what are the barriers to implementation? dr michael wilks past-president, cpme co chairman, wp6,...
TRANSCRIPT
What are the barriers to implementation?
Dr Michael WilksPast-President, CPME
Co Chairman, WP6, eHGI
Current initiativesDigital agenda: - access to records
EU/MS-funded projects: - CALLIOPE
- epSOS - eHealth Governance Initiative (Joint Action/Thematic Network):
(DG INFSO/DG SANCO/Member States/Stakeholders) - Chain of Trust
- Renewing Health - Healthy Ageing
MS initiatives: - “joined-up” care:
(Primary and secondary care/Social care)
AGEAGE
GeneticGenetic
NutritionNutritionTreatmen
t
Treatmen
t
ParentingParenting
MinimiseMinimise
Self-careSelf-careSocial careSocial care
Diabetes
Educatio
n
Educatio
n
MonitoringMonitoring
Long-term
care
Long-term
care
MonitoringMonitoringOphthalmicRenalCardiovascular
DiagnosisDiagnosis
complicatio
ns
complicatio
ns
ELECTRONICELECTRONICRECORDRECORD
GP RECORDGP RECORD
PHARM.PHARM. APPOINT.APPOINT.
CLINICCLINIC
PHYSIOPHYSIO
BIOCHEM.BIOCHEM.
SCANSSCANS
PATHOL.PATHOL.
X RAYX RAY
HOSPITAL RECORDHOSPITAL RECORD DENTISTDENTIST COMMUNITYCOMMUNITYPHARMACISTPHARMACIST
SOCIALSOCIALCARECARE
CLINICALCLINICALAUDITAUDIT
FINANCIALFINANCIALMANAGEMENTMANAGEMENT
SERVICESERVICEPLANNINGPLANNINGRESEARCHRESEARCH
PERFORMANCEPERFORMANCEAUDITAUDIT
PATIENTPATIENTANDAND
FAMILYFAMILYRECORDRECORD
GP RECORDGP RECORD
PHARM.PHARM. APPOINT.APPOINT.
CLINICCLINIC
PHYSIOPHYSIO
BIOCHEM.BIOCHEM.
SCANSSCANS
PATHOL.PATHOL.
X RAYX RAY
HOSPITAL RECORDHOSPITAL RECORD DENTISTDENTIST COMMUNITYCOMMUNITYPHARMACISTPHARMACIST
SOCIALSOCIALCARECARE
CLINICALCLINICALAUDITAUDIT
FINANCIALFINANCIALMANAGEMENTMANAGEMENT
SERVICESERVICEPLANNINGPLANNINGRESEARCHRESEARCH
PERFORMANCEPERFORMANCEAUDITAUDIT
14
5
OrganisationalOrganisational
SemanticSemantic
TechnicalTechnical
Political / LegalPolitical / Legal
Jurisdiction # 2Jurisdiction # 2Jurisdiction # 1Jurisdiction # 1
Use Case AUse Case A Use Case AUse Case A
OrganisationalOrganisational
SemanticSemantic
TechnicalTechnical
Political / LegalPolitical / Legal
IOp Model, i2010 subgroup of eHealth; I2Health IOp Model, i2010 subgroup of eHealth; I2Health
eHealth Interoperability eHealth Interoperability
ELECTRONICELECTRONICRECORDRECORD
SUMMARYSUMMARYRECORDRECORD
SUMMARSUMMARYY
RECORDRECORD
Country A
Country B
TREATMENT
PRESCRIPTION
AGEAGE
GeneticGenetic
NutritionNutritionTreatmen
t
Treatmen
t
ParentingParenting
MinimiseMinimise
Self-careSelf-careSocial careSocial care
Diabetes
Educatio
n
Educatio
n
MonitoringMonitoring
Long-term
care
Long-term
care
MonitoringMonitoringOphthalmicRenalCardiovascular
DiagnosisDiagnosis
complicatio
ns
complicatio
ns
AGEAGE
GeneticGenetic
NutritionNutritionTreatmen
t
Treatmen
t
ParentingParenting
MinimiseMinimise
Self-careSelf-careSocial careSocial care
Diabetes
Educatio
n
Educatio
n
MonitoringMonitoring
Long-term
care
Long-term
care
MonitoringMonitoringOphthalmicRenalCardiovascular
DiagnosisDiagnosis
complicatio
ns
complicatio
ns
SUMMARYSUMMARYRECORDRECORD
ELECTRONICELECTRONICRECORDRECORD
SUMMARYSUMMARYRECORDRECORD
SUMMARSUMMARYY
RECORDRECORD
Country A
Country B
TREATMENT
PRESCRIPTION
SUMMARYSUMMARYRECORDRECORD
Elective careEmergency
care
5
OrganisationalOrganisational
SemanticSemantic
TechnicalTechnical
Political / LegalPolitical / Legal
Jurisdiction # 2Jurisdiction # 2Jurisdiction # 1Jurisdiction # 1
Use Case AUse Case A Use Case AUse Case A
OrganisationalOrganisational
SemanticSemantic
TechnicalTechnical
Political / LegalPolitical / Legal
IOp Model, i2010 subgroup of eHealth; I2Health IOp Model, i2010 subgroup of eHealth; I2Health
eHealth Interoperability eHealth Interoperability
Legal
Data Protection: - Data Protection Directive
- MS privacy legislation
Ethical: - Consent for immediate/team-based care
- Consent for data transfer - “Appropriate” consent
Regulation: - Professional standards and codes
- Regulatory action
Organisational
Need for data: - For insurance, reimbursement
- organisation across sectors
Patient safety through eID: - Identification
- Authentication - Authorisation
- Common identifier? - Justification for sharing outside health sector
Thank you