One patient one record Digital services in the Norwegian health and - - PowerPoint PPT Presentation

Norwegian Ministry of Health and Care Services

One patient – one record

Digital services in the Norwegian health and care sector

Bjørn Astad

Vitalis 16. april 2013

Helse- og omsorgsdepartem entet

ONE PATI ENT – ONE RECORD

TOPI CS

• Health and care sector in Norway
• ICT in health and care sector
• Report to the Parliament
• Challenges
• Government’s goal
• Strategy

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Health and care sector in Norway

• Population 5 million
• 250.000 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

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• 4 regional health

authorities

• 70 hospitals

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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 statem ent:

• ICT is one of the most

important tools to improve health care and reach the goals of the reform

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ICT - eHealth Highway

• Norwegian health net
• Secure national data

network

• Customers

– All hospitals – All GPs – 95% of municipalities

• Connection is

mandatory

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ICT - EMR deployment

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Kilde: EPJ Monitor 2008, NTNU

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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

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ICT - Electronic prescription deployment

• Solution specified

together with users

• Structured medicine

information

• Better overview for

physicians

• Nationally

coordinated roll out summer 2011 to spring 2013

2012 2013 Citizens 100%

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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 2013

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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

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Challenges

• The technological possibillities

have not been utilised

• Many independent entities
• Many systems, little integration

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Government’s actions

• One patient – one record
• My health –digital sevices for patient
• Stronger national control and coordination
• Compleat ongoing measurs

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One patient, one record

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• The regulations

shall support the integrated care

• Review and simplify

the regulations

• Alternative

solutions shall be studied before a decision is made

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Protection of privacy and patient safety

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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

• n the internett

17.04.2013 Én innbygger - én journal 15

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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

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Completing ongoing activities

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One patient – one record