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What are the barriers to implementation? Dr Michael Wilks Past-President, CPME Co Chairman, WP6, eHGI.
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What are the barriers to implementation?Dr Michael WilksPast-President, CPMECo Chairman, WP6, eHGI
Current initiativesDigital agenda:- access to recordsEU/MS-funded projects: - CALLIOPE - epSOS - eHealth Governance Initiative (Joint Action/Thematic Network):(DG INFSO/DG SANCO/Member States/Stakeholders) - Chain of Trust - Renewing Health - Healthy AgeingMS initiatives: - “joined-up” care:(Primary and secondary care/Social care)
Ophthalmic Renal Cardiovascular Diabetes Diagnosis Long-term care Genetic Social care Monitoring Parenting Self-care Nutrition Education Treatment Monitoring Minimise complications AGE
SCANS CLINIC X RAY PHYSIO PHARM. APPOINT. BIOCHEM. PATHOL. SERVICE PLANNING CLINICAL AUDIT FINANCIAL MANAGEMENT PERFORMANCE AUDIT COMMUNITY PHARMACIST SOCIAL CARE RESEARCH DENTIST ELECTRONIC RECORD HOSPITAL RECORD GP RECORD
SCANS CLINIC X RAY PHYSIO PHARM. APPOINT. BIOCHEM. PATHOL. SERVICE PLANNING CLINICAL AUDIT FINANCIAL MANAGEMENT PERFORMANCE AUDIT COMMUNITY PHARMACIST SOCIAL CARE PATIENT AND FAMILY RECORD RESEARCH DENTIST HOSPITAL RECORD GP RECORD
Organisational Semantic Technical Political / Legal Organisational Semantic Technical Political / Legal Use Case A Use Case A Jurisdiction # 1 IOp Model, i2010 subgroup of eHealth; I2Health eHealth Interoperability Jurisdiction # 2 5
TREATMENT PRESCRIPTION ELECTRONIC RECORD SUMMARY RECORD Country A Country B SUMMARY RECORD
Ophthalmic Renal Cardiovascular Diabetes Diagnosis Long-term care Genetic Social care Monitoring Parenting Self-care Nutrition Education Treatment Monitoring Minimise complications AGE
Ophthalmic Renal Cardiovascular Diabetes Diagnosis Long-term care Genetic Social care Monitoring Parenting Self-care SUMMARY RECORD Nutrition Education Treatment Monitoring Minimise complications AGE
TREATMENT PRESCRIPTION ELECTRONIC RECORD SUMMARY RECORD Country A Country B SUMMARY RECORD
SUMMARY RECORD Elective care Emergency care
Organisational Semantic Technical Political / Legal Organisational Semantic Technical Political / Legal Use Case A Use Case A Jurisdiction # 1 IOp Model, i2010 subgroup of eHealth; I2Health eHealth Interoperability Jurisdiction # 2 5
LegalData Protection:- Data Protection Directive - MS privacy legislationEthical: - Consent for immediate/team-based care - Consent for data transfer - “Appropriate” consent Regulation: - Professional standards and codes - Regulatory action
OrganisationalNeed for data:- For insurance, reimbursement - organisation across sectorsPatient safety through eID: - Identification - Authentication - Authorisation - Common identifier? - Justification for sharing outside health sector