies, and providing data and tools to improve care quality. Specific technologies mentioned include online appointment booking, access to medical records, remote monitoring of chronic conditions, and interoperable digital health records.
Lloyd Humphreys - ECO 15: Digital connectivity in healthcareInnovation Agency
The document discusses the challenges of fragmented healthcare records and multiple patient portals. It proposes that Patient Knows Best provides a single shared patient record to overcome these issues. The solution connects healthcare organizations and allows secure sharing of patient data. It has been implemented across the UK and led to benefits like improved patient safety, experience and self-management as well as efficiencies for services. Evaluation found the solution improved outcomes and had a compelling financial case, with costs savings of up to £5 for every £1 spent.
What you need to know about Meaningful Use 2 & interoperabilityCompliancy Group
Does this describe you?
·You are constantly challenged to stay abreast of the latest information on EHR integration and HIE interoperability, Meaningful Use stages, the Direct Project, clinician and patient portals, just to name a few.
·You walk a fine line between adopting health information technology for the good it can bring patient outcomes…….and for the good incentive dollars it can mean to your organization.
·You play a key role in ensuring your organization can attest for meaningful use.
Join Andy Nieto, Health IT Strategist at DataMotion where he’ll explain the key role that interoperability plays in Meaningful Use Stage 2 attestation including:
- What does interoperability really mean
- Why you can’t ignore interoperability
- How to achieve interoperability and make it meaningful
- What you need in order to attest
Health Information Technology & Nursing InformaticsJil Wright
This document discusses health information technology and nursing informatics. It begins with an introduction by Jil Wright who identifies herself as a nursing informatics "geek". The document then provides resources for more information on health IT and nursing informatics. It discusses how nursing informatics integrates nursing science, computer science, and information science to support patients, nurses, and healthcare providers. Examples of clinical information systems and technologies that can help transform nursing practice are also provided, such as electronic medical records, wireless systems, and RFID technologies. Meaningful use requirements and examples of how health IT can improve documentation and the nursing process are summarized as well.
The document discusses challenges with information sharing across health and social care systems in the UK, including different data formats, lack of integration, and lack of trust. It describes a project by Symphonic Software to deliver a governance layer for the London Digital Programme, which aims to allow the 7,000 organizations involved in patient care in London to access patient records while meeting data controller agreements and patient consent preferences. The governance layer will provide policy translation, identity management, and automated generation of information sharing policies to improve integrated care.
INFORMATIVE TECHNOLOGY - ELECTRONIC HEALTH RECORD.pdfDolisha Warbi
definition, advantage of EHR, disadvantage of EHR, component, challenges of EHR, impact of EHR on care, EHR adoption model, stage of EHRAM framework, EHR system in clinical practice, use of EHR in nursing practice, future recommendation on EHR.
Implications for risk management of digital health technologiesDavid Lee Scher, MD
Digital health technology is becoming a critical part of healthcare. As tools used in care (directly and indirectly), it has implications with regards to risk management. These are discussed from both liability and mitigation perspectives.
The document discusses the challenges facing primary care in England, including an aging population, more complex patient needs, and a shortage of healthcare professionals. It notes that digital technologies can help address these challenges by empowering patients to better manage their own care, allowing practices to work more efficiently, and giving providers tools to improve quality of care. Specifically, it outlines how technologies like online appointment booking, access to medical records, remote monitoring, and clinical apps can benefit both patients and practices. Finally, it proposes several strategies for NHS England to further digital transformation, such as increasing funding, training, online services, and interoperability between health systems.
Partners in Technology - eHealth Queensland ICT Investment PrioritiesDigital Queensland
The document discusses Queensland's digital landscape and strategies. It outlines initiatives to improve digital readiness, infrastructure, population health tools, precision medicine, consumer health tools, and more. Key priorities include expanding digital hospitals, improving rural telehealth, and the patient portal. Strategies also focus on genomics, innovation, and using data/AI to modernize healthcare delivery across Queensland.
1) The document discusses the development of electronic health records in Australia, noting that while computerization of general practitioner records has increased, connectivity between different parts of the healthcare system remains limited.
2) It outlines some early success stories with electronic health record sharing pilots and emphasizes the importance of leadership, change management, and clinical buy-in for successful implementation.
3) The National eHealth Strategy aims to first establish foundations like identifiers and secure messaging, and then focus on connecting key information flows between providers through initiatives like electronic discharge summaries and referrals.
