Update on the Integrated Hospital-Community EMR

Size: px
Start display at page:

Download "Update on the Integrated Hospital-Community EMR"

Transcription

1 Update on the Integrated Hospital-Community EMR Country: Israel Partner Institute: The Myers-JDC-Brookdale Institute, Jerusalem Survey no: (12) 2008 Author(s): Nirel, Nurit and Revital Gross Health Policy Issues: New Technology Current Process Stages Idea Pilot Policy Paper Legislation Implementation Evaluation Change 1. Abstract An extensive evaluation of the integrated hospital-community MR (OFEK) is being conducted. Preliminary findings indicate an increase in utilization of OFEK during the years The evaluation will assess subsequent effects on quality of care and costs. A new user interface for OFEK was developed also, putting all the different software that the physician uses on one platform. This enables rapid access to OFEK directly from the EMR, and is expected to increase utilization of OFEK. 2. Recent developments The program is being extensively evaluated by the Brookdale institute since 2006 in cooperation with researchers from the research division of Clalit health services. Another development is that recently the integrated hospitalcommunity electronic medical record (OFEK) has gained increasing prominence in the Clalit Health Care Services sick fund. A new phase of the program is the "new user interface" technology which is now being developed and will be implemented in the system within 6 months. This new technology consists of putting all the different software that the physician uses (e.g. patient medical record; OFEK; administrative data) on one platform. The main advantage is that this will enable rapid access to OFEK, which is expected to facilitate much more use of this system. 3. Characteristics of this policy Degree of Innovation traditional innovative Degree of Controversy consensual highly controversial Structural or Systemic Impact marginal fundamental Public Visibility very low very high Transferability strongly system-dependent system-neutral - 1 -

2 Innovation - OFEK is a very innovative system since it links information between hospital and community care and links information from different and not fully compatible computer systems. The "new user interface" which is now developed is also innovative in connecting the patient file to the other components of the system. No such system exists in the Israeli health care system and it is also rare abroad. Controversy - At this stage the system is consensual Systemic impact - This technology changes the communication between hospital and community facilities and is likely to highly affect continuity and coordination of care (if used regularly). Public visibility - visibility is high among professionals and policy makers but it has not been exposed to the general public Transferability - In many other healthcare systems, as in the Israeli situation, information flow between hospitals and community-based care providers is problematic. Similarly, the need to link together information from many systems is not at all unique to Israel. The system itself may also be transferable with some modifications. 4. Purpose and process analysis Idea Pilot Policy Paper Legislation Implementation Evaluation Change Initiators of idea/main actors Providers Patients, Consumers Private Sector or Industry Others Stakeholder positions Central management Clalit health services: The management supports OFEK as well as the expansion of the program and introducing the "new user interface". They believe that due to the improved technology the use of OFEK will increase and generate more efficient and effective integrated hospital-community care. This in turn will lead to improved quality of care and efficiency. We are not aware of changes in the positions of other actors. Actors and positions Description of actors and their positions Providers Central management Clalit health very supportive strongly opposed services Clalit hospital managers very supportive strongly opposed - 2 -

3 Physicians in hospitals and very supportive strongly opposed community Patients, Consumers Patients very supportive strongly opposed Private Sector or Industry db-motion (commercial IT company) very supportive strongly opposed Others Clalit physicians' trade union very supportive strongly opposed Influences in policy making and legislation No legislation is required Legislative outcome Actors and influence Description of actors and their influence Providers Central management Clalit health very strong none services Clalit hospital managers very strong none Physicians in hospitals and very strong none community Patients, Consumers Patients very strong none Private Sector or Industry db-motion (commercial IT company) very strong none Others Clalit physicians' trade union very strong none Positions and Influences at a glance Adoption and implementation Introduction of the new improved technology ("new user interface" ) was initiated by the central management of Clalit as part of the trend which can be seen in all the sick funds today, to develop e-health technologies in health care. These include among others: web sites for getting clinical results and facilitating administrative procedures; web sites through which the sick funds can disseminate information for self care and rights, and monitor self care of chronic patients. E-health is thus used for providing care as well as for better communication with patients. The OFEK system is perceived as using e-health internet technology to achieve integrated care and therefore it is encouraged within the sick fund, and additional funds are allocated to continuously upgrade the system. Even though there were no structured programs for assimilating the integrated hospital-community electronic medical record (given the objections of the community physician union as reported in a report"hospital-community electronic medical record". HPM October 2005), over time the use of the system has slowly permeated into the daily work of many community physicians, as they realized the advantages of an integrated information system

4 Monitoring and evaluation The evaluation of OFEK is conducted at the Myers-JDC- Brookdale Institute in cooperation with researchers from Clalit Health services. The evaluation monitors the utilization of the system by hospital and community medical staff and focuses on the influence of using the integrated hospital-community EMR (OFEK) on quality of care and costs of care in the hospital as well as in the community setting. Data on utilization of the system indicates that utilization had increased by 600% between , using the number of entries into the system as the main measure of utilization. The other objectives of the evaluation are: 1. to assess the effect of introducing e-health technology (OFEK) on quality of care and costs; 2. to assess the effect of utilization of OFEK on quality of care and costs The evaluation design: The evaluation has two separate parts, one focusing on the hospital setting and the other on the community setting. The design for evaluation of objective 1 in the community setting: Before and after measurements in a group of intervention and control clinics. The design for evaluation of objective 2 in the community setting: Multivariate analysis with the dependent value defined as quality measures and cost measures and the main independent variable is the extent of utilization of the system controlling for other intervening variables. The design for evaluation of objective 1 in the hospital setting: Before-after design in departments of internal - 4 -

