Immunization data set
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This document discusses digital health policies for children's immunization in Greece. It provides an overview of Greece's national immunization program, including that most children are vaccinated by private pediatricians through free vaccines provided via e-prescription. Vaccination records are primarily kept by parents, though some healthcare workers keep records in their offices. Vaccination coverage is generally satisfactory according to national studies, though some vaccines like MMR II and rotavirus have lower coverage. An immunization registry has not yet been implemented in Greece due to lack of legislation and challenges connecting existing electronic healthcare data.
Maria brenner, michael rigby key data and autonomy issues child primary care
Maria brenner, michael rigby key data and autonomy issues child primary careTrillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
The document discusses health data and patient summaries for children with complex care needs. It notes that these children have multidimensional health and social care needs due to medical conditions. The document then provides statistics on children who require long-term ventilation, have intractable epilepsy, or have traumatic brain injuries and their caregivers' ability to identify all of their healthcare providers. It also shows consultation rates for care plans for adolescents with traumatic brain injuries. The document outlines key data issues and discusses autonomy issues in child primary care, including a child's ability to access their health record or restrict parental access. It also examines consent issues for HPV vaccination between parents and children in different countries. Finally, it discusses concepts of vulnerability and capacity to engage fromReasons for non immunization
Reasons for non immunizationTrillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
The document discusses findings from a stakeholder meeting on issues with access, education, data quality, and communication. It presented findings to stakeholders and identified additional factors. The findings will be reviewed in the context of relevant literature.Giorgio cangioli trillium ii_mocha_ws_20181121_01
Giorgio cangioli trillium ii_mocha_ws_20181121_01Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
This document discusses the development of an International Patient Summary (IPS) specification to enable sharing of patient health information across borders for unscheduled care. It outlines the vision, scope, and principles for the IPS, which aims to provide a standardized yet minimal collection of clinically relevant information. The document also describes collaboration between the HL7 and CEN standards organizations to produce four IPS specifications, and plans to refine and extend the IPS to support additional use cases beyond emergency care.Tyra krause e healthnetwork jav wp5
Tyra krause e healthnetwork jav wp5Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
The document summarizes the objectives and activities of the EU-Joint Action on Vaccination (EU-JAV) work package 5 (WP5), which aims to strengthen interaction between immunization information systems (IIS) in Europe. WP5 will assess IIS interoperability, test estimating measles-mumps-rubella vaccine coverage across Europe using IIS data, and evaluate vaccine reminder systems. The goals are to increase vaccine surveillance capabilities, coverage, and support research using combined European vaccine data. WP5 involves 20 EU countries and is led by Denmark and Croatia over 3 years with a €5.8 million budget.Proposal for a council recommendation on strengthened cooperation against vac...
Proposal for a council recommendation on strengthened cooperation against vac...Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
This document proposes a Council Recommendation on strengthened cooperation against vaccine-preventable diseases. It notes that vaccination programs are the responsibility of Member States but could benefit from more coordinated EU action given the cross-border nature of diseases. It recommends actions like improving public dialogue on vaccines, ensuring adequate training for healthcare workers, reducing barriers to vaccination when moving between countries, and strengthening vaccine supply and research. The recommendation is based on existing EU policies and calls to address vaccine-preventable diseases jointly.Prezi ap
Prezi apTrillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.Mocha trillium-ii workshop survey
Mocha trillium-ii workshop surveyTrillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
The document summarizes responses to a survey about vaccination priorities and challenges in the EU. 13 individuals responded to questions about ranking vaccination priorities for children and considering adults, with the highest rankings going to European vaccination guidelines and information websites. 12 respondents also ranked implementation feasibility of the priorities, again ranking guidelines and information websites as most feasible. 6 respondents identified the biggest cross-border health threat as lack of standardized procedures, data collection and vaccination schedules within and between countries.Recommended
Digital
This document discusses digital health policies for children's immunization in Greece. It provides an overview of Greece's national immunization program, including that most children are vaccinated by private pediatricians through free vaccines provided via e-prescription. Vaccination records are primarily kept by parents, though some healthcare workers keep records in their offices. Vaccination coverage is generally satisfactory according to national studies, though some vaccines like MMR II and rotavirus have lower coverage. An immunization registry has not yet been implemented in Greece due to lack of legislation and challenges connecting existing electronic healthcare data.
