Transcript Controlled Power Point Template - ehealth

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... Networked Healthcare Systems ...
IT-Platforms help to improve efficiency in
Healthcare
Sofia, June 27th, 2006
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eHealth: another Buzzword?
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Siemens coverage of all key-stakeholders in healthcare
Patient’s
home
ambulance/
transport
service
Hospital
Private
Healthcare
Healthcare
system
Health
authority
Pharmacy
Nursing
Home
Patient
Insurance
cardholders
Physician
Community Care
Self-help
Group
Rehab
Center
Health
Insurance/
payer
Teaching
Hospital
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NÖMED WAN Patient- and Medical History Index:
Overview
 Client
 Lower Austrian Health and Welfare Fund Area of Health
 Federal state of Lower Austria
 Lower Austria: Approx. 1.5 million inhabitants
 22 hospitals, Approx. 8000 beds, 5 different HIS
 Approx. 3000 general practitioners, 40 different PMS
 Currently: own patient identifier each, medical record on their own
devices, exchange of information only on request, few reuse on clinical
documentation …
 Pilot Project
 Objective of step1 is to set up a Master Patient index and Medical History
Index and lookup services to identify on which place relevant medical
information is stored. Document exchange via already existing secure
eMail.
 In Step2 we will provide direct access to clinical documents at the local
document repositories by using standardized IHE XDS integration
profiles.
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NÖMED WAN Patient- and Medical History Index:
Overview – Data Management
Patient
Master (MID)
Copy of Local
Patient Record (LID)
…
Doc 1
…
Doc n
HIS 1
HIS n
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NÖMED WAN Patient- and Medical History Index:
Benefits
 Improved patient identification and patient
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
demographics data management by a central master
patient index system more efficiency on patient
admittance process
Patient centered storage of medical history  access to
all patient related data, improved quality of care
Access to medical history at any point of care, anytime
 improved quality of care
Access to already existing clinical documents reduces
the need for repeated examinations less exposure on
the patient, cost reduction
Basis for secondary use
 Retrospective studies on anonymized data  evidence based
medicine, cost reductions
 Disease Management  prevention, cost reductions
 Epidemics / Outbreak management  efficient healthcare
management
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eCard: Overview
Replacement of health insurance
voucher (paper) with a smartcard solution
Assured high quality data for
surrounding processes and
further applications
Simple and fast checking of
insurance claims to achieve
appropriate user acceptance
Robust, secure, high-available
scalable, and future proven
infrastructure rolled out for 12.000
practitioners, 8.000.000 cards
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eCard: Solution Overview and Integration Landscape
Main Association of
Social Security Agencies
GIN
GINA
Central Services
Card
System
Medical Practitioner
Software Solutions
of 3rd Party Vendors
Medical Practice
/
Hospital
Call Center and
Social Security
Agencies
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eCard: Benefits
 Eligibility Check Service, process integration into PMS, no more
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paperwork (replacement of 42 Mio paper vouchers / year)  process
efficiency, lower administration costs
Smartcard based Patient identification managed by a central Patient
Registry system more efficiency on patient admittance process
Drug approval Service  process efficiency, no more fax and
paperwork, faster service, lower administration costs
Infrastructure Rollout, Secure Connector, improved bandwidth on
practice access  future proof infrastructure also for direct image
access, encapsulated security layer for simple PMS or HIS
connectivity, performance
The Patient Card is also able to be used as a Signature Card for
eGovernment
Basis for additional eHealth services like
 Electronic Prescription
 Electronic Health Record
 Electronic Exchange of Referrals, Clinical Documents & Images
 …
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National eHealth architectures
Applications and communication infrastructures
external public services
Practices
Trust Center
Reimbursement
Hospitals
Public Registers
Pharmacies
Providers
(Providers, Professionals,
Citizens)
Firewall/VPN/
Connector
Broadband
Network
Citizens/Patients
Prescriptions &
Referrals
Referral Letters
User
Management
Smartcard
Terminals
Medicationhistory,
adv. Drug Reactions
Archiving
Service
Payers
Emergency Record
Smartcards
Government
Institutions
Primary
Information
Systems
Network
Management
Secure Communication Network
Communication
Server
Patient Record
...
...
Common Application
Services
Application
Services
 a clear architectural blueprint based on international standards is a
prerequisite to build a national eHealth infrastructure
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IHE: Cross-Enterprise Clinical Documents Sharing (XDS)
MPI
Master Patient Index
SEARCH
Patient Identity
Source
Document
Consumer
MAKE
EPR-I
Document
Repository
Electronic Patient Record - Index
Document Registry
3 Query
Document
Consumer
Document Source
VIEW
2 Register
1 Provide
& Register
Document Source
Document
Repository
4 Retrieve
Document
Repository
STORE
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eHealth-applications: Main non functional requirements
 Security
 Customizability / Extendibility / Localization
 Support of health-standards
 Scalability (regional - national)
 Interoperability (regional - national)
 Support of patient registers
 Support of health professional registers
 Single Sign On
 Smart Card Support
 24x7 Operation, High Availability
 Performance
 Lifetime readable eHR data (140 years)
 a reliable and proven IT-Framework is necessary to build
eHealth applications …
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eHealth: Functionalities & Process Integration
 ePrescription
 eMedication
 eHealthRecord
 eReferral
 eEmergencyData
 eLaboratory
 eEligibility
 eAppointment
 eOrdering
 eVaccination
 e…
 besides applications, integration is a big issue
experienced professional service staff for process integration and
integration of IT-systems is important
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eHealth: Foundation
Patient
Self-Service
Portals
Disease Management,
Surveillance & Analysis
eHealth Applications,
eHealthRecord, ePrescription, …
Primary Care Systems, Patient Registries,
Health Care Professional Registries,
Provider Registries
Secure E-Health
Network and Integration Infrastructure
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... Networked Healthcare Systems ...
БЛАГОДАРЯ ВИ ЗА
ВНИМАНИЕТО !
Franz Krenn, SIEMENS AG Austria
Program and System Engineering
Gudrunstraße 11, A-1100 Vienna
[email protected]
+43 676 5680040