E-experience from Tallinn Kädi Lepp Valentina Hazinskaja, Raissa Zhmarjova, Svetlana Lorvi-Talisainen EUSUHM 2011 in Moscow
Jan 15, 2016
E-experience from Tallinn
Kädi LeppValentina Hazinskaja, Raissa Zhmarjova,
Svetlana Lorvi-Talisainen
EUSUHM 2011 in Moscow
Backround information100% of schools and government organisations have broadband connection (e-school, e-libraries, e-state)Nearly 80% of families have a computer and
broadband connection at homeThere are more than a thousand public WiFi areas
for 45 227km²The state portal eesti.ee offers access to all state
sevices: e-Ticket, e-Tax system, e-Elections e-Bankinge-Healthcare
Why e-Healthcare?Lack of necessary health
informationOverview of patients´ medical
history: visits, diagnoses, examination, treatment
Standardization of documentsEnvironmental protection
Purpose of National Health Information System (NHIS)The main purpose of NHIS is to develop
nationwide framework that facilitates the exchange of diffuse health information.
To develope from institution-centered to
patient-centered health information system which is available across the country.
Main components of the National Health Information System (NHIS)Digital Health Record, containing personal
medical informationDigital appointment booking systemDigital prescription systemDigital medical image databaseDigital blood-bank databaseNational health registries
e-School Health System
Electronic Health Recordhas to contain
ALLmedical, nursing and
health‐related informationobservations of pupils`
lifestyle
General Architecture
The access to E-system
ID-card for authentication and digitalsignature for medical workers and citizens.Access is enabled only to licensed medicalprofessionals.All access rights and data usage is regulated by the law.All data sent to NHIS must be signed by healthcare providers
Patient`s PortalPatient’s Portal allows patients`
representatives (adult patient, parent of an underage, legal representative, trustee) to browse patient’s health record, download documents, submit consents, update demographics data, review patient health record usage logs via Web.
The EHR will record information about when, how, and why the data was used (logging information).
The Electronic Health record —regression or progression?
According to the study provided in March 2010 100% of our staff was sure that E‐scoolhealth system is necessary for everyday work10% said that using E‐health is too time
demanding (authorization proccess, duplicating documentation)
In general attitude toward E-health is positive
Almost all our nurses use at least some functions of the system
Sustainable school healthcare
Difficulties
The number of regular users of e-Services among healthcare workers is still rather small
Lack of trust in e-Health applications and missing technical equipment and training (mainly on the health professionals´ side)
Financial cuts have slowed down the development of e-Health in Estonia
The lack of a comprehensive e-Health strategy for the country
E-Health impact in general has not been quantitatively assessed
Homo Informaticus
ConclutionsEvery innovation needs time for
implementation and adaptationCo-work with software providers is important
for development of most appropriate solutions for practitioners (simplifying it, making it more user- friendly)For users - training, training, training.
ConclusionsOverall, Estonia is planning to have a coherent
eHealth infrastructure in place by 2013. It needs a
significant effort from different counterparts.