Maria brenner, michael rigby key data and autonomy issues child primary care
Maria brenner, michael rigby key data and autonomy issues child primary careTrillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
The document discusses health data and patient summaries for children with complex care needs. It notes that these children have multidimensional health and social care needs due to medical conditions. The document then provides statistics on children who require long-term ventilation, have intractable epilepsy, or have traumatic brain injuries and their caregivers' ability to identify all of their healthcare providers. It also shows consultation rates for care plans for adolescents with traumatic brain injuries. The document outlines key data issues and discusses autonomy issues in child primary care, including a child's ability to access their health record or restrict parental access. It also examines consent issues for HPV vaccination between parents and children in different countries. Finally, it discusses concepts of vulnerability and capacity to engage fromReasons for non immunization
Reasons for non immunizationTrillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
The document discusses findings from a stakeholder meeting on issues with access, education, data quality, and communication. It presented findings to stakeholders and identified additional factors. The findings will be reviewed in the context of relevant literature.Giorgio cangioli trillium ii_mocha_ws_20181121_01
Giorgio cangioli trillium ii_mocha_ws_20181121_01Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
This document discusses the development of an International Patient Summary (IPS) specification to enable sharing of patient health information across borders for unscheduled care. It outlines the vision, scope, and principles for the IPS, which aims to provide a standardized yet minimal collection of clinically relevant information. The document also describes collaboration between the HL7 and CEN standards organizations to produce four IPS specifications, and plans to refine and extend the IPS to support additional use cases beyond emergency care.Tyra krause e healthnetwork jav wp5
Tyra krause e healthnetwork jav wp5Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
The document summarizes the objectives and activities of the EU-Joint Action on Vaccination (EU-JAV) work package 5 (WP5), which aims to strengthen interaction between immunization information systems (IIS) in Europe. WP5 will assess IIS interoperability, test estimating measles-mumps-rubella vaccine coverage across Europe using IIS data, and evaluate vaccine reminder systems. The goals are to increase vaccine surveillance capabilities, coverage, and support research using combined European vaccine data. WP5 involves 20 EU countries and is led by Denmark and Croatia over 3 years with a €5.8 million budget.Proposal for a council recommendation on strengthened cooperation against vac...
Proposal for a council recommendation on strengthened cooperation against vac...Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
This document proposes a Council Recommendation on strengthened cooperation against vaccine-preventable diseases. It notes that vaccination programs are the responsibility of Member States but could benefit from more coordinated EU action given the cross-border nature of diseases. It recommends actions like improving public dialogue on vaccines, ensuring adequate training for healthcare workers, reducing barriers to vaccination when moving between countries, and strengthening vaccine supply and research. The recommendation is based on existing EU policies and calls to address vaccine-preventable diseases jointly.Prezi ap
Prezi apTrillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.Mocha trillium-ii workshop survey
Mocha trillium-ii workshop surveyTrillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
The document summarizes responses to a survey about vaccination priorities and challenges in the EU. 13 individuals responded to questions about ranking vaccination priorities for children and considering adults, with the highest rankings going to European vaccination guidelines and information websites. 12 respondents also ranked implementation feasibility of the priorities, again ranking guidelines and information websites as most feasible. 6 respondents identified the biggest cross-border health threat as lack of standardized procedures, data collection and vaccination schedules within and between countries.Jesper kervin franke vaccine presentation 211118
Jesper kervin franke vaccine presentation 211118Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
The document discusses how GS1 standards will require barcodes on vaccines to uniquely identify individual packages under the EU Falsified Medicines Directive. Barcodes will need to be added to vaccines by February 9th, 2019, and scanning the barcodes will allow verification of the correct vaccine, batch traceability, expiration checks, and authentication of the vaccine to improve patient safety.Eapra snet 2018
Eapra snet 2018Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
The European Academy of Paediatrics Research in Ambulatory Settings network (EAPRASnet) was launched in 2008 to conduct research using primary care data from European countries. The network involves primary care pediatricians who collect patient data through surveys and electronic health records. EAPRASnet aims to study topics like quality of care, child health inequalities, vaccination attitudes and antibiotic use across Europe. It has published several studies on issues like managing urinary tract infections, pneumonia treatment preferences, and use of electronic health records. Current projects examine health issues for migrant children and oral health practices among European pediatricians.Eap2018
The European Academy of Paediatrics (EAP) is the official political voice for children and paediatricians throughout Europe. As the paediatric section of the UEMS European Union Medical Specialists, the EAP represents over 32 European countries and advocates for children's rights and quality paediatric care. The EAP works to improve paediatric education, training, research, and care across Europe through various councils and committees focused on primary, secondary, and tertiary care as well as rare diseases, vaccination, and other issues.
