THEME: Technology & Innovation TITLE OF PRESENTATION: Improving transparency, efficiency and quality of health services and people’s health conditions through electronic and digital policy tools.
Synopsis: Sharing medical data among healthcare providers and citizens opens the doors for next stage: Transparent, citizen driven, evidence based, high quality and seamless healthcare services, were ICT is an enabler. Strong political support is needed to change the paradigmas healthcare. Presenter: Madis Tiik, CEO of the Estonian E-Health Foundation Short Biography: Member of Management Board of Estonian eHealth Foundation, that promotes and develops national e-solutions within the health care system, Medical Doctor from Tartu University, diploma in public health from Nordic School of Public Health, studies of IT management. Practicing family doctor from 1998-2004, chairman of the Estonian Society of Family doctors. He was involved in eHealth development projects in Estonia since their beginning in 2005.
Current Situation 31.12.2010 80% of hospital discharge letters are send to Electronic Health Record System(EHR ) 15% of GP records are send to EHR 75% of prescriptions are digital
Clear governance One responsible body: Estonian eHealth Foundation (EeHF) EeHF Vision: By the year 2020 the Estonian eHealth Foundation will be the best partner in wellbeing and health promotion through valuing health information EeHF is a interoperability standards organization, laying out communication protocols and high level specifications and in charge of the central system (EHR).
Motivation for end users Distribution of costs and benefits of eHealth
http://eng.etervis.ee/images//digimpact_en_rev4_2 9102010.pdf
Estonian roadmap for eHealth Impact Selfcare
Decision Support
Information Exchange
Simulation Environment Tracking Behaviour Tracking Online Intervention Lifestyle Value Added
Personal Guidelines Care Paths Service Brokering Integrated Statistics Social Networking
Central EHR Health Portal Registries Integration Standardization
Local EMRs Digital Claims & Reimbursement
1992
2010
Time 2015
2020
Health HealthPortal Portal
Devices Devices
Health Health insurance insurance database database
Registry Registry
Lab Lab
HCI HCI
Wearable Wearable
Home Home
Register Register
Statitian Statitian
Official Official
Doctor Doctor
Citizen Citizen
Application Services of National EHR
Systems Systems
Public PublicITITInfrastructure Infrastructure Standards Standardsand andServices Services
WSDL XSD
Processes Processesand andIntegration Integration
Health Healthrecord record
Health Healthstatus status
Booking Booking
Reports Reports
Ambulance Ambulance
2011 Document Document archive archive
Statistics Statistics
2012
Decision Decision Support Support
2012
DemoDemographics graphics
Concent Concent
Laboratory Laboratory
2012 Image Image archive archive
2013
Healthcare transformation •
Patient data available to any clinician who needs to see it • Legal reforms • Access protocols • Clinician engagement
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Payment for value and for care coordination • Relationship between providers and payers • Metrics of value • Processes of coordination Preventive health maintenance centred on the patient
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• Allocation of funding and staff • Patient engagement • Clinician engagement E-Health is one thing that makes these transformations in healthcare possible, but it is not a substitute for the transformations!