Download E-HEALTH

E-HEALTH
E-HEALTH
Furkan GÜLÜM
Ertuğ TAKIL
Merve ÇAM
Osman ÇELİK
Ceyda ÖZSOY
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WHAT WILL WE TALK ABOUT??
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What is E-HEALTH?
Advanced Technology
E-HEALTH Tools
Why E-HEALTH?
Infrastructure of E-HEALTH?
E-HEALTH in World?
E-HEALTH in Turkey?
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WHAT IS E-HEALTH?
• Before we start to explain E-Health firstly , let
we explain what is health?
Health is a state of complete physical, mental
and social well-being and not merely the
absence of disease or infirmity.
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SO, WHAT IS E-HEALTH?
E-health is the transfer of health resources
and health care by electronic means. It
encompasses three main areas:
• The delivery of health information, for health
professionals and health consumers, through the
Internet and telecommunications.
• Using the power of IT and e-commerce to
improve public health services, e.g. through the
education and training of health workers.
• The use of e-commerce and e-business practices
in health systems management.
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ADVANCED IN TECHNOLOGY
• At home , we could receive video
consultations and 24 hour conditional
monitoring .
• Example : Diabetes Monitoring , glucose
monitoring , sensors , will monitor patients ,
relaying data wirelessly and remotely to
carers.
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ENABLING PEOPLE TO MANAGE
THEIR OWN HEALTH!
A Health Action Plan is a personalized plan
that states the health needs of a person with a
learning disability and how these needs
should be met; it can support the person in
managing their own health needs, and
identify which ordinary healthcare services
and professionals are needed to enable
people to have the necessary support to stay
healthy. Including people with disabilities is an
essential step in creating sustainable
communities.
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IS IT POSSIBLE TO REACH
EVERYBODY BY FACE TO FACE??
• If we had not got internet , I might be so hard
to reach everyboy for giving information.
• Must we go to hospital to make an
appointment?
• Must we go to hospital to learn our test
results?
• Cannot we take information from the doctors
who are far away from us without
transfortation problem?
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IF YOU HAVE A GOOD MANAGEMENT
SYSTEM,CARRYING PEOPLE’S EXPENTATION
IS SO EASY NOW
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www.e-saglık.gov.tr
www.uzmantv.com
www.e-hamile.net
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E-HEALTH RECORDS(EHR)
• Also called Electronic Medical
Records(eMR.)An electronic health record (EHR) is a
digital version of a patient’s paper chart. EHRs are realtime, patient-centered records that make information
available instantly and securely to authorized users.
• Contain a patient’s medical history, diagnoses,
medications, treatment plans, immunization dates,
allergies, radiology images, and laboratory and test
results.
• Allow access to evidence-based tools that providers
can use to make decisions about a patient’s care
• Automate and streamline provider workflow
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E-HEALTH RECORDS(EHR)
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HOSPITAL INFORMATION
SYSTEMS(HIS)
• A hospital information system ( HIS ) is essentially a
computer system that can manage all the information to allow
health care providers to do their jobs effectively. It supports
administration,appointments,billing,planning,budgeting and
personel.
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PATIENTS INFORMATION
SYSTEMS(PIS)
• Technical solutions for and experience with giving patients
access to their electronic medical records.
• This system contains textural and numeric vital data about
the patients.
• A patient can control what information is stored in the
record and which Healthcare Provider Organisations can
access that information.
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GENERAL PRACTITIONER
INFORMATION SYSTEMS(GPIS)
• A general practitioner (GP) is a medical
practitioner who treats acute and chronic
illnesses and provides preventive
care and health education to patients.
• The most important property of this system is
managing and sharing data about patients.
• This system keep connect with other health
care systems.(appointments,billing…)
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GENERAL PRACTITIONER
INFORMATION SYSTEMS(GPIS)
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E-PRESCRIPTION
 E-prescriptions are computer-generated prescriptions
created by your healthcare provider and sent directly to
your pharmacy.
 What are the benefits of e-prescription?
 Fast - Your prescription arrives at your pharmacy before you
leave your doctor’s office.
 Convenient - You don’t have to make that extra trip to drop
off your prescription at the pharmacy.
 Legible - There is no handwriting for the pharmacist to
interpret.
 Economical - makes it easier for your doctor to prescribe
the most cost effective medication based on your insurance
coverage
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E-PRESCRIPTION
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NATIONAL ELECTRONIC
REGISTRIES
Electronic databases of related records on
specific medical issues.They include data on
births,mortality,cancer,diabetes or other
subjects of medical or epidemiological
interest.
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NATIONAL DRUG REGISTRIES
The Registry collects case reports of druginduced ocular side effects from physicians
and other national registries, and surveys the
world literature for drug-related ocular
events.
The goal is to maintain an international
clearinghouse of information on adverse
ocular events associated with drugs, chemicals
and herbals.
