07. Juni 2005
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Transcript of 07. Juni 2005
Electronic Health Record and Connector
The utilization of software and hardware as an enabler for an integrated eHealth
network
Dietmar Pfähler07. Juni 2005
2eHealth Sofia7th June 2005
ICW: The eHealth Company
The Electronic Health Record
The Connector
Ohter components in the eHealth environment
PHR is the core element of an integrated ehealth network
How to support the network between all players in the health industry
Agenda
3eHealth Sofia7th June 2005
FACTS TO THE COMPANY
InterComponentWare was founded in 1998
Headquarter: Walldorf/Baden in Germany
Locations: San Mateo, CA (USA) – Product Management and SalesSofia (Bulgaria) – DevelopmentVienna (Austria)
Employees: about 125
Independent shareholder structure
Main investor: Dietmar Hopp (founder member of SAP AG)
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Product Lines
TelematicsTelematicsInfrastructureInfrastructure
Technology by
ICW AG
Reginal Health Network
InfrastructureSolutions
ClinicalInfrastructure
Solutions
LifeSensor health record
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ICW: The eHealth Company The Electronic Health Record The Connector Ohter components in the eHealth environment PHR is the core element of an integrated ehealth
network How to support the network between all players in the
health industry
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The Electronic Health Record
… it‘s a copy of all relevant health data of a patient. It covers a lifelong history and is under control of the patient. The data are are always and world wide accessable.
Additional information are prevention actions and care action plans, vital parameters from home care devices and nutrition- and fitness data about the patients health and training status.
The EHR is supported via automated data integration between the source systems and the EHR.
Quote: Thielscher, Schroeders in Projekt „PEP“ – Telemedizinführer 2003
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EHR in Summary
Everywhere / Anytime:
Accessable for all healthcare providers – even during an emergency case
Copy of Data:
The duty of documentation remains with the health professionals
EHR contains redundant data
Relevant Data: Not all data but at least: current treatment information and doctors letters expensive and intensive diagnosis and test results
The integration of admin and accounting data together with treatment and health status data are one of the goals of modern eHealth systems
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The New Role of the Patients
The need to handover the control of the EHR to the patient comes from:
To avoid illegality issues with personal data protection law
To challenge the own participation of the patient
To encrease the transparancy of the treatment process for the patient
To encrease the specific knowledge of the patient about health relevant subjects
To allow the involvement of the role a health coach into the patient care process
The EHR is the patients personal source system
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ICW: The eHealth Company The Electronic Health Record The Connector Ohter components in the eHealth environment PHR is the core element of an integrated ehealth
network How to support the network between all players in the
health industry
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The Medical NTBA (Connector)at care provider
Primary System
medical providers / pharmacy
VPN Tunnel
network basedservices
Productsof ICW
Kiosk
DSL - VPN- Router
Primary System
MedicalNTBA
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Why do we need a Connector?
It is „the“ standard interface between all players in eHealth.
Standard interfaces to the following services:Master Data and CMSPrescription ServicesDocumentation of medicationsEssential data of the patient history
Open interfaces are provided for:Providers of additional servicesThe electronic health record……
The connector ist the open door for: All Source Systems in healthcareAll providers of additional services
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ICW: The eHealth Company The Electronic Health Record The Connector Ohter components in the eHealth environment PHR is the core element of an integrated ehealth
network How to support the network between all players in the
health industry
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Internet
Regional health care information network
VPN - Tunnel
VPN - Tunnel
health care provider n
DSL - VPN- Router
Kiosk
MedicalNTBA
Kiosk
MedicalNTBA
health care provider 1
network based services
Nationalhealth care
network(backbone)
VPNGateway
Gatewayto
LifeSensor / Voluntary
Applications
WebServer
CAMS Medical NTBARemote Management
Gatewayto
GKV / PKVChambers / TC
ePrescriptionServer
ICW Basic Record
DatabaseServer
CertificateServerLDAP
Server
Central Services
ApplicationServer
Primary System
Primary System
DSL - VPN- Router
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ICW: The eHealth Company The Electronic Health Record The Connector Ohter components in the eHealth environment PHR is the core element of an integrated ehealth
network How to support the network between all players in the
health industry
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The Electronic Health Record is already Today the Backbone of eHealth
The EHR is the general documentation cross all sectors in the healthcare industry
Can be used as the backbone for activity tracking and accountingCan be the access point for all providers in healthcareProvides a lifelong medical history about every patientCan be used as a decision support system for med. doctors for better treatments, quality of care and continuitiy of careElektronical distribution of doctor letters, diagnosis, tests and other relevant medical information
Dramatical reduction of errors Double test can be avoidedReduction of resourcesOptimization of staffing for medical services Costenreduction via optimazation of medical processes
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The Electronic Health Recordhas a modular design
There are basic elements which covers most of the medical needs (e.g. emergency data, vaxination, risk factors, current medication)
Additional patient services (assistents) support the patients with special informations and guidance (diabetes, cancer, etc.)
Quality of Care can be implementedCare action plans according to medical guidelinesMedical and clinical pathways for the interaction between different provicersUse of Informations about research studies
Accounting relevant dataflow can be tracked
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ICW: The eHealth Company The Electronic Health Record The Connector Ohter components in the eHealth environment PHR is the core element of an integrated ehealth
network How to support the network between all players in the
health industry
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Regional Health Information Network
Health Network
EHR(clinical basicdata, DMP-Assistents
ConnectorRemote Manager
Central Services(platform
management)
Primärsystem
GP 1
DSL - VPN- Router
Primärsystem
GP …
DSL - VPN- Router
Primärsystem
Hospital n
DSL - VPN- Router
Primärsystem
Pharmacy
DSL - VPN- Router
Primärsystem
Phys.therapist
DSL - VPN- Router
Bit4HealthConnector
Bit4HealthConnector
Bit4HealthConnector
Bit4HealthConnector
Bit4HealthConnector
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Summary
The product portfolio of ICW compromises all infrastructure components which are necessary to support mandatory and voluntary applications of the electronic health card (eHC).
Platform is designed open, so that further provider of voluntary applications can use their products to access the health care network.
Product and provider specific scope which is not related to core business of ICW is covered by partners.
The current solution of ICW is ready for use in test regions and pilot regions.
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Thank you for your attention!
Thank you for your attention!