Standardisation of Nursing Information for Patients' Transfer Irene van Duijvendijk MSc Adviser Health IT & Innovation, Nictiz, The Netherlands
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1 Standardisation of Nursing Information for Patients' Transfer Irene van Duijvendijk MSc Adviser Health IT & Innovation, Nictiz, The Netherlands
2 Me. Irene van Duijvendijk, MSc Education: Registered Nurse Master in health policy and management Experience: : cardiology nurse, Vlietland hospital Schiedam present: Adviser Healthcare IT & Innovation, Nictiz
3 Presentation outline Goals Development Benefits Implementation Current situation
4 Frame Hospital Medical information Nursing home Patient transfer Nursing information
5 Goals of the etransfer (eoverdracht) project Standardisation of nursing information for transfer of patients Definition of a standardised dataset etransfer Implementation of the standard of nursing information for patients transfer between institutions e.g. Hospital nursing homes Hospital home care Nursing home home care
6 Development of etransfer 2010 Start of the project Joint initiative Cooperation between branch organisations and Nictiz Survey of status: No standardisation No electronic information exchange
7 Development of etransfer Development of dataset Approval of the dataset by health professionals organised in Codification the dataset Definition of nursing transfer message IGZ (Dutch health Care inspectorate) report Staat der gezondheidszorg 2011 Bottlenecks in the exchange of information
8 Development of etransfer present HL7 CDA document etransfer standard V&VN Support by branch organisations and software vendors 2012 start of implementation Develop best practices Publish about implementation examples
9 Content etransfer document Personal data Family situation Home situation Organization Medical data Summary of care Readings Mobility Personal hygiene Dental hygiene Dressing and undressing Toileting Food/drink Nourishment Delivery systems for drugs / nutrition etc. Secretion Sexuality and reproduction Skin Sleep Senses Pain General psychological functioning General mental functioning Specific mental functioning Communication Experience of illness Philosophy of life Participation in society Help from others
10 Example case etransfer Hospitalization a patient with CVA (stroke) Regional hospital Home care Teaching hospital Day treatment Regional hospital Nursing home
11 Benefits of etransfer (1) Professional Fewer errors Time-saving Less administrative burden Unambiguous language Patient Fewer questions to answer No need to repeat the story several times Patient deserves the right care
12 Benefits of etransfer (2) Software provider Program once for all the customers No (or less) interoperability problems Healthcare provider Quality of care improves Re-use data (e.g.. data intelligence, indicators of quality) Time-saving
13 Solution within an organisation is built on 5 layers Policy Policy makers Care process Health professionals, managers Information Health professionals, Informaticians Applications Informaticians, IT professionals Technology IT professionals
14 Connecting organisations Policy Policy alignment Policy Care process Cooperation Care process Information Information content Information Applications Software-coupling Applications Technology Institution 1 Infrastructure Technology Institution 2 14
15 Example Policy Policy Care process Care process Information Applications etransfer standard Information Applications Technology Technology Hospital Nursing home
16 Growth-model Different ways to exchange the etransfer dataset a) Electronic form, transfer on paper b) Electronic form, digital transfer c) HL7 CDA document, digital transfer d) HL7 CDA document, transfer by a regional transfer system
17 Implementation tips (1) Healthcare provider Survey Agreements Commitment management Data coding and -mapping Workgroup Introduction and education
18 Implementation tips (2) Software provider Different levels to start with implementation Task of the provider Growth model
19 Current situation in the Netherlands (etransfer in use) Vlietland ziekenhuis, Schiedam Careyn, Frankelandgroep, Argos Zorggroep, zonnehuisgroep Vlaardingen, buurtzorg Vlaardingen and Schiedam. Groene Hart ziekenhuis, Gouda Vierstroom, Gouda and Zoetermeer Amsterdam
20 Current situation in the Netherlands (etransfer in use) Vlietland ziekenhuis, Schiedam Careyn, Frankelandgroep, Argos Zorggroep, zonnehuisgroep Vlaardingen, buurtzorg Vlaardingen and Schiedam. Groene Hart ziekenhuis, Gouda Vierstroom, Gouda and Zoetermeer Amsterdam
21 Current situation in the Netherlands (usage in preparation) Den Haag Noord Holland Noord Leiden Delft Zwolle Rotterdam Amersfoort Eindhoven Twente
22 Further information Read the whitepaper: Tips for the efficient transfer of nursing information for patients Read the book (in Dutch): ICT-standaarden in de
23 Thank you for your attention Any questions?
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