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TELE-HEALTH
 Tele-health is the use of electronic information
and telecommunications technologies to support
long-distance clinical health care, patient and
professional health-related education, public
health and health administration.
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BENEFITS OF E-HEALTH
• Although researchers have argued that e-health has some
problems,it's important to not ignore the many benefits of
e-health has to offer.
• E-health encompasses more than just "Internet and
Medicine".
• In order to gain an understanding of what some of the
benefits of e-health,we can look at the Eysenbach's "10 e's
in e-health" view. He believes that the "e" in e-health does
not only stand for "electronic",it implies a number of other
"e's," which together perhaps best characterize what ehealth is all about (or what it should be). All of these have
been issues addressed in articles published in the Journal of
Medical Internet Research.
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THE 10 e’s in E-HEALTH
1)Efficiency - one of the promises of e-health is to
increase efficiency in health care, thereby
decreasing costs. One possible way of decreasing
costs would be by avoiding duplicative or
unnecessary diagnostic or therapeutic
interventions, through enhanced communication
possibilities between health care establishments,
and through patient involvement.
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2)Enhancing quality of care - increasing efficiency
involves not only reducing costs, but at the same
time improving quality. E-health may enhance the
quality of health care for example by allowing
comparisons between different providers, involving
consumers as additional power for quality
assurance, and directing patient streams to the best
quality providers.
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3) Evidence based - e-health interventions
should be evidence-based in a sense that their
effectiveness and efficiency should not be
assumed but proven by rigorous scientific
evaluation. Much work still has to be done in
this area.
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4) Empowerment of consumers and patients - by making
the knowledge bases of medicine and personal electronic
records accessible to consumers over the Internet, ehealth opens new avenues for patient-centered medicine,
and enables evidence-based patient choice.
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5) Encouragement of a new relationship
between the patient and health professional,
towards a true partnership, where decisions are
made in a shared manner.
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6) Education of physicians through online
sources (continuing medical education) and
consumers (health education, tailored
preventive information for consumers)
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7) Enabling information exchange and
communication in a standardized way between
health care establishments.
8) Extending the scope of health care beyond its
conventional boundaries. This is meant in both a
geographical sense as well as in a conceptual
sense. e-health enables consumers to easily
obtain health services online from global
providers. These services can range from simple
advice to more complex interventions or
products such a pharmaceuticals.
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9) Ethics - e-health involves new forms of patientphysician interaction and poses new challenges and
threats to ethical issues such as online professional
practice, informed consent, privacy and equity
issues.
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10) Equity - to make health care more equitable is
one of the promises of e-health, but at the same
time there is a considerable threat that e-health
may deepen the gap between the "haves" and
"have-nots". People, who do not have the money,
skills, and access to computers and networks,
cannot use computers effectively. As a result, these
patient populations (which would actually benefit
the most from health information) are those who
are the least likely to benefit from advances in
information technology, unless political measures
ensure equitable access for all. The digital divide
currently runs between rural vs. urban populations,
rich vs. poor, young vs. old, male vs. female people,
and between neglected/rare vs. common diseases.
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In addition to these 10 essential e's, e-health
should also be
• easy-to-use,
• entertaining (no-one will use something that
is boring!) and
• exciting
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E-HEALTH INFRASTRUCTURE
 We live in a time where ubiquitous access to information is part of
our daily lives. Most of us use the Internet for sending or receiving
information every day. We store data about our daily lives and
thanks to social networks, we are able to stay in contact with other
people even easier than before.
 While every doctor’s office, hospital and insurer keeps a specific set
of information about the progress of their patients’ health, the
patient itself rarely has the possibility to either read or contribute
this set of information.
 The most common goals of large eHealth projects include a
personal health record (PHR), confirmation of a patient’s insurance
status and electronic medication. Electronic medication in particular
has the potential to positively affect daily health care. Not only
does eMedication reduce paper work for health care providers
(HCP), pharmacies and insurers, but also allows a streamlined
process for preventing accidental prescription of medications with a
negative cross interaction.
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• A basic conceptual framework for the e-health
infrastructure in any country has been developed by the
International Society for Telemedicine and eHealth
(ISfTeH). If e-health is to have its maximum positive impact
on a country’s entire health system, the institutions shown
in this picture need not only to exist but also to work
closely together so that the e-health profession in the
country is adequately supported, well organized and
efficient.
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INTERNATIONAL SOCIETY FOR
TELEMEDICINE AND E-HEALTH(ISfTeH)
What is ISfTeH?
Facilitate the international dissemination of
knowledge and experience in Telemedicine and
E-Health and providing access to recognized
experts in the field worldwide
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NATIONAL E-HEALTH COUNCILS
• A national e-health council in each country should be
an instrument for giving relevant policy advice to the
national government.
• In many countries, a national AIDS council has been a
key instrument in the successful fight against the
human immunodeficiency virus (HIV) and acquired
immunodeficiency syndrome (AIDS), partly by
encouraging multisectoral support for the effort.
