e-health in Austria Experiences from Implementation of EHR and Supplemental Applications
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1 e-health in Austria Experiences from Implementation of EHR and Supplemental Applications DI Hans-Jörg Seeburger ITAPA 2008 International Congress Government 2.0 Breaking with Traditions
2 Agenda e-health Vision The Austrian e-card Project ELGA - The Austrian EHR Drug seat belt with the Austrian e-card Page 2 November 2008 DI Hans-Jörg Seeburger
3 Siemens e-health Vision Page 3 November 2008 DI Hans-Jörg Seeburger
4 the most remarkable feature of this twenty-first century medicine is that we hold it together with nineteenth-century paperwork US Secretary Tommy G. Thompson, remarks offered at the Health Information Technology Summit, Washington DC. May 6, Page 4 November 2008 DI Hans-Jörg Seeburger
5 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 Page 5 November 2008 DI Hans-Jörg Seeburger
6 The Austrian e-card Project The legal base for e-health 1999 Authorization of the Austrian Main Association of Social Security Institutions to build up an chip card based system for administrative purposes by a social insurance law (56. ASVG-Novelle) Data protection law E-Government law for a citizen card Healthcare telematics law (GTelG) for the use in e-health. Page 6 November 2008 DI Hans-Jörg Seeburger
7 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 Replacement of 42 million vouchers per year Service providers No issue of healthcare vouchers Reliable verification of entitlements Lower administration costs Social Insurance Page 7 November 2008 DI Hans-Jörg Seeburger
8 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 Estimated 600,000 calls to the service line per year qualified certificates on e-card used for public administration e-card transactions ( Consultations ) accumulated requests since 03/ Mio daily average all time high Page 8 November 2008 DI Hans-Jörg Seeburger
9 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 Page 9 November 2008 DI Hans-Jörg Seeburger
10 ELGA - The Austrian EHR Siemens in Projects of Detail Planning Phase Expert Project Manager Radiology Archive (marc) GU for AMSG IHE Expert Cemit Thesis Security Expert Systemarchitect SIS Healthcare (MED) Source: ARGE-ELGA 2008 Page 10 November 2008 DI Hans-Jörg Seeburger
11 Drug seat belt with the Austrian e-card The very first application of ELGA Architecture Pharmazeutische Gehaltskasse POS System Pharmacy interface LAN-CCR E-MDB Client: - GUI & Integration interface GINA VPN Health Information Net (called GIN) E-MDB Portal: Patients query - Medication History - Interaction Documentation database E-MDB Check-Server: - Authorization - Medication History - checks (interaction, duplicate, compliance) - consumption store - logging, history SIS database Citizen / Patient Web Browser: Patients query - Medication History - Interaction Documentation Internet Patienten Privat Abfrage Page 11 November 2008 DI Hans-Jörg Seeburger
12 Drug seat belt with the Austrian e-card Overview Potential savings of 150 million in medical costs. Rescue of more than 1,000 lives per year in Austria. Checks drug interactions, compliance and many more. Both prescribed drugs and OTC (over the counter) products. The participation of patients is voluntary, free, revocable at any time. In more than 1,200 public pharmacies and 50 pharmacies in hospitals the drug seat belt will be available. In pilot more than 80% of drug adverse events could have solved by the pharmacist immediately. The most common serious interactions: Marcoumar / Aspirin, multivitamin supplements / osteoporosis drugs and cholesterollowering / antibiotics. Page 12 November 2008 DI Hans-Jörg Seeburger
13 Siemens & e-health Activities Austria Leading of one working groups of the Austrian e-health Initiative technical cooperation with the ARGE ELGA Leading working group healthcare of the ICT Austria Member of the Austrian Standards Institute Cooperation with the Semantic Web Company International Founding member of IHE world Industry co-chair and steering committee IHE Europe CEO of COCIR and board members Member of the ICT Standardization Policy Focus Group of the DG Industry of the European Commission Expert in DG Information Society working on the large scale pilot for Smart Open Systems (S.O.S.) Page 13 November 2008 DI Hans-Jörg Seeburger
14 e-health: The big Picture Application Information Management Infrastructure Health Portal Integration inside Organization Security Integration between Organizations: Applications (administrative & clinical) Confidentiality Standards Legal Framework Identify Register Technical Framework Integrity Network Integration between Organizations: EHR Availability Interface Health Management Provide Connectivity Business Intelligence Source Regulator Payor Provider Citizen Page 14 November 2008 DI Hans-Jörg Seeburger
15 Contact Hans-Jörg Seeburger Prinzipal Consultant Healthcare Siemens AG Österreich Dietrichgasse 27-29; A-1030 Wien; Austria Mobile: Page 15 November 2008 DI Hans-Jörg Seeburger
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