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EHR S ystems U se and Q uality in Austria

EHR S ystems U se and Q uality in Austria. FH-Prof. DI Dr. Stefan Sauermann UAS Technikum Wien Program Director, Biomedical Engineering Sciences ProRec Austria. Communications engineer, 15 years MedUni Vienna, BME Head of national CEN ISO mirror „Medical Informatics“

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EHR S ystems U se and Q uality in Austria

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  1. EHR Systems Useand Qualityin Austria FH-Prof. DI Dr. Stefan Sauermann UAS Technikum Wien Program Director, Biomedical Engineering Sciences ProRec Austria EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  2. Communications engineer, • 15 years MedUni Vienna, BME • Head of national CEN ISO mirror „Medical Informatics“ • Founding member of IHE Austria • Consulting ELGA • CDA harmonisation of the Lab Report • Research project in personal healthcare • www.healthy-interoperability.at Myself: EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  3. Health Care in Austria • Insurance based system • ~25 public insurances • 15000 GPs • many with social security contracts • Hospitals: mostly provincial holdings • Additional private hospital groups • Many legacy IT systems • Big and small EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  4. Software use • 80-90% of GPs use software • Nearly all hospitals use EHRs • Number of products • Many GP systems! (> 100 vendors) • >10 hospital products (>10 vendors) • Market shares • 4 GP software vendors cover 60% of market • 4 Hospital products cover 75% of market • market stable over last five years EHR systems: market (estimates) EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  5. Existing law: enables treatment Laws for the medical professions eGovernment law Data protection law Enables point-to-point data exchange Not suited for single access all data for one patient EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  6. Enables sharing of patient related data • Data protection is primary concern • Access only in context of treatment • Patients have control on who may access what • Storage • What, how long • ... National EHR law: expected within months EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  7. Existing GP software certification (in discussion) • Approval of reimbursement for treatment (eCard) • Reimbursement (Social insurance) • Standardised data export (Chamber of doctors) • No incentive for using quality assessed / certified EHR systems EHR systems: quality assessment EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  8. Central components (Built by ELGA) Master Patient Index „Affinity domain“ (Build by HCP or vendor) Healthcare Provider Index Local Document Registries with Repositories Domain … Domain B GP SW CIS GP SW CIS GP SW CIS GP SW, CIS • Follows IHE IT Infrastructure (XDS, ATNA, BPC, ... ) National EHR ELGA: growing! EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  9. Master patient, HCP index available • Harmonised CDA available • eMedication in pilot • Security system in procurement • Conformant affinity domains existing • Reference domain in procurement • Reference domain go live expected 2012/13 • All hospitals integrated 2014 • GPs integration in full swing 2015 ELGA Timeline (roughly) EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  10. Highlight: Clinical Documents (Real beauties!!) • http://www.elga.gv.at/index.php?id=28 • Discharge information • Radiology and Lab reports • HL7 CDA • Content harmonized • >120 medical experts • Implementations already available • Usability guided design EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  11. Possible steps to certification Domain … Central components (Built by ELGA) Master Patient Index „Affinity domain“ (Build by HCP or vendor) Healthcare Provider Index Local Document Registries with Repositories Domain B GP SW CIS GP SW CIS GP SW CIS GP SW, CIS Security first? Then affinity domain connection? Then GP/CIS connection? EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  12. Certification priorities Without access rights /security there is no data exchange This is a task in Europe May this be a first „eHealth Certificate“ on European level? EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  13. Stefan Sauermann • University of Applied Sciences Technikum Wien • stefan.sauermann@technikum-wien.at • The Austrian national EHR: • www.elga.gv.at Looking forward to hear from you! EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

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