UNIVERSITY OF AARHUS DENMARK

UNIVERSITY OF AARHUSDENMARK

Frede Olesen, Res. Unit for GP, Univ. of Aarhus, Denmark

Fam. Med. and IT

The clinics are (nearly) without paper.All fam. med. clinics are computerised

- lists of patients - administration and billing systems - records and prescription lists - communication with hospitals

• referrals and discharge letters from lab. & diagnostic investigations, ambulatory care and hospital care

All clinics have acces to and use the Web

Fam. med. and IT - history > 25 years ago standards from the College og GPs The Fam. med. ass. would create one system – failed –

went bankererupt The college standards became national phrame of

reference for 6-10 companies Development driven by ’clinical added value’ and targeted

time limited incentives Now mandatory for GP’s with contract to health care ~15 years ago Medcom national state negotiated

communication standards ~15 years ago standard for patients who change practice

Today’s developmental frontline Communication to and from municipalities

social welfare and district nurses. Quickly incentive driven raise in e-mail consultations Decision support systems running and improved ICPC coding with clinical advantages – probably

incentives from 2009 Data-capture to central database

reseach including pop up ad hoc registrations chronic care databases – diabetes is implemented

IT hotel prescriptions on a national server and database referrals ??

Web based shared patient held part of records?? pilot with pregnant women

Hospitals and IT

The ambition: to create a comprehensive system that can do everything.

National standardsClinicians too far away in the proces

failed to be perceived as giving clinical added valueTo many (>10) different systems2007: a new beginningDid the same mistakes as in GP in the beginningNow: 5 – 10 years behind schedule

The vision and a good example

The x ray clinic in Vejle county hospital 1: patient at a doc: you need an x-ray 2: referral written and sent ’go to the hospital

before 2 pm.’ – ’welcome, I have your referral. 3: x-ray same day – max 1 (2) hour waiting 4: voice-recognition and answer to GP in the

afternoon 5: next day: the result. Productivity up more than x 5 at x-ray

Thank you for your attention….

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