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The Danish Digitalization StrategyHans Erik HenriksenCEO, Healthcare DENMARKE-mail: [email protected]
17.03.14
Healthcare DENMARK is a public-private partnership
Healthcare DENMARK activities
• Delegation visits to Denmark• Danish delegations abroad• Conferences• Press and communication • Healthcare DENMARK website
02-05-2023 4
“In Denmark, our focus on putting the patient first – combined with constant efforts to improve efficiency and quality – has resulted in a wide array of innovative healthcare solutions.I sincerely believe Danish technologies, products and expertise can have a positive impact on global health.”
Her Royal Highness Crown Princess Mary is patron for Healthcare Denmark
Agenda
• E-health in Denmark• MedCom• Sundhed.dk
• Telehealth in Denmark• Ambient Assisted Living
6
Danish citizens are happy with their lives and with healthcare services
Denmark ranking, Quality of life in Europe report 2012
A consistent focus on healthcare efficiency and quality help ensure equal access to sustainable healthcare
• Shortest average EU admission time per patient
• Focus on moving healthcare services closer to the patient
• Ambitious productivity improvement targets each year
• Lean and accreditation• 100% hospital EMR coverage
• Focus on clinician support• Highly structured EMR’s
16 new hospitals will be the backbone of patient centric healthcare
• Public-private partnerships• New innovations• Danish design• Green
Agenda
• The Danish Healthcare System• E-health in Denmark• Telehealth in Denmark• Ambient Assisted Living
Agenda
• E-health in Denmark• MedCom• Sundhed.dk
• Telehealth in Denmark• Ambient Assisted Living
A long term focus on health data networks and on e-health provide efficient access to healthcare information
MedCom Health Data Network1994 -
Sundhed.dkE-health Portal2003 -
Who is behind? Ministry of Health, Danish Regions, Ministry of Interior, National Association of Local Authorities, National Board of Health, Copenhagen Hospital Corporation, Danish
Pharmaceutical Association
National eHealth organisations• MedCom (1994)
• MedCom8• Sundhed.dk (2002)
• The National Healthportal• National Board of eHealth NSI-(2008)
• National IT Strategy and infrastructure• NSP, FMK,
• Regional Health IT – RSI (2010)• Strategy and 15 Milestones
• KL/Combit (2011)• Telesundhed
Hospital IT 2012
Primary Care IT 2012
Use of IT systems
More than 60 IT vendors with more than 100
IT systems
MedCom
Who is behind ? Ministry of Health (chair) Danish Regions (co-chair) Danish Municipalities Danish Doctors Danish Pharmacies
- and they also pay!
What do we do ? Making IT projects “cross
sector borders” Design standardized
solutions Focus on large-scale
national implementation
Before: Paper Based Communication
In a typical health region with 1 mill inhabitants 10 mill paperbased letters are exchanged in a health sector each year.
MedCom standards – Why ?
IT
IT
IT IT
IT
IT
ReferralPrescriptionHome Care ReportRadiology ReportDischarge Letteretc.
