Health-ITMeaningful use

Ib JohansenDeputy manager, MedCom

Denmark

Health Telematics

Danish Centre for

Amtermed i MedCom

1 til 1 (15)

MedCom

0 100000 200000 300000 400000 500000 600000 700000 800000 900000

1000000 1100000 1200000 1300000 1400000 1500000 1600000

92 93 94 95 96 97 98 99 20 O1 O2 O3 O4 O5 O6 O7 O8 O9 10

MedCom -The Danish Health Data NetworkMessages/Month

Prescriptions1039105 = 73%Prescriptions1389023 = 84%

Disch. Letters 682923 = 85 %Disch. Letters 1131750 = 99 %

Lab. reports543040 = 82 %Lab. reports988151 = 99 %

ReferralsReferrals177525 = 65 %ReferralsReferrals

Reimbursement

21049 = 99 %

GP´s with EDI : 2120 = 100 %

Specialists with EDI: 790 = 99 %

Hospitals with EDI : 63 = 100%

Pharmacies with EDI: 322 = 100 %

Doctors on Call: 5 = 100 %

Health Insurance: 5 = 100 %

120 messages /min

Lab Requests549840 = 99 %

Sundheds-telematik-

Center for

r

1 1†

MedCom E-Prescriptions

Patient ElectronicMedicine profile (PEM)Including vaccination (2011)

Telephone call from pt. : 25 DKR

E-mail from/to pt.: 50 DKR

E-Mail contacts with patients MedCom

Health Telematics

Danish Centre for

r

1 1†

Medication profile Central database 2 years

WEB – E.LPRHospital cases (ICD10 coded)

Waiting times

X

View – All Episodes of Care

Lab results - portal

50

60

70

80

90

100

110

120

2001 2002 2003 2004 2005

Consultation (x 1000)

GPs % (100 year2001)

GP-EDI %

Source: MedCom, 2005

Consultations / EDI penetration

MedCom

Health Telematics

Danish Centre for

r

1 1†

Central serversWebReq laboratory

requisition

WebReq

MEDREQMEDRPT

Sundheds-telematik-

Center for

r

1 1†

MedCom

VANS

Central servers, e-Referral Hotel

e-Referral Hotel

Refer

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Re

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wle

dgem

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Ackno

wledg

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Referral

Consensus-Implementing

Contracts Counties/Vendors HPG – groups Technical groups The good EDI-Letters Training NICE concept Documentation Test-certification

MedCom

Health Telematics

Danish Centre for

r

1 1†

1. Test in EDI-CHECK

2. Semantic check, testprotocol

3. All data presented and valid

4. Live test

3. 23. 2Consolidation Consolidation

processprocess

Consensus - Implementing

Contracts Counties/Vendors HPG – groups Technical groups The good EDI-Letters Training NICE concept Documentation Test-certification Implementation

MedCom

Health Telematics

Danish Centre for

r

1 1†

3. 23. 2Consolidation Consolidation

processprocess

Meaningful use• MedCom connectaton

Health Telematics

Danish Centre for

Amtermed i MedCom

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MedCom

Implementation supported by MedCom

Meaningful use• Quality

– Medication, vaccination– Patient summary– E-mail consultation, booking– ICPC coding– Weight (children database) – Cronic patients, Diabetic, AC, COPD- home treatment, smoking status(coded-uncoded)– Referrals– Lab test orders – Electronic communication (raises productivity)– FNUX– Hospitals ICD10 obligatory coding-report to national disease database ( + cancer database)

• Incentives to promote implementation– Reimbursement EDI– All lab results EDI– All frequent docs EDI

• Strategies for national standards and interoperability; – MedCom EDI-standards (all vendors)

• Vendor certification and technical assistance; – SW – approval / certification– Free test tools

• The role of a national health integrator; – MedCom

• Privacy and confidentiality safeguards;– Data protection law

• Use of public/private partnerships to support innovation – MedCom

Health Telematics

Danish Centre for

Amtermed i MedCom

1 til 1 (15)

MedCom

Meaningful use• Objectives

– Core set – 95 %– Menu set – 80 %

• Big issues– Patient access to own data– All relevant information ready when needed– No waiting time– Cronic patients self treatment/management

Health Telematics

Danish Centre for

Amtermed i MedCom

1 til 1 (15)

MedCom