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
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.
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
Old paradigm Patients in control of their health and medical information New paradigm Radboud UMC
1000 flowers are blooming Common approach to scale-up
Minister Schippers: "A large hospital is outdated in a few years time" State secretary van Rijn: "there are dilemma's in sharing information" "but the data belongs to the patient Minister Schippers: "We now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?
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)
What does it look like? (video) Partners in co-creation
Use ehealth in the Netherlands 2014
Interoperablity in the Netherlands 2014
Use of EMR s 100 99 98 97 98 97 97 96 97 95 92 94 2009 2012 88 80 82 72 69 68 67 60 56 46 40 37 41 20 0 NETH NOR NZ UK AUS SWE GER US FR CAN SWIZ Bron: 2012 Commonwealth Fund International Health Policy Survey of Primary Care Physicians
Interoperability: exchange of patient summaries etc of GP s with other doctors 100 80 60 55 52 49 49 45 40 39 38 20 31 27 22 14 0 NZ SWE NET SWIZ NOR FRA UK US AUS GER CAN Bron: 2012 Commonwealth Fund International Health Policy Survey of Primary Care Physicians
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
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
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
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
AMSTERDAM, THE NETHERLANDS WWW.EHEALTHWEEK.ORG
Region day
Startup 2 scale-up day
Thank you! Contact information R.E. (Erwin) Eisinger MSc re.eisinger@minvws.nl @erwineisinger
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