Siemens Roadmap to ehealth

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1 Siemens Roadmap to ehealth 4. th. ehealth national conference, Sofia Michael Gorgi June 26 th., 2007 Siemens Bulgaria

2 Agenda ehealth? Evolution of ehealth Systems Siemens & ehealth Page 2 June 2007 Siemens AG

3 ehealth components The journey begins e-medication vaccination database nursing emergency data Fitness biometry healthcare passport HSP integration into healthcare infrastructure secure digital archive directory of health service providers check-up telemedicine mother-child programs Master Patients Index blood donation database e-health Health Professional Card nationwide scheduling employer registration allergy database DMP - Disease Management Programs EHR - electronic Health Record e-government patient record healthcare portal organ donation database e-referring Page 3 June 2007 Siemens AG

4 Things to take care about when it comes to ehealth define your ehealth vision define and communicate your ehealth roadmap initiate public relation/information campaign establish and finance ehealth organisation identify ehealth-infrastructure Master Patient Index, e-health-directory, Roles & Rights, Network infrastructure definition and communication of standards legal framework for ehealth privacy, citizen rights rights and responsibilities, especially health service providers in conjunction with EHR, e.g. obligatory participation, accountability, protection,...) Page 4 June 2007 Siemens AG

5 National ehealth program requires a realistic Vision i.e Austria By 2015 the most important health data as well as actual health knowledge will be available for all entitled people, optimally prepared and independent from time and location. The Austrian e-health Strategy, e-health-initiative 2005/2007 Page 5 June 2007 Siemens AG

6 ehealth requires communication & Vision Nursing Home Health authority Patient s home Pharmacy Insurance cardholders ambulance/ transport service Patient Healthcare Data (EHR) Rehab Center Hospital Self-help Group Physician Health Insurance/ payer Private Healthcare Teaching Hospital Page 6 June 2007 Siemens AG

7 Base for ehealth is interoperability Interoperability is the ability of different information technology systems and software applications to communicate, to exchange data accurately, effectively, and consistently, and to use the information that has been exchanged. Wikipedia, Web encyclopedia, Interoperability in health IT Page 7 June 2007 Siemens AG

8 Fatal and costly outcome due to lack of communication & interoperability DE: Up to 100,000 patients end up in intensive care due to wrong medication and up to 7% of these patients die. US: Up to 98,000 avoidable annual deaths due to medical errors Up to 30% of the expenses of the German health system could be saved through digitalization.* etc. * Federal Ministry of Health, Germany ** Estimations by Prof. Wilfried von Eiff, University of Münster, Germany Page 8 June 2007 Siemens AG

9 Typical evolution of healthcare systems Performance development Performance High Population Health Management Health Surveillance Knowledge based Medicine Administrative Applications, Clinical Applications Low Healthcare Integration Infrastructure time Page 9 June 2007 Siemens AG

10 Siemens & ehealth experience across the building blocks Performance High Performance Population Health Management Continuously increasing percentage of global performance Health Surveillance Knowledge based Medicine Administrative Applications, Clinical Applications Low Healthcare Integration Infrastructure time Page 10 June 2007 Siemens AG

11 Snap shot ecard infrastructure project ecard Austria Page 11 June 2007 Siemens AG

12 ecard Austria Project Overview: Basic Application - Substitution of all health insurance vouchers Key-Data Substitution of about 42 million health insurance vouchers per year Supply of 8 million insured with ecards Integration of about contractual physicians Software clients for medical practice chip card readers via Medical Practice Unit Page 12 June 2007 Siemens AG

13 ecard Austria Project Overview: ecard in figures 8 million ecards for all insurance holders and dependents Project costs approx. 130 Mil. ROI in approx two years Savings more than 10 % of the yearly spendings 24,000 health professional cards and the same number of PIN/PUK mailings (GP and hospitals) Approx. 400,000 to 700,000 new issues per year (loss, theft, change of name) Equipment of approx. 12,000 medical practices and own facilities with ecard infrastructure within 6 months Approx. 430 training courses at regional level for contracting partners and employees Replacement of approx. 42 million health care vouchers per year An estimated 600,000 calls to the ecard service line per year Page 13 June 2007 Siemens AG

