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1ere Conférence nationale stratégie eHealth

1ere Conférence nationale stratégie eHealth. Arbeitsgruppe Bund und Kantone Erarbeitung einer eHealth Strategie im Rahmen eGovernance. 1ere Conférence nationale stratégie eHealth. 1ere Conférence nationale stratégie eHealth. The 4 Levels: Needs, aims and means International (WHO, EU)

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1ere Conférence nationale stratégie eHealth

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  1. 1ere Conférence nationalestratégie eHealth Arbeitsgruppe Bund und Kantone Erarbeitung einer eHealth Strategie im Rahmen eGovernance

  2. 1ere Conférence nationalestratégie eHealth

  3. 1ere Conférence nationalestratégie eHealth • The 4 Levels: Needs, aims and means • International (WHO, EU) • Federation  Cantons • State  Providers • State  Users providers

  4. 1ere Conférence nationalestratégie eHealthPart played by the Federation • No money, no legal basis (except card for the insured) • Regulator, who suggests technical standards and procedures • Regulator, who implements the legal framework of the EU. CH legal processes too sneaking to meet the requirements • User of services for his own objectives

  5. 1ere Conférence nationalestratégie eHealth • Public Private Partnership PPP: The big buzzword • Adored and loved by people, who don‘t know what they want • Can only be worked out by people, who know their needs and can strike a deal on real ground

  6. 1ere Conférence nationalestratégie eHealth • WHO eHealth Tools Services as checklist • Survey in 93 countries, 65% of all WHO states • Replication for CH (without knowing the answers to the survey questions)

  7. 1ere Conférence nationalestratégie eHealthTools: Electronic Medical Records Pts clinical history (diagnosis, therapy) Federation: can define standards Implementation by professional groups, providers

  8. 1ere Conférence nationalestratégie eHealthTool: Pt. Information SystemHospital Information System Information of hospitalized Pts in a department/hospital Structure/implementation by owner (cantons)

  9. 1ere Conférence nationalestratégie eHealthTool: GP Information System Ideological barriers erected by involved professions Self definition has to be changed before launching becomes possible

  10. 1ere Conférence nationalestratégie eHealthNational electronic registries Federal task Insular activities (=> BfS) No strategy/blueprints for a national database of clinical – epidemiological data

  11. 1ere Conférence nationalestratégie eHealthElectronic prescribing Much gossip, no deeds Federation can only make suggestions (KVG 58) no sufficient legal fundament for intervention Cantons as owner of hospitals

  12. 1ere Conférence nationalestratégie eHealthDecision support systems Cost sparing! One of the most important tools for pt. Safety! CH: Fallow land No role for the federation; Cantons?

  13. 1ere Conférence nationalestratégie eHealthTelehealth CH one of the most advanced country in EU (without federal or cantonal support) Call centers for an increasing part of the population the basic reference Shared data management over distance (digital x Rays, PACS, Telepath.etc) Revolution of the health care delivery systems („Grundver- sorgung“, „Spitalplanung)

  14. 1ere Conférence nationale stratégie eHealthServices Myriad of needs for services • Federation: Improving of administrative services (eGovernance), information • Cantons: Owner of institutions (eg. Hospitals), faced with the needs of their population • Professional groups, patients, citizens: particular interests

  15. 1ere Conférence nationalestratégie eHealth • Federation • Defines standards and procedures if necessary • Defines legal framework, if necessary • Customer • Cantons: as federation, + • Application as owner of hospitals and in response to needs of their application much more important • Providers • Need a stableregulatory framework for long term engagement and planning

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