The document proposes a Health Claims Platform (HCP) to enable electronic paperless claim processing. The HCP would standardize the e-claim format, use encryption and routing to enable a digital claims ecosystem. It discusses design principles like non-repudiability, open APIs, and consent-based data sharing. The HCP aims to reduce costs, improve user experience and enable innovation. It also covers creating personal health records and ensuring high quality medical coding standards. An implementation roadmap includes stakeholder engagement, sandbox testing and medical coding certification.
IRDAI - NHA Joint Working Group: Sub Group on ITPankaj Gupta
The document proposes the creation of a Health Claims Platform (HCP) to enable electronic paperless claim processing. The HCP would standardize the e-claim format, use encryption and routing to enable a digital claims ecosystem. It discusses design principles like non-repudiation, open APIs, and consent-based data sharing. The HCP would provide services like eligibility checks and smart contracts. An implementation roadmap is suggested involving stakeholder engagement, medical coding standards, and a sandbox for developers.
Determine what is Health Information Technology
Explain Types of Health Information Technology & Healthcare Software System
Illuminate Telehealth Technologies And Their Contribution In Improving Teleconsultations
Give details about Potential Benefits of Telemedicine
Explain barriers that have slowed the development of telemedicine.
Explain Health Technology Assessment and its purposes
Describe types and examples of Telemedicine Technology
Similar to E health platform progress and prospects and evolution of health care (20)
This document outlines an activity session to teach children about electricity through experiments and demonstrations. It aims to establish prior knowledge, investigate circuits and materials' conductivity, and discuss applications. The session includes:
- Experiments with circuits to determine what allows current flow and identify conductors vs insulators.
- An analogy comparing electric current to movement between trees to explain electrons.
- A circuit game to model electron flow using paper balls passed between children.
- Demonstrations using a "sound box" to compare conductivity of materials based on sound.
- Discussions of applications like traffic lights, sensors, and semiconductors in everyday devices.
- Emphasis on battery safety and dangers of main
Independent must notify manufacturer in writing (Massachusetts requires notice to NASTF)
Manufacturer has 30 days to respond
If independent not satisfied with response, can appeal to dispute resolution panel comprised of Auto Care, CARE, Alliance, and Global Automakers
DRP has 10 days following meeting to make decision
Independent must notify manufacturer in writing (Massachusetts requires notice to NASTF)
Manufacturer has 30 days to respond
If independent not satisfied with response, can appeal to dispute resolution panel comprised of Auto Care, CARE, Alliance, and Global Automakers
DRP has 10 days following meeting to make decision
This document discusses vehicle construction and classifications. It defines the key parts of vehicles, including the frame, body sections, and major structural components. There are three main types of frame construction: body-over-frame, unibody, and space frame. Vehicles are also classified by their size, shape, engine location, drivetrain, and roof design. The document provides details on the front, center, and rear body sections and identifies important parts like pillars, panels, and assemblies.
Regulatory signs, barricades, and GatesMao Sararith
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This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
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Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
2. Some evolutions in health care
• more chronic care instead of merely acute care
• remote care (monitoring, assistance, consultation, diagnosis,
operation, ...), and home care
• multidisciplinary, transmural and integrated care
• patient-oriented care and patient empowerment
• rapidly evolving knowledge => need for reliable and coordinated
management and access to knowledge
• threat of excessively time-consuming administrative processes
• thorough support of health care policy and research requires
thorough, integrated and anonymised information
• cross-border mobility
• need for cost control
25/11/2014 2
3. These evolutions require...
• collaboration between all actors in health care
• efficient and safe electronic communication between all actors in
health care
• high-quality electronic patient files, across specialties
• care pathways
• optimised administrative processes
• technical and semantic interoperability
• guarantees concerning
• information security
• privacy protection
• respect for the professional secrecy of health care providers
25/11/2014 3
4. Mission of the eHealth platform
• how?
• through a well-organised, mutual electronic service and
information exchange between all actors in health care
• by providing the necessary guarantees with regard to
information security, privacy protection and professional
secrecy
• what?
• optimisation of health care quality and continuity
• optimisation of patient safety
• reduction of administrative burden for all actors in health care
• thorough support of health care policy and research
25/11/2014 4
5. 1. development of a vision and a strategy with regard to eHealth
2. organisation of collaboration between other government agencies
charged with coordinating electronic services
3. acting as a key driver for the necessary changes in order to
carry out the vision and strategy with regard to eHealth
4. establishing the functional and technical norms, standards and
specifications and the basic ICT architecture
5. registration of software for management of electronic patient files
25/11/2014 5
10 missions
6. 6. creation, development and management of a cooperative platform
for safe electronic data exchange with the corresponding basic
services
7. to agree on task division and quality standards with regard to
information storage, and to verify whether these standards are
complied with
8. as an independent trusted third party (TTP), being in charge of the
coding and anonymisation of personal health data for the benefit of
specific agencies, as established by law, in order to support scientific
research and policy
9. promoting and coordinating the development of programs and
projects
10. managing and coordinating the ICT aspects of data exchange within
the framework of electronic patient files and electronic medical
prescriptions
25/11/2014 6
10 missions
7. • Authentication of the
patient’s identity
• Verification of insurability
• GMF ?
