Presentation on theme: "Estonian Electronic Health Record System (EHR) MD.Madis Tiik CEO Estonian E-Health Foundation."— Presentation transcript:
Estonian Electronic Health Record System (EHR) MD.Madis Tiik CEO Estonian E-Health Foundation
PHARMACIS AND FAMILY DOCTORS 2009 X-Roads, ID-card, State IS Service Register HEALTH CARE BOARD - Health care providers - Health professionals - Dispensing chemists HEALTH CARE BOARD - Health care providers - Health professionals - Dispensing chemists STATE AGENCY OF MEDICINES - Coding Centre - Handlers of medicines STATE AGENCY OF MEDICINES - Coding Centre - Handlers of medicines POPULATION REGISTER PHARMACIS 2010 january PHARMACIS 2010 january BUSINESS REGISTER HOSPITAL ( HIS) integration 2009 HOSPITAL ( HIS) integration 2009 FAMILY DOCTORS 2009 FAMILY DOCTORS 2009 SCHOOL NURSES 2011 september SCHOOL NURSES 2011 september EMERGENCY MEDICAL SERVICE 2012 EMERGENCY MEDICAL SERVICE 2012 eHealth Foundation EHR SYSTEM 2009 Health Insurance INSURANCE REGISTER CLAIMS & REIMBURSMENT PRESCRIPTION CENTRE 2010 january Health Insurance INSURANCE REGISTER CLAIMS & REIMBURSMENT PRESCRIPTION CENTRE 2010 january PATIENT PORTAL 2009 HCP PORTAL 2011 PATIENT PORTAL 2009 HCP PORTAL 2011 XROADS GATEWAY SERVICE 2009 Architecture of Estonian healthcare IT
Situation in 01.05.2011 Availability of digital documents on the EHR – Discharge letters (epicrises) 90% – Out-patient consultation notes around 15% Other documents in the EHR – Images raports – immunization note – Day surgery note – Referrals – Birth epicrises There are 4 886 891 ePrescriptions issued during 2010, it is more than 80% all prescriptions in 2010 100% of Radiological images (excl. dental) are digital and stored to the PACS More than 602 379 citizens have digital medical records in EHR – it is 47% of the population 29 105 citizens have viewed his/her data in EHR (Patient Portal)
Distribution of costs and benefits of Estonian e- Health platform (Digimpact study 2010) : Total cost of EHR system development (2005-2010) has been around 10M€ - it is 7.5€ per citizen http://eng.e-tervis.ee/digimpact-final.html
Estonian roadmap for eHealth Personal Guidelines Care Paths Service Brokering Integrated Statistics Social Networking Decision Support Simulation Environment Tracking Behaviour Tracking Online Intervention Lifestyle Value Added Shared care Central EHR Health Portal Registries Integration Standardization Information Exchange Local EMRs Digital Claims & Reimbursement 1992201020152020 Time Impact
Healthcare transformation Patient data available to any clinician who needs to see it Legal reforms Access protocols Clinician engagement 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 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!