1. 15 years experience with Quality Labelling and Certification
Morten BRUUN-RASMUSSEN
MEDIQ
Vilnius, Lithuania. 26th January, 2012

2. AGENDA The Danish Health Care Sector Certification EuroRec Seal
Messaging
General Practitioner EHR systems
Shared Medication Record
MEDIQ

3. The Danish Health Care Sector1
The Danish Health Care Sector
MEDIQ

4. Denmark Parliamentary democracy and constitutional monarchy
5,5 mill. inhabitants
90,1% Danish
9,9 % other
5 Regions
98 Municipalities
Equal and free access to healthcare
MEDIQ

5. Health Care System: Administrative levels
National
Ministry of Interior and
Health
Regional
5 Regions
Local
98 Municipalities
MEDIQ

6. Health Care Providers – 3 sectors
Primary Care
Responsible for:
General
health problems including prevention and chronic diseases
Hospitals
Responsible for:
Specialised treatment
and
intensive care
Municipalities
Responsible for:
Prevention,
rehabilitation and social care
MEDIQ

7. 2
Certificatation
MEDIQ

8. Business Model and Costs
High Costs
Low Costs
Self assessment
Third Party
Certification
2/12/10
MEDIQ

9. Interoperability (ALT model)
Continuity and quality
presentation
clinical content
model
format & storage
transmission
terminology
functionality
Organisational
level
presentation
clinical content
model
format & storage
transmission
terminology
functionality
FUNCTIONAL
Communication
Application
level
Clinical
Interoperability
Logical
level
Semantic
interoperability
TECHNICAL
Technical
level
Technical
interoperability
MEDIQ

10. 3
EuroRec Seal
MEDIQ

11. EuroRec Seal - Guideline
Test environment
Test scenarios
Test data
Conformance criteria's
Schedule for testing
Test log
Delivery document
Functional testing/certificaion
MEDIQ

12. EuroRec Seal
MEDIQ

13. 4
Messaging
MEDIQ

14. Cross sector communication
National health care network (1992 )
Frequent messages in large volumes
Discharge letters, prescriptions, lab. request and results, referrals, consultation notes....
More than 100 profiles (2011)
Vendor systems are tested by MedCom
Technical testing/certification +
Functional testing/certification
MEDIQ

15. 5.5 mill. messages per month
MEDIQ

16. Test results are published
MEDIQ

17. 5
GP systems and ICPC - 2
MEDIQ

18. ICPC International Classification of Primary Care
Has become a standard all over the world
The ICPC contains 17 chapters
A General and unspecified
B Blood, blood forming organs, lymphatics, spleen
D Digestive
F Eye
H Ear
K Circulatory
L Musculoskeletal
N Neurological
P Psychological
R Respiratory
S Skin
T Endocrine, metabolic and nutritional
U Urology
W Pregnancy, childbirth, family planning
X Female genital system and breast
Y Male genital system
Z Social problems
ICPC 2 is an extended terminology
A Danish ICPC 2 code chart can be downloaded, printed and used by the GP to find an the ICPC code for a symptom/diagnose
MEDIQ

19. GP systems in Denmark (June 2011)
16 vendor of GP systems
MEDIQ

20. Functional testing/certificaion
ICPC 2 - requirements
Enable coding of diagnosis in GP systems
A national specification for the implementation of ICPC 2
Agreed with the vendors
Systems must by certified
Functional testing/certificaion
MEDIQ

21. Conformance levels Test Group Tests Type Conformance level
Baisic functionality 28 O1
100%
Core functionality 21 O2
80%
Extented functionality 26 O3
40%
Advanced functionality A 0%
MEDIQ

22. ICPC test results are published
Percent of tests passed
MEDIQ

23. Shared Medication Record (SMR)6
Shared Medication Record (SMR)
MEDIQ

24. SMR: Paradigm shift
FROM sending
TO sharing
MEDIQ

25. What is SMR? Central SMR service Secure Health-care network
A Service provider of online medication data to share and update
Secure Health-care network
- Transport - Security, - Connection
Service-platform
Local EMR/EHR
Local service consumer that uses online data via a distributed service platform
MEDIQ

26. SMR and EHR in Hospitals
Five years work
Specification
Development
Discussions
Mandatory to use
Primary care
Secondary care
All other
Health professionals can be fined if they do not update the SMR
Fully implemented by end 2012
Technical testing/certification +
Functional testing/certification
MEDIQ

27. SMR on mobile devices
MEDIQ

28. Morten BRUUN-RASMUSSEN
Thank you..
Morten BRUUN-RASMUSSEN
MEDIQ