Patient's
eID
The patient consults
health care provider
Administrative advantages
Possibility to register therapeutic relationships and informed
consent
eHealth platform
In practice
25/11/2014 7
8. Medical
advantages
25/11/2014 8
Laboratory &
medical imaging
results
Look up medical
history through the
SumEHR
Medication
schedule
Online advice and
guidelines
Electronic medical
referral form
Electronic
prescriptions
eHealth platform
In practice
10. 10 basic services
Coordination of partially
electronic processes
Portal
Integrated management of
users and access
Log management
End-to-end encryption
system
eHealthBox
Timestamping
Coding and
anonymisation
Consultation of the
National Registry and the
Banque Carrefour
registries
Reference directory
(Metahub)
25/11/2014 10
11. 10 basic
services
Ensures flexible and harmonious
integration of various processes for the
implementation of various basic services
in a single application
Coordination of
electronic sub-
processes
25/11/2014 11
12. 10 basic
services
A window to the web providing
healthcare providers with
a number of online services to
support their medical practice
• Offers all relevant information for
the services offered via the
eHealth platform, to their missions,
standards, etc…
• The portal environment contains
all the documents users need in
order to implement precise
configurations and access the
available online services
Portal
25/11/2014 12
14. 10 basic
services
Only authorised care providers/institutions
can access personal data
• The access rules are required by law or
authorisations from the Sectoral Health
Committee (set up in the Privacy Protection
Committee)
• Each application is subject to specific access
rules
• When the user authenticates their identity
(using an electronic identity card or token),
the tool's generic verification model
launches: the model consults the rules set
for the application, checks that the user is in
compliance with the rules, and decides
whether or not to grant access to the
application
Integrated
managementof
users and access
25/11/2014 14
15. Integrated management of users and access rights
How it works
25/11/2014 15
User
Policy
Application
(PEP)
Application
Policy
Decision (PDP)
Policy
Administration
(PAP)
Policy Information
(PIP)
Policy Information
(PIP)
Policy Repository Authentic Source Authentic Source
Administrator
Action on application
Action on application
ALLOWED
Action on application
DECLINED
Fetch
Policies
Information
Question/
Answer
Information
Question/
Answer
Decision
answer
Decision
request
Authorisation
management
16. 10 basic
services
Management of an access registry
for the data management system >
all access rights to read and write
and all withdrawals are registered
and can be used as proof in the event of
the submission of a complaint
Log management
25/11/2014 16
17. 10 basic
services
Communication of complete data, unchanged
from one point to another by making them
unreadable using a key (encyption) until
decrypted using a key
2 methods:
• Known recipient: use of an asymmetric encryption
(2 keys)
• Unknown recipient: use of symmetric encryption
(the information are encrypted and kept outside
the eHealth platform. The decryption key can be
obtained via the eHealth platform)
End-of-end
encryption
system
25/11/2014 17
18. Encryption for a known recipient
25/11/2014 18
eHealth platform
Health care actor
person or entity
Internet
Identification
certificate
Identification
certificate
Web service
Register key
Connector or
other software to
generate key pair
Sends
public key
Stores private key
in a secure way
Public keys
repository
1
2
2
Authenticates sender
Stores
public key
3
4
19. Identification
certificate
25/11/2014 19
Internet
eHealth platform
Public keys
repository
Authenticates
sender
Sends
public key
2
.