5 medicine, general surgery and emergency rooms in six Clalit- owned hospitals in three time periods. The control group in this case are hospitalized patients that are not members of Clalit health services and therefore did not benefit from integration of care that the OFEK system enables. There is an emphasis on measures that are expected to be directly affected by improved communication between hospital and community services. A preliminary data analysis informed the selection of measures. The measures were taken from screens that were entered most frequently. Similarly, the specific lab and imaging measures chosen were those most frequently used by physicians. The measures can be classified into several types: Measures for community settings: 1. Clinical measures related to physician care e.g. - changes in number of lab tests, imaging ordered by the clinic, prescriptions, referrals to outpatient clinics, number of hospitalization days. 2. Measures related to nurse work procedures: e.g. number of enters to the OFEK screens related to planned discharge. Measures for hospital settings: 1. Changes in number of "unnecessary" hospitalizations (e.g. one day hospitalization, re emergency hospitalization within one week) 2. Changes in number of specific lab tests and imaging ordered during the hospitalization For each measure, the evaluation includes assessment of the saving in costs related to the change in the measures. For example, if the number of lab tests ordered by the hospital will decrease as physicians enter OFEK and retrieve results of tests conducted in the community, the evaluation will assess the savings in cost related to this. 5. Expected outcome The OFEK system was implemented in order to achieve improved quality of care and reduced costs. The objective of the evaluation is to examine whether these goals were achieved. At this time we do not yet have results and cannot provide a definitive answer. To date, there are initial findings from the evaluation, demonstrating an increase in utilization of OFEK during the years The further development of the OFEK technology and implementation of the "new user interface" which is ly taking place is expected to lead to more extensive use of the system, because the system will be even more accessible to the physician. Due to the new technology, when the physician or nurse opens the EMR immediately there will be a connection to the OFEK system (from the EMR) facilitating the use of data from both hospital and community files. Quality of Health Care Services marginal fundamental Level of Equity system less equitable system more equitable Cost Efficiency very low very high Quality - As ly reported, the system will probably improve patient care at the community and hospital levels by increasing continuity and coordination of care. It may also reduce medical mistakes that are related to insufficient information on patients. The new technology will contribute to improving quality as it facilitates regular utilization

6 Equity - This technology is expected to improve if information flow and is not dependent on the patient to pass the information from hospital to community and vice versa. Thus relevant information can be retrieved even when communication with the patient is difficult because of age, language and cultural barriers. Using the system is expected to especially improve their care. Cost efficiency - The effect on costs is unclear. Cost savings related to duplications are likely to be achieved. However their extent is unknown and savings related to other aspects of care are not clear. 6. References Sources of Information Nirel Nurit (PI) Research proposal funded by the National Institute for Health Policy and Health Services Research. The virtual patient file (the "OFEK" system) : An Evaluation of an Integrated Hospital-Community computerized System. Submitted 2006, approved for funding Reform formerly reported in Hospital-community electronic medical record Author/s and/or contributors to this survey Nirel, Nurit and Revital Gross Suggested citation for this online article Nirel, Nurit and Revital Gross. "Update on the Integrated Hospital-Community EMR". Health Policy Monitor, November Available at -

Hospital-community electronic medical record

Hospital-community electronic medical record Hospital-community electronic medical record Country: Israel Partner Institute: The Myers-JDC-Brookdale Institute, Jerusalem Survey no: (6)2005 Author(s): Nirel Nurit, Rosen Bruce, Gross Revital Myers-JDC-Brookdale

More information

Electronic prescriptions and patient records

Electronic prescriptions and patient records Electronic prescriptions and patient records Country: Finland Partner Institute: National Institute for Health and Welfare (THL), Helsinki Survey no: (9)2007 Author(s): Lauri Vuorenkoski, STAKES Health

More information

Smoking cessation in Leumit Health Fund

Smoking cessation in Leumit Health Fund Smoking cessation in Leumit Health Fund Country: Israel Partner Institute: The Myers-JDC-Brookdale Institute, Jerusalem Survey no: (13) 2009 Author(s): Kitai E., Vardy D., Margalit A., Brami J., Matz E.,

More information

Mandatory deductible in basic health insurance

Mandatory deductible in basic health insurance Mandatory deductible in basic health insurance Country: Netherlands Partner Institute: University of Maastricht, Department of Health Organization, Policy and Economics (BEOZ) Survey no: (11)2008 Author(s):

More information

Restricting supplemental insurance services

Restricting supplemental insurance services Restricting supplemental insurance services Country: Israel Partner Institute: The Myers-JDC-Brookdale Institute, Jerusalem Survey no: (10)2007 Author(s): Gross, Revital and Shuli Brammli-Greenberg Health

More information

Private Health Insurance: more products

Private Health Insurance: more products Private Health Insurance: more products Country: Australia Partner Institute: Centre for Health, Economics Research and Evaluation (CHERE), University of Technology, Sydney Survey no: (8)2006 Author(s):

