1. Connecting Digital Health in Denmark Otto Larsen, Director otl@sst.dk www.sdsd.dk

2. Facts about Denmark  Population 5,45 millions  Structural reform 2007  5 Regions with directly population elected boards  98 municipalities with directly population elected boards

3. Organisation SDSD  Established in June 2006  Agreement between government, regions and municipalities  Board 3:2:1  Financed € 4 mio. per year 45%,45% 10%

4. Purpose  Responsible of the development of tasks conc. connecting health care in order to increase quality and efficiency in the health sector  Common IT- architecture  Common standards  EHR platform  More providers

5. What now  Review April 2007  New strategy  Establishment and organising  specific tasks

6. Starting point  23 EHR landscapes in hospitals  13 EHR systems in primary health care  3 EHR systems in the municipalities  Many well functioning separate systems  Connecting activities Medcom  insecure market

7. The strategy  The Connected Health Sector Digital services for patients and citizens increased effectiveness and efficiency Obligatory cooperation prevention treatment nursing

8. Background ProcesResult 6 Aug.31 Oct.3 Sep. - Law - Political goals - Other Strategies Advisory group Board SDSD Subsequent action programmes Subsequent Strategy Introduction to debate on Digital Strategy of Health SDSD Online theme debate 230 contributions Seminar Strategically action programmes Portfolio of projects H01 H02 H03 H04 H05 H06

9. Business objectives of Health as a whole Eminence serviceConnexion and cooperation across boarders Political visions Trends in society Strukturel reform Quality and efficiency P1 – More co-operation: Leadership, government, coordination P2 – Phased divided development of electronic communication P3 – Phased convergence of local systems P4 – Manageable projects P5 – Generate services based on users and needs P7 – Pathfinder projects learning by practise P6 – IT for health on a whole not only EMR in hospitals P8 – Based on international technology, terminology and standards Objects on digitizing of Health Strategy 2008-2012 In common In State, Region, Municipality, GP, Private Hospital

10. Common Digitalization Common infrastructure National service platform and architecture Standardization driven by needs Security and privacy Common services Development, test, operation Put into use, distribute Monitor on effects Common demands

11. Goals and Programmes One coherent health service DIGITAL SERVICE for citizens and patients Quality and Efficiency Connection and obligating Collaboration H06 – P1H04 – P2 H04: Common services H04 – P1H04 – Pn … H01 – P2 H01: Architecture and national service platform H01 – P1H01 – Pn … H06 – P1 H03: Security and privacy H03 – P2 … H03 – P1 H03 – Pn H02: Clinical and technical standardization H02 – Pn … H02 – P2 H02 – P1 H06: IT support of the clinical work H06 – P2 … H06 – Pn H06 – P1 H05: Management information H05 – P1H05 – Pn … H05 – P2

12. Examples of Projects  National architecture for services  National standard for web services  National enterprise service bus  National health data network  National operational environment H06 – P1 H01: Architecture and national service platform H01 – P1H01 – Pn …

13. Examples of Projects  Consensus on the use of B-EHR  Relationship between “Episodes of Care” NPR and BEHR  Selection of terminology – testing  Exchange of patient information  Standards for reference, domain, and data model for EHR-systems  Data exchange (ex. HL7)  Coherence between Clinical Guidelines and EHR H02: Clinical and technical standardization H02 – Pn … H06 – P1

14. Examples of Projects  Updated IT-security and privacy based on new legislation  National role based security system  National patient-carer-service  Service oriented system integration (SOSI)  Subset of data for exchange  Digital signature H06 – P1 H03: Security and privacy H03 – P2 … H06 – P1

15. Examples of Projects  Patient Index  The medication profile/the common medicine database/”FAME”  Advert reaction service  GP EHR - data service  Reporting service  Reimbursement service  Common test and result services H06 – P1 H04: Common services H04 – P1H04 – Pn …

16. Examples of Projects  Information on Quality  Management Information  Information on Logistics H05: Management information H05 – P1H05 – Pn … H05 – P2

17. Examples of Projects  Support of the clinical workflow  Support of management of chronic diseases including clinical guidelines  eHealth Portal  Telemedicine  Shared care H06: IT support of the clinical work H06 – P2 … H06 – P1