Transcript eHealth Sofia - ehealth

Electronic Health Record and Connector
The utilization of software and hardware as an
enabler for an integrated eHealth network
Dietmar Pfähler
07. Juni 2005
Agenda
ICW: The eHealth Company
The Electronic Health Record
The Connector
Ohter components in the eHealth environment
PHR is the core element of an integrated ehealth network
How to support the network between all players in the
health industry
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FACTS TO THE COMPANY
InterComponentWare was founded in 1998
Headquarter: Walldorf/Baden in Germany
Locations:
San Mateo, CA (USA) – Product Management and Sales
Sofia (Bulgaria) – Development
Vienna (Austria)
Employees: about 125
Independent shareholder structure
Main investor:
Dietmar Hopp (founder member of SAP AG)
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Product Lines
LifeSensor
health record
Telematics
Infrastructure
Technology
by
ICW AG
Reginal Health
Network
Infrastructure
Solutions
Clinical
Infrastructure
Solutions
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ICW: The eHealth Company
The Electronic Health Record
The Connector
Ohter components in the eHealth environment
PHR is the core element of an integrated ehealth network
How to support the network between all players in the health
industry
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The Electronic Health Record
… it‘s a copy of all relevant health data of a patient. It covers a
lifelong history and is under control of the patient. The data are
are always and world wide accessable.
Additional information are prevention actions and care action
plans, vital parameters from home care devices and nutritionand fitness data about the patients health and training status.
The EHR is supported via automated data integration between
the source systems and the EHR.
Quote: Thielscher, Schroeders in Projekt „PEP“ – Telemedizinführer 2003
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EHR in Summary
Everywhere / Anytime:
Copy of Data:
Relevant Data:
Accessable for all
healthcare providers –
even during an
emergency case
The duty of
documentation remains
with the health
professionals
Not all data but at least:
 current treatment
information and doctors
letters
 expensive and intensive
diagnosis and test results
EHR contains redundant
data
The integration of admin and accounting data together with treatment and health
status data are one of the goals of modern eHealth systems
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The New Role of the Patients
The need to handover the control of the EHR to the patient comes from:
To avoid illegality issues with personal data protection law
To challenge the own participation of the patient
To encrease the transparancy of the treatment process for the patient
To encrease the specific knowledge of the patient about health
relevant subjects
To allow the involvement of the role a health coach into the patient
care process
The EHR is the patients personal source system
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ICW: The eHealth Company
The Electronic Health Record
The Connector
Ohter components in the eHealth environment
PHR is the core element of an integrated ehealth network
How to support the network between all players in the health
industry
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The Medical NTBA (Connector)
at care provider
Products
of ICW
medical providers / pharmacy
Primary System
VPN
Tunnel
DSL
- VPN- Router
Medical
NTBA
network based
services
Primary System
Kiosk
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Why do we need a Connector?
It is „the“ standard interface between all players in eHealth.
Standard interfaces to the following services:
Master Data and CMS
Prescription Services
Documentation of medications
Essential data of the patient history
Open interfaces are provided for:
Providers of additional services
The electronic health record
……
The connector ist the open door for:
All Source Systems in healthcare
All providers of additional services
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ICW: The eHealth Company
The Electronic Health Record
The Connector
Ohter components in the eHealth environment
PHR is the core element of an integrated ehealth network
How to support the network between all players in the health
industry
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Regional health care information network
health care provider 1
Internet
VPN - Tunnel
DSL
- VPN- Router
Medical
NTBA
ICW Basic Record
VPN CAMS
Gateway
Kiosk
Primary System
network based services
Medical NTBA
Remote Management
ePrescription
Server
Database
Server
Central Services
health care provider n
VPN - Tunnel
Primary System
Kiosk
Web
Server
Application
Server
Gateway
to
DSL
- VPN- Router
Medical
NTBA
Certificate
Server
LDAP
Server
National
health care
network
(backbone)
GKV / PKV
Chambers / TC
Gateway
to
LifeSensor / Voluntary
Applications
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ICW: The eHealth Company
The Electronic Health Record
The Connector
Ohter components in the eHealth environment
PHR is the core element of an integrated ehealth network
How to support the network between all players in the health
industry
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The Electronic Health Record
is already Today the Backbone of eHealth
The EHR is the general documentation cross all sectors in the healthcare
industry
Can be used as the backbone for activity tracking and accounting
Can be the access point for all providers in healthcare
Provides a lifelong medical history about every patient
Can be used as a decision support system for med. doctors for better
treatments, quality of care and continuitiy of care
Elektronical distribution of doctor letters, diagnosis, tests and other
relevant medical information
Dramatical reduction of errors
Double test can be avoided
Reduction of resources
Optimization of staffing for medical services
Costenreduction via optimazation of medical processes
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The Electronic Health Record
has a modular design
There are basic elements which covers most of the medical needs
(e.g. emergency data, vaxination, risk factors, current medication)
Additional patient services (assistents) support the patients with
special informations and guidance (diabetes, cancer, etc.)
Quality of Care can be implemented
Care action plans according to medical guidelines
Medical and clinical pathways for the interaction between different
provicers
Use of Informations about research studies
Accounting relevant dataflow can be tracked
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ICW: The eHealth Company
The Electronic Health Record
The Connector
Ohter components in the eHealth environment
PHR is the core element of an integrated ehealth network
How to support the network between all players in the health
industry
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Regional Health Information Network
Pharmacy
Health Network
Bit4Health
DSL
Connector - VPN- Router
Primärsystem
EHR
(clinical basicdata,
DMP-Assistents
Connector
Remote Manager
Phys.therapist
Central Services
(platform management)
Bit4Health
Connector
DSL
- VPN- Router
Primärsystem
GP …
GP 1
Bit4Health
Connector
Primärsystem
DSL
- VPN- Router
Bit4Health
Connector
Primärsystem
Hospital n
Bit4Health
Connector
DSL
- VPN- Router
DSL
- VPN- Router
Primärsystem
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Summary
The product portfolio of ICW compromises all infrastructure
components which are necessary to support mandatory and voluntary
applications of the electronic health card (eHC).
Platform is designed open, so that further provider of voluntary
applications can use their products to access the health care network.
Product and provider specific scope which is not related to core
business of ICW is covered by partners.
The current solution of ICW is ready for use in test regions and pilot
regions.
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Thank you for your attention!
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Thank you for your attention!