Eap flyerv2
Eap flyerv2Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
The European Academy of Paediatrics (EAP) is the pediatric section of the UEMS that represents pediatric societies and organizations from over 40 European countries. EAP promotes the health and well-being of children by improving pediatric standards, developing best practices, and harmonizing pediatric training programs across Europe. Some of EAP's focus areas include vaccination, migrant health, antimicrobial resistance, chronic diseases, and training for young pediatricians.Patient summaries in Paediatric Emergencies: Policy, Standards, Prospects: Jo...
Patient summaries in Paediatric Emergencies: Policy, Standards, Prospects: Jo...Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
This document summarizes a workshop on patient summaries in pediatric emergencies. The workshop aims to identify challenges and recommendations for digital health policies related to standards. Several speakers will present on topics including disparities in national policies on emergency clinical information availability for school children based on a MOCHA project survey. The Trillium-II project extending patient summaries beyond cross-border settings will also be discussed. Case studies on complex pediatric patients and mobile apps to assist families during emergencies will likewise be presented. The expected outcome is a workshop report to guide follow-up child health activities.Digitization in the emergency Department: the role of patient summaries
Digitization in the emergency Department: the role of patient summariesTrillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
The document discusses patient summaries in emergency departments and their potential to improve care. It describes how patient summaries can provide key medical information to clinicians in emergency situations. However, effective use of patient summaries faces challenges around standards, access to data across organizations, and clinician trust in external medical records. Overcoming these challenges could help unlock the power of health data to support clinical decision making in emergency care.The application of new technologies and IT in Health: standards as infrastruc...
The application of new technologies and IT in Health: standards as infrastruc...Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
Patient summaries have a key role to play in Pharmacies sharing information with General Practitioners and making the life of citizens betterHow patient summary standards can improve risk assessment for health insurance?
How patient summary standards can improve risk assessment for health insurance?Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
How can the patient summary improve risk assessment for insurers? In "Digital health and insurance: a perfect partnership?“ June 1, 2017
International Patient Summary Workshop
International Patient Summary Workshop Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
The document provides information about an upcoming international patient summary workshop. It discusses the history and mission of HL7, an organization that develops standards for health information technology, including growing exponentially since 1987. It also outlines HL7's use and development of CDA (Clinical Document Architecture) standards in various countries, including Finland, Germany, and Austria. The document shares examples of how CDA has been implemented for different use cases like ePrescriptions, electronic health records, and discharge summaries.Trillium-II initiative on scaling up use of patient summaries in Europe and g...
Trillium-II initiative on scaling up use of patient summaries in Europe and g...Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
The document discusses the Trillium-II initiative to scale up use of patient summaries in Europe and globally. It aims to progress the International Patient Summary Standard and leverage existing work on patient summaries and interoperability assets from previous projects like Trillium Bridge. The initiative will focus on unlocking patient data through patient summaries, developing educational materials, and involving stakeholders to identify needs and enablers for successful implementation. The overall goal is to empower individuals and enhance health systems through use of interoperable patient summaries. Patient Summaries in the Emergency Department
Patient Summaries in the Emergency DepartmentTrillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
This document discusses patient summaries in emergency departments. It describes the high cognitive demands placed on emergency department staff and high diagnostic error rates. International and European guidelines for patient summaries are outlined, defining them as a minimum set of clinical data for healthcare coordination. The document argues that patient summaries could help navigate health systems and unlock health data, but challenges include data sharing between different health record systems and ensuring privacy and trust.Standards as Infrastructure for Innovation
Standards as Infrastructure for Innovation Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
Digital Enlightment Forum: Towards a European ecosystem for health care data
Presentation of eStandards/Trillium II at the workshop of the Digital Enlightment ForumReinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient SummaryTrillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
The document discusses the Trillium Bridge II project, which aims to reinforce and scale up EU-US cooperation on patient summaries. It will do this by (1) developing and testing interoperability assets for patient summary components, (2) extending the scope of patient summaries beyond emergency care to include new use cases, and (3) creating an EU-US interoperability roadmap and governance for international patient summary standards. The project brings together stakeholders from standards development organizations, health systems, and industry to support global digital health innovation through cooperation on patient summaries.Innovation pre-empts Standardization – The FHIR Experience
Innovation pre-empts Standardization – The FHIR ExperienceTrillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
HL7 FHIR (Fast Healthcare Interoperability Resources) is a standard that defines data formats and elements to promote interoperability of electronic health records. It uses a RESTful API and modular components called resources that can be combined into profiles to solve clinical problems. FHIR addresses issues like making standards simpler, faster to design and implement, interoperable, and driven by reusable components. Patient summaries are highlighted as a key use case that could leverage FHIR to unlock health data and facilitate clinical decision making. The presentation argues that while FHIR is part of the solution, fully realizing its benefits will require broader adoption and collaboration across the health ecosystem.Exploring healthcare inefficiencies: the case of health care appointments Tri...