More information

OFEK Virtual Medical Records: An Evaluation of an Integrated Hospital-Community Online Medical Information System

OFEK Virtual Medical Records: An Evaluation of an Integrated Hospital-Community Online Medical Information System SMOKLER CENTER FOR HEALTH POLICY RESEARCH OFEK Virtual Medical Records: An Evaluation of an Integrated Hospital-Community Online Medical Information System Nurit Nirel Bruce Rosen Assaf Sharon Hadar Samuel

More information

A Model for Mental Health Integration

A Model for Mental Health Integration A Model for Mental Health Integration Country: USA Partner Institute: Department of Behavioral Science and Health Education, Rollins School of Public Health, Emory University Survey no: (14) 2009 Author(s):

More information

Performance Payment for Family Physicians

Performance Payment for Family Physicians Performance Payment for Family Physicians Country: Estonia Partner Institute: PRAXIS Center for Policy Studies, Tallinn Survey no: (6)2005 Author(s): Ain Aaviksoo Health Policy Issues: Remuneration / Payment

More information

Public insurance for dental care for chidren

Public insurance for dental care for chidren Public insurance for dental care for chidren Country: Israel Partner Institute: The Myers-JDC-Brookdale Institute, Jerusalem Survey no: (16)2010 Author(s): Nir Kaidar, Tuvia Horev and Bruce Rosen Health

More information

Implementing Electronic Health Records: An Update

Implementing Electronic Health Records: An Update Implementing Electronic Health Records: An Update Country: USA Partner Institute: Johns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management Survey no: (10)2007 Author(s):

More information

Electronic medical records

Electronic medical records Electronic medical records Country: France Partner Institute: Institut de Recherche et Documentation en Economie de la Santé (IRDES), Paris Survey no: (8)2006 Author(s): Chantal Cases, Philippe Le Fur

More information

2. The stable patient case - in case when the circumstances of their health condition are neither sudden nor urgent (causing emergency).

2. The stable patient case - in case when the circumstances of their health condition are neither sudden nor urgent (causing emergency). Criteria to choose patients from waiting lists Country: Poland Partner Institute: Institute of Public Health, Jagiellonian University Medical College, Krakow Survey no: (6)2005 Author(s): Iwona Kowalska

More information

Municipal co-payment for health care services

Municipal co-payment for health care services Municipal co-payment for health care services Country: Denmark Partner Institute: University of Southern Denmark, Odense Survey no: (10)2007 Author(s): Ankjær-Jensen, Anni and Terkel Christiansen Health

More information

Implementing work accident and illness insurance

Implementing work accident and illness insurance Implementing work accident and illness insurance Country: Estonia Partner Institute: PRAXIS Center for Policy Studies, Tallinn Survey no: (10)2007 Author(s): Agris Koppel, Ain Aaviksoo Health Policy Issues:

More information

Risk equalizing schemes - the next chapter

Risk equalizing schemes - the next chapter Risk equalizing schemes - the next chapter Country: Slovenia Partner Institute: Institute of Public Health of the Republic of Slovenia, Ljubljana Survey no: (7)2006 Author(s): Tit Albreht Health Policy

More information

Universal Dental Health Scheme

Universal Dental Health Scheme Universal Dental Health Scheme Country: Australia Partner Institute: Centre for Health, Economics Research and Evaluation (CHERE), University of Technology, Sydney Survey no: (13) 2009 Author(s): Gallego,

More information

Accountable Care Organizations and Health Reform

Accountable Care Organizations and Health Reform Accountable Care Organizations and Health Reform Country: USA Partner Institute: Johns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management Survey no: (16)2010 Author(s):

More information

The Expert Patient Programme in Catalonia

The Expert Patient Programme in Catalonia The Expert Patient Programme in Catalonia Country: Spain Partner Institute: University of Barcelona Survey no: (16)2010 Author(s): María González Ortega Health Policy Issues: System Organisation/ Integration

More information

New guidelines on aesthetic treatment

New guidelines on aesthetic treatment New guidelines on aesthetic treatment Country: Singapore Partner Institute: Department of Epidemiology and Public Health, National University of Singapore Survey no: (12) 2008 Author(s): Lim Meng Kin Health

More information

Program of All-Inclusive Care for the Elderly

Program of All-Inclusive Care for the Elderly Program of AllInclusive Care for the Elderly Country: USA Partner Institute: Johns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management Survey no: (13) 2009 Author(s):

More information

Sale of Medibank Private

Sale of Medibank Private Sale of Medibank Private Country: Australia Partner Institute: Centre for Health, Economics Research and Evaluation (CHERE), University of Technology, Sydney Survey no: (8)2006 Author(s): Marion Haas Health

More information

Independent treatment centers in the Netherlands

Independent treatment centers in the Netherlands Independent treatment centers in the Netherlands Country: Netherlands Partner Institute: University of Maastricht, Department of Health Organization, Policy and Economics (BEOZ) Survey no: (11)2008 Author(s):

More information

Benchmarking hospital productivity

Benchmarking hospital productivity Benchmarking hospital productivity Country: Finland Partner Institute: National Institute for Health and Welfare (THL), Helsinki Survey no: (7)2006 Author(s): Miika Linna Health Policy Issues: System Organisation/

