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MedCom: Advancing Health IT Toward Meaningful Use in Denmark

MedCom, the Danish Centre for Health Telematics, spearheads the implementation of electronic data interchange (EDI) across healthcare providers, pharmacies, and health insurance with high adoption rates. Through initiatives like central databases, e-prescriptions, and lab result portals, MedCom aims to streamline healthcare processes, enhance patient care, and foster interoperability in the Danish healthcare system. The organization also focuses on privacy safeguards, vendor certification, and promoting national standards for data exchange, all contributing to the meaningful use of health IT in Denmark.

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MedCom: Advancing Health IT Toward Meaningful Use in Denmark

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  1. MedCom Health-ITMeaningful use Danish Centre for Health Telematics Ib Johansen Deputy manager, MedCom Denmark

  2. GP´s with EDI : 2120 = 100 % Specialists with EDI: 790 = 99 % Hospitals with EDI : 63 = 100% Pharmacies with EDI: 322 = 100 % Doctors on Call : 5 = 100 % Health Insurance : 5 = 100 % 120 messages /min Referrals Referrals Referrals Referrals 177525 = 65 % Reimbursement 21049 = 99 % Prescriptions Prescriptions 1039105 = 73% 1389023 = 84% Disch Disch . Letters . Letters 1131750 = 99 % 682923 = 85 % Lab. Lab. reports reports 988151 = 99 % 543040 = 82 % Lab Requests 549840 = 99 %

  3. E-Prescriptions Patient Electronic Medicine profile (PEM) Including vaccination (2011)

  4. E-Mail contacts with patients Telephone call from pt. : 25 DKR E-mail from/to pt.: 50 DKR

  5. Medication profile Central database 2 years

  6. WEB – E.LPRHospital cases (ICD10 coded)

  7. Waiting times X

  8. View – All Episodes of Care

  9. Lab results - portal

  10. Consultations / EDI penetration Source: MedCom, 2005

  11. MEDRPT MEDREQ Central serversWebReq laboratory requisition WebReq

  12. Central servers, e-Referral Hotel VANS Referral Acknowledgment Referral Referral Acknowledgement Referral e-Referral Hotel

  13. Consensus-Implementing 3. 2 Consolidation process • Contracts Counties/Vendors • HPG – groups • Technical groups • The good EDI-Letters • Training NICE concept • Documentation • Test-certification • Test in EDI-CHECK • Semantic check, testprotocol • All data presented and valid • Live test

  14. Consensus - Implementing 3. 2 Consolidation process • Contracts Counties/Vendors • HPG – groups • Technical groups • The good EDI-Letters • Training NICE concept • Documentation • Test-certification • Implementation

  15. MedCom Meaningful use Danish Centre for Health Telematics • MedCom connectaton

  16. Implementation supported by MedCom

  17. MedCom Meaningful use Danish Centre for Health Telematics • Quality • Medication, vaccination • Patient summary • E-mail consultation, booking • ICPC coding • Weight (children database) • Cronic patients, Diabetic, AC, COPD- home treatment, smoking status(coded-uncoded) • Referrals • Lab test orders • Electronic communication (raises productivity) • FNUX • Hospitals ICD10 obligatory coding-report to national disease database ( + cancer database) • Incentives to promote implementation • Reimbursement EDI • All lab results EDI • All frequent docs EDI • Strategies for national standards and interoperability; • MedCom EDI-standards (all vendors) • Vendor certification and technical assistance; • SW – approval / certification • Free test tools • The role of a national health integrator; • MedCom • Privacy and confidentiality safeguards; • Data protection law • Use of public/private partnerships to support innovation • MedCom

  18. MedCom Meaningful use Danish Centre for Health Telematics • Objectives • Core set – 95 % • Menu set – 80 % • Big issues • Patient access to own data • All relevant information ready when needed • No waiting time • Cronic patients self treatment/management

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