• National e-health councils could similarly facilitate the
multisectoral support of e-health in matters beyond
the current purview of the national health authority.
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E-HEALTH CORPS
• An e-health corps composed of a professional
category of health worker should be formed in
each country.
• Such “e-health workers” could supplement
and facilitate the work of other health
professionals, such as doctors, nurses and
pharmacists.
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E-HEALTH STEERING COMMITEES
• An e-health steering committee in each
country should advise the national health
authority on setting e-health policy and
determining strategic direction.
• It should also oversee all e-health projects and
programmes in the country and be
responsible for their efficient coordination.
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CENTRES/NETWORKS OF EHEALTH EXCELLENCE
• In 2005, the Fifty-eighth World Health Assembly
recommended the creation of national centres or
networks of excellence for e-health 4 with the aim of
encouraging best practices in, and providing policy
coordination and technical support for, health-care
delivery, health service improvement and capacity
building, and health education and surveillance.
• Such centres or networks could also gather and analyse
relevant information, both nationally and
internationally, and then distribute the results
nationally to support e-health activities.
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E-HEALTH PROFESSIONAL
SOCITIES
• A national e-health society should be created in
each country to act as a forum for e-health
professionals to exchange ideas and share
knowledge. It should be an independent not-forprofit, nongovernmental body. Such a society
could develop and store resources for e-health
and raise the profiles of e-health experts.
• To facilitate the sharing of experience with ehealth professionals outside the country, to the
mutual benefit of all involved, the society should
be affiliated with international e-health
federations.
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• A well-organized national infrastructure for ehealth can help make efficient national e-health
systems a reality and develop careers in e-health,
particularly through capacity building, the
promotion and development of e-health tools
and services, and the resolution of e-health’s
grand challenges.
• In any country, the ISfTeH framework could be a
powerful tool for supporting the internal
transformation of e-health into a mainstream
activity of the entire national health system.
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E-HEALTH IN TURKEY
• In Turkey, the Ministry of Health has full responsibility
for defining and executing eHealth policies.
• The Ministry of Health and its sub-directorates
organise periodic and non-periodic meetings with the
healthcare providers, consumers and vendors before,
during and after definiton of eHealth policies
• www.saglik.gov.tr was started to develop to make
national health information background in 2003
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THE PROJECTS IN TURKEY
1) Sağlık.NET
• Sağlık.NET is a integrated, safe information and
communication platform which aimed improving the
quality of health services by collecting data in
accordance with standards and producing appropriate
information.
• The data which is collected by Sağlık.NET is also
important for identifying problems and taking needed
precautions.
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AILE HEKIMLIĞI BILGI SISTEMI
 World Health Organization, up to 2010,
aimed people to reach family and
community-based
health services and it adopted tnhe concept
of ‘Health For All’ in century 21.
 In Turkey, the first time ‘Aile Hekimliği Bilgi
Sistemi’ was brought to life is 2005, in Düzce.
 Since end of 2010, ‘Aile Hekimliği’ has been
applied in all provinces.
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TELETIP
• Making measurements of Diabetes, Blood
Pressure and transmissing the measurement
data to the health unit.
• Measurements are followed by emergency
call center doctors and in necessary situations
doctors intervene fastly.
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MERKEZI HASTANE RANDEVU
SISTEMI(MHRS)
‘MHRS’ was brought to the life within Health
Reform Project.
Citizens are able to get an appointment from
doctorsand hospitals which they want,
through ‘MHRS’
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İLAÇ TAKİP SİSTEMİ
• Within İTS, drugs’ moves can followed since its
production or importation.
• Last seen location, time and situation of the product can
be saved into the database at a real-time, through QR
code which is on the product’s box.
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KARAR DESTEK SİSTEMİ
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KDS…
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KDS is a systematic structure which provides data collection, storage, analysis.
This data collection Used for critical decision-making process.
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Data will be stored in electronic environment without repeatedly.
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Also the Ministry of Health is still working on integrating Geographic
Information System and Decision Support System. Integrated system has a lot
of benefits, such as early warning.
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E-REÇETE
E-reçete is a prescription which is created by
doctors, saved on MEDULA systemwith its
electronic receipt number.
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E-SEVK
Purposes of this application;
• Overcoming victimization due to lack of information on paper,
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Prevention of irregularities,
• Saving time.
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PROJECTS IN THE WORLD
HEALTH ACADEMY
 The Health Academy's goal is to improve knowledge about
attaining and maintaining good health through e-Learning
the Organization has the means to reach out to people
with information on disease prevention and health
promotion. What is particularly important is the ability to
reach school-age children, those aged from 12-18 years.
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USB STICK-PERSONAL
INFORMATION STICK
• One part of the eHealth for Regions Project was the
development of a Personal Medical Information Stick
for elderly travellers with chronic disease.
• There is some other projects they have finished or in
process its also can be found the link below.
 http://www.ehealthforregions.net/projects/index.php
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