Introduction: personal and organisational information

eHealth: from promise to sustainability eHealth – sharing of experiences and lessons learned EHR in Austria – regional and nationwide

Overview: points to be addressed;

• Overview: points to be addressed;

• Introduction: personal and organisational information;

• Background: region, programme or project to be presented;

• Major issues: lessons learned, requirements and future outlook;

• Conclusions: final remarks.

Points to be addressed

• Lower Austria: Local EHR project Nömed WAN

• Austria: National EHR program ELGA

• Interoperability Advantages of international Standards

Overview: points to be addressed;

• Overview: points to be addressed;

• Introduction: personal and organisational information;

• Background: region, programme or project to be presented;

• Major issues: lessons learned, requirements and future outlook;

• Conclusions: final remarks.

Task Force Electronic Health Record

• Decision of Federal Health Commission (BGK) from July 2006 concerning establishment of Arge ELGA and financial remuneration

• Working basis of Arge ELGA is an agreement between

• Federal Government
• Federal states / Provinces and
• Social Insurance Institutions

• Since September 2006 ARGE ELGA is acting operationally

Federal Health Commission (BGK –Bundesgesundheitskommission)

• Consists of 27 members

• 7 Federal Government,
• 9 for provinces (1 for each federal state),
• 6 Main Association of Austrian Social Security Institutions,
• 1 representing cities and
• 1 representing communities,
• 1 bishops’ conference together with the Protestant’s,
• 1 patients’ ombud,
• 1 General Medical Council of Austria

• Chair: Minister of Health, Family and Youth

Overview: points to be addressed;

• Overview: points to be addressed;

• Introduction: personal and organisational information;

• Background: region, programme or project to be presented;

• Major issues: lessons learned, requirements and future outlook;

• Conclusions: final remarks.

Regional EHR-Solution in Lower Austria

ELGA the EHR-Solution in Austria

Definition of ELGA

• ELGA contains relevant multimedia-based and health related data and information referring to a precisely identified person.

• Data und information originate from

• different health service providers (HSP) and
• from the patient himself/herself

• and are stored in one or several different information systems (virtual health record).

• Data are available independently of place and time (cost-saving) at the place of treatment for all authorized persons according to the tasks and needs of these persons and in compliance with data protection rules.

ELGA Steps of progress

• ELGA Feasibility Study 2006

• Architectureplan, 1th Phase of Implementation

• Masterplan

• BGK Decision 04 05 2007

• Architecture
• Standards
• Detailed planning projects

• 2008 Cost-Benefit Study

• Requirements document

• BGK Decision Autumn 2008

ELGA-Architecture

Overview: points to be addressed;

• Overview: points to be addressed;

• Introduction: personal and organisational information;

• Background: region, programme or project to be presented;

• Major issues: lessons learned, requirements and future outlook;

• Conclusions: final remarks.

Requirements

• Technical (syntactical) interoperability

• Content wise (semantical) interoperability

• Requirement:

• Assortment of international standards

• Standards raise quality and reduce costs!
• Standards promote competition!

• “Legal interoperability??”

• “Financial interoperability??”

Why Standards ?

Request HSP authorization

• Request HSP authorization

• Request patient identifikation

• Request insurance status

• Request patient consent

• Search med. documents

• Access / download med. documents

Austria & epSOS

• European Patients Smart Open Services – Open eHealth Initiative for a European Large Scale Pilot of Patient Summary and Electronic Prescription

• Arge ELGA is Austrian‘s national Competence Center,

• Austria is the leader in the Working Package 3.6 Identity Management

• ELGA Connex

• e-Prescription (ELGA-eMedication)
• Patient Summary (~ELGA-Discharge summary)

Overview: points to be addressed;

• Overview: points to be addressed;

• Introduction: personal and organisational information;

• Background: region, programme or project to be presented;

• Major issues: lessons learned, requirements and future outlook;

• Conclusions: final remarks.

Key success factors

• Patients are in the Center

• Involvement of all Health Service Providers and Stakeholders in planning and implementation phase

• Considerations concerning the federated healthcare structures in Austria

Recommendations

• Identify balance between centralized and decentralized solutions

• Recommend a step by step migration from existing, proprietary local systems to a compatible distributed and shared eHealth infrastructure

• Require the separation between

• IT-Infrastructure
• Applications
• Data

Recommendations

• Don‘t think about „point to point communication“ n*(n-1)/2 27 EU-Members 351 Interfaces

• Don‘t reinvent the wheel

• Look for best practices

• Think big and global, act small and local

Thank you for your Attention!

• Thank you for your Attention!