3
Message originator
Identification
certificate
Asks for public
key
Encrypts
message
4
1
Message recipient
Decrypts message
5
Stored
private
key
Identification
certificate
Web service
Ask public key
Encryption for a known recipient
20. Encryption for an unknown recipient
25/11/2014 20
User 2
Recipient
User 1
Originator
Key
Management
/ Depot
Messages
Depot
1 asks for key
2 sends key
3 sends encrypted message
Message encrypted with
symmetric key
4 justifies right to
obtain key
4 justifies right to
obtain message
5 receives key
5 receives message
21. 10 basic
services
Possibility to date any document created
in the healthcare sector, accurate to 1
second, and ensure the validity of
content across time through a signature
from eHealth
Timestamping
25/11/2014 21
22. Application of timestamping:
electronic prescriptions in hospitals
25/11/2014 22
Prescription A
1
Hashcode A
2
Prescription B
Hashcode B
Timestamp bag
Electronic
timestamping
4
Electronic
signature
5
Archive
6
Archive
63
23. 10 basic
services
Coded hidden identity so that
appropriate personal information can be
used without violating privacy and an
option to anonymize data by replacing
the information indicated with generic
information. Once the data have been
coded or anonymized, the data remain
usable, but it is no longer possible to
deduce the identity of the person, either
directly or indirectly.
Coding &
Anonymization
25/11/2014 23
24. 10 basic
services
Access to the national register an the
Banque Carrefour registers by
authorised health care professionals,
under strict conditions
Consultation of
the National
Consultation of
the National
Registryand the
BCSS registries
25/11/2014 24
26. 10 basic
services
Indicate, with the agreement of patients,
the type of data stored with particular
health service providers and on which
patients
Reference
directory
25/11/2014 26
27. Value-added services
67 value-added services in production
> 40 value-added services under study
Examples of value-added services:
• registration in and consultation of
• cancer registry
• registry of hip and knee prostheses (Orthopride)
• registries of care provided for heart implants (Qermid)
• shared electronic arthritis file, including electronic processes for the
reimbursement of anti-TNF medication (Safe)
25/11/2014 27
28. • PROCARE RX allows radiologists to upload and send anonymous
X-rays and information to experts for review or a second opinion
• management of on-call GP and dentist shifts (Medega)
• reports on MUG interventions
• electronic communication to the owner of a global medical file
(GMF) of the reports drawn up by on-call GPs
• Resident Assessment Instrument (BelRAI)
• electronic consultation of patients' health insurance coverage by
nurses
25/11/2014 28
Value-added services
29. • SARAI care portal of the Antwerp Hospital Network
('Ziekenhuisnetwerk Antwerpen'-ZNA) in support of
• collaboration between GPs, specialists and health care teams within the
NIHDI health care programs (diabetes and renal insufficiency)
• the contribution of GPs to the multidisciplinary oncology consultation
• electronic forwarding of third party invoices by nurses (nurse
groups) to health insurance funds
• quality indicator for hospitals (QI dataserver)
• registration of the emergency services data of 2 participating
hospitals
• electronic medical card for people without documents (eCarmed)
25/11/2014 29
Value-added services
30. • platform for data exchange between the Flemish Agency for Care and
Health and the services recognised by the Agency (VESTA)
• support of the electronic care prescription in 108 hospitals (77 % of
hospitals)
• consultation of living wills regarding euthanasia
• electronic registration and consultation of the medical evaluation of
disabled people in the FPS Social Security information system
(Medic-e)
• online registration system for private facilities within the sector of
special youth care in Flanders
• electronic birth registration – eBirth
25/11/2014 30
Value-added services
31. Cornerstone:
Multidisciplinary data sharing
1. data transmission
• snapshot of the data
• sender chooses recipient
• sender is responsible for sending the data only to recipients who are
entitled to have access to these data
2. data sharing
• evolutive data
• the source does not know in advance who will consult the data (e.g. on-call
GP)
• necessity of clarifying which people are entitled to have access to the data
25/11/2014 31
32. Data transfer: eHealthBox
• sending of messages to "actors in health care“
• standard functionalities of a premium high security electronic messenger system > access to
the system via eID (web application) or eHealth certificate
• applicable to all service providers (not limited to doctors)
• designed to allow service providers to send messages to colleagues + other health service providers
(other care providers, care institutions, authorities, etc.)
• full encryption of all messages, secure exchange of medical data
• customised configuration of metadata, transmission with the message for routing within an
institution, ex. a hospital
• eHealthBox is used by approximately forty labs and hospitals, and almost 4,700 GPs
• ROI Agoria Award 2014
• October 2014:
• 2,931,269 messages sent
• 4,636,258 messages read
•
25/11/2014 32
33. Multidisciplinary data sharing
1.data from hospitals
• sharing of documents between hospitals and doctors
• “hubs and metahub system”
2.extramural data
• sharing of structured data between first-line health care providers and
other extramural health care providers
• “extramural vaults”
3.coupled and interoperable
• standards
• informed consent
• therapeutic relationship/ health care relationship
25/11/2014 33
34. Hubs & Metahub system:
Creation of the "hubs"
25/11/2014 34
5 hubs
3 technical implementations
98 % of Belgian hospitals
(have signed the 2012
protocol)
37. Extramural data 1/2
• supporting the development of data exchange platforms for all sorts
of extramural health care providers (GPs, dentists, pharmacists,
physiotherapists, home nurses, dietitians, psychologists, ...)
