ehealth Days ehealth in Austria Goals and Reality

Transcription

1 ehealth Days ehealth in Austria Goals and Reality

2 Agenda Atos company profile Atos in ehealth Challenges and goals of the Austrian ehealth system Building blocks of the Austrian ehealth system Conclusion and outlook

3 Introducing Atos Atos is an international information technology services company, delivering hi-tech transactional services, consulting, systems integration and managed services. Atos is focused on business technology that powers progress and helps organizations to create their firm of the future. It is the Worldwide Information Technology Partner for the Olympic Games and is quoted on the Paris Eurolist Market. Annual revenues of 8,84 billion in 2012 Almost 74,000 business technologists worldwide in more 48 countries Worldwide headquarters in Bezons / Paris, France

4 Global Business Unit Central and Eastern Europe Atos is as an IT Service Provider European Top Player with global reach. In the CEE region, we are among the top 3 IT Service Provider. In Austria we are Nr. 1 on the IT Service Provider market.* In CZ still more known under original name Siemens IT Solutions and Services, Atos has more than 300 consultants (projects: social, health, government, industrial sector With deep technology expertise and industry knowledge, Atos secures the competitive capability of our customers. CEE Management: Dr. Hanns-Thomas Kopf, LL.M. Chief Executive Officer About Business Technologists in 11 countries: Austria, Bulgaria, Croatia, Czech Republic, Hungary, Poland, Romania, Serbia, Slovakia, Turkey and Russia. * IDC Report: Austria IT Services Market Forecast and Analysis 2011

5 Atos and the International Olympic Committee Long-term relationship based on trust and proven performance since Barcelona 1992

6 Agenda Atos company profile Atos in ehealth Challenges and goals of the Austrian ehealth system Building blocks of the Austrian ehealth system Conclusion and outlook

7 Atos and ehealth International DMP in France (dossier medical personnel, nationwide EHR) DP (dossier pharmaceutique, emedication in France) NHS in UK (Application Management) NHS Scotland (nationwide PACS Archive) Lombardy Card Italy (multipurpose Healthcard) Hovedstaden (SAP-ERP for 16 hospitals in Denmark) EESSI (electronic exchange of social security information) Central Node Bruxelles Austria e-card Austria (operating center and terminal software) Reference architecture for ELGA based on IHE framework Central Patient Index (concept & implementation) emedication Pilot Partnership with Siemens for affinity domains (won frame contract)

8 Agenda Atos company profile Atos in ehealth Challenges and goals of the Austrian ehealth system Building blocks of the Austrian ehealth system Conclusion and outlook

9 Drivers Healthcare drivers leads to dramatically rising costs Demographic changes Worldwide increase of chronic disease Medication Errors Dynamic increase of medical data

10 Demographic Changes: Dramatic Impact on Healthcare Demographic evolution Cost explosion in healthcare Increasing specialization and focusing because of cost pressure Distributed medical data of the patients High administrative and documentation efforts High expenditure of time for information and data retrieval Generation 65+ causes 42% of the hospital expenses hospital expenses per age group, 2002 Age over below share in % Source: German Bundesstatistikamt, 2004; Figures for Germany Generation 65+ will increase till 2050 by 36% % 42% 82,4 Millions 75,1 Millions Source: Destatis, 2001; Figures for Germany

11 Driver: Worldwide increase of chronic disease Diabetes is the most expensive and most common chronic disease Every 10 seconds a man dies because of diabetes More than 189 millions people are living with diabetes By estimation up to 15% of the yearly healthcare budget is spent on diabetic diseases (Source:WHO) in Millions Increase of diabetes Worldwide patients with diabetes mellitus; expected rise of 114% within 30 years Source: WHO, 2006 Overall costs of diabetes in Germany rises Overall costs of diabetes mellitus in billion Euros; Increase of 5% within 2 years t t Source: Bundesstatistikamt, 2004

12 Percent of medication errors occurring within the four stages of the medication process Source: % 39-49% medication errors 11-14% 11-12%

13 Driver: Generation of huge among of data Knowledge management drives innovation.

14 e-health Vision Austria By 2015 all necessary health data as well as medical knowledge will be available electronically for authorized persons independent of time and location in an optimized form fast and secure Source: The Austrian e-health Strategy, e-health-initiative 2005/2007

15 e-health Definition Austria e-health is an integrated management of citizens health by use of information technology to support the processes of all healthcare players in special consideration of data protection and data security Source: The Austrian e-health Strategy, e-health-initiative 2005/2007

16 e-health in Austria the timeline The legal base for ehealth Social insurance law Data protectio n law E- Goverment law for a citizen card Healthcare telematics law for ehealth New ELGA law Basic infrastructure and implementation projects Start of e-card project E-card rollout Austrian ehealth Strategy ARGE ELGA (Task Force EHR) Feasibilty Study ELGA architecture IHE Austria established ELGA Requireme nt Spec. Cost- Benefit- Analysis CDA implementa tion guide emedication Pilot Implemetatio n of Central Patient Index Tender affinity domains Tender authorization & protocol New timeline ELAG Source: The Austrian e-health Strategy, e-health-initiative 2005/2007