More information

New health insurance system

New health insurance system New health insurance system Country: Netherlands Partner Institute: Institute of Health Policy & Management, Erasmus University Rotterdam Survey no: (4)2004 Author(s): Jos Holland and André den Exter,

More information

Access to dental care in Australia

Access to dental care in Australia Access to dental care in Australia Country: Australia Partner Institute: Centre for Health, Economics Research and Evaluation (CHERE), University of Technology, Sydney Survey no: (5)2005 Author(s): Marion

More information

The Denia Project: Concession for integrated HC

The Denia Project: Concession for integrated HC The Denia Project: Concession for integrated HC Country: Spain Partner Institute: Centre de Recerca en Economia i Salut (CRES), Universitat Pompeu Fabra, Barcelona Survey no: (6)2005 Author(s): Dr. Fidel

More information

Health financing reform idea: health fund

Health financing reform idea: health fund Health financing reform idea: health fund Country: Germany Partner Institute: Bertelsmann Stiftung, Gütersloh Survey no: (7)2006 Author(s): Melanie Zimmermann, reviewers: Reinhard Busse, Sophia Schlette

More information

Health Human Resources & Foreign Medical Graduates

Health Human Resources & Foreign Medical Graduates Health Human Resources & Foreign Medical Graduates Country: Canada Partner Institute: Centre for Health Economics and Policy Analysis, McMaster University, Hamilton Survey no: (15) 2010 Author(s): Michel

More information

Generic substitution of prescription drugs

Generic substitution of prescription drugs Generic substitution of prescription drugs Country: Finland Partner Institute: National Institute for Health and Welfare (THL), Helsinki Survey no: (2)2003 Author(s): Ilmo Keskimäki and Lauri Vuorenkoski

More information

Recycling Unused Cancer Drugs

Recycling Unused Cancer Drugs Recycling Unused Cancer Drugs Country: USA Partner Institute: Department of Behavioral Science and Health Education, Rollins School of Public Health, Emory University Survey no: (13) 2009 Author(s): Elena

More information

Health & the economic crisis: the Australian case

Health & the economic crisis: the Australian case Health & the economic crisis: the Australian case Country: Australia Partner Institute: Centre for Health, Economics Research and Evaluation (CHERE), University of Technology, Sydney Survey no: (14) 2009

More information

Health reform - one year after implementation

Health reform - one year after implementation Health reform one year after implementation Country: Netherlands Survey no: (9)2007 Reported by: University of Maastricht, Department of Health Organization, Policy and Economics (BEOZ) Health Policy Issues:

More information

More changes to private health insurance Australia

More changes to private health insurance Australia More changes to private health insurance Australia Country: Australia Partner Institute: Centre for Health, Economics Research and Evaluation (CHERE), University of Technology, Sydney Survey no: (12) 2008

More information

Pre-existing condition coverage post-health reform

Pre-existing condition coverage post-health reform Pre-existing condition coverage post-health reform Country: USA Partner Institute: Johns Hopkins Bloomberg School of Public Health, Department of Health Policy and Management Survey no: (16)2010 Author(s):

More information

Mor Institute for Medical Data Ltd

Mor Institute for Medical Data Ltd Public/Private Mix in the Provision of Health Services: The Tension Between Greater Care Co-ordination Across Providers, Increased Competition and Freedom of Choice Orit Jacobson Mor Institute for Medical

More information

Major reductions in taxes on alcohol beverages

Major reductions in taxes on alcohol beverages Major reductions in taxes on alcohol beverages Country: Finland Partner Institute: National Institute for Health and Welfare (THL), Helsinki Survey no: (5)2005 Author(s): Christoffer Tigerstedt, DPolSci,

More information

Creation of an IT-based health care platform

Creation of an IT-based health care platform Creation of an IT-based health care platform Country: Switzerland Partner Institute: Università della Svizzera Italiana, Lugano Survey no: (6)2005 Author(s): Marzio Della Santa, Ignazio Cassis, Lorenza

More information

Key Findings from a National Survey of Mothers Regarding Preventive Health Services for Children in the "Tipat Halav" Framework

Key Findings from a National Survey of Mothers Regarding Preventive Health Services for Children in the Tipat Halav Framework SMOKLER CENTER FOR HEALTH POLICY RESEARCH Key Findings from a National Survey of Mothers Regarding Preventive Health Services for Children in the "Tipat Halav" Framework Bruce Rosen Irit Elroy Nurit Nirel

More information

CCH III. Domestic regulations for recruiting and retaining CSME. implemented in Member States by 2011

CCH III. Domestic regulations for recruiting and retaining CSME. implemented in Member States by 2011 CCH III REGIONAL PROGRAMME AREA: HUMAN RESOURCE DEVELOPMENT GOAL: Human resources within the sector developed to respond to the needs of the people PRIORITIES OBJECTIVES NATIONAL EXPECTED RESULTS Movement

More information

Idea Pilot Policy Paper Legislation Implementation Evaluation Change

Idea Pilot Policy Paper Legislation Implementation Evaluation Change Medical Indemnity Country: Australia Partner Institute: Centre for Health, Economics Research and Evaluation (CHERE), University of Technology, Sydney Survey no: (1)2003 Author(s): Marion Haas Health Policy

