A National EHR for everybody Hans Erik Henriksen, CEO Healthcare DENMARK ConhIT 2014 20-05-2014 1
Agenda Healthcare DENMARK E-health in Denmark A national EHR Future perspectives 20-05-2014 2
Healthcare DENMARK is a public-private partnership
Healthcare DENMARK activities Delegation visits to Denmark Danish delegations abroad Conferences Press and communication Healthcare DENMARK website
Her Royal Highness Crown Princess Mary is patron for Healthcare Denmark In Denmark, our focus on putting the patient first combined with constant efforts to improve efficiency and quality has resulted in a wide array of innovative healthcare solutions. I sincerely believe Danish technologies, products and expertise can have a positive impact on global health. 20-05-2014 5
Agenda Healthcare DENMARK E-health in Denmark A national EHR Future perspectives 20-05-2014 6
Denmark is recognized as a highranking E-health country by OECD
A long term focus on health data networks and on e-health provide efficient access to healthcare information Sundhed.dk E-health Portal 2003 - MedCom Health Data Network 1994 - Who is behind? Ministry of Health, Danish Regions, Ministry of Interior, National Association of Local Authorities, National Board of Health, Copenhagen Hospital Corporation, Danish Pharmaceutical Association
SERVICES FOR CITIZENS Access to personal health data on treatment E.g. e-record from hospitals and GPs and Shared Medication Card Communication with health care providers E.g. Contact information and e-services like booking, prescription renewals and electronic communication General information on health service E.g. quality in health care, patient rights Accurate and updated information on health, disease and treatment E.g. medical handbook Personal home care/hospital solutions E.g. diabetes and anticoagulant therapy Patient to patient dialogue
SERVICES FOR HEALTH CARE PROFESSIONALS Access to personal health data on patients E.g. e-record, laboratory data and Shared Medication Card Contact and service information on other health care providers General information on health service E.g. waiting lists, quality in health care, health and prevention programs, visitation Accurate and updated information on health, disease and treatment E.g. medical handbook, treatment feedback and benchmarking Personal home care/hospital solutions E.g. diabetes and anticoagulant therapy
Agenda Healthcare DENMARK E-health in Denmark A national EHR Future perspectives 20-05-2014 11
The national EHR how it all started in 1999 B-DATA EMR CSC EMR WEB 3 Health Regions 3 EMR systems Pragmatic approach: Common content XML format XML repository Secure web access IBM EMR XML DB 20-05-2014 12
The national EHR today (e-journal) EHR overview GP Medicin e Hospital EHR GP EHR Hospital episodes GP consultation Donor status Lab results Referrals GP name GP EHR GP GP name and address Medicin e Hospital episodes Specialists Hospital EHR 20-05-2014 13
Hospital EHR 20-05-2014 14
Hospital EHR calendar view 20-05-2014 15
Medicine 20-05-2014 16
Lab results 20-05-2014 17
Security and data protection 20-05-2014 18
Security and data protection 20-05-2014 19
60% of hospitals and 39% of patients are currently using the national EHR 20-05-2014 20
If Germany were to implement a similar EHR for everybody, what would be the biggest obstacle? 1. Data security, i.e. preventing unauthorized access to EHR information. 2. Standards and technology, i.e. too difficult to establish a full country or region EHR. 3. Healthcare incentives, i.e. German healthcare does not motivate and reward stakeholders to participate. 4. National ambition and legislation, i.e. no national initiative similar to Obamacare for establishing a national EHR within a few years. 5. Attitude, i.e. we do not want a national EHR for everybody in Germany.
Agenda Healthcare DENMARK E-health in Denmark A national EHR Future perspectives 20-05-2014 22
In 2013 Denmark launched the strategy for the next 4 years National EHR and E-health architecture International standards HL7 Continua Health Allicance First fully regional telehealth implementations Coordinated strategy: Ministry of Health and Prevention Danish Regions Danish Municipalities 20-05-2014 23
The National Health-IT strategy and Telehealth plan will expand the National Service platform during the coming years 2014: National Image Index Radiology Ultrasound Telehealth 2015- : National Telehealth Device data General (e.g. weight) Diagnostic (e.g. ECG) Other national initiatives: New re-imbursement solution National cancer screening National Biobank IT standards development HL7 SNOMED CT Continua Health Alliance 24
The e-health and telehealth strategy will align with the 2013 2020 Assisted Living strategy Full scale implementation of proven solutions Ceiling lifts Digital rehabilitation Selected robot technology Full scale Smart Home implementation Smart Home technology for disabled citizens Coordinated strategy: Ministry of Health and Prevention Danish Regions Danish Municipalities 20-05-2014 25
Hans Erik Henriksen, CEO Healthcare DENMARK heh@healthcaredenmark.dk 20-05-2014 26