• in cooperation with Communities (first-line health care conference in Flanders,
the Intermed initiative in Wallonia)
• for the disclosure of data via the hub/metahub system between local
information systems of extramural health care providers and between these
systems and the information systems of health care/welfare organizations
• for the interaction with extramural vaults awaiting development
• by reusing the basic services of the eHealth platform and by making use of
several achievements of the developed data sharing platform between
hospitals and GPs/doctors
25/11/2014 37
39. Data sharing
• Each actor keeps their own
file up to date
• However, they can decide to
share parts of the file with
other actors
• Examples:
• medication schedule
• SUMEHR
• parameters
• journal
• …
25/11/2014 39
40. Access for health care providers
• having a "health care relationship"
• depending on their role
No access for
• IT administrators, hoster,..
• eHealth platform
• authorities
without the active cooperation
of the owner of the 2nd key
Vault
Governance Archiving Management
Vault data
Authentication ... Authorisation
Data
quality
Encryption
Decryption
Authentication
Vault connector
Treshold
decryptie
Trusted
3rdparty
2 1
.
Vaultcore
25/11/2014 40
41. Informed consent & therapeutic
relationship
• content of informed consent
• for registration in the reference directory (as required by the eHealth law)
• for the electronic exchange of health data between health care providers
within the framework of patient health care, as long as the following
conditions are met:
• approval by the Sectoral Committee
• therapeutic relationship required
• only relevant data
• the patient decides, in consultation with the health care provider, which data will
be shared
• health care providers may be excluded by name
• possibility of a posteriori verification of the granted access
• consent may be revoked at any given time
25/11/2014 41
42. • registration of informed consent
– patient is informed about the system
– specific procedure approved by the Board of Directors and the Sectoral
Committee
– consent can be registered through eHealth consent
• either by the concerned person themselves
• or by a doctor, a pharmacist, a hospital or a health insurance fund
– https://www.ehealth.fgov.be/fr/prestataires-de-soins/services-en-
ligne/ehealthconsent
• therapeutic relationship
– only health care providers who have a therapeutic relationship with the
patient (1) can access the information they need to perform their task (2)
• (1) proof of therapeutic relationship determines which patient the health care
provider has access to
• (2) role determines which type of data the health care provider has access to
Informed consent & therapeutic
relationship
25/11/2014 42
48. Critical success factors
• common vision on electronic service delivery, information
management and information security amongst all stakeholders
• support of and access to policymakers at the highest level
• trust of all stakeholders, based on
• mutual respect
• real mutual agreement
• transparency
• respect for legal allocation of competences between actors
• co-operation between all actors concerned based on
distribution of tasks rather than centralization of tasks
• focus on more effective and efficient service delivery and on
cost control
25/11/2014 48
49. Critical success factors
• reasoning in terms of added value for patients and health
care providers rather than in terms of legal competences
• quick wins combined with long term vision
• lateral thinking when needed
• adaptability to an ever changing societal and legal
environment
• electronic service delivery as a structural reform process
• process re-engineering within and across actors
• back-office integration for unique information collection, re-use of
information and automatic granting of benefits
• integrated and personalized front-office service delivery
25/11/2014 49
50. Critical success factors
• multidisciplinary approach
• process optimization
• legal coordination
• ICT coordination
• information security and privacy protection
• change management
• communication
• coaching and training
25/11/2014 50
51. Critical success factors
• appropriate balance between efficiency on the one hand
and information security and privacy protection on the
other
• technical and semantic interoperability
• legal framework
• creation of an institution that stimulates, co-ordinates and
assures a sound program and project management
• availability of skills and knowledge => creation of an
association that hires ICT-specialists at normal market
conditions and puts them at the disposal of the actors in
the health sector
• sufficient financial means for innovation: agreed possibility
to re-invest efficiency gains in innovation
25/11/2014 51
52. Critical success factors
• service oriented architecture (SOA)
• need for radical cultural change within government, e.g.
• from hierarchy to participation and team work
• meeting the needs of the customer, not the government
• empowering rather than serving
• rewarding entrepreneurship within government
• ex post evaluation on output, not ex ante control of every input
25/11/2014 52
54. Critical success factors
• challenge:
• mobile devices increasing
• multidisciplinary medical practices increasing
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25/11/2014 54
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