More information

Creating a national electronic health record: The Canada Health Infoway experience

Creating a national electronic health record: The Canada Health Infoway experience Creating a national electronic health record: The Canada Health Infoway experience Presentation by Dennis Giokas Chief Technology Officer, Canada Health Infoway October 11, 2007 Overview The need for EHR

More information

Community Paramedicine

Community Paramedicine Community Paramedicine A New Approach to Integrated Healthcare Prepared by a committee of: 600 Wilson Lane Suite 101 Mechanicsburg, PA 17055 (717) 795-0740 800-243-2EMS (in PA) www.pehsc.org 1 P age Community

More information

HEALTH CARE DATA IN QATAR

HEALTH CARE DATA IN QATAR HEALTH CARE DATA IN QATAR Daoud Al-Badriyeh, PhD President, ISPOR Qatar Chapter and Assistant Professor of Pharmacoeconomics College of Pharmacy, Qatar University Doha, Qatar Health Care Data The problem:

More information

Future Directions for Digital Health in Canada

Future Directions for Digital Health in Canada Future Directions for Digital Health in Canada ITAC Health Presentation, Trevor Hodge, September 24, 2013 Paths to Better Health 1998 - The Canada Health Infoway report set out a vision for a pan-canadian

More information

Mona Osman MD, MPH, MBA

Mona Osman MD, MPH, MBA Mona Osman MD, MPH, MBA Objectives To define an Electronic Medical Record (EMR) To demonstrate the benefits of EMR To introduce the Lebanese Society of Family Medicine- EMR Reality Check The healthcare

More information

Facing Healthcare Administration Challenges

Facing Healthcare Administration Challenges Facing Healthcare Administration Challenges Healthcare provider administration tasks, are facing different types of challenges. The delivery of health care services is the most visible part of any health

More information

OMA Submission to the. Patients First: A Proposal to Strengthen Patient-Centred Health Care in Ontario. Discussion Paper Consultation

OMA Submission to the. Patients First: A Proposal to Strengthen Patient-Centred Health Care in Ontario. Discussion Paper Consultation OMA Submission to the Patients First: A Proposal to Strengthen Patient-Centred Health Care in Ontario Discussion Paper Consultation February, 2016 OMA Submission to the Patients First: A Proposal to Strengthen

More information

The Gap between Actual and Mandated Use of an Electronic Medication Record Three Years after Deployment

The Gap between Actual and Mandated Use of an Electronic Medication Record Three Years after Deployment F ehealth Beyond the Horizon Get IT There S.K. Andersen et al. (Eds.) IOS Press, 2008 2008 Organizing Committee of MIE 2008. All rights reserved. 419 The Gap between Actual and Mandated Use of an Electronic

More information

Supplemental Insurance Plans Offered by the Health Plans: Analysis and Comparison of Baskets of Services in 2006

Supplemental Insurance Plans Offered by the Health Plans: Analysis and Comparison of Baskets of Services in 2006 Myers-JDC-Brookdale Institute Smokler Center for Health Policy Research Knesset Research and Information Center Supplemental Insurance Plans Offered by the Health Plans: Analysis and Comparison of Baskets

More information

MIDWEST MEDICAL CENTER Planning for Years 2013-2014

MIDWEST MEDICAL CENTER Planning for Years 2013-2014 IMPLEMENTATION For Needs Identified in Community Health Needs Assessment MIDWEST MEDICAL CENTER Planning for Years -2014 PROCESS A Community Health Needs Assessment was conducted in through a consulting

More information

Presentation to the Legislative Health and Human Services Committee. Julie Weinberg, Deputy Director HSD, Medical Assistance Division

Presentation to the Legislative Health and Human Services Committee. Julie Weinberg, Deputy Director HSD, Medical Assistance Division Medicaid EHR Incentive Program: Promoting the Adoption and Meaningful Use of Health Information Technology Presentation to the Legislative Health and Human Services Committee August 3, 2010 Julie Weinberg,

More information

Five Myths Surrounding the Business of Population Health Management

Five Myths Surrounding the Business of Population Health Management Five Myths Surrounding the Business of Population Health Management Joan Moss, RN, MSN Robert Sehring Chief Nursing Officer and Chief Ministry Services Officer, Senior Vice President, Sg2 OSF HealthCare

More information

Integrated Healthcare Information System. Darko Gvozdanović, M.Sc.E.E. Department manager e-health

Integrated Healthcare Information System. Darko Gvozdanović, M.Sc.E.E. Department manager e-health Integrated Healthcare Information System Darko Gvozdanović, M.Sc.E.E. Department manager e-health Agenda Healthcare challenges Ericsson addressing the challenges Integrated Healthcare Information System

More information

Create a safer, more efficient patient journey.

Create a safer, more efficient patient journey. Miya Patient Flow Create a safer, more efficient patient journey. What is Miya Patient Flow? Miya Patient Flow is an e-health guidance system that optimises the patient journey for your patients by integrating

More information

Return on Investment Potential EHRs and Iowa s HIE

Return on Investment Potential EHRs and Iowa s HIE Return on Investment Potential EHRs and Iowa s HIE Health information technology (health IT) holds the potential to increase the efficiency, cost effectiveness, quality, and safety of our health care system.

