One patient – one record Digital services in the Norwegian health and care sector Bjørn Astad Vitalis 16. april 2013 Norwegian Ministry of Health and Care Services
ONE PATI ENT – ONE RECORD TOPI CS •Health and care sector in Norway •ICT in health and care sector •Report to the Parliament •Challenges •Government’s goal •Strategy 2 Helse- og omsorgsdepartem entet
Health and care sector in Norway • Population 5 million • 250.000 employees • Primary care – 428 municipalities – 4100 GPs (private) in agreement with their local municipality – All patients are assigned to one GPs patient list • 4 regional health • Specialist health care authorities – Owned and • 70 hospitals supervised by the government 3 Helse- og omsorgsdepartem entet
The ”Coordination Reform” • Coordination of Political statem ent: activities and • ICT is one of the most information sharing important tools to among care improve health care providers and reach the goals of • More health care the reform services provided by primary health care • Reducing the need for expensive specialized health care Helse- og omsorgsdepartem entet
ICT - eHealth Highway • Norwegian health net • Secure national data network • Customers – All hospitals – All GPs – 95% of municipalities • Connection is mandatory 5 Helse- og omsorgsdepartem entet
ICT - EMR deployment Kilde: EPJ Monitor 2008, NTNU 6 Helse- og omsorgsdepartementet Helse- og omsorgsdepartem entet
ICT - Electronic collaboration • Based on electronic messaging • Standard messages for information exchange developed by the sector – Referrals – Prescriptions – Test orders and results • Use of standards for data exchange is voluntary • Deployment has been slower than expected 7 Helse- og omsorgsdepartem entet
ICT - Electronic prescription deployment • Solution specified Citizens together with users 100% • Structured medicine information • Better overview for physicians • Nationally coordinated roll out summer 2011 to spring 2013 0 2012 2013 8 Helse- og omsorgsdepartem entet
National summary care record • Necessary patient information available for health personnel • Better treatment decisions and increased patient engagement • Central archive – access for authorized health personnel by patient consent • Citizens may opt out of archive • Pilot 2013 9 Helse- og omsorgsdepartem entet
Government’s goal • Health personnel shall have easy and secure access to patient information • The citizens shall have access to easy and secure digital services • Data shall be accessible for quality improvement, health monitoring, management and research Helse- og omsorgsdepartementet 10 Helse- og omsorgsdepartem entet
Challenges • The technological possibillities have not been utilised • Many independent entities • Many systems, little integration Helse- og omsorgsdepartementet 11 Helse- og omsorgsdepartem entet
Government’s actions • One patient – one record • My health –digital sevices for patient • Stronger national control and coordination • Compleat ongoing measurs 12 Helse- og omsorgsdepartementet Helse- og omsorgsdepartem entet
One patient, one record • The regulations shall support the integrated care • Review and simplify the regulations • Alternative solutions shall be studied before a decision is made Helse- og omsorgsdepartementet 13 Helse- og omsorgsdepartem entet
Protection of privacy and patient safety Helse- og omsorgsdepartementet 14 Helse- og omsorgsdepartem entet
My health –digital sevices for patient • Access to your own information • Self-service and elektronic dialogue • Making data available for development of apps and sevices on the internett Helse- og omsorgsdepartementet 15 Én innbygger - én journal 17.04.2013 Helse- og omsorgsdepartem entet
Stronger national control and coordination • Coordination of common goal scenarios • Key sets of agreements • Requirements for ICT systems through laws and regulations • Standardisation and certification • Organisation • Money Helse- og omsorgsdepartementet 16 Helse- og omsorgsdepartem entet
Completing ongoing activities Helse- og omsorgsdepartementet 17 Helse- og omsorgsdepartem entet
One patient – one record Helse- og omsorgsdepartem entet
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