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E-experience from Tallinn

E-experience from Tallinn. Kädi Lepp Valentina Hazinskaja, Raissa Zhmarjova, Svetlana Lorvi-Talisainen. EUSUHM 2011 in Moscow. Backround information. 100% of schools and government organisations have broadband connection (e-school, e-libraries, e-state)

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E-experience from Tallinn

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  1. E-experience from Tallinn Kädi Lepp Valentina Hazinskaja, Raissa Zhmarjova, Svetlana Lorvi-Talisainen EUSUHM 2011 in Moscow

  2. Backround information • 100% of schools and government organisations have broadband connection (e-school, e-libraries, e-state) • Nearly 80% of families have a computer and broadband connection at home • There are more than a thousand public WiFi areas for 45 227km² • The state portal eesti.ee offers access to all state sevices: e-Ticket, e-Tax system, e-Elections • e-Banking • e-Healthcare

  3. Why e-Healthcare? • Lack of necessary health information • Overview of patients´ medical history: visits, diagnoses, examination, treatment • Standardization of documents • Environmental protection

  4. Purpose of National Health Information System (NHIS) • The main purpose of NHIS is to develop nationwide framework that facilitates the exchange of diffuse health information. • To develope from institution-centered to patient-centered health information system which is available across the country.

  5. Main components of the National Health Information System (NHIS) • Digital Health Record, containing personal medical information • Digital appointment booking system • Digital prescription system • Digital medical image database • Digital blood-bank database • National health registries

  6. e-School Health System ElectronicHealth Record has to contain ALL medical, nursing and health‐relatedinformation observations of pupils` lifestyle

  7. General Architecture

  8. The access to E-system • ID-card for authentication and digital signaturefor medical workers and citizens. • Access is enabled only to licensed medical professionals. • All access rights and data usage is regulated by the law. • All data sent to NHIS must be signed by healthcareproviders

  9. Patient`s Portal • Patient’s Portal allows patients` representatives (adult patient, parent of an underage, legal representative, trustee) to browse patient’s health record, download documents, submit consents, update demographics data, review patient health record usage logs via Web. • The EHR will record information about when, how, and why the data was used (logging information).

  10. The Electronic Health record —regression or progression? According to the study provided in March 2010 100%of our staffwassure that E‐scoolhealth system is necessary for everyday work • 10%said that using E‐health is too timedemanding (authorization proccess, duplicating documentation) • In general attitude toward E-health is positive • Almost all our nurses use at leastsomefunctions of the system

  11. Sustainable school healthcare

  12. Difficulties • The number of regular users of e-Services among healthcare workers is still rather small • Lack of trust in e-Health applications and missing technical equipment and training (mainly on the health professionals´ side) • Financial cuts have slowed down the development of e-Health in Estonia •  The lack of a comprehensive e-Health strategy for the country • E-Health impact in general has not been quantitatively assessed

  13. Homo Informaticus

  14. Conclutions • Every innovation needs time for implementation and adaptation • Co-work with software providers is important for development of most appropriate solutions for practitioners (simplifying it, making it more user- friendly) • For users - training, training, training.

  15. Conclusions Overall, Estonia is planning to have a coherent eHealth infrastructure in place by 2013. It needs a significant effort from different counterparts.

  16. Welcome to e-Estonia! Thank you! www.kth.ee

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