More information

Assessment of Primary Care Resources and Supports for Chronic Disease Self Management (PCRS)

Assessment of Primary Care Resources and Supports for Chronic Disease Self Management (PCRS) Assessment of Primary Care Resources and Supports for Chronic Disease Self Management (PCRS) Individuals interested in using the PCRS in quality improvement work or research are free to do so. We request

More information

Main Section of the proposal: 1. Overall Aim & Objectives:

Main Section of the proposal: 1. Overall Aim & Objectives: Main Section of the proposal: 1. Overall Aim & Objectives: Over the past two decades Providence Health & Services has developed a comprehensive tobacco cessation program within our health system. The foundation

More information

Amendment for Electronic Medical Records System

Amendment for Electronic Medical Records System F 13 VII. STANDING COMMITTEE B. Finance, Audit and Facilities Committee Amendment for Electronic Medical Records System RECOMMENDED ACTION: It is the recommendation of the administration and the Finance,

More information

Global Lab for Innovation

Global Lab for Innovation Global Lab for Innovation Innovation Profile IT for Cost-Effective Decision Making Cedars-Sinai Health System Clinical decision support and the Choosing Wisely guidelines are built into an Electronic Medical

More information

Canada Health Infoway Update

Canada Health Infoway Update Canada Health Infoway Update Presentation to North East LHIN ehealth Advisory Committee May 9, 2013 Terry Moore, Executive Regional Director, Canada Health Infoway Canada Health Infoway Created in 2001

More information

Private health insurance policies in Israel: a report on the 2012 Dead Sea Conference

Private health insurance policies in Israel: a report on the 2012 Dead Sea Conference Bin Nun Israel Journal of Health Policy Research 2013, 2:25 Israel Journal of Health Policy Research MEETING REPORT Open Access Private health insurance policies in Israel: a report on the 2012 Dead Sea

More information

Consumer Engagement with Health Information Technology Summary of NeHC Survey Results

Consumer Engagement with Health Information Technology Summary of NeHC Survey Results Consumer Engagement with Health Information Technology Summary of NeHC Survey Results Background In June 2012, National ehealth Collaborative (NeHC) distributed a survey on consumer engagement with health

More information

The Electronic Medical Record (EMR)

The Electronic Medical Record (EMR) Journal of Applied Medical Sciences, vol. 2, no. 2, 2013, 79-85 ISSN: 2241-2328 (print version), 2241-2336 (online) Scienpress Ltd, 2013 The Electronic Medical Record (EMR) PeterChris Okpala 1 Abstract

More information

Summary of RFP SP-15-0062 (Population Health Management Vendor), Concerns with the Award & Recommendations Moving Forward

Summary of RFP SP-15-0062 (Population Health Management Vendor), Concerns with the Award & Recommendations Moving Forward Summary of RFP SP-15-0062 (Population Health Management Vendor), Concerns with the Award & Recommendations Moving Forward Summary On January 22 nd, 2015, the Employee Benefits Division, in conjunction

More information

The success of large scale EHR implementation: A matter of

The success of large scale EHR implementation: A matter of The success of large scale EHR implementation: A matter of governance L. Esterle, Inserm, A. Kouroubali, Forth, M. Bruun-Rasmussen, Mediq, L. Ciglenicki, ProRec Slovenia, J. Devlies, Ramit, G. Hurl, ProRec

More information

CPDP Strategy Session on Stage 2 Meaningful Use

CPDP Strategy Session on Stage 2 Meaningful Use CPDP Strategy Session on Stage 2 Meaningful Use March 29, 2012 Christine Bechtel, Vice President National Partnership for Women & Families David Lansky,President and Chief Executive Officer Pacific Business

More information

APPENDIX C CROSSWALK OF PPC-PCMH-CMS STANDARDS AND ELEMENTS TO MEDICAL HOME CAPABILITIES BY TIER

APPENDIX C CROSSWALK OF PPC-PCMH-CMS STANDARDS AND ELEMENTS TO MEDICAL HOME CAPABILITIES BY TIER APPENDIX C CROSSWALK OF PPC-PCMH-CMS STANDARDS AND ELEMENTS TO MEDICAL HOME CAPABILITIES BY TIER C.3 Table C.1. Crosswalk Between Tier Definitions (Table 2) and PPC-PCMH-CMS (Appendix B) PPC-PCMH-CMS

More information

Patient Centered Medical Home: An Approach for the Health Plan

Patient Centered Medical Home: An Approach for the Health Plan : An Approach for the Health Plan By Marissa A. Harper and JoAnn E. Balara Excellence in healthcare consulting The Medical Home Concept Works Recent Medicare demonstration projects on Patient Centered

More information

The Changing Face of Healthcare: Challenges & Solutions. Mark Stauder, President/COO

The Changing Face of Healthcare: Challenges & Solutions. Mark Stauder, President/COO The Changing Face of Healthcare: Challenges & Solutions Mark Stauder, President/COO Disclosure of Relevant Financial Relationship with Commercial Companies/Organizations Mark Stauder has disclosed financial

More information

Presentations by panellists were followed by a dialogue with members of the Council. These discussions are hereunder summarized.

