This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
02-19-2013 Kristian & Søren Duus ØstergaardDuus.Communications ApS
Conclusions from e-Health
National Projects NPfIT - NHS (UK 2002) Estonia: Electronic Health Record System
02-19-2013 Kristian & Søren Duus ØstergaardDuus.Communications ApS
NpfIT – Health – 2002 – 2011
> 15 Bn € All hospitals, GP's medical staff in UK Centrally stored Summary Card Severe and critical audit remarks:
Lack of overall Architecture Lack of citizen and staff trust in central solution Lack of basic principles for security/privacy Numerous examples of security breaches
Development stopped in 2011 Back to decentral organisation
02-19-2013 Kristian & Søren Duus ØstergaardDuus.Communications ApS
Estonia e-Health System - 2008-
Builds on a national overall ICT strategy (from 2001)
Clear principles and service-oriented architecture
National Identity solution common to all sectors
X-Road – principle connecting sub-domains
Stepwise implementation:
Digital patient Record (decentralised DB's) Digital booking/reservation Digital Prescription
Well accepted and take-up steadily increases
02-19-2013 Kristian & Søren Duus ØstergaardDuus.Communications ApS
Estonian eHealth System
02-19-2013 Kristian & Søren Duus ØstergaardDuus.Communications ApS
Baltic eHealth Project - 2005-2007
Connecting national Health networks for specialists – Radiology + Ultrasound
Supplementing national staff – Rural areas Central hub + defined set of standards Infrastructure based on Danish MEDCOM Secure connection between hospitals Successful and continued as R-Bay (eTen)
02-19-2013 Kristian & Søren Duus ØstergaardDuus.Communications ApS
EpSOS – 2008 – 2013(Smart Open Services for European Patients)
Enable patients to receive medicine and allow transfer of health summary record across broders
Establish trusted network between National Contact Points
Read-Only access allowed to practitioner
No data stored locally (abroad)
Interoperability addressed through:
Clinical Document accepted architecture
A master Value Set Catalogue
Master translation/transcoding catalogue
An epSOS ontology (linguistic reference system)
02-19-2013 Kristian & Søren Duus ØstergaardDuus.Communications ApS
Recommendations 1General principles for eHealth across EU:
Common Baseline for security of eHealth Data Framework for x-national acceptance of eID Baseline set of standards for access control Common standards for 'secondary use'
(like de-identification for health data used forstatistics, research etc.)
02-19-2013 Kristian & Søren Duus ØstergaardDuus.Communications ApS
Operational Phase:Establish common body to ensure audit, monitor andresolve differences between countriesEnsure compliance with changes in EU regulations
Not only Data Protection skills, but also health authorities (Patient Security + privacy)
Updating the common set of ethical and legal standards
Decommisioning PhaseMigration of vital data to new system(s)
02-19-2013 Kristian & Søren Duus ØstergaardDuus.Communications ApS
Back up slides
02-19-2013 Kristian & Søren Duus ØstergaardDuus.Communications ApS
NHS – NPfIT - Structure
02-19-2013 Kristian & Søren Duus ØstergaardDuus.Communications ApS
Baltic eHealth
02-19-2013 Kristian & Søren Duus ØstergaardDuus.Communications ApS
EpSOS - Interoperability
02-19-2013 Kristian & Søren Duus ØstergaardDuus.Communications ApS