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‘EHR is all over the planet…’. Croatia: Developing a National HIN (G1). Canada – Infoway set up to design and procure National EHR - $1.2 billion of government backing for regional EHR projects. Sweden: Developing a National EHR . Netherlands: Regional EHR projects (focused on GPs).

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ehr is all over the planet
‘EHR is all over the planet…’

Croatia: Developing a National HIN (G1)

Canada – Infoway set up to design and procure National EHR - $1.2 billion of government backing for regional EHR projects

Sweden: Developing a National EHR

Netherlands: Regional EHR projects (focused on GPs)

Russia: 15 Diagnostic Centers project in progress. Plans being developed for national HER for 145 million people.

Ireland: Procurement contracting has started to drive national EHR effort

China: Plans to develop a national EHR

Germany: One regional deal underway. Future EHR efforts are expected to be regional

England: EHR initiative in process, PACS project is imminent

USA – Federal ONC NHIN contract underway. Multiple State initiatives for RHIOS. Still emergent – national EHR by 2014

Hong Kong: Territory wide Patient Master Index

Spain: Regional initiatives are being considered

Singapore: EMR system tender expected Q1 2005

SEE: Bulgaria, Romania, Turkey and Serbia all developing national eHealth strategies.

France: EHR mandated by 2007. National RFP has been issued

Mexico: No EHR but aim for HL7 Integration

Opportunity

Status

Current

Work

Italy: EHR regional initiatives have begun

Australia: HealthConnect is developing a National Information Network

Malaysia: Lifetime Health Record (LRH) by 2010

Planning

Brazil: National Health Card Project.

Chile: National RFP for EHR project is expected soon

Monitor

Considering EHR

Argentina: 1st adoption of a digital radiography solution- 2004

South Africa: No EHR – but infrastructure being developed

New Zealand: National EHR system in place (complete)

Data N/A or No EHR Presence

* Target opportunities identified by text in red

Source: Accenture + Oracle

HTB Overview 2005Aug09

same approach
80% of your time and money

HERE IS THE VALUE!

…Same Approach…

National

Registers

Health

Portals

HC Pro

Identit MS

Privacy

Consent

& Control

Patient

Identity MS

Public

Health

Reporting

National

or Regional

Framework

Clinical Document

Registry

Vigilance

Alerts

Anonymous

Patient Info

Clinical Data

Repository

P4P

Clinical

Trials

Hospitals, GPs, Labs, CIC

Payer

Inspired from Rene Spronk

HTB Overview 2005Aug09

slide3
…Industry Perspectives…

Portal/Security/Mobility

An EHR is:

EMPI

Applications

Business Processes

Business Intelligence

CDR(s)

Terminology Services

Terminology loaders

Terminology mapping

Purchase terminologies

Interface Engine

HL7/DICOM mapping

Message Oriented Middleware

Services Oriented Architecture

HTB Overview 2005Aug09

industry expectations
Industry Expectations
  • Learn about the others (US, Canada, Australia, UK, Belgium, Andalucia, Lombardia, Austria, Denmark) – highly replicable market
  • Involve key decision makers (real buyers!) from Germany, Italy, Spain, UK, France because their decisions will shape the market
  • Adopt 2 or 3 technical frameworks worldwide compliant with EHR certification criteria (EuroREC, CCHIT)
  • These frameworks for EHRs will
    • increase the market size ($50Bn US, $8Bn EMEA in 2004) x2 by 2010
    • speed EHR implementation (average 5-10 years) including EMR in hospitals
    • create a new HC IT industry on the top of these frameworks (existing like Cerner, McKesson, GE, Philips, Siemens, Isoft, Agfa and new players like Ocean Informatics, ScandiHealth, OrionHealth, Initiate, Custodix, Qmedit, Apelon, HealthLanguage, HealthOne, Healthe, Seebeyond)

HTB Overview 2005Aug09

healthcare it industry
Healthcare IT industry…

HTB Overview 2005Aug09

agfa case michael dahweild
…Agfa Case (Michael Dahweild)
  • EDC
    • Inclusion triggers for trial participant detection
      • Consent forms
    • Enrollment
      • Detailed inclusion and exclusion criteria
    • Trial protocols
      • Case Report Forms (CRF)
    • Synchronisation with trial database
  • Feasability studies
    • Definition of inclusion agents for retrospective analysis of EPRs
    • Result representation of eligible cases

HTB Overview 2005Aug09

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