Health Information Exchange (HIE) in practical use in the Veneto Region
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1 Veneto's Research Centre for ehealth Innovation Health Information Exchange (HIE) in practical use in the Veneto Region Elena Vio Copyright 2017 Arsenàl.IT All Rights Reserved
2 Veneto Region 4,9 M inhabitants (2013 data) km 2 of land surface 9 Local Health Authorities (ex 21 LHAs) Healthcare assistance (Hospitals) Territorial assistance and social issues (GPs, outpatients clinics, elderly care, in-home assistance, mental health, disability, drug addiction, ecc ) Prevention department 2 Hospital Trusts University education and research High-specialty services
3 The Consortium Arsenàl.IT: Veneto s Research Center for ehealth Innovation Founded in 2005 as Telemedicine Consortium, currently groups all the 23 Local Health Authorities and hospital trusts (now 11) afferent to the Veneto Region. Has succeeded in highlighting the critical issues of interoperability, standardization and organizational impact as key factors for driving Telemedicine applications to the mainstream of the care delivery process.
4 ehealth projects in Veneto Region Digital workflow of lab reports Local pilot for PHR services Regional HIE Hub&Spoke Teleconsultation Network connecting primary care physicians and LHAs Telemonitoring of chronic patients IHE Profile XDS XDS-I XD-LAB EUA/XUA ATNA XDW XBeR-WD XTHM-WD Use Sharing teleconselling docs, lab reports, eprescription, ereferral, telehomemonitoring summaries Sharing CT Images Lab report structure User security Connection security, audit Workflow management ereferral workflow Telehomemonitoring workflow
5 The Regional HIE project in the Veneto Region Italian National Law about HIE: Privacy Authority, 16/07/2009: «Privacy guidelines for EHR» Ministry of Health, 11/11/2010: «National guidelines for EHR» Law 221/2012 and Law 98/2013: The National EHR became an Essential Level of Care (LEA) ; The regions, the ministry of health and the AgID have developed the guidelines for the presentation of project plans All regions have presented the project plans in June 2013 The project plans were evaluated by Ministry of Health and AgID (National Agency for Innovation) and the evaluation process was concluded in April healthcare operators; GP/pediatricians, over 50 health districts, pharmacies etc..; - 4,960,336 citizens;
6 HIE Veneto Region IHE Approach Data Sharing infrastracture XDS, XUA, BPPC, ATNA, CT, DSUB
7 HIE Veneto Region IHE Approach Data Sharing infrastracture XDS, XUA, BPPC, ATNA, CT, DSUB
8 HIE Veneto Region IHE Approach Clinical Data Sharing Data Sharing semantic infrastracture XDS-lab, PCC profiles XDS, XUA, BPPC, ATNA, CT, DSUB
9 HIE Veneto Region IHE Approach Clinical Pathways Clinical Data Sharing Data Sharing workflow semantic infrastracture XDW, PCC WD profiles (XBeR- WD, XTB-WD, etc) XDS-lab, PCC profiles XDS, XUA, BPPC, ATNA, CT, DSUB
10 HIE Veneto Region IHE Approach Governance&Research Clinical Pathways Quality, Public Health & Research workflow QRPH profiles XDW, PCC WD profiles (XBeR- WD, XTB-WD, etc) Clinical Data Sharing Data Sharing semantic infrastracture XDS-lab, PCC profiles XDS, XUA, BPPC, ATNA, CT, DSUB
11 HIE status of the art Complete the eprescription and edispensation (3.800 GPs, Hospital physicians, Pharmacies, 40M/year) Complete ereferral request (20 M/year) Started at 1 Dec 2015 the visit booking by GPs Start at 1 Nov 2016 CDA Lab Report sharing/discharge Summary/ED reports/radiology Reports From 1 July first deployment of MHD Mobile app to support citizens in eprescription (request new prescription to the GP) and edispensation in Farmacies
12 The flow for Public Health & Research Third Trust Part National level Veneto level HIE Research and Governance GPs Pharmacies
13 QRPH examples OAT analysis: old dugs (walfarin) vs new drugs
14 QRPH examples Geo drug analysis Patients in new OA drugs Patients in old OAT
15 Strategy for a regional HIE: Testing & tools approach
16 Meet Initial Requirements Startup Evaluation Analysis Testing & tools approach: Model Standardization Technology Trust Deploy Training GDL-O Spec Project Design Testing/refine ment Labeling Test plan Pilot Fix Specs
17 Testing & Tools approach: Results systems tested retired total GPs : eprescription GPs: BPPC Content Creator GPs: Doc Retrieve Pharmacies CUP: Presa in carico, erogazione CUP: booking EHR Doc Repository Laboratory Report Content Creator Notification total 4 FTE for T&Tx
18 The challenge complete integration with EU Regions: ehealth CEF complete integration with US à Trillium Bridge, Trillium-II
19 @Consorz_Arsenal MRCLIC Veneto ESCAPE consorzioarsenal_it Thank you for your attention! Elena Vio
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