Exploring healthcare inefficiencies: the case of health care appointments Tri...Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
There are inefficiencies in healthcare systems related to appointments. Access to same day appointments can be difficult, with only 50% of patients in Norway and 42% in the United States able to get them. Standards and digital tools may help address these issues by improving coordination of care and sharing of information across providers. Patient summaries that include appointment and care history could help navigate healthcare systems and coordinate care among different specialists and organizations. Further development of standards is needed to unlock health data and fuel innovation that improves productivity, quality of care, and patient experience with appointments.Medication Reconciliation – time to rethink informatics support ? Trillium II...
Medication Reconciliation – time to rethink informatics support ? Trillium II...Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
Medical Related information reconciliation when a patient sees many providers or transfers between health facilities is challenging. Lack of updated and correct information is a key concern for patient safety during a health and illness trajectory [1]. Errors, near misses and adverse medication events are too common, particularly whne transfers between hospitals, nursing home and home are frequent, or engagement of multiple specialties is common [2]. Lack of effective informatics support can be harmful to a person’s health, leading to suffering, increased use of health care resources and increased costs.
As a case for interactive discussion, we have chosen information exchanges related to medication, prescription-based as well as over the counter drugs. This challenging chain of activities includes: (a) prescribing on paper or electronically by several medical specialists, (b) transcribing by sending and interpreting prescriptions in the pharmacy, (c) dispensing medication by brand name or generic substitution, (d) acquiring over the counter medication, (e) administering medication as a user, and (f) observing effects and side-effects. The risk of missing information leading to mistakes in the chain of activities in medication management is likely to increase as complex medication regimes become common due to demographic developments, co-morbidities or more personalized treatment. Potentials in patient activation and relevant informatics tools for medication reconciliation need further exploration.
Anne MOEN Institute for Health and Society, Faculty of Medicine, University of Oslo, NORWAY
Catherine CHRONAKI HL7 Foundation, Brussels, BELGIUM
Christian NØHR, Aalborg University, DENMARK
Line Helen LINSTAD Norwegian Center for eHealth Research, Tromsø, NORWAY
Petter HURLEN Akershus University Hospital, NORWAY
Digital Health: Trends, standards and practices at Heart and-vessels2017
Digital Health: Trends, standards and practices at Heart and-vessels2017Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
The international Patient summary as a window to a persons health information signifies important trends in digital healthPreventive healthcare: exploring big data’s rising role in active and health...
Preventive healthcare: exploring big data’s rising role in active and health...Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
Preventive healthcare: exploring big data’s rising role in active and healthy ageing
As healthcare costs continue to soar, the cost saving benefits of big data will become more apparent, especially as there is an increased focus on preventive care, well-being and reducing re-admission rates in the hospital. With so many benefits, it’s easy to understand why the healthcare industry has been such an early adopter of big data technology.
However, it would be interesting to see the impact big data has on the active and healthy ageing market as we are moving forward.
Indeed, can we imagine using personal health data for encouraging persons to be proactive about their health and implement suggested lifestyle changes?
To which extent can this information be used by insurance companies for example?
Which challenges encountered when collecting this data?
Let’s discuss with our panelists the impact big data has on preventive care and which are its limits?
Moderator: Bowden Richie, CEO, SoMoMod/ Assess Patients, IE
O'Donoghue John, Senior Lecturer in eHealth & Deputy Director Global eHealth, IMPERIAL COLLEGE LONDON, UK
Dekezel Stefaan, Programme Director Innovation & Smart Synergies, Ageas, BE
Brichet Francis, Health Manager, Coreye, FR
The view of interoperability and standards:
(1) Standards as infrastructure for interoperability
(2) Placing the citizen at the center
(3) Using digital health technologies to reduce costs and flatten risk
(4) However we face a tsounami of data; the question do you navigate the data? Can standards help? And what kind standards can help? Establish trust, use the right data at the right time, for the benefit of the patient; and the system as a whole.
