07. Juni 2005

1. Electronic Health RecordandConnectorThe utilization of software and hardware as an enabler for an integrated eHealth networkDietmar Pfähler 07. Juni 2005

2. Agenda • ICW: The eHealth Company • The Electronic Health Record • The Connector • Ohter components in the eHealth environment • PHR is the core element of an integrated ehealth network • How to support the network between all players in the health industry

3. FACTS TO THE COMPANY • InterComponentWare was founded in 1998 • Headquarter: Walldorf/Baden in Germany • Locations: • San Mateo, CA (USA) – Product Management and Sales • Sofia (Bulgaria) – Development • Vienna (Austria) • Employees: about 125 • Independent shareholder structure • Main investor: • Dietmar Hopp (founder member of SAP AG)

4. Product Lines LifeSensor health record Telematics Infrastructure Technology by ICW AG Reginal Health Network Infrastructure Solutions Clinical Infrastructure Solutions

5. ICW: The eHealth Company • The Electronic Health Record • The Connector • Ohter components in the eHealth environment • PHR is the core element of an integrated ehealth network • How to support the network between all players in the health industry

6. The Electronic Health Record … it‘s a copy of all relevant health data of a patient. It covers a lifelong history and is under control of the patient. The data are are always and world wide accessable. Additional information are prevention actions and care action plans, vital parameters from home care devices and nutrition- and fitness data about the patients health and training status. The EHR is supported via automated data integration between the source systems and the EHR. Quote: Thielscher, Schroeders in Projekt „PEP“ – Telemedizinführer 2003

7. EHR in Summary Everywhere / Anytime: Accessable for all healthcare providers – even during an emergency case Copy of Data: The duty of documentation remains with the health professionals EHR contains redundant data Relevant Data: Not all data but at least: • current treatment information and doctors letters • expensive and intensive diagnosis and test results The integration of admin and accounting data together with treatment and health status data are one of the goals of modern eHealth systems

8. The New Role of the Patients The need to handover the control of the EHR to the patient comes from: • To avoid illegality issues with personal data protection law • To challenge the own participation of the patient • To encrease the transparancy of the treatment process for the patient • To encrease the specific knowledge of the patient about health relevant subjects • To allow the involvement of the role a health coach into the patient care process The EHR is the patients personal source system

9. ICW: The eHealth Company • The Electronic Health Record • The Connector • Ohter components in the eHealth environment • PHR is the core element of an integrated ehealth network • How to support the network between all players in the health industry

10. The Medical NTBA (Connector)at care provider Productsof ICW medical providers / pharmacy VPN Tunnel network basedservices Kiosk

11. Why do we need a Connector? • It is „the“ standard interface between all players in eHealth. • Standard interfaces to the following services: • Master Data and CMS • Prescription Services • Documentation of medications • Essential data of the patient history • Open interfaces are provided for: • Providers of additional services • The electronic health record • …… • The connector ist the open door for: • All Source Systems in healthcare • All providers of additional services

12. ICW: The eHealth Company • The Electronic Health Record • The Connector • Ohter components in the eHealth environment • PHR is the core element of an integrated ehealth network • How to support the network between all players in the health industry

13. Kiosk Kiosk Regional health care information network Internet health care provider 1 VPN - Tunnel network based services VPN Gateway health care provider n VPN - Tunnel Gateway to Gateway to National health care network(backbone) GKV / PKV Chambers / TC LifeSensor / VoluntaryApplications

14. ICW: The eHealth Company • The Electronic Health Record • The Connector • Ohter components in the eHealth environment • PHR is the core element of an integrated ehealth network • How to support the network between all players in the health industry

15. The Electronic Health Record is already Today the Backbone of eHealth • The EHR is the general documentation cross all sectors in the healthcare industry • Can be used as the backbone for activity tracking and accounting • Can be the access point for all providers in healthcare • Provides a lifelong medical history about every patient • Can be used as a decision support system for med. doctors for better treatments, quality of care and continuitiy of care • Elektronical distribution of doctor letters, diagnosis, tests and other relevant medical information • Dramatical reduction of errors • Double test can be avoided • Reduction of resources • Optimization of staffing for medical services • Costenreduction via optimazation of medical processes

16. The Electronic Health Recordhas a modular design • There are basic elements which covers most of the medical needs (e.g. emergency data, vaxination, risk factors, current medication) • Additional patient services (assistents) support the patients with special informations and guidance (diabetes, cancer, etc.) • Quality of Care can be implemented • Care action plans according to medical guidelines • Medical and clinical pathways for the interaction between different provicers • Use of Informations about research studies • Accounting relevant dataflow can be tracked

17. ICW: The eHealth Company • The Electronic Health Record • The Connector • Ohter components in the eHealth environment • PHR is the core element of an integrated ehealth network • How to support the network between all players in the health industry

18. Pharmacy Phys.therapist GP 1 GP … Hospital n Regional Health Information Network Health Network EHR(clinical basicdata, DMP-Assistents ConnectorRemote Manager Central Services(platform management)

19. Summary • The product portfolio of ICW compromises all infrastructure components which are necessary to support mandatory and voluntary applications of the electronic health card (eHC). • Platform is designed open, so that further provider of voluntary applications can use their products to access the health care network. • Product and provider specific scope which is not related to core business of ICW is covered by partners. • The current solution of ICW is ready for use in test regions and pilot regions.

20. Thank you for your attention!

21. Thank you for your attention!