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Health-IT Meaningful use

MedCom. Health-IT Meaningful use. Danish Centre for. Health Telematics. Ib Johansen Deputy manager, MedCom Denmark. GP´s . with . EDI : 2120 = 100 %. Specialists . with . EDI: 790 = 99 %. Hospitals . with . EDI : 63 = 100%. Pharmacies with .

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Health-IT Meaningful use

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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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