(a) Example of appointments: replace most routine f2f appointments with remote visits; and shift the focus to f2f visits that aim to diagnose a problem. Productivity low in health care.
(b) Standards place the individual at the center of the care serving as the data aggregator in a fragmented health system
(c) Think of the patient summary as a window to a persons’ health
Healthcare Information Standards for Frailty: Why, When and How (5 of 5)
Healthcare Information Standards for Frailty: Why, When and How (5 of 5)Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
Trillium II /Focus workshop at Informatics for Health2017: Manchester, April 24-27, 2017
Frailty is an age-related state of vulnerability to the risk of adverse health out-comes after a stressor event. The condition predisposes individuals to progressive decline in different functional domains, leading to falls and fractures, disability and dependency on others, hospitalization, institutional placement and ultimately death. We discuss drivers, challenges and opportunities for healthcare information standards related to frailty in old age in an effort to launch a call for coordinated action across research, policy, and academia. Key issues are selected as the back-drop for this discussion: EHR, patient summaries and frailty in a context of coor-dinated care enabled by health IT standards.
Presentation 5 of 5: Catherine Chronaki, HL7 FoundationHealthcare Information Standards for Frailty: Why, When and How (3 of 5)
Healthcare Information Standards for Frailty: Why, When and How (3 of 5)Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
Trillium II /Focus workshop at Informatics for Health2017: Manchester, April 24-27, 2017
Frailty is an age-related state of vulnerability to the risk of adverse health out-comes after a stressor event. The condition predisposes individuals to progressive decline in different functional domains, leading to falls and fractures, disability and dependency on others, hospitalization, institutional placement and ultimately death. We discuss drivers, challenges and opportunities for healthcare information standards related to frailty in old age in an effort to launch a call for coordinated action across research, policy, and academia. Key issues are selected as the back-drop for this discussion: EHR, patient summaries and frailty in a context of coor-dinated care enabled by health IT standards.
Presentation 3 of 5: Sarah Damanti, MD
Geriatric Unit IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milano
University of Milan, PhD in Nutritional SciencesComprehensive Rainy Season Advisory: Safety and Preparedness Tips.pdf
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The document discusses how GS1 standards will require barcodes on vaccines to uniquely identify individual packages under the EU Falsified Medicines Directive. Barcodes will need to be added to vaccines by February 9th, 2019, and scanning the barcodes will allow verification of the correct vaccine, batch traceability, expiration checks, and authentication of the vaccine to improve patient safety.Eapra snet 2018
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The European Academy of Paediatrics Research in Ambulatory Settings network (EAPRASnet) was launched in 2008 to conduct research using primary care data from European countries. The network involves primary care pediatricians who collect patient data through surveys and electronic health records. EAPRASnet aims to study topics like quality of care, child health inequalities, vaccination attitudes and antibiotic use across Europe. It has published several studies on issues like managing urinary tract infections, pneumonia treatment preferences, and use of electronic health records. Current projects examine health issues for migrant children and oral health practices among European pediatricians.Eap2018
The European Academy of Paediatrics (EAP) is the official political voice for children and paediatricians throughout Europe. As the paediatric section of the UEMS European Union Medical Specialists, the EAP represents over 32 European countries and advocates for children's rights and quality paediatric care. The EAP works to improve paediatric education, training, research, and care across Europe through various councils and committees focused on primary, secondary, and tertiary care as well as rare diseases, vaccination, and other issues.
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The European Academy of Paediatrics (EAP) is the pediatric section of the UEMS that represents pediatric societies and organizations from over 40 European countries. EAP promotes the health and well-being of children by improving pediatric standards, developing best practices, and harmonizing pediatric training programs across Europe. Some of EAP's focus areas include vaccination, migrant health, antimicrobial resistance, chronic diseases, and training for young pediatricians.Patient summaries in Paediatric Emergencies: Policy, Standards, Prospects: Jo...