17 Agenda Atos company profile Atos in ehealth Challenges and goals of the Austrian ehealth system Building blocks of the Austrian ehealth system Conclusion and outlook

18 Innovation & the e- card Project Cooperation External: Consortium with IBM and Telekom, we were main contractor Internal: Project team with many divisions and competence centers, from project planning onwards Innovation Start 2004 with only one application Based on our methodology framework Now more than 100 customer requests for expanding functionalities Many national and international awards, last at the Germany E-Government Competition with a special award from an Chipkartenverwaltung Online Services Änderungsdienst administrative Zentralsystem social security KSE EMED application to an SAS DMP innovative VDAS ABS e-health base BASE Fachlogik infrastructure with Clientverwaltung Reporting Softwareverteilung multi applications Fernwartung Ferndiagnose Benutzerverwaltung

19 The Austrian e-card Project Advantages of the e-card Insurance holders Easier access to medical assistance Protected privacy Efficient use of IT Lower administration costs Doctors Service providers No issue of healthcare vouchers Reliable verification of entitlements Lower administration costs Social Insurance

20 The Austrian e-card Project e-card in figures facts & figures 8,4 million e-cards for insurance holders and dependents 24,000 health professional cards incl. PIN/PUK mailings up to 700,000 new issues per year (loss, theft, changes of names) e-card infrastructure for approx. 12,000 medical practices Almost 500 training courses at regional level Replacement of 42 million vouchers per year Estimated 600,000 calls to the service line per year qualified citizen card certificates on e-card certificates for public administration

21 Interface Interface Interface VPN Health Information Network The Austrian emedication Pilot POS System POS System POS System Doctor Hospital Pharmacy E-MDB Client: - GUI E-MDB & Integration Client: - GUI E-MDB & Integration Client: - GUI & Interface Integration Interface Interface Pharmazeutische Gehaltskasse E-MDB Portal: Patient Query - Medication History - Interaction Documentation E-MDB Check-Server: - Authorization - Medication History - Checks (Interaction, Duplicate, Compliance) - Consumption Store - Logging - History LAN-CCR LAN-CCR LAN-CCR GINA GINA GINA Database SIS Database Citizen / Patient Web Browser: Patient Query - Medication History - Interaction Documentation Internet Patient Access

22 ELGA - The Austrian EHR Milestones 2005 December: Austrian e-health Strategy by Austrian e-health-initiative 2006 September: ARGE ELGA is operational (Task Force EHR) November: Feasibility Study 2007 February: Architecture plan for the first phase May: Political acceptance of architecture, standards and first phase October: Establishment of IHE Austria 2008 April: Requirement specifications for first phase May: ELGA cost-benefit-analysis 2009 June: Implementation guide for CDA-documents October: emedication Pilot in Vienna

23 ELGA - The Austrian EHR Milestones II 2010 Start implementation Central Patient Index 2011 Tender for regional affinity domains Tender for authorization and protocol system 2012 New ELGA law for usage of the Austrian EHR after a very long period of discussion New timeline for ELGA

24 ELGA - The Austrian EHR Overview of Basic Components and Main Applications Preconditions for ELGA ELGA Basic Components ELGA Core Applications First Implementation Phase ELGA Basics Citizen / Patient Storage and Filing Legal Measures Data Protection Consumers Acceptance Management Organizational Measures Master Patient Index nationwide compatible with EU HSP Index roles Authorization System Access Protocols Network Standards Portal Health Information Current Topics HSP Information Health Promotion Portal Applications Document Registry centralized Repository decentralized e-medication (doctor, hospital, pharmacy) e-report (laboratories) e-report (radiology) e-medical Summary Source: Feasibility Study; ARGE-ELGA 2007

25 Agenda Atos company profile Atos in ehealth Challenges and goals of the Austrian ehealth system Building blocks of the Austrian ehealth system Conclusion and outlook

26 Outlook Next Steps for ELGA Operation Implementa tion Citizen Portal Citizen Portal V2 e-medication e-report Hospital & Care organizations Doctors with insurance contract Pharmacies. Living will med. register private hospitals Concept Implementation

27 Conclusions ehealth is no more a technical problem see financial sector or telecommunication High maturity level for standards Many programms in place also on EU level ehealth needs a legal framwork Culture change in healthcare => from player centric to patient centric

28 So

29 who is afraid of ehealth?

30 Thank you For more information please contact: T M johannes.kandutsch@atos.net Atos IT Solutions and Services GmbH Siemensstraße 92, ACV 266 A-1210 Vienna Atos, the Atos logo, Atos Consulting, Atos Worldline, Atos Sphere, Atos Cloud and Atos WorldGrid are registered trademarks of Atos SA. June Atos. Confidential information owned by Atos, to be used by the recipient only. This document, or any part of it, may not be reproduced, copied, circulated and/or distributed nor quoted without prior written approval from Atos.