Presentations by panellists were followed by a dialogue with members of the Council. These discussions are hereunder summarized. Panel Discussion on Universal Health Coverage at the Center of Sustainable Development: Contributions of Sciences, Technology and Innovations to Health Systems Strengthening Geneva, 3 July 2013 On 3 July

More information

Consultation on Re-Building Health Care Together. Brief submitted by The New Brunswick Nurses Union

Consultation on Re-Building Health Care Together. Brief submitted by The New Brunswick Nurses Union Consultation on Re-Building Health Care Together Brief submitted by The New Brunswick Nurses Union July 2012 Introduction The New Brunswick Nurses Union (NBNU) is a labour organization, representing over

More information

The Challenge of Implementing Interoperable Electronic Medical Records

The Challenge of Implementing Interoperable Electronic Medical Records Annals of Health Law Volume 19 Issue 1 Special Edition 2010 Article 37 2010 The Challenge of Implementing Interoperable Electronic Medical Records James C. Dechene Follow this and additional works at:

More information

Canada Health Infoway

Canada Health Infoway Canada Health Infoway EHR s in the Canadian Context June 7, 2005 Mike Sheridan, COO Canada Health Infoway Healthcare Renewal In Canada National Healthcare Priorities A 10-year Plan to Strengthen Healthcare

More information

Why Electronic Health Records are Ill-Suited for Population Health Management An InfoMC White Paper January 2016

Why Electronic Health Records are Ill-Suited for Population Health Management An InfoMC White Paper January 2016 Why Electronic Health Records are Ill-Suited for Population Health Management An InfoMC White Paper January 2016 Many studies have demonstrated that cost of care for patients with chronic illnesses is

More information

INTRODUCTION. Figure 0.1. Total health expenditure as a share of GDP, 2007 9.2 9.1 8.4

INTRODUCTION. Figure 0.1. Total health expenditure as a share of GDP, 2007 9.2 9.1 8.4 INTRODUCTION 25 INTRODUCTION Policy makers in OECD countries are faced with ever-increasing demands to make health systems more responsive to the patients they serve, as well as improving the quality of

More information

The Negev Center for Eating Disorders

The Negev Center for Eating Disorders The Negev Center for Eating Disorders Eating disorders are serious medical conditions, with severe medical implications There are NO facilities for the treatment of eating disorders in the entire Negev

More information

Submission to the Health Information Authority (HIA) on Minimum Benefits Regulations in the Irish Private Health Insurance Market

Submission to the Health Information Authority (HIA) on Minimum Benefits Regulations in the Irish Private Health Insurance Market Submission to the Health Information Authority (HIA) on Minimum Benefits Regulations in the Irish Private Health Insurance Market September 2010 IMO Submission to the Health Information Authority (HIA)

More information

Health Information Technology

Health Information Technology Analyzing the Impact of President Obama s Stimulus Plan March, 2009 Executive Summary Health Information Technology (HIT) is not just about convenience and savings it is also about saving lives and reducing

More information

Key words: primary care, gatekeeper, coordination of care, self-referrals, health policy

Key words: primary care, gatekeeper, coordination of care, self-referrals, health policy Primary Care Physicians in Israel: Self-Perception of Their Role in the Healthcare System and Policy Makers' and Patients' Perception of Them as Gatekeepers Hava Tabenkin MD MSc LLB 1, Revital Gross 2,

More information

Values of Healthcare

Values of Healthcare Values of Healthcare By Hanan Shahaf Health Organization Managers Our products are suitable for primary and secondary care systems, specialist and multi-disciplinary systems, hospital systems, and rural

More information

Nancy L. Wilson Department of Medicine-Geriatrics Houston Center for Quality of Care& Utilization Studies Texas Consortium of Geriatric Education

Nancy L. Wilson Department of Medicine-Geriatrics Houston Center for Quality of Care& Utilization Studies Texas Consortium of Geriatric Education 1 Nancy L. Wilson Department of Medicine-Geriatrics Houston Center for Quality of Care& Utilization Studies Texas Consortium of Geriatric Education Centers Care for Elders Governing Council Acknowledge

More information

What Providers Need To Know Before Adopting Bundling Payments

What Providers Need To Know Before Adopting Bundling Payments What Providers Need To Know Before Adopting Bundling Payments Dan Mirakhor Master of Health Administration University of Southern California Dan Mirakhor is a Master of Health Administration student at

More information

The Electronic Health Record as a Clinical Study Information Hub

The Electronic Health Record as a Clinical Study Information Hub The Electronic Health Record as a Clinical Study Information Hub Naoto Kume EHR Research Unit, Department of Social Informatics, Graduate School of Informatics, Kyoto University kume@kuhp.kyoto-u.ac.jp

More information

May 9, 2013. FaithAnn Amond, RN Navigator Care Central Ellis Medicine

May 9, 2013. FaithAnn Amond, RN Navigator Care Central Ellis Medicine A Systems Approach to Diabetes Care Hospital to Home. Improving Care Transitions and Outcomes Helen Hayes Hospital West Haverstraw, NY James Desemone, MD Director of Medical Staff Quality Diabetes and

More information

EMORY HEALTHCARE INFORMATION SERVICES DEPARTMENT - EMR Implementations at a Glance 4-5-2010