Patient summaries in Paediatric Emergencies: Policy, Standards, Prospects: Jo...Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
This document summarizes a workshop on patient summaries in pediatric emergencies. The workshop aims to identify challenges and recommendations for digital health policies related to standards. Several speakers will present on topics including disparities in national policies on emergency clinical information availability for school children based on a MOCHA project survey. The Trillium-II project extending patient summaries beyond cross-border settings will also be discussed. Case studies on complex pediatric patients and mobile apps to assist families during emergencies will likewise be presented. The expected outcome is a workshop report to guide follow-up child health activities.Digitization in the emergency Department: the role of patient summaries
Digitization in the emergency Department: the role of patient summariesTrillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
The document discusses patient summaries in emergency departments and their potential to improve care. It describes how patient summaries can provide key medical information to clinicians in emergency situations. However, effective use of patient summaries faces challenges around standards, access to data across organizations, and clinician trust in external medical records. Overcoming these challenges could help unlock the power of health data to support clinical decision making in emergency care.The application of new technologies and IT in Health: standards as infrastruc...
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International Patient Summary Workshop
International Patient Summary Workshop Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
The document provides information about an upcoming international patient summary workshop. It discusses the history and mission of HL7, an organization that develops standards for health information technology, including growing exponentially since 1987. It also outlines HL7's use and development of CDA (Clinical Document Architecture) standards in various countries, including Finland, Germany, and Austria. The document shares examples of how CDA has been implemented for different use cases like ePrescriptions, electronic health records, and discharge summaries.Trillium-II initiative on scaling up use of patient summaries in Europe and g...
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Patient Summaries in the Emergency DepartmentTrillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
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Standards as Infrastructure for Innovation Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
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Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient SummaryTrillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
The document discusses the Trillium Bridge II project, which aims to reinforce and scale up EU-US cooperation on patient summaries. It will do this by (1) developing and testing interoperability assets for patient summary components, (2) extending the scope of patient summaries beyond emergency care to include new use cases, and (3) creating an EU-US interoperability roadmap and governance for international patient summary standards. The project brings together stakeholders from standards development organizations, health systems, and industry to support global digital health innovation through cooperation on patient summaries.Innovation pre-empts Standardization – The FHIR Experience
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Exploring healthcare inefficiencies: the case of health care appointments Tri...Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
There are inefficiencies in healthcare systems related to appointments. Access to same day appointments can be difficult, with only 50% of patients in Norway and 42% in the United States able to get them. Standards and digital tools may help address these issues by improving coordination of care and sharing of information across providers. Patient summaries that include appointment and care history could help navigate healthcare systems and coordinate care among different specialists and organizations. Further development of standards is needed to unlock health data and fuel innovation that improves productivity, quality of care, and patient experience with appointments.Medication Reconciliation – time to rethink informatics support ? Trillium II...
Medication Reconciliation – time to rethink informatics support ? Trillium II...Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
Medical Related information reconciliation when a patient sees many providers or transfers between health facilities is challenging. Lack of updated and correct information is a key concern for patient safety during a health and illness trajectory [1]. Errors, near misses and adverse medication events are too common, particularly whne transfers between hospitals, nursing home and home are frequent, or engagement of multiple specialties is common [2]. Lack of effective informatics support can be harmful to a person’s health, leading to suffering, increased use of health care resources and increased costs.
As a case for interactive discussion, we have chosen information exchanges related to medication, prescription-based as well as over the counter drugs. This challenging chain of activities includes: (a) prescribing on paper or electronically by several medical specialists, (b) transcribing by sending and interpreting prescriptions in the pharmacy, (c) dispensing medication by brand name or generic substitution, (d) acquiring over the counter medication, (e) administering medication as a user, and (f) observing effects and side-effects. The risk of missing information leading to mistakes in the chain of activities in medication management is likely to increase as complex medication regimes become common due to demographic developments, co-morbidities or more personalized treatment. Potentials in patient activation and relevant informatics tools for medication reconciliation need further exploration.
Anne MOEN Institute for Health and Society, Faculty of Medicine, University of Oslo, NORWAY
Catherine CHRONAKI HL7 Foundation, Brussels, BELGIUM
Christian NØHR, Aalborg University, DENMARK
Line Helen LINSTAD Norwegian Center for eHealth Research, Tromsø, NORWAY
Petter HURLEN Akershus University Hospital, NORWAY
Digital Health: Trends, standards and practices at Heart and-vessels2017
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The international Patient summary as a window to a persons health information signifies important trends in digital healthPreventive healthcare: exploring big data’s rising role in active and health...
