health-it meaningful use ib johansen deputy manager, medcom denmark health telematics danish centre...
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Health-ITMeaningful use
Ib JohansenDeputy manager, MedCom
Denmark
Health Telematics
Danish Centre for
Amtermed i MedCom
1 til 1 (15)
MedCom
0 100000 200000 300000 400000 500000 600000 700000 800000 900000
1000000 1100000 1200000 1300000 1400000 1500000 1600000
92 93 94 95 96 97 98 99 20 O1 O2 O3 O4 O5 O6 O7 O8 O9 10
MedCom -The Danish Health Data NetworkMessages/Month
Prescriptions1039105 = 73%Prescriptions1389023 = 84%
Disch. Letters 682923 = 85 %Disch. Letters 1131750 = 99 %
Lab. reports543040 = 82 %Lab. reports988151 = 99 %
ReferralsReferrals177525 = 65 %ReferralsReferrals
Reimbursement
21049 = 99 %
GP´s with EDI : 2120 = 100 %
Specialists with EDI: 790 = 99 %
Hospitals with EDI : 63 = 100%
Pharmacies with EDI: 322 = 100 %
Doctors on Call: 5 = 100 %
Health Insurance: 5 = 100 %
120 messages /min
Lab Requests549840 = 99 %
Sundheds-telematik-
Center for
r
1 1†
MedCom E-Prescriptions
Patient ElectronicMedicine profile (PEM)Including vaccination (2011)
Telephone call from pt. : 25 DKR
E-mail from/to pt.: 50 DKR
E-Mail contacts with patients MedCom
Health Telematics
Danish Centre for
r
1 1†
Medication profile Central database 2 years
WEB – E.LPRHospital cases (ICD10 coded)
View – All Episodes of Care
Lab results - portal
50
60
70
80
90
100
110
120
2001 2002 2003 2004 2005
Consultation (x 1000)
GPs % (100 year2001)
GP-EDI %
Source: MedCom, 2005
Consultations / EDI penetration
MedCom
Health Telematics
Danish Centre for
r
1 1†
Central serversWebReq laboratory
requisition
WebReq
MEDREQMEDRPT
Sundheds-telematik-
Center for
r
1 1†
MedCom
VANS
Central servers, e-Referral Hotel
e-Referral Hotel
Refer
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Re
ferra
lA
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wle
dgem
ent
Ackno
wledg
men
t
Re
ferr
al
Referral
Consensus-Implementing
Contracts Counties/Vendors HPG – groups Technical groups The good EDI-Letters Training NICE concept Documentation Test-certification
MedCom
Health Telematics
Danish Centre for
r
1 1†
1. Test in EDI-CHECK
2. Semantic check, testprotocol
3. All data presented and valid
4. Live test
3. 23. 2Consolidation Consolidation
processprocess
Consensus - Implementing
Contracts Counties/Vendors HPG – groups Technical groups The good EDI-Letters Training NICE concept Documentation Test-certification Implementation
MedCom
Health Telematics
Danish Centre for
r
1 1†
3. 23. 2Consolidation Consolidation
processprocess
Meaningful use• MedCom connectaton
Health Telematics
Danish Centre for
Amtermed i MedCom
1 til 1 (15)
MedCom
Implementation supported by MedCom
Meaningful use• Quality
– Medication, vaccination– Patient summary– E-mail consultation, booking– ICPC coding– Weight (children database) – Cronic patients, Diabetic, AC, COPD- home treatment, smoking status(coded-uncoded)– Referrals– Lab test orders – Electronic communication (raises productivity)– FNUX– Hospitals ICD10 obligatory coding-report to national disease database ( + cancer database)
• Incentives to promote implementation– Reimbursement EDI– All lab results EDI– All frequent docs EDI
• Strategies for national standards and interoperability; – MedCom EDI-standards (all vendors)
• Vendor certification and technical assistance; – SW – approval / certification– Free test tools
• The role of a national health integrator; – MedCom
• Privacy and confidentiality safeguards;– Data protection law
• Use of public/private partnerships to support innovation – MedCom
Health Telematics
Danish Centre for
Amtermed i MedCom
1 til 1 (15)
MedCom
Meaningful use• Objectives
– Core set – 95 %– Menu set – 80 %
• Big issues– Patient access to own data– All relevant information ready when needed– No waiting time– Cronic patients self treatment/management
Health Telematics
Danish Centre for
Amtermed i MedCom
1 til 1 (15)
MedCom