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Electronic Health Record and Connector The utilization of software and hardware as an enabler for an integrated eHealth network Dietmar Pfähler 07. Juni 2005 Agenda ICW: The eHealth Company The Electronic Health Record The Connector Ohter components in the eHealth environment PHR is the core element of an integrated ehealth network How to support the network between all players in the health industry eHealth Sofia 7th June 2005 2 FACTS TO THE COMPANY InterComponentWare was founded in 1998 Headquarter: Walldorf/Baden in Germany Locations: San Mateo, CA (USA) – Product Management and Sales Sofia (Bulgaria) – Development Vienna (Austria) Employees: about 125 Independent shareholder structure Main investor: Dietmar Hopp (founder member of SAP AG) eHealth Sofia 7th June 2005 3 Product Lines LifeSensor health record Telematics Infrastructure Technology by ICW AG Reginal Health Network Infrastructure Solutions Clinical Infrastructure Solutions eHealth Sofia 7th June 2005 5 ICW: The eHealth Company The Electronic Health Record The Connector Ohter components in the eHealth environment PHR is the core element of an integrated ehealth network How to support the network between all players in the health industry eHealth Sofia 7th June 2005 6 The Electronic Health Record … it‘s a copy of all relevant health data of a patient. It covers a lifelong history and is under control of the patient. The data are are always and world wide accessable. Additional information are prevention actions and care action plans, vital parameters from home care devices and nutritionand fitness data about the patients health and training status. The EHR is supported via automated data integration between the source systems and the EHR. Quote: Thielscher, Schroeders in Projekt „PEP“ – Telemedizinführer 2003 eHealth Sofia 7th June 2005 7 EHR in Summary Everywhere / Anytime: Copy of Data: Relevant Data: Accessable for all healthcare providers – even during an emergency case The duty of documentation remains with the health professionals Not all data but at least: current treatment information and doctors letters expensive and intensive diagnosis and test results EHR contains redundant data The integration of admin and accounting data together with treatment and health status data are one of the goals of modern eHealth systems eHealth Sofia 7th June 2005 8 The New Role of the Patients The need to handover the control of the EHR to the patient comes from: To avoid illegality issues with personal data protection law To challenge the own participation of the patient To encrease the transparancy of the treatment process for the patient To encrease the specific knowledge of the patient about health relevant subjects To allow the involvement of the role a health coach into the patient care process The EHR is the patients personal source system eHealth Sofia 7th June 2005 9 ICW: The eHealth Company The Electronic Health Record The Connector Ohter components in the eHealth environment PHR is the core element of an integrated ehealth network How to support the network between all players in the health