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Agenda
eHealth is everywhere eHRs What for? Best practice examples Obstacles
USA Federal ONC NHIN contract underway. Multiple State initiatives for RHIOS. Still emergent national EHR by 2014
England: EHR initiative in process, PACS project is imminent Spain: Regional initiatives are being considered France: EHR mandated by 2007. National RFP has been issued Italy: EHR regional initiatives have begun Chile: National RFP for EHR project is expected soon Brazil: National Health Card Project. Argentina: 1st adoption of a digital radiography solution- 2004
Germany: One regional deal underway. Future EHR efforts are expected to be regional
Hong Kong: Territory wide Patient Master Index Singapore: EMR system tender expected Q1 2005
Opportunity Status Current Work Planning Monitor Considering EHR Data N/A or No EHR Presence
SEE: Bulgaria, Romania, Turkey and Serbia all developing national eHealth strategies. Malaysia: Lifetime Health Record (LRH) by 2010
Agenda
eHealth is everywhere eHRs What for? Best practice examples Obstacles
Contain Costs
5 Source: Commission on Systemic Interoperability, Health & Human Services, US, Jan 2005
Reduce Costs
Medical errors cost between $17 and $29 billion in US alone Savings of approx. $500 billion in unneeded duplicative care Reduced cost of recruitment by improved clinician satisfaction Reduced transcription costs estimates monthly between $300-$1000 per physician Reduction of office visit time by 13% for physicians and one minute for pre-exam
Agenda
eHealth is everywhere eHRs What for? Best practice examples Obstacles
Solution Overview
Secure, centralized electronic health record developed by IZIP and the General Health Insurance company in CZ Republic on Oracle Database and RAC available over the public network.
Key Benefits The EHR includes all relevant information compiled Citizens have control over the information on their health history and access from regular GP visits, dental treatments, laboratory history to it at the point care and imaging tests and hospital services, such as Improved communication between Healthcare Providers, Insurers and and complicated surgery. citizens Citizens allowed to view their record and approve Significant reduction in duplicate data entry and tests access by healthcare professionals. Only health Estimated productivity gain by healthcare professionals: 74%
Key Benefits
Electronic Health Card based access to centralised secure electronic health record. Essential health information available on card for quick access. Data warehouse for analysis and reporting created from the transactional electronic health record. Single window accessibility to healthcare services, appointment bookings, lab results and prescription management
Reduction in duplicated or unnecessary procedures Improved patient safety, as allergy and other data is stored on the smartcard Patients can choose where they want to be treated, as all hospitals have access to their health record
Organisation
Integrated standards based electronic health record framework over Oracle HTB for creating a single, up-to-date information record for the emergency up-todepartment Synchronised patient data from existing repositories using Oracle Partner Orion Healths Rhapsody with Health HTB via HL7 v3.0 messages Scalability of Oracle HTB to roll out electronic health records to all departments in Son Dureta and other regional hospitals, and support thousands of users simultaneously
Solution Overview
Key Benefits
Improve the speed and quality of healthcare delivery by creating a single,universally accessible electronic health record for each patient Cut developing costs by reuse of existing clinical systems 4
Organisation
Architecture for telematics applications including electronic health card, and a backend electronic health record (EHR) developed on Oracle HTB.
Key Benefits
The EHR exposed as web services and accessible to patients through a user interface via Kiosks. Implementation of enterprise processes, i.e. authentication, identity and access to EHR.
Support the modernisation of the Statutory Health Insurance System (GKV-Modernisierungsgesetz) (GKV- Modernisierungsgesetz) Reduction of healthcare costs
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Agenda
eHealth is everywhere eHRs What for? Best practice examples Obstacles
11
eHR: Obstacles
Money for Physicians
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