One patient one record

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1 One patient one record Digital services in the Norwegian health and care sector Bjørn Astad Vitalis 16. april 2013 Norwegian Ministry of Health and Care Services

2 ONE PATIENT ONE RECORD TOPICS Health and care sector in Norway ICT in health and care sector Report to the Parliament Challenges Government s goal Strategy 2 Helse- og omsorgsdepartementet

3 Health and care sector in Norway Population 5 million employees Primary care 428 municipalities 4100 GPs (private) in agreement with their local municipality All patients are assigned to one GPs patient list Specialist health care Owned and supervised by the government 4 regional health authorities 70 hospitals 3 Helse- og omsorgsdepartementet

local municipality All patients are assigned to one GPs patient list Specialist health

4 The Coordination Reform Coordination of activities and information sharing among care providers More health care services provided by primary health care Reducing the need for expensive specialized health care Political statement: ICT is one of the most important tools to improve health care and reach the goals of the reform Helse- og omsorgsdepartementet

expensive specialized health care Political statement: ICT is one of the most important

5 ICT - ehealth Highway Norwegian health net Secure national data network Customers All hospitals All GPs 95% of municipalities Connection is mandatory 5 Helse- og omsorgsdepartementet

6 ICT - EMR deployment Kilde: EPJ Monitor 2008, NTNU 6 Helse- Helse- og og omsorgsdepartementet

7 ICT - Electronic collaboration Based on electronic messaging Standard messages for information exchange developed by the sector Referrals Prescriptions Test orders and results Use of standards for data exchange is voluntary Deployment has been slower than expected 7 Helse- og omsorgsdepartementet

Prescriptions Test orders and results Use of standards for data exchange

8 ICT - Electronic prescription deployment Citizens 0 100% Solution specified together with users Structured medicine information Better overview for physicians Nationally coordinated roll out summer 2011 to spring Helse- og omsorgsdepartementet

information Better overview for physicians Nationally

9 National summary care record Necessary patient information available for health personnel Better treatment decisions and increased patient engagement Central archive access for authorized health personnel by patient consent Citizens may opt out of archive Pilot Helse- og omsorgsdepartementet

engagement Central archive access for authorized health personnel by

10 Government s goal Health personnel shall have easy and secure access to patient information The citizens shall have access to easy and secure digital services Data shall be accessible for quality improvement, health monitoring, management and research 10 Helse- Helse- og og omsorgsdepartementet

digital services Data shall be accessible for quality improvement, health

11 Challenges The technological possibillities have not been utilised Many independent entities Many systems, little integration 11 Helse- Helse- og og omsorgsdepartementet

12 Government s actions One patient one record My health digital sevices for patient Stronger national control and coordination Compleat ongoing measurs 12 Helse- Helse- og og omsorgsdepartementet

13 One patient, one record The regulations shall support the integrated care Review and simplify the regulations Alternative solutions shall be studied before a decision is made 13 Helse- Helse- og og omsorgsdepartementet

regulations Alternative solutions shall be studied

14 Protection of privacy and patient safety 14 Helse- Helse- og og omsorgsdepartementet

15 My health digital sevices for patient Access to your own information Self-service and elektronic dialogue Making data available for development of apps and sevices on the internett 15 Én innbygger - én journal Helse- Helse- og og omsorgsdepartementet

available for development of apps and sevices on the internett 15

16 Stronger national control and coordination Coordination of common goal scenarios Key sets of agreements Requirements for ICT systems through laws and regulations Standardisation and certification Organisation Money 16 Helse- Helse- og og omsorgsdepartementet

ICT systems through laws and regulations Standardisation and

17 Completing ongoing activities 17 Helse- Helse- og og omsorgsdepartementet

18 One patient one record Helse- og omsorgsdepartementet

Clinical Research from EHR data

Clinical Research from EHR data Gunnar O Klein professor in Health Informatics at NSEP Norwegian Centre for EHR Research Workshop at HelseIT in Trondheim 2012-09-19 1 Purpose of the workshop Together with