Project IZIPProject IZIP

European HealthForum Gastein

2002

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IZIP – Internet Access to Patient’s Medical Information

• medical record on the internet

• set of objective medical data about

the patient on the internet

• available at any time (through a

computer with internet access)

• created upon patient’s request

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IZIP – Internet Access to Patient’s Medical Information

• operated by the company IZIP, Ltd.

Prague

• created by physicians

Dr. Hronek, Dr. Cabrnoch, Dr. Ouzký

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General Practitioner

Implementation of the IZIP System

Patient

Specialist

Complement

Specialist

Specialist

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IZIP May Contain• case history (anamnesis)• therapy advancement• results of laboratory tests and

examinations• overview of medicaments • X-ray, sonograph pictures etc.• it does not replace regular

documentation in medical institutions

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Benefits for the Patient

• change in patient’s role – from a passive subject

of decisions to a decision-making subject who

shares the responsibility

• reduced risk of unnecessary examinations and

jobs

• reduced risk of prescription of unsuitable

medicaments

• boosts chances of lifesaving

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Benefits for the Doctor

• better communication with the patient• immediate information on the performed health care

(anamnesis, examinations, hospitalization, medicaments)

• immediate availability of all results of examinations

• better communication between individual doctors and other health care providers

• faster, better and cheaper decision making

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Benefits for the Health System

• faster diagnostics and treatment process

• more efficient utilization of financial resources allocated to health system

• intercepts the provision of redundant health care

• unnecessary duplication of examinations

• unnecessary prescription of medicaments (medicaments have been already prescribed, improper combinations, ..)

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“Emergency” Access

• designed for emergency situations• the doctor receives a special access code

– identification of the patient through the personal identification number (birth number)

– patient’s records available without patient’s consent– a thorough record is kept on the access followed by

a revision of the justification of unauthorized access

• not implemented in the pilot project phase

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Access Rights

• write– all health care providers integrated into

the IZIP system• the identification of the writer is always clear

• read– patient only– registering doctor, other health care staff

and others only with patient’s consent

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Data Security

• comparable with bank account security• access code known only to the patient• the option to set up another password• the access is blocked after three

unsuccessful attempts• secured servers are under constant

supervision• approved by the Authority for Personal

Data Security

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Project Partners• General Health Insurance Fund of the

Czech Republic– general partner, 2-year exclusivity

• IBM - hardware, software, data security

• Czech Telecom - connection, ISDN

• Eurotel - mobile connection, telephones

• KB – account administration

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Project Council

• project management advisory body• secures project transparency• representatives

– project partners– organization of patients– organization of doctors and pharmacists– Ministry of Health Care– First Medical Faculty of the Charles University,

Prague– Czech Olympic Committee– . . .

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Pilot Project Phase

• started in February 2002• districts of Beroun, Benešov, Jičín,

Rokycany• over 300 doctors involved

– general practitioners, ambulance specialists

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Objectives of the Pilot Phase• verify the functions of the IZIP system

applications in real operation

• gain experience with the attitude of specialists as well as common people to the IZIP system

• supply quality information about the IZIP project to the wide expert community

• obtain information about the technological background of Internet medical facilities

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Objectives of the Pilot Phase• verify the impact of the utilization of the

iZIP system onto the Doctor – Patient relationship, relationships between health care providers, the approach of citizens to health, health care and medical services

• initiate the verification of the impact of the utilization of the iZIP system onto the quality of health care and efficiency of utilization of resources allocated to health care coverage

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yes62%

no38%

Results of Investigation in Pilot DistrictsDo you use a computer for your work?

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yes29%

no71%

Results of Investigation in Pilot Districts Do you have internet access?

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yes60%

no40%

Results of Investigation in Pilot Districts Is the IZIP project interesting for you?

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The IZIP Clients in the Czech Republic