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Connecting Digital Health in Denmark

Connecting Digital Health in Denmark. Otto Larsen, Director otl@sst.dk www.sdsd.dk. Facts about Denmark. Population 5,45 millions Structural reform 2007 5 Regions with directly population elected boards 98 municipalities with directly population elected boards. Organisation SDSD.

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Connecting Digital Health in Denmark

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  1. Connecting Digital Health in Denmark Otto Larsen, Director otl@sst.dk www.sdsd.dk

  2. Facts about Denmark • Population 5,45 millions • Structural reform 2007 • 5 Regions with directly population elected boards • 98 municipalities with directly population elected boards

  3. Organisation SDSD • Established in June 2006 • Agreementbetweengovernment, regions and municipalities • Board 3:2:1 • Financed € 4 mio. per year 45%,45% 10%

  4. Purpose • Responsible of the development of tasks conc. connecting health care in order to increase quality and efficiency in the health sector • Common IT- architecture • Common standards • EHR platform • More providers

  5. What now • Review April 2007 • New strategy • Establishment and organising • specific tasks

  6. Starting point • 23 EHR landscapes in hospitals • 13 EHR systems in primary health care • 3 EHR systems in the municipalities • Many well functioning separate systems • Connecting activities Medcom • insecure market

  7. The strategy • The Connected Health Sector • Digital services for patients and citizens • increased effectiveness and efficiency • Obligatory cooperation prevention treatment nursing

  8. Law • Political goals • Other Strategies Advisory group BoardSDSD Introduction to debate onDigitalStrategy of Health Strategically action programmes 6 Aug. 3 Sep. 31 Oct. SDSD Portfolio of projects H01 H04 H02 H05 H03 H06 Background Result Proces SubsequentStrategy Online theme debate 230 contributions Seminar Subsequentaction programmes

  9. Political visions Trends in society Strukturel reform Business objectives of Health as a whole Objects on digitizingof Health Eminence service Connexion and cooperation across boarders Quality and efficiency Strategy 2008-2012 In common In State, Region, Municipality, GP, Private Hospital P1 – More co-operation: Leadership, government, coordination P2 – Phased divided development of electronic communication P3 – Phased convergence of local systems P4 – Manageable projects P5 – Generate services based on users and needs P6 – IT for health on a whole not only EMR in hospitals P7 – Pathfinder projects learning by practise P8 – Based on international technology, terminology and standards

  10. Common Digitalization Common services Development, test, operation Put into use, distribute Monitor on effects • Common infrastructure • National service platform and architecture • Standardization driven by needs • Security and privacy Common demands

  11. H06 – P1 H06 – P1 H05: Managementinformation H05 – P1 … H05 – Pn H05 – P2 Goals and Programmes H06: IT support of the clinical work H06 – P2 … H06 – Pn H04 – P2 H06 – P1 H04: Common services H04 – P1 … H04 – Pn H03 – P1 H06 – P1 H03: Security and privacy H03 – Pn H03 – P2 … H02: Clinical and technical standardization H02 – P1 … H02 – Pn H02 – P2 H01: Architecture and national service platform H01 – P2 H01 – P1 … H01 – Pn

  12. H01: Architecture and national service platform H06 – P1 H06 – P1 H01 – P1 … H01 – Pn Examples of Projects • National architecture for services • National standard for web services • National enterprise service bus • National health data network • National operational environment

  13. H06 – P1 H06 – P1 H02: Clinical and technical standardization H06 – P1 H06 – P1 … H02 – Pn Examples of Projects • Consensus on the use of B-EHR • Relationship between “Episodes of Care” NPR and BEHR • Selection of terminology – testing • Exchange of patient information • Standards for reference, domain, and data model for EHR-systems • Data exchange (ex. HL7) • Coherence between Clinical Guidelines and EHR

  14. H06 – P1 H06 – P1 H06 – P1 H06 – P1 H03: Security and privacy H03 – P2 … Examples of Projects • Updated IT-security and privacy based on new legislation • National role based security system • National patient-carer-service • Service oriented system integration (SOSI) • Subset of data for exchange • Digital signature

  15. H06 – P1 H06 – P1 H04: Common services H04 – P1 … H04 – Pn Examples of Projects • Patient Index • The medication profile/the common medicine database/”FAME” • Advert reaction service • GP EHR - data service • Reporting service • Reimbursement service • Common test and result services

  16. H05: Managementinformation H05 – P1 … H05 – Pn H05 – P2 Examples of Projects • Information on Quality • Management Information • Information on Logistics

  17. H06: IT support of the clinical work H06 – P1 H06 – P1 H06 – P1 H06 – P1 H06 – P2 … Examples of Projects • Support of the clinical workflow • Support of management of chronic diseases including clinical guidelines • eHealth Portal • Telemedicine • Shared care

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