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Patient centred communication – A driver for regional development

Patient centred communication – A driver for regional development. Peder Jest Medical Director and Niels Højberg, CEO, Funen Region, Denmark. Agenda. Denmark and the health sector Patient centred electronic communication: Communication with hospitals - electronic patient record

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Patient centred communication – A driver for regional development

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  1. Patient centred communication – A driver for regional development Peder Jest Medical Director and Niels Højberg, CEO, Funen Region, Denmark

  2. Agenda • Denmark and the health sector • Patient centred electronic communication: • Communication with hospitals - electronic patient record • Communication with general practitioners – the MedCom standard • Communication with homecare – MedCom standards and telemedicine • Communication to the Danish citizens – Sundhed.dk

  3. Danish Health Sector • 62 public hospitals - 30.000 beds • 2 private hospitals - < 100 beds • 3500 GPs in 2000 clinics • 800 Specialists • 330 Pharmacies • 2700 Dentists • 550 Physiotherapist Clinics • 15 Counties (soon 5 Regions) • 271 Municipalities will be 98 (home care) • Public: • No insurance companies • Few private hospitals • Financed with income taxes • Decentralized organisation •  Still we have managed to connect all these players into One Danish Health Data Network

  4. Denmark • Region South Denmark: • 15,000 square km. • 1.2 mil. inhabitants • Budget 5 bill. € • One University Hospital • 5 regional hospital systems Region South Denmark

  5. Homecare GP Self-care Patient centred electronic communication Hospital

  6. The Electronic Patient Record • The Electronic Patients Record is the key working tool for the hospital staff • As the first region in Denmark, the Funen Region implemented EPR in 1992 at one hospital. • By the end of this year 100 % of the hospital beds and out-patient clinics will be covered with one EPR system.

  7. Communication and GPs • Since 1992 communication between GPs and hospitals have been the key issue for the development of connecting healthcare in the region. • Funen Region took the initiative to form the national organisation of MedCom with the aim to establish national standards for communication in healthcare

  8. Communication flows

  9. 98% of the GPs have EPR and are connected In November 2005 the following were sent between GPs and hospitals in Funen: 69537 discharge letters 97651 laboratory results 113775 prescriptions 12677 referrals Status of the communication with GPs

  10. Status of MedCom standards in Denmark 3.2 million messages /month

  11. Hospital GP Homecare Communication with homecare • Funen Region has made a huge effort to decrease the ”Bermuda Triangle” in healthcare – the triangle between hospital, GP and Homecare, where information has a tendency to disappear.

  12. Hospital Communication between hospitals and homecare in the Funen Region Home Care << Admission Notify Admission Notify >> Home Care report >> << Discharge Notify << Discharge Report SSA IT system Home Care Journal PAS IT system EMR system

  13. Telemedicine projects • Because Denmark’s health sector is connected, telemedicine projects have a high focus and priority.

  14. Telemedicine and Homecare • Electronic renewal of prescriptions • Clinical email for fast and secure communication between GP, hospital and homecare (no-structured messages) • Tele-dermatology – digital images sent to specialists for examination • Tele-homecare - in spring 2006 COPD patients will be treated in their own home by using video conference, tele-monitoring and tele-Rehabilitations

  15. Other telemedicine projects in the Region • Video conference projects: Between health professionals and as a therapeutic instrument for alcoholics • Tele-radiology: Between hospitals • Hans Christian Andersen Children’s hospital: digital support for electronic communication • Tele-social care: Electronic communication between social care institutions

  16. The Danish eHealth Portal • Sundhed.dk – ”sundhed” means health • An initiative in the Danish eHealth Strategy 2003-2007 and launched in December 2003 • The organization of sundhed.dk reflects the organization of the Danish health care system • The eHealth Portal gives the citizens an overview of the health sector as well as health related information

  17. Access to the eHealth Portal

  18. Thank you for your attention ! • MedCom: www.medcom.dk • South Region: www.syddanmark.dk • The Electronic Patient Record: www.epj.dk • eHealth Portal: www.sundhed.dk/info/english Telemedicine is beautiful Peder Jest pje@shf.fyns-amt.dk

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