Preventive healthcare: exploring big data’s rising role in active and health...Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
Preventive healthcare: exploring big data’s rising role in active and healthy ageing
As healthcare costs continue to soar, the cost saving benefits of big data will become more apparent, especially as there is an increased focus on preventive care, well-being and reducing re-admission rates in the hospital. With so many benefits, it’s easy to understand why the healthcare industry has been such an early adopter of big data technology.
However, it would be interesting to see the impact big data has on the active and healthy ageing market as we are moving forward.
Indeed, can we imagine using personal health data for encouraging persons to be proactive about their health and implement suggested lifestyle changes?
To which extent can this information be used by insurance companies for example?
Which challenges encountered when collecting this data?
Let’s discuss with our panelists the impact big data has on preventive care and which are its limits?
Moderator: Bowden Richie, CEO, SoMoMod/ Assess Patients, IE
O'Donoghue John, Senior Lecturer in eHealth & Deputy Director Global eHealth, IMPERIAL COLLEGE LONDON, UK
Dekezel Stefaan, Programme Director Innovation & Smart Synergies, Ageas, BE
Brichet Francis, Health Manager, Coreye, FR
The view of interoperability and standards:
(1) Standards as infrastructure for interoperability
(2) Placing the citizen at the center
(3) Using digital health technologies to reduce costs and flatten risk
(4) However we face a tsounami of data; the question do you navigate the data? Can standards help? And what kind standards can help? Establish trust, use the right data at the right time, for the benefit of the patient; and the system as a whole.
(a) Example of appointments: replace most routine f2f appointments with remote visits; and shift the focus to f2f visits that aim to diagnose a problem. Productivity low in health care.
(b) Standards place the individual at the center of the care serving as the data aggregator in a fragmented health system
(c) Think of the patient summary as a window to a persons’ health
Healthcare Information Standards for Frailty: Why, When and How (5 of 5)
Healthcare Information Standards for Frailty: Why, When and How (5 of 5)Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
Trillium II /Focus workshop at Informatics for Health2017: Manchester, April 24-27, 2017
Frailty is an age-related state of vulnerability to the risk of adverse health out-comes after a stressor event. The condition predisposes individuals to progressive decline in different functional domains, leading to falls and fractures, disability and dependency on others, hospitalization, institutional placement and ultimately death. We discuss drivers, challenges and opportunities for healthcare information standards related to frailty in old age in an effort to launch a call for coordinated action across research, policy, and academia. Key issues are selected as the back-drop for this discussion: EHR, patient summaries and frailty in a context of coor-dinated care enabled by health IT standards.
Presentation 5 of 5: Catherine Chronaki, HL7 FoundationHealthcare Information Standards for Frailty: Why, When and How (3 of 5)
Healthcare Information Standards for Frailty: Why, When and How (3 of 5)Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
Trillium II /Focus workshop at Informatics for Health2017: Manchester, April 24-27, 2017
Frailty is an age-related state of vulnerability to the risk of adverse health out-comes after a stressor event. The condition predisposes individuals to progressive decline in different functional domains, leading to falls and fractures, disability and dependency on others, hospitalization, institutional placement and ultimately death. We discuss drivers, challenges and opportunities for healthcare information standards related to frailty in old age in an effort to launch a call for coordinated action across research, policy, and academia. Key issues are selected as the back-drop for this discussion: EHR, patient summaries and frailty in a context of coor-dinated care enabled by health IT standards.
Presentation 3 of 5: Sarah Damanti, MD
Geriatric Unit IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milano
University of Milan, PhD in Nutritional SciencesMore from Trillium Bridge: Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary (20)
Patient summaries in Paediatric Emergencies: Policy, Standards, Prospects: Jo...
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Digitization in the emergency Department: the role of patient summaries
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The application of new technologies and IT in Health: standards as infrastruc...
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How patient summary standards can improve risk assessment for health insurance?
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Trillium-II initiative on scaling up use of patient summaries in Europe and g...
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Reinforcing the Bridges and Scaling up EU/US Cooperation on Patient Summary
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Innovation pre-empts Standardization – The FHIR Experience
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Exploring healthcare inefficiencies: the case of health care appointments Tri...
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Digital Health: Trends, standards and practices at Heart and-vessels2017
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Healthcare Information Standards for Frailty: Why, When and How (5 of 5)
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