Denmark – a model for national e-health deployment?

MedCom – Connecting Danish Health

CEO Henrik Bjerregaard Jensen

www.medcom.dk

Denmark Leads the way?

Denmark Leads the way?

ePrescription in Europe

EU: Benchmarking ICT use among General Practitioners in Europe 2007

Denmark Leads the way?

ICT in Primary CareEuropean Benchmarking 2007

Nordic �

Danish Health Sector

• 60 Public hospitals

• 10 Private hospitals • 2000 GP clinics

• 1100 Specialists• 330 Pharmacies

5.5 mil. Inhabitants

5 Regions: Health Care98 Municipalities: Home care

Tax paidFree of charge

Changing Danish Health Sector In 2020 we would have..

• 21 large acute hospitals – 5 new

• Elective surgery on specialty hospitals

• Chronically sick in the primary sector

Future Chronic Care• Lead by Primary Doctor• Planned, seamless process between• Primary Doctor: coordinates and plan

– Refers to services from municipalities and hospital

• Municipality– Rehabilitation and education

• Hospital / Specialist– Outpatient Treatment offers

• Patient– self-Monitoring– self Treatment

Cooperation in eHealth

• MedCom - 1994– Connecting Health

• Sundhed.dk - 2003– The Danish Health Portal

• NSI – National Health IT - 2008– Coordinating Health (MOH)

• All owned by MOH, Regions and Municipalities

MedComConnecting Health

MedCom: What do we do?

• Making IT communication “cross borders” between hospitals, doctors, pharmacies and homecare

• Using standardized solutions• Focus only on large-scale national

implementation

Today: A Connected Health

HospitalDischarge

OutpatientReferral

Specialist

HomecareNotifyCare reportsDoctors Letters

PharmacyPrescription

PrimaryCare

LaboratoriesChemical, pathology

and microbiologyResults and request

RadiologyRequestReport

InsuranceReimbursements

1994 2008

Messages / Month

All 330 PharmaciesAll 3000 GPsAll 1100 Specialist16 mio/year = 90%60 IT vendors

Sundhed.dkThe Health Portal

Sundhed.dk

Citizen Access to own data

Access to Hospital Records

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Sygehusopslag Borgeropslag Antal Journaler Unike Pers. i E-Journal

Personal Medicion Profile

NSINational Health Goverment

Coordinating eHealth

NSI – National eHealth

• National strategies and plans• Standards• Projects

– epSOS– FMK – National Medication Card

– NPI – Access to records, vaccination, radiology

• Managing MoH IT-solutions

Denmark Leads the way?

ITIF sept. 2009:

“Our analysis indicate that three countries—Denmark, Finland, and Sweden—are definitively ahead of the United States and most other countries in moving forward with their health IT systems.”

The Information Technology and Innovation Foundation (ITIF) is a Washington, D.C.-based think tank with the goal of improving quality of life

Lessons learned

• National Leadership– MedCom, sundhed.dk, NSI

• Financial incitements• National Infrastructure

– Standards, Net, Coordination, Certification• Step by Step development• Keep it simple• Bee steady

ITIF is a Washington, D.C.-based think tank with the goal of improving quality of life. 2009

End

CEO Henrik Bjerregaard Jensenwww.MedCom.dk