EMORY HEALTHCARE INFORMATION SERVICES DEPARTMENT - EMR Implementations at a Glance 4-5-2010 EMORY HEALTHCARE INFORMATION SERVICES DEPARTMENT - EMR Implementations at a Glance 4-5-2010 Page 1 of 5 legend under (budget), on (budget), over (budget) Major al Features / Accomplishments 2002 Emergency

More information

Community Health Program Outpatient Care Management Program

Community Health Program Outpatient Care Management Program Community Health Program Outpatient Care Management Program Beverly Dowling Assistant Vice President Community Health Network Office of Health Policy and Legislative Affairs The University of Texas Medical

More information

ENGAGING PHARMACISTS IN 1305

ENGAGING PHARMACISTS IN 1305 ENGAGING PHARMACISTS IN 1305 UTAH EXAMPLES NICOLE BISSONETTE, MPH, MCHES EPICC PROGRAM MANAGER UTAH PROJECTS INVOLVING PHARMACISTS Prior to 1305 Select Health Pharmacist Hypertension Management Team Based

More information

Planning for Health Information Technology and Exchange in Public Health

Planning for Health Information Technology and Exchange in Public Health Planning for Health Information Technology and Exchange in Public Health UC Davis Health Informatics 2009 Seminar Series Linette T Scott, MD, MPH Deputy Director, Health Information and Strategic Planning

More information

The SIMS Partnership. Transforming health care delivery

The SIMS Partnership. Transforming health care delivery SIMS Whiteboard Goar Gasparian Technical Specialist October 27 th, 2009 What is Whiteboard? Electronic version of old grease board. Displays relevant, real time patient information in a single, highly

More information

SOCIETY FOR PUBLIC HEALTH EDUCATION 10 G Street, Suite 605 Washington, DC 20002-4242 Phone 202/408-9804 Fax 202/408-9815 Website www.sophe.

SOCIETY FOR PUBLIC HEALTH EDUCATION 10 G Street, Suite 605 Washington, DC 20002-4242 Phone 202/408-9804 Fax 202/408-9815 Website www.sophe. SOCIETY FOR PUBLIC HEALTH EDUCATION 10 G Street, Suite 605 Washington, DC 20002-4242 Phone 202/408-9804 Fax 202/408-9815 Website www.sophe.org July 15, 2009 The Honorable Henry Waxman Chairman Energy and

More information

Draft Pan-Canadian Primary Health Care Electronic Medical Record Content Standard, Version 2.0 (PHC EMR CS) Frequently Asked Questions

Draft Pan-Canadian Primary Health Care Electronic Medical Record Content Standard, Version 2.0 (PHC EMR CS) Frequently Asked Questions December 2011 Draft Pan-Canadian Primary Health Care Electronic Medical Record Content Standard, Version 2.0 (PHC EMR CS) Frequently Asked Questions Background and History What is primary health care?

More information

EMR and ehr Together for patients and providers. ehealth Conference October 3-4, 2014

EMR and ehr Together for patients and providers. ehealth Conference October 3-4, 2014 EMR and ehr Together for patients and providers ehealth Conference October 3-4, 2014 DISCLOSURES: Commercial Interests NONE Susan Antosh is CEO of ehealth Saskatchewan Vision: Empowering Patients, Enabling

More information

ELECTRONIC MEDICAL RECORDS. Selecting and Utilizing an Electronic Medical Records Solution. A WHITE PAPER by CureMD.

ELECTRONIC MEDICAL RECORDS. Selecting and Utilizing an Electronic Medical Records Solution. A WHITE PAPER by CureMD. ELECTRONIC MEDICAL RECORDS Selecting and Utilizing an Electronic Medical Records Solution A WHITE PAPER by CureMD CureMD Healthcare 55 Broad Street New York, NY 10004 Overview United States of America

More information

Integration of EMR/PHR and Patient Portal with Decision Support

Integration of EMR/PHR and Patient Portal with Decision Support Integration of EMR/PHR and Patient Portal with Decision Support Charles B. Eaton M.D., M.S. Center for Primary Care and Prevention Memorial Hospital of Rhode Island David K. Ahern, Ph.D. Health e-technologies

More information

Stuart Levine MD MHA Corporate Medical Director, HealthCare Partners Assistant Clinical Professor, Internal Medicine and Psychiatry, UCLA David

Stuart Levine MD MHA Corporate Medical Director, HealthCare Partners Assistant Clinical Professor, Internal Medicine and Psychiatry, UCLA David Stuart Levine MD MHA Corporate Medical Director, HealthCare Partners Assistant Clinical Professor, Internal Medicine and Psychiatry, UCLA David Geffen School of Medicine 1 HealthCare Partners Delivery

More information

STATEMENT OF KAREN UTTERBACK, MSN, RN VICE PRESIDENT, MARKETING AND PRODUCT STRATEGY MCKESSON TECHNOLOGY SOLUTIONS

STATEMENT OF KAREN UTTERBACK, MSN, RN VICE PRESIDENT, MARKETING AND PRODUCT STRATEGY MCKESSON TECHNOLOGY SOLUTIONS STATEMENT OF KAREN UTTERBACK, MSN, RN VICE PRESIDENT, MARKETING AND PRODUCT STRATEGY MCKESSON TECHNOLOGY SOLUTIONS BEFORE THE OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION TECHNOLOGY POLICY

More information