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hans c ossebard presentation
This document discusses eHealth in the Netherlands. It outlines several organizations involved in developing eHealth standards and guidelines, collecting quality of care information, and conducting eHealth research. Key priorities for eHealth include addressing the rising elderly population and chronic diseases, shortage of healthcare professionals, and increasing healthcare costs. The Netherlands is seen as a testbed for eHealth due to factors like connectivity, digital skills, and supportive industries. Ongoing issues include reimbursement models, standardization, and management of eHealth programs.
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- 1. 1 eHealth inthe Netherlands Hans C Ossebaard
- 2.
- 3. 3 Dutch HealthCare Institute Health Care Quality Institute (Diemen/Amsterdam) 1.To promote the development of quality standards, like guidelines; 2.To stimulate the implementation of these quality standards; 3.To collect and publish information on quality of care.
- 4. 4 Center foreHealth Research and Disease management
- 5. ↑ Elderly people ↑ Chronic diseases/co-morbidity ↑ Demand for care ↓ Healthcare professionals ↓ Budget ↑ Healthcare associated inf. + AMR 5 eHealth urgencies
- 6. 6 eHealth potential • Affordability • Accessibility • Effectiveness • Efficiency • Safety & Quality • Self-management
- 7. 7 Testbed NL:sociotechnological conditions • Connectivity • Tech savvy • Educational level • Health • eH-literacy • Creative industry
- 8. 8 eHealth MonitorIssues Reimbursement Standardization Familiarity Management and Direction
- 9. 9 National eHealthAgenda • Health Care Providers • Patient Federation • Health Care Insurers + • VZVZ • Nictiz - Centre of expertise for standardisation and eHealth • Health Care Quality Institute
- 10. 10 eHealth Governancecovenant Objective: remove obstacles for Up-scaling eH + Defragmentation →→ eeHHeeaalltthh IImmpplleemmeennttaattiioonn AAggeennddaa
- 11. 11 Research eHealthAction Plan to advance implementation (Netherlands Organisation for Health Research and Development)
- 12. 12 Center foreHealth Research and Disease management How can technology effectively and efficiently be implemented in health care? How can we make eHealth technology accessible, acceptable and attractive for users? www.utwente.nl/igs/ehealth/
- 13. 13 Center foreHealth Research and Disease management • Cross-border patient safety via a new communication dashboard • Diaderma teledermatology • Technology and adherence in eHealth • Social media and infection prevention • Technology and Dementia • On(e)Health
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Editor's Notes
- #2 Friday 5th Sept 2014 – Session 3 eHealth around the World 14:00-16:00 (HALL – Pala) 15:15-15:30 eH in NL My name is HCO, I work at the crossroads of health policy, practice and research I am honoured to be invited to share with you some thoughts on the present state of eHealth in my country, The Netherlands. Where exactly am I situated?
- #3 World > N-W Europe > NL
- #4 I work at the Dutch Health Care Quality institute which full-heartedly supports eHealth Dutch Health Care Quality Institute is a new public agency. It has basically four statutory tasks to improve and promote patient safety and quality of care. 1.To promote the development of quality standards, like guidelines; 2.To stimulate the implementation of these quality standards; 3.To collect and publish information on quality of care. My task is to integrate eHealth int quality standards, and remove obstacles for implementation.
- #5 I am also affiliated with the Center for eH Research , University of Twente. HIGH TECH HUMAN TOUCH As an example of eH research in NL of applying tech in health and health care I will show you some interesting research
- #6 eH is about using information and communication tech to improve or support health and health care. The urgencies for eH are basically the same everywhere : (Health care is going home) In view of these urgencies the global health policy question is: how to keep an affordable and accessible healthcare system with the same quality. Maybe eHealth is part of the solution. The Dutch Ministry of Health is generally in favour of eHealth, mainly for two reasons: - The potential of eH to reduce costs of healthcare (personell and work) The potential of eH to support self-management (in the home environment) This is backed up with favourable developments at the level of the European Union (as you have heard from previous speaker mr Frank Lievens)
- #7 But to be honest evidence-base is thin. We have promising outcomes in parts of health e.g. teledermatology, mental health Though there are many initiatives, and a positive attitude is slwly coming, in general: eH is still fragmented, small-scale, not robust, not in the full scope of health care and public health; There are issues with adherence, adoption, acceptance
- #8 Apart from these urgencies the socio-technological conditions are more than sufficient for NL to be a testbed for eHealth Connectivity: broadband, access, availability,
- #9 Since a few years we monitor eH developments. It is an instrument for national health policy. The 2013 eH Monitor reveals Issues that prevent upscaling and defragmentation. They are depicted here. Unclear finance/reimbursement Lack of standardization and unity in language Professionals and patient often not acquanted with possibilities of eH Lack of management and direction within instituions, networks, nationally May be you recognize them…
- #10 This is why three major stakeholders joined together to present NIA: the National Implementation Agenda on eHealth, Later 3 more parties joined in, among them the Health Care Quality Institute Goal: agenda setting BUT also get eHealth flying The have the full support of the Ministry of Health, that refers to this initiative in policy papers to the Parliament.
- #11 These six parties undersigned a convenant at the highest level with the objectives to remove obstacles of national up-scaling and defragmentation. Instrument: eH implementation Agenda. We selected six promising, existing projects with issues in finance/reimbursement, standardization, familiarity or management. These were the criteria for adption 1. Appropriateness for national up-scaling 2. Clear gal for care or efficiency of the application 3. co-creatie van de essentiële partijen die voor de daadwerkelijke opschaling van de eHealth toepassing moeten zorgen. 4. Warrants: for execution and up-scaling (support, financial feasibility, time, expertise) 5. Commitment to NIA 6. Generic not specific issues problemen Informatie uitwisseling Ketenzorg Project Persoonlijk Gezondheidsdossier Kader 2020 Zelfzorg Ondersteund! Herziening regels voor e-consult Pilot keurmerk medische apps Patiëntenparticipatie bij medicatieveiligheid IF issues are present that prevent up-scaling and have to do with finance/reimbursement, standardization, familiarity or management, The covenant facilitates collaborative action to remove thgese bstacles, backed up by the respective boards of the organizations involved. So this is how we try to address eH at this moment in time.
- #12 This is supported by a national research agenda as well: the eHealth Actionplan. Also many decentral research initiatives, and supernational ones (EU)
- #13 An example of eH Research the NL is the Center for eH Research and Diseasenmanagement , University of Twente. Book ‘Improving eHealth’ for students and professionals
- #14 Subjects Roadmap
- #15 Thank you for you attention!