E-health - Home Care Denmark Bad Segeberg 12. september 2007 Ib Johansen, MI Deputy Manager, Med. Com
Strategies - Plans Danish Centre for • 1994 - 1996 Med. Com, – Developing nationwide EDI-standards • 1996 National strategy for EDI - Health Care data Network, 66 % within Y 2000. • 1997 HEP. National strategy for EHR in hospitals • 2000 National strategy for IT in hospitals, • 2003 National strategy for IT in Health Sector • 2007 National E-health strategy (dec 2007) • Key Words: national standards, Interoperability, implementation, citizens, Med. Com is setting the standards
VANS
GP´s with EDI : Specialists with EDI: Hospitals with EDI : Pharmacies with EDI: Doctors on Call: Health Insurance : 2149 = 98 % 747 = 91 % Prescriptions 1389023 84% 1039105 = 73% 63 = 100% 321 = 100 % 5 = 100 % Disch. Letters 1131750 85 % 682923 == 97 % 79 messages /min Lab. reports 896956 98 543040 = 82 % Referrals 140590 = 65 % Reimbursement 21049 = 98 % Lab Requests 235511 = 65 %
Secure infrastructure A central HUB - the health DIX DNS Cache + Server Firewall Nokia IP 530 VPN PIX 515 E VPN Nokia VPN Internet VPN Closed intranets are connected - in a secure way VPN County Net VPN VPN DAN Net (net provider) GP-systems KMD (net provider) Pharmacy Net VPN KPLL (laboratory)
Security Management
E-Mail contacts with patients Telephone call from pt. : 25 DKR E-mail from/to pt. : 50 DKR
Med. Com Danish Centre for Health Telematics Cronic diseases IT support self treatment • Home Monitoring – – – BP INR ( AC therapy) Glucose Videoassisted COPD ECG • Telemedicine for citizens • Access to own data – Unit dose medication
Blood Pressure
Anti Coagulant Therapy
Anti Coagulant Therapy
Diabetic. Self management
Videoassisted COPD
Videoassisted COPD • Just two buttons • Designed for patients • Secure transmission • Sattelite or Internet • Easy instruction • Multi functional • Integrated with EMR/EHR
Visual contact fully integrated data
One – national standard
Home Care and E-health Results Danish Centre for – – – 1/3 of COPD can be treated in home Reduced number of hospital visits Quality of life is higher Longer living? Reduced total costs
Home Care and E-health Danish Centre for • Med. Com communication standards • Med. Com approved solutions • Med. Com national Webservice – ( The Good Web Service) • Secure net ( Medcom S-DIX) • Full integration with EMR/EHR
Home Care and E-health status 2007 Danish Centre for • Secure communication – – Infrastructure National Strategies Health portal Digital certificate • Interoperability / integration – Approved solutions – Med. Com standards, webservices • Solutions for patients (one button) • Still pending – Payment issues (DRG) – Reduced hospital visits, but hospitals invest in service and equipment
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