1 / 28

EHR Systems Quality Labelling and Certification Danish Case

EHR Systems Quality Labelling and Certification Danish Case. Morten BRUUN-RASMUSSEN mbr@mediq.dk. Belgrade. 22 nd November, 2011. AGENDA. The Danish Health Care Sector Certification EuroRec Seal Messaging General Practitioner EHR systems Shared Medication Record. 1.

yoshe
Download Presentation

EHR Systems Quality Labelling and Certification Danish Case

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. EHR Systems Quality Labelling and CertificationDanish Case Morten BRUUN-RASMUSSEN mbr@mediq.dk MEDIQ Belgrade. 22nd November, 2011

  2. AGENDA • The Danish Health Care Sector • Certification • EuroRec Seal • Messaging • General Practitioner EHR systems • Shared Medication Record MEDIQ

  3. 1 The Danish Health Care Sector MEDIQ

  4. Denmark • Parliamentary democracy and constitutional monarchy • 5,5 mill. inhabitants • 90,1% Danish • 9,9 % other • 5 Regions • 98 Municipalities • Equal and free access to healthcare MEDIQ

  5. Health Care System: Administrative levels National Ministry of Interior and Health Regional 5 Regions Local 98 Municipalities MEDIQ

  6. Health Care Providers – 3 sectors Primary Care Responsible for: General health problems including prevention and chronic diseases Hospitals Responsible for: Specialised treatment and intensive care Municipalities Responsible for: Prevention, rehabilitation and social care MEDIQ

  7. 2 Certificatation MEDIQ

  8. Business Model and Costs High Costs Low Costs Self assessment Third Party Certification MEDIQ

  9. presentation Clinical Interoperability functionality clinical content terminology Semantic interoperability model format & storage transmission Technical interoperability Communication Interoperability (ALT model) Continuity and quality Organisational level FUNCTIONAL Application level presentation Logical level TECHNICAL functionality clinical content terminology Technical level model MEDIQ format & storage transmission

  10. 3 EuroRec Seal MEDIQ

  11. EuroRec Seal - Guideline Functional testing/certificaion • Test environment • Test scenarios • Test data • Conformance criteria's • Schedule for testing • Test log • Delivery document MEDIQ

  12. EuroRec Seal MEDIQ

  13. 4 Messaging MEDIQ

  14. Cross sector communication Technical testing/certification + Functional testing/certification • National health care network (1992 ) • Frequent messages in large volumes • Discharge letters, prescriptions, lab. request and results, referrals, consultation notes.... • More than 100 profiles (2011) • Vendor systems are tested by MedCom • www.medcom.dk MEDIQ

  15. 5.5 mill. messages per month MEDIQ

  16. Test results are published MEDIQ

  17. 5 GP systems and ICPC - 2 MEDIQ

  18. ICPC • International Classification of Primary Care • Has become a standard all over the world • The ICPC contains 17 chapters • A General and unspecified • B Blood, blood forming organs, lymphatics, spleen • D Digestive • F Eye • H Ear • K Circulatory • L Musculoskeletal • N Neurological • P Psychological • R Respiratory • S Skin • T Endocrine, metabolic and nutritional • U Urology • W Pregnancy, childbirth, family planning • X Female genital system and breast • Y Male genital system • Z Social problems • ICPC 2 is an extended terminology • A Danish ICPC 2 code chart can be downloaded, printed and used by the GP to find an the ICPC code for a symptom/diagnose MEDIQ

  19. GP systems in Denmark (June 2011) 16 vendor of GP systems MEDIQ

  20. ICPC 2 - requirements Functional testing/certificaion Enable coding of diagnosis in GP systems A national specification for the implementation of ICPC 2 Agreed with the vendors Systems must by certified MEDIQ

  21. Conformance levels MEDIQ

  22. ICPC test results are published Percent of tests passed MEDIQ

  23. 6 Shared Medication Record (SMR) MEDIQ

  24. SMR: Paradigm shift FROM sending TO sharing MEDIQ

  25. What is SMR? A Service provider of online medication data to share and update Central SMR service Secure Health-care network - Transport- Security,- Connection Service-platform Local EMR/EHR Local service consumerthat uses online data via a distributed service platform MEDIQ

  26. SMR and EHR in Hospitals • Five years work • Specification • Development • Discussions • Mandatory to use • Primary care • Secondary care • All other • Health professionals can be fined if they do not update the SMR • Fully implemented by end 2012 Technical testing/certification + Functional testing/certification MEDIQ

  27. SMR on mobile devices MEDIQ

  28. Thank you.. • Morten BRUUN-RASMUSSEN • mbr@mediq.dk MEDIQ

More Related