Introduction: personal and organisational information


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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!




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