E-Prescriptions Patient Electronic Medicine profile (PEM) Including vaccination (2011)
Pharmacy Nursing homes GPDoc Call CenterPrivate specialistHome CareCitizenHospital Vision General Mediciation Database contains the actual medication of each citizen and can be displayed and managed in different IT systems.
Telephone call from pt. : 25 DKR E-mail from/to pt.: 50 DKR E-Mail contacts with patients
Source: MedCom, 2005 Consultations / EDI penetration
Central servers WebReq laboratory requisition WebReq MEDREQ MEDRPT
VANS Central servers, e-Referral Hotel e-Referral Hotel Referral Acknowledgement Acknowledgment Referral
Consensus-Implementing Contracts Counties/Vendors HPG – groups Technical groups The good EDI-Letters Training NICE concept Documentation Test-certification 1.Test in EDI-CHECK 2.Semantic check, testprotocol 3.All data presented and valid 4.Live test 3. 2 Consolidationprocess
Consensus - Implementing Contracts Counties/Vendors HPG – groups Technical groups The good EDI-Letters Training NICE concept Documentation Test-certification Implementation 3. 2 Consolidationprocess
Meaningful use Quality –Medication, vaccination –Patient summary –E-mail consultation, booking –ICPC coding –Weight (children database) –Cronic patients, Diabetic, AC, COPD- home treatment, smoking status(coded-uncoded) –Referrals –Lab test orders –Electronic communication (raises productivity) –FNUX –Hospitals ICD10 obligatory coding-report to national disease database ( + cancer database) Incentives to promote implementation –Reimbursement EDI –All lab results EDI –All frequent docs EDI Strategies for national standards and interoperability; –MedCom EDI-standards (all vendors) Vendor certification and technical assistance; –SW – approval / certification –Free test tools The role of a national health integrator; –MedCom Privacy and confidentiality safeguards; –Data protection law Use of public/private partnerships to support innovation –MedCom Health Telematics Danish Centre for MedCom
Meaningful use Objectives –Core set – 95 % –Menu set – 80 % Big issues –Patient access to own data –All relevant information ready when needed –No waiting time –Cronic patients self treatment/management Health Telematics Danish Centre for MedCom
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