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Synchronizing the World of Healthcare CompuGROUP Holding AG The Health Record The vita-X Health Record CompuGROUP Holding AG - Maria Trost 21 - 56070 Koblenz.

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Presentation on theme: "Synchronizing the World of Healthcare CompuGROUP Holding AG The Health Record The vita-X Health Record CompuGROUP Holding AG - Maria Trost 21 - 56070 Koblenz."— Presentation transcript:

1 Synchronizing the World of Healthcare CompuGROUP Holding AG The Health Record The vita-X Health Record CompuGROUP Holding AG - Maria Trost Koblenz - Tel.: Fax: Internet: Manfred Glanzer, Senior Consultant E-Health, SYSTEMA Human Information Systems / Austria Sofia, 2008/02/13

2 Synchronizing the World of Healthcare Founded in 1987, HQ in Koblenz / Germany European wide customer base of approx GP‘s, dentists and other health care suppliers Approx employees in Germany, France, Italy, Austria, Poland, Slovakia, Spain, Turkey and Czech Republic Major line of business: communication solutions for international health care markets –GP software –Dental software –Hospital information systems –Medical Decision Support System to assist medical therapy and prescription –Web based electronic health record –Communication services, data analysis and Content-supply –Workflow-solutions and services for GP (networks), medical centers, hospitals, health insurances and pharmaceutical companies CompuGROUP - Facts

3 Synchronizing the World of Healthcare Medical data sharing Electronic Health Records

4 Synchronizing the World of Healthcare non directionaldirected -part of the usual medical treatment process -transfer of specific med. documents at a certain point in time -document-exchange between one sender and receiver -receiver/ time of usage is unknown -information is shared without a specific request -requires a central storage for medical data or a central registry communication methods ?

5 Synchronizing the World of Healthcare patient centric data sharing -Patient empowerment -Patient has his/her own physical data repository -full governance (patient is data-owner) -doctor-guided (family physician) -Patient is an active player in the sharing -process CompuGROUP approach

6 Synchronizing the World of Healthcare server based EHR server based EHR - cost-effective central database vs. multiple registries/repositories (no add. hosting services,…) - increases availability (vs. decentralized approach) patient centric patient centric - directed communication with patient as active participant (empowerment) secure secure - encrypted storage (unreadable for ‘data-hoster’) - RBAC (can be defined by the patient) - data governance (patient is data-owner) - Smart Card-based integrated integrated - smart client adaptor - handles client-side encryption/decryption (no special HW needed) - communication with existing SW simplification - fewer components/resources ( Hard- and Software, maintenance-personnel) - fewer dependencies - vs. decentralized  independent on availability of Health-Provider’s systems - security concept preserves confidentiality - usually addresses all legal requirements - increased acceptance (patients & doctors) CompuGROUP approach

7 Synchronizing the World of Healthcare CompuGROUP’s Solution Electronic Health Record

8 Synchronizing the World of Healthcare Health professional Health professional PRIMARY SYSTEM (GP-System,HIS,…) data server logon server logon server directory server - handle authorization - provide session-keys adaptor - stores pointers to data-packets - encrypted & fragmented EHR-data vita-X - overview

9 Synchronizing the World of Healthcare vita-X - security data protection has the highest priority! keys are stored on the smart-card only - keys are stored on the smart-card only smart-card & pin-code are needed to access the EHR no encryption-key is ever sent to or stored on the central server(s) -encryption/decryption -encryption/decryption performed by client-adaptor only additional transport encryption is used -encrypted and fragmented Datastore -encrypted and fragmented Datastore cannot be associated with a physical person encrypted EHR-objects are spread amongst different data servers server-side decryption is virtually impossible -RBAC, Logging and Auditing -RBAC, Logging and Auditing restrict EHR-access (based on doctor’s medical field,…) documents access to EHR, provide access-history confidence  Confidentiality is preserved  Risk of unauthorized access is minimized  Increased acceptance (patients & health professionals)

10 Synchronizing the World of Healthcare vita-X - content -structured / unstructured -Each Medical Data Object (MDO) is structured (author, creation-date, type,…) and can have an unlimited number of unstructured attachments. -Supports the use of (international) classifications like ICD-10, OPS (Operations and Procedural Key), PZN (Central Pharmaceutical Number),… -machine readable data objects allow efficient integration of modern decision support systems (drug interaction check modules,…) and data-import into the HP’s primary system -stores any document type -stores any document type as MDO-attachment -digital signatures -digital signatures Each MDO is digitally signed by the author -content areas -content areas health-professional area (crypto+) patient-area (Org)

11 Synchronizing the World of Healthcare vita-X - accessibility -multiple authentication levels -dual/single Smart Card based -patient-access without HP-Smart Card (eg. vita-X Patient-Terminals in Hospitals) -extended Health Provider Access (allow a HP to access the EHR without the patient’s Smart Card for a specific period of time) -‘Integration instead of isolation’ -vita-X client adaptor allows full integration into primary system -smart-client -secure client-interface to access the vita-X EHR. -browser based -using signed java-applet ( browser-sandbox ) to connect to card-reader and vita-X system

12 Synchronizing the World of Healthcare vita-X – front-end vita-X pro -for health-professionals -data is stored in HP-content-area ( Patient’s can not manipulate the data, but configure RBAC ) -HP-verified content -Information at a glance (prima vista) -risk factors, permanent medication,…. vita-X home -for patients -data is stored in patient-content-area -patient has full control -for self-monitoring purposes

13 Synchronizing the World of Healthcare vita-X – benefits for sponsors & health providers -enables cross institutional communication -Support of disease management programs (cross institutional information management) -reduces double examinations -integrates into existing applications & workflow -provides consolidated view on (all) important facts of patient’s medical history -quick overview on patient’s health-status -allows better drug interaction checks -optimization of treatment-process (anamnesis,…)  quality improvement, process optimization, cost reduction for patients -transparency of medical treatment -benefit of quality improvement -access to EHR from anywhere, anytime  increased self responsibility, better health

14 Synchronizing the World of Healthcare Projects Electronic Health Record

15 Synchronizing the World of Healthcare vita-X – projects Pilot project „ePA Rheinland-Pfalz“ started on November 29 th,2004 by Malu Dreyer (Secretary of Health) Goals: networking of 50 general practitioners and 2 hospitals electronic data exchange between general practitioners and hospitals without media disruption

16 Synchronizing the World of Healthcare vita-X – projects ePA Junior initiative of government, physicians association and CompuGROUP Holding AG free personal electronic health record for all newborns of the year 2008 in Rheinland-Pfalz (Germany) first prevention model for infantile health in Germany first area-wide adoption of a professional-guided personal electronic health record continuous documentation up to the 6. birthday sponsors: state of Rheinland-Pfalz / Germany (ministry for work, social affairs, health,family and women) CompuGROUP Holding AG

17 Synchronizing the World of Healthcare one step ahead Thank you for your attention. If you have any questions or need more information on CompuGROUP’s software-solutions, do not hesitate to contact us. Visit our Web-page at to request product-specific information


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