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CompuGROUP Holding AG The vita- X Health Record

CompuGROUP Holding AG The vita- X Health Record. Sofia, 2008/02/13. Manfred Glanzer, Senior Consultant E-Health, SYSTEMA Human Information Systems / Austria. (manfred.glanzer@systema.info).

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CompuGROUP Holding AG The vita- X Health Record

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  1. CompuGROUP Holding AG The vita-XHealth Record Sofia, 2008/02/13 Manfred Glanzer, Senior Consultant E-Health, SYSTEMA Human Information Systems / Austria (manfred.glanzer@systema.info) CompuGROUP Holding AG - Maria Trost 21 - 56070 Koblenz - Tel.: 0261 8000-0 - Fax: 0261 8000-1166 - E-Mail: holding@compugroup.com - Internet: www.compugroup.com

  2. CompuGROUP - Facts • Founded in 1987, HQ in Koblenz / Germany • European wide customer base of approx. 290.000 GP‘s, dentists and other health care suppliers • Approx. 1.700 employees in Germany, France, Italy, Austria, Poland, Slovakia, Spain, Turkey and Czech Republic • Major line of business: communication solutions for international health care markets • GP software • Dental software • Hospital information systems • Medical Decision Support System to assist medical therapy and prescription • Web based electronic health record • Communication services, data analysis and Content-supply • Workflow-solutions and services for GP (networks), medical centers, hospitals, health insurances and pharmaceutical companies

  3. Medical data sharing Electronic Health Records

  4. directed non directional ? communication methods • receiver/ time of usage is unknown • information is shared without a specific request • requires a central storage for medicaldata or a central registry • part of the usual medical treatment process • transfer of specific med. documents at a certain point in time • document-exchange between one sender and receiver

  5. patient centric data sharing  CompuGROUP approach • Patient empowerment • Patient has his/her own physical data repository • full governance (patient is data-owner) • doctor-guided (family physician) • Patient is an active player in the sharing -process

  6. secure • server based EHR • integrated • patient centric simplification CompuGROUP approach • encrypted storage (unreadable for ‘data-hoster’) • increases availability (vs. decentralized approach) • RBAC (can be defined by the patient) • cost-effective central database vs. multiple registries/repositories (no add. hosting services,…) • Smart Card-based • smart client adaptor - handles client-side encryption/decryption (no special HW needed) • - communication with existing SW • directed communication with patient as active participant (empowerment) • data governance (patient is data-owner) • fewer components/resources (Hard- and Software, maintenance-personnel) • fewer dependencies • vs. decentralized  independent on availability of Health-Provider’s systems • security concept preserves confidentiality • usually addresses all legal requirements • increased acceptance (patients & doctors)

  7. CompuGROUP’s Solution Electronic Health Record

  8. logon server adaptor directory server PRIMARYSYSTEM(GP-System,HIS,…) data server Health professional vita-X - overview • handle authorization • provide session-keys • stores pointers to data-packets • encrypted & fragmented EHR-data

  9. confidence vita-X - security data protection has the highest priority! - keys are stored on the smart-card onlysmart-card & pin-code are needed to access the EHRno encryption-key is ever sent to or stored on the central server(s) • encryption/decryptionperformed by client-adaptor onlyadditional transport encryption is used • encrypted and fragmented Datastore cannot be associated with a physical personencrypted EHR-objects are spread amongst different data serversserver-side decryption is virtually impossible • RBAC, Logging and Auditingrestrict EHR-access (based on doctor’s medical field,…)documents access to EHR, provide access-history • Confidentiality is preserved • Risk of unauthorized access is minimized • Increased acceptance (patients & health professionals)

  10. vita-X - content • structured / unstructured • Each Medical Data Object (MDO) is structured (author, creation-date, type,…) and can have an unlimited number of unstructured attachments. • Supports the use of (international) classifications like ICD-10, OPS (Operations and Procedural Key), PZN (Central Pharmaceutical Number),… • machine readable data objects allow efficient integration of modern decision support systems(drug interaction check modules,…) and data-import into the HP’s primary system • stores any document typeas MDO-attachment • digital signaturesEach MDO is digitally signed by the author • content areashealth-professional area (crypto+)patient-area (Org)

  11. vita-X - accessibility • multiple authentication levels • dual/single Smart Card based • patient-access without HP-Smart Card(eg. vita-X Patient-Terminals in Hospitals) • extended Health Provider Access(allow a HP to access the EHR without the patient’s Smart Card for a specific period of time) • ‘Integration instead of isolation’ • vita-X client adaptor allows full integration into primary system • smart-client • secure client-interface to access the vita-X EHR. • browser based • using signed java-applet (browser-sandbox) to connect to card-reader and vita-X system

  12. vita-X – front-end vita-X pro • for health-professionals • data is stored in HP-content-area (Patient’s can not manipulate the data, but configure RBAC) • HP-verified content • Information at a glance (prima vista) • risk factors, permanent medication,…. vita-X home • for patients • data is stored in patient-content-area • patient has full control • for self-monitoring purposes

  13. quality improvement, process optimization, cost reduction increased self responsibility, better health vita-X – benefits for sponsors & health providers • enables cross institutional communication • Support of disease management programs (cross institutional information management) • reduces double examinations • integrates into existing applications & workflow • provides consolidated view on (all) important facts of patient’s medical history • quick overview on patient’s health-status • allows better drug interaction checks • optimization of treatment-process (anamnesis,…) for patients • transparency of medical treatment • benefit of quality improvement • access to EHR from anywhere, anytime

  14. Electronic Health Record Projects

  15. Pilot project „ePA Rheinland-Pfalz“ started on November 29th,2004 by Malu Dreyer (Secretary of Health) vita-X – projects • Goals: • networking of 50 general practitioners and 2 hospitals • electronic data exchange between general practitioners and hospitals without media disruption

  16. ePA Junior vita-X – projects • initiative of government, physicians association and CompuGROUP Holding AG • free personal electronic health record for all newborns of the year 2008 in Rheinland-Pfalz (Germany) • first prevention model for infantile health in Germany • first area-wide adoption of a professional-guided personal electronic health record • continuous documentation up to the 6. birthday • sponsors: • state of Rheinland-Pfalz / Germany (ministry for work, social affairs, health,family and women) • CompuGROUP Holding AG

  17. one step ahead Thank you for your attention. If you have any questions or need more information on CompuGROUP’s software-solutions, do not hesitate to contact us. Visit our Web-page at www.compugroup.com to request product-specific information

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