Transcript How to develop a e

The e-Health landscape in 2019 in Belgium:
Strategy and actions
Belgabiz e-Health Seminar
Budapest, 16 February 2017
DAUBIE, Mickaël
NIHDI, National Institute for Health and Disability Insurance
[email protected]
1
Context :
Why develop an e-health strategy?
• Better e-Health = Better health
• Better e-health = Better public health (iradiations of
medical imaging)
• Administrative simplification for health care
providers
• Less cost for public authorities
• Less fraud
• Better health litteracy for the patient
• …
2
Context :
How to develop a e-health strategy?
• Round tables in 2012, updating in 2015
• All e-health actors must be involved:
–
–
–
–
–
–
Healthcare providers
Hospitals
Patients
Software
Sick funds
Public authorities
• Roadmap with 20 action points!
http://www.plan-esante.be/
3
Actions 1&2: (Summarized) Electronic Health
Records (1/2)
• All general practitioners will have an Electronic
Health Record (EHR) for all their patients and will
publish a Sumehr (Summarized Electronic Health
Records)
• The Sumehr is accessible to any doctor
– IF informed consent given by patient
– IF therapeutic relationship
• Legal obligation since 2017 for new general
practitioners, 2021 for older GP’s
4
Actions 1&2: (Summarized) Electronic Health
Records (2/2)
• For all other health care professionals, a
computerized patient record will be defined and they
will be able to publish information from their EHR.
• Hospitals and laboratories publish their documents
• Information must be structured and coded
5
Action 3: Virtual Integrated Drug Information
System (VIDIS)
6
Action 4: Electronic prescription
• Drug prescriptions (doctors & dentists)
– Already available now, mandatory in 2018
• Medical imaging & Biology
– Not only electronic prescription => rational
prescription (EBM scripts), results available for
prescribers, possibility for radiologist to substitute with
a more appropriate exam.
• Nurse
• Physiotherapist
7
Action 6: Share to collaborate
1. To be able to share data, each health professional
(Physician, pharmacist, nursing practitioner,
physiotherapist, Hospital, etc.) must have a
structured and coded EHR.
2. The next step is publishing and sharing. It may
take place initially within the same professional
group
3. The "multidisciplinary patient record" of a patient. It
is an instrument which guarantees access to the
published data of the different EHR’s of several
groups of providers.
8
Action 9 : Incentives
• All incentives are linked to the effective use of ehealth services!
• Financial incentives for
– GP’s: from 0 EUR to 5,050 EUR depending on the
effective use of 6 e-health services
– Physiotherapist: 800 EUR
– Nurses: 800 EUR
– Dentists: 800 EUR
9
Action 10 : Patient Health Record
• Target: Establish a consolidated platform allowing
the patient to have all the information in the same
place:
– Analytical instrument available to the patient
– Patient could add information himself
– Other information could also be added from sick
funds and other relevant sources such as
declarations of the patient's willingness to donate
organs or euthanasia
• Reflection is ongoing…
10
Action 14 & 15 : Administrative simplification
• Paperless for healthcare providers: Information on
prices, electronic invoicing, information on patient
coverage (insured of not, type of insurance,…)
• Paperless for the patient: attestation of care,
medication prescription, proof of incapacity for work
• BACK TO WORK : supporting the multidisciplinary
approach in the context of the reinstatement of
people who are in work incapacity by setting up a
secure environment in which communication
between all health care professionals can be done
in confidence.
• HANDICARE project for the recognition of disability 11
Action 18 : Inventory and consolidation of all
registers
• In order to carry out the "inventory and
consolidation" of all Belgian health and health care
registries, the Healthdata.be service was set up
within the Scientific Institute of Public Health.
• Targets:
– Facilitate the recording of health care data in Belgium
through the implementation of simple processes
– Ensure the efficient and secure collection and
dissemination of data from scientific databases
12
Action 19 : mobile health
• Create a framework in the health sector to integrate
m-Health applications with specific attention to legal,
financial and organizational aspects.
• 24 pilot projects will be launched in the coming
weeks
• 5 usecases: Cardiovascular care, diabetes, mental
health, chronic pain and stroke
13
Action 20 : Governance
• One roadmap
• 20 action points => (minimum) 20 project leaders +
steering committee
• 1 Project manager for all the roadmap
• 1 Strategic committee on regular basis with a
dashboard / reporting
• Specific support for developping the legal framework
14
And other action points… (1/3)
• AP 5 & 7: Sharing of structured data via the HUB &
METAHUBS systems
• AP 8: Bel(gian) Resident Assesment Instrument
(BelRai): Assess the resident's ability to carry out its
daily activities in order to propose a powerful tool
that offers an adapted care plan.
• AP 11: Communication to health care providers and
patient!
• AP12: Training
– Add an e-health module to each basic training
– Permanent training
15
And other action points… (2/3)
• AP 13: Standards and terminology
(SNOMED-CT)
• AP 16: Traceability of implants and drugs:
policy
Implementation of tools to identify the origin and
reconstruct the path of an implantable medical device,
from its distribution on the Belgian market to its
implantation (and explantation) in a patient residing in
Belgium
16
And other action points… (3/3)
• AP 17: Data
informations
bank
with
healtcare
providers
Development and maintenance of a common data bank
containing the data of the actors and institutions of care
and allow the actors of care to consult and modify / add
themselves some data
17
Thank you for your attention
18