HelsIT 2010 Karl-Henrik Lundell Center for e-health in Sweden

Transcription

1 29 September 2010 Page 1 HelsIT 2010 Karl-Henrik Lundell Center for e-health in Sweden IT-support 2010 clinical comprehensiveness in 3 perspectives Strategy to get there the Swedish 3-layer approach

2 Comprehensive clinical IT-support based on a common 3-layer national approach Other sources Kvalitetsregister Quality indicator registers What is important to manage/control Decision support and support for Documentation Automated delivery of structured information Documentation, Activity management Knowledge management by standardised activity plans/templates

3 29 September 2010 Page 3 Strategy for comprehensiveness 3 perspectives all based on explicit business models traceability to the clinical context Reference information models with the clinical process in focus health conditions, health care activities and the interaction between the patient and the professional traceability to the clinical content (not only activity management, administration and flow) Care provision, follow up and knowledge process management covered and connected in a seamless flow based on explicit generic business models and common explicit information reference models

4 Clinical generic level Business analysis clinical process focus Process- and Concept models in the National Information structure (NI) Information Reference level Generic information model (NI) and V-TIM harmonisation EN/ISO and openehr reference models harmonisation SCT concept model attributes Reference archetypes Slot: non clinical attributes Slot: clincial attributes Reference templates? Clinical applied level ICD, ICF, code systems Conceptual mapping to SCT Process specific archetypes -Slot: nonclinical attributes - Slot: clinical attributes Pref. SCT code Specific templates for e.g. National quality registers, knowledge management Documentation in EHR Center för ehälsa i samverkan koordinerar landstingens och regionernas samarbete för att förverkliga den nationella IT-strategin för vård och omsorg. Centret ska skapa den långsiktighet som krävs för att utveckla och införa gemensamma ehälsostöd, infrastruktur och standarder som förbättrar informationstillgänglighet, kvalitet och patientsäkerhet. Center för ehälsa i samverkan styrs av representanter från landsting och regioner, Sveriges Kommuner och Landsting (SKL), kommunerna och de privata vårdgivarna.

5 29 September 2010 Page 5 The Swedish 3-layer approach 1. Clinical generic level Analysis of the core processes Analysis of the information needs Generic Process model Generic Concept model; pren harmonised 2. Information reference level Generic information model and Applied information model (V-TIM); EN13606 and openehr harmonised) SNOMED CT concept model attributes Reference archetypes (structure based on ICF and SNOMED CT) Reference templates 3. Clinical applied level Clinical process specific archetypes Clinical process specific templates Archetype specific terminology binding (SNOMED CT, ICD, ICF )

6 Health state Health condition The Swedish generic clinical process model Plan activities Health care request Assess needs Activities to identify health condtions Perform activities Health problem not motivating treatment Evaluate Health problem motivating treatment Assess needs Plan activities Activities to treat Health problems Perform activities Health state Evaluate

7 Finance management Documentation, registers Information security Basis for process management Laws and regulations Knowledge base Ethics and basic values Operative process management Rules Standardised activity plans/ guidelines and protocols Ethical guidelines Health conditions Clinical process Activity plans, co-ordination, activity management and ressource allocation Make human resources available Operative process support Make material resources available Co ordination of resources across organisation Basis for process support Human resources Material resources Organisational infrastructiure

8 Finance management Documentation, registers Information security Basis for process management Laws and regulations Knowledge base Ethics and basic values Operative process management Rules Standardised activity plans Ethical guidelines Health conditions Clinical process Activity plans, co-ordination, activity management and ressource allocation Make human resources available Operative process support Make material resources available Co ordination of resources across organisation Basis for process support Human resources Material resources Organisational infrastructiure