An Example of a Web-Based EHR

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1 An Example of a Web-Based EHR Thorsten Beck Ein Modell zur Entwicklung von equalitäten in der Gesundheit EU-Project Coordinator

2 Background of EHRs Prevalence of digital medical data Growing need for storing medical records Common internet access, mobility in private/business Rising IT awareness of community

3 Poland an open minded country Population 38,173,800 Area 323,575 km 2 Density 122 inhabitants / km 2 Looking forward to using ehealth and implementing IT structures in healthcare

4 Partners in Scandinavia Over 10 years of experience in ehealth solutions (DK) Centralisation of ehealth activities and records Solutions commonly accepted by community A developed standard in health care

5 Vision: Move the data not the patient! Independence of location in emergency cases Denmark Germany Latvia Finland Health care provider Norway Poland Sweden View in the electronic patient record (risk profile: drugs, allergie, predeseases and treatments, pace maker) Lithuania travelling patients with medical history electronic patient record multilingual telematic platform open access from every partner country Patient Home Country

6 Electronic Pomeranian Heart Record (ephr) Partners Clinical Centre of Cardiology in the Medical University of Gdansk: biggest Cardiological Centre in the Northern Part of Poland Nadmorskie Medical Centre: largest GP network in the Northern Region of Poland InterComponentWare AG: one of the leading ehealth developers in Europe AOK Schleswig-Holstein: the leading public health insurer developing ehealth

Centre: largest GP network in the Northern Region of Poland InterComponentWare AG: one of the

7 Main Milestones of the Project A web-based electronic heart record for patients with: - Chronic heart failure - Coronary heart disease Initial number of heart patients: 300 Creating a central electronic patient file for physicians and specialists in the hospital and outpatient clinics Capability of expanding to other regions of Poland

patients: 300 Creating a central electronic patient file for physicians and

8 Technical aspects of the project Medical digital data record for cardiologic patients Using existing solutions Implementing a gateway between the Health Record and already existing databases Creating a central database and data exchange between facilities not linked previously

between the Health Record and already existing databases Creating a

9 Why web-based? Alternatives Continue utilising a booklet-based data interchange (Rejestr Usług Medycznych / Medical Service Registry) USB - stick Fax / telephone Secure exchange Local Area Network / Intranet Internet opportunities commonly accepted and used growing demand for Internet-based services cross-border patients

Medycznych / Medical Service Registry) USB - stick Fax / telephone Secure Email

10 Time and costs Timeframe 3 years period: Concept Implementation Test phase and adjustment Integration and extension Economic background Financial volume: euro Supporters: AOK, University of Gdansk, ICW Austria Financed by Interreg IIIB European Integration Fund

background Financial volume: 327 000 euro Supporters: AOK,

11 Regional Conditions Poland s health care 1 health care service payer 1 Social Security Number (PESEL) GP s are mostly privately organised Pomorskie region of Poland Public Non-public Health care institutions Public 39 Hospitals Non-public 28 Beds 8595 In 2005 Patients

Pomorskie region of Poland Public Non-public 156 624 Health care

12 Issues and challenges Issues Practitioners attachment to traditional methods Reluctance to implement new solutions Challenges Integration with existing IT solutions: Implementing HL7 interfaces with the existing IT solutions

solutions Challenges Integration with existing IT

13 Ideas and future use of the Heart Record System Visionary approach Web based = Open architecture = possible integration with other solutions in Europe and adapt it to growing requirements and needs Future Cross-border availability in Europe. One of the modules of a European Community Health Record System

and adapt it to growing requirements and needs Future Cross-border

14 Discussion on Sustainability ehealth for Regions Organisation Structure Country 1 & partners Country 2 & partners Country 3 & partners Country 4 & partners Country n & partners Political Strategic Board Executive Steering Committee Management Secretariat Project 1 partner xy Project 2 partner xy Project 3 partner xy Project 4 partner xy Project n partner xy

partners Political Strategic Board Executive Steering Committee Management Secretariat

15 What happens after the projects timeframe? external Institution Partner 1 Partner n Partner 2 Partner 1 eh4r Network Partner n eh4r Network Partner 2 Partner 5 Partner 3 Partner 5 Partner 3 Partner 4 Partner 4 I Exchange and generation of ideas II Supporting the implementation of cooperation projects III Running the cooperation in specific thematic fields Innovation process

Network Partner 2 Partner 5 Partner 3 Partner 5 Partner 3 Partner 4 Partner 4 I Exchange and

16 Thank you for attention Thorsten Beck AOK Schleswig Holstein Michał Nedoszytko, Medical University of Gdańsk, Poland

de Michał Nedoszytko, Medical University of

THE ORGANISATION AND FINANCING OF HEALTH CARE SYSTEM IN LATVIA

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