Mistä ratkaisu suomalaisen terveydenhuollon potilastietojärjestelmähaasteisiin? Antti Lastunen, Senior Vice President Industries & Marketing

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1 Mistä ratkaisu suomalaisen terveydenhuollon potilastietojärjestelmähaasteisiin? Antti Lastunen, Senior Vice President Industries & Marketing

2 We create Inventive Solutions and bring success for people, businesses and communities in everyday life Effectivity, productivity and user experience Industry architectures, integration and multi-channel services

3 SHOULD WE GO FISHING OVERSEAS?

4 FINDINGS IN A RECENT STUDY ABOUT FINNISH HEALTH IT (SYSTEMS) Sairaaloissa ongelmia esiintyi enemmän kuin terveyskeskuksissa. Useissa järjestelmissä kritiikkiä herättivät yhteenvetonäkymän puuttuminen ja lääkitystietojen esitystavan epäselvyydet. Järjestelmät eivät myöskään tukeneet lääkärien ja hoitohenkilökunnan yhteistyötä. Potilasturvallisuuteen liittyviä ongelmia ilmeni huolestuttavan paljon. (Ilkka Winblad, et al. Suomen Lääkärilehti 50 52/2010 vsk 65) 4

5 HOW ABOUT IN DENMARK? Denmark Leads the Way in Digital Care ( ) Dr. David Blumenthal, a professor of health care policy at Harvard Medical School who was named by President Obama as national coordinator of health information technology, has said the United States is well behind Denmark and its Scandinavian neighbors, Sweden and Norway, in the use of electronic health records. Several studies, including one to be published later this month by the Commonwealth Fund, conclude that the Danish information system Denmark is probably the most advanced country in the world that I have seen, said Denis J. Protti, a professor of health information technology at the University of Victoria in British Columbia. is the most efficient in the world, saving doctors an average of 50 minutes a day in Dr. John D. Halamka, another adviser to the Obama administration on electronic health records, says Denmark offers the United States a peek into the future, with some logistical variations. administrative work. 5

6 MATKAKERTOMUS Käynti tanskalaisessa sairaalassa on hämmentävä kokemus suomalaiselle lääkärille. Tietojärjestelmä on kaikessa mukana, mutta sitä on vaikea huomata, sillä kukaan ei hakkaa näppäimistöä kasvot punaisina. Tietojärjestelmä on nöyrä palvelija ja potilasturvallisuuden varmistaja. Näinhän sen pitäisi toimia. Suomen Lääkärilehti 7/2012 (matkakertomus) 6

7 DENMARK E-HEALTH MODEL COUNTRY eprescription introduced first in Europe The most relevant patient data is collected on a centralized data warehouse Patients with a secure right to see their own data Structured patient information - a standardized communication A functional modular ecosystem - a healthy competition - up to date best practices 7

8 HOW IS IT ORGANIZED IN DENMARK? Health Professionals Access ehealth Portal (Sundhed.dk) Citizen Access Services on National level CPR National Patient Register National Patient Index Shared Medical Record E-Journal Vaccination Register National PACS Archive National Quality Registers Specialized Care Clinical Infomation System Standardized Communication General Practitioner Primary Care Home Care Enterprise Service Bus Dental Care Occupational Health Lab RIS/PACS Pharmacy Anesthesio logy PDM Pharmacy Social Care 8

9 NORDIC COLLABORATION Based on well established concepts in Denmark Supports the Nordic welfare state model Supports healthy competition, local knowledge and the industry's development Ensures accountability and service development close to the customer Digia will be responsible Ecosystem architecture and integration Ecosystem functioning and development How does the success look like? 9

10 THE SOLUTION VISION

11 SEAMLESS DATAFLOW Citizen/Patient Portal One view for the patient Hospital Primary care Social care Easy access to data Systems supporting work Automation SEAMLESS FLOW OF INFORMATION OVER ORGANISATIONAL UNITS Standard open interfaces 11

12 MODULAR APPROACH EXAMPLE HOSPITAL Unit s Best Of Breed Solutions Laboratory Radiology Operating room EPR (Columna) ICU Examples of taking benefit of existing investments Time booking Episode Discharge Reporting 12 Invoicing

13 SUMMARY Nordic - experiences from Denmark Local expertise - fair competition and development Goal of seamless treatment process - satisfied users and customers 13