14 Ongoing & Future Projects In the fields of ehealth and Social Security, e.g. Hospitals (out-patient clinics) Employers (Insurance Registration & Deregistration Process) Pharmacies (Electronic Prescription) Electronic Referral EHR (Secure access to diagnostic findings) Page 14 June 2007 Siemens AG

15 Siemens & ehealth experience across the building blocks Performance High Performance Population Health Management Continuously increasing percentage of global performance Health Surveillance Knowledge based Medicine Administrative Applications, Clinical Applications Low Healthcare Integration Infrastructure time Page 15 June 2007 Siemens AG

16 Example Administrative Applications Siemens Shared Health Record Integrated Care Moving from fragmented to data and process integrated health care system of tomorrow Page 16 June 2007 Siemens AG

17 EHR, the information platform of the integrated health care system Health Care Management Transparency is the key quality management health monitoring health care management increased transparency secure diagnostics & therapies faster treatment Citizen (patients) optimised interfaces better & secure decisions other Health Professionals EHR shared health record optimised interfaces ambulant/stationary better & secure therapy reduced time of stay Hospitals availability of relevant patient information informed and thus secure decisions Physician Page 17 June 2007 Siemens AG

18 Example Administrative Applications e-medication From paper based prescription to a drug interaction checked documentation of the medications Page 18 June 2007 Siemens AG

19 e-medication Vision Physician Social Insurance transparent controlling sufficient analysis reduction of malpractice transparent billing no media disruption medication history drug interaction check transparency cashed prescriptions support (medication & documentation) e-medication comfort safe medication increased trust in physician drug interaction check no administration Pharmacy Page 19 June 2007 Siemens AG

20 e-medication Vision Physician Social Insurance transparent controlling sufficient analysis reduction of malpractice medication history drug interaction check transparency cashed prescriptions support (medication & documentation) saving potential comfort transparent billing e-medication safe medication no media disruption > 100 Mio EURO per year increased trust im (estimation for Austria) physician drug interaction check no administration Pharmacy Page 20 June 2007 Siemens AG

21 Benefits of e-medication Easy handling for the citizens and higher safety through check for drug interaction and contraindication Rising quality of the entire treatment process and reducing the medical costs caused by medical errors right up to death Medical history for all healthcare actors is central available Transparence billing and reduced malpractice by supporting the integrated process Page 21 June 2007 Siemens AG

22 Things to take care about when it comes to ehealth define your ehealth vision define and communicate your ehealth roadmap initiate public relation/information campaign establish and finance ehealth organisation identify ehealth-infrastructure Master Patient Index, e-health-directory, Roles & Rights, Network infrastructure definition and communication of standards legal framework for ehealth privacy, citizen rights rights and responsibilities, especially health service providers in conjunction with EHR, e.g. obligatory participation, accountability, protection,...) Page 22 June 2007 Siemens AG

23 Next steps Build and enlarge the ehealth infrastructure Build the Master Patient Index and health service provider registries Build the electronic health record (EHR) Support of the first ehealth applications such as: e-prescription Disease-Management: Diabetes etc. Page 23 June 2007 Siemens AG

24 Siemens ehealth Solutions References Healthcare Programs NHS Scotland: Implementation of an integrated, IT supported Disease Management DMP France Pilot Initiative to develop a national EHR scheme - Dossier Médical Personnel (DMP) ecard Austria / Slovenia national infrastructure for social security & ehealth Transsectoral Workflow Support Suhl/Germany: IT-supported crosssectoral clinical pathway Bamberg/Germany: Cross-sectoral cooperation using EHR Leipzig/Germany: Mutual clinical databasis institutional use, hospital chain Trier/Gemany: Soarian client, vitax-testregion Access & Security Lombardy and Sicily/Italy: Introduction of healthcards for 14 million users and HPC Mount Sinai/New York: Build-up of healthcare network, access to patient data via smartcards Valencia/Spain: Implementation of HPC for the entire province Sweden/Stockholm: Identity and Access Public Healthcare County Council Page 24 June 2007 Siemens AG

25 THANK YOU for your attention Contact: Siemens AG Austria Siemens Bulgaria Page 25 June 2007 Siemens AG

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