The art of upscaling: Making patient centered ehealth available for all people

Transcription

1 National strategy The Netherlands The art of upscaling: Making patient centered ehealth available for all people Ministry of Health, Welfare and Sport, The Netherlands Erwin Eisinger

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4 Connecting health care and social support Reform since 2015, more responsibility for municipalities De-centralized care and support Connected by the community (district) nurse Connecting medical and social care: Exchange of information is crucial in cooperation.

5 Health care Social community team Social care Primary care Social network Work & Income Secondary care Social network Housing & support Long term care Environment Community nurse

6 Old paradigm Patients in control of their health and medical information New paradigm Radboud UMC

7 1000 flowers are blooming Common approach to scale-up

8 Minister Schippers: "A large hospital is outdated in a few years time" State secretary van Rijn: "there are dilemma's in sharing information" "but the data belongs to the patient Minister Schippers: "We now are focused at sickness. 20% is technological innovation and 80% is social innovation In the near future we will focus on prevention" How do you get a elephant to dance?

9 Three clear targets for more focus of energy: 80% of the chronically ill have direct access to their medical data 75% of the chronically ill have the possibility to measure their health functions People receiving care and support at home have 24/7 access video contact to health professionals and domotica (ADL support)

10 What does it look like? (video) Partners in co-creation

11 Use ehealth in the Netherlands 2014

12 Interoperablity in the Netherlands 2014

13 Use of EMR s NETH NOR NZ UK AUS SWE GER US FR CAN SWIZ Bron: 2012 Commonwealth Fund International Health Policy Survey of Primary Care Physicians

14 Interoperability: exchange of patient summaries etc of GP s with other doctors NZ SWE NET SWIZ NOR FRA UK US AUS GER CAN Bron: 2012 Commonwealth Fund International Health Policy Survey of Primary Care Physicians

15 Dutch challenge Health care is highly digital but: Very little access of patients to their data; Data are fragmented and re-use is limited Challenges: The empowered patient that needs to know and enrich his medical information Continuity of care, as patients deal with multiple health care providers Closing the quality loop: knowing, understanding and managing health care better

16 National Information Council Installed in 2014, chaired by Secretary General Goal: a sustainable information system, connecting all domains Inner and outer ring, transparancy, open discussion Inner: Patient, primairy, secondary care, pharmacy, insuresrs, municipalities, diabled, longterm care, mental health care, government Outer: Industry, Nictiz, Health Care Inspectorate,... Topics: patient central, PHR, registration at the source, cyber security, electronic communication

17 Vision on: Personal Health Record Social network Dashboard Services Health Information INFORMATION EXCHANGE Self care Health network Non-personal data User-created data Professional data

18 1. Parts of PHR 2. Current: multiple solutions. Fragmentation. 3. Vision on concept PHR 4. Creating solutions with basic functionality and requirements, based on international standards 5. End picture: upscaled PHR solutions. Availability for all that want it

19 AMSTERDAM, THE NETHERLANDS

20 Region day

21 Startup 2 scale-up day

22 Thank you! Contact information R.E. (Erwin) Eisinger

23 Links to look up! Nictiz infographic ehealth monitor (link) Ministry of health (link) PHR: Quli (link) Care at home: Sensire (link) Community care: Buurtzorg (link) ParkinsonNet (link) App: Behandelpad (link) App: Moet ik naar de dokter? (link) en thuisarts.nl (link) Use translation function Google Chrome browser