IT
IT
IT IT
IT
IT
MedCom Good Profiles
The Six FlowThe basic clinical communication in primary care
HospitalDischarge
Outpatient Referral
Specialist
HomecareNotify Care reportsDoctors Letters
PharmacyPrescription
PrimaryCare
LaboratoriesChemical, pathology
and microbiologyResults and request
RadiologyRequestReport
InsuranceReimbursements
Messages each monthMedCom Messages• 6 mio. each month• + 330.00 each år• + 500.000 in 2012• 6000 organisations• 65 vendors• 110 IT systems• Net savings 80 mio. euro in
2008
Example: Homecare – Hospital messages
Municipality Hospital<< Admission Notify Admission Response >> Care Report >>
<< Rehabilitation plan<< Discharge Notify<< Care report
Homecare IT system Hospital PAS or EHR
2007: ePrescription
EU/Empirica: Benchmarking ICT use among General Practitioners in Europe 2007
From ePrescription to SMC
National Net
PharmacyPrimary Care
National Repository
From ePrescription to SMC
PharmacyPrimary CareNationalSMC
Home Care
HospitalCitizen
SMC Today?SMC end 2013 SMC covering end 2013
• GPs 65% technical implementet – rest in
2014 1 Mill SMC each month- around 1/3 of
all• Hospitals
Large tech. implemented But only little use
• Homecare Technical impl.2014 Organisational impl. 2015
Agenda
• E-health in Denmark MedCom Sundhed.dk
• Telehealth in Denmark• Ambient Assisted Living
SERVICES FOR CITIZENS • Access to personal health data on treatment
• E.g. e-Record from hospitals and GPs and Shared Medication Card
• Communication with health care providers• E.g. Contact information and e-services like booking, prescription renewals and electronic
communication
• General information on health service• E.g. quality in health care, patient rights
• Accurate and updated information on health, disease and treatment
• E.g. medical handbook
• Personal home care/hospital solutions• E.g. diabetes and anticoagulant therapy
• Patient to patient dialogue
SERVICES FOR HEALTH CARE PROFESSIONALS• Access to personal health data on patients
– E.g. e-Record, laboratory data and Shared Medication Card
• Contact and service information on other health care providers
• General information on health service– E.g. waiting lists, quality in health care, health and prevention programs, visitation
• Accurate and updated information on health, disease and treatment
– E.g. medical handbook, treatment feedback and benchmarking
• Personal home care/hospital solutions– E.g. diabetes and anticoagulant therapy
sundhed.dk
Citizen Access to own data
Example: Medication profile
Example: eRecordWeb Access to EHR
INTERNATIONAL RECOGNITION
• Citizens can be traced from the cradle to the grave• Diseases can be traced through generations• We have data on millions of individuals (whole population)• Research results with great certainty
Personal identification number given at birth
DiseasesMicrobiological diagnosesMedicine usageVaccinationsLaboratory resultsBiological samplesEducation Family, residence, profession
Danish healthcare data are unique for research and telehealth
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In 2013 Denmark launched the strategy for the next 4 years
• National EHR and E-health architecture • International standards
• HL7• Continua Health Allicance
• First fully regional telehealth implementations• Coordinated strategy:
• Ministry of Health and Prevention• Danish Regions• Danish Municipalities
36
The National Health-IT strategy and Telehealth plan will expand the National Service platform during the coming years
2014: National Image Index• Radiology• Ultrasound• Telehealth
2015- : National Telehealth• Device data
• General (e.g. weight)• Diagnostic (e.g. ECG)
Other national initiatives:• New re-imbursement solution• National cancer screening• National Biobank• IT standards development
• HL7• SNOMED CT• Continua Health Alliance
Agenda
• E-health in Denmark• MedCom• Sundhed.dk
• Telehealth in Denmark• Ambient Assisted Living
Telehealth improve quality of life for chronic patients and elderly citizens
• Chronic diseases – e.g. diabetes:• 80 years diabetes research excellence• Nationwide Ulcer telehealth• Medical Home telehealth support
• Elderly citizens• Keeping citizens healthy in their own
home• Technology/personal care balance
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The Danish Telehealth plan will establish a mature market for Telehealth solutions
Telecare North: • COPD patients• Diabetes patients• Heart patients
CIH (Clinically Integrated Home monitoring): • Ulcer patients• COPD patients• Diabetes patients• Pregnancy
Agenda
• E-health in Denmark• MedCom• Sundhed.dk
• Telehealth in Denmark• Ambient Assisted Living
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The e-health and telehealth strategy will align with the 2013 – 2020 Assisted Living strategy
• Full scale implementation of proven solutions• Ceiling lifts• Digital rehabilitation• Selected robot technology
• Full scale Smart Home implementation• Smart Home technology for disabled citizens• Coordinated strategy:
• Ministry of Health and Prevention• Danish Regions• Danish Municipalities
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Ambient Assisted Living technologyReducing homecare resources
Home rehabilitation
Robot technology
Surveillance and smart home
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Conclusion
• Denmark is one of the most mature e-health countries in the world
• A national e-health service platform• Moving towards full scale Telehealth implementation• Assisting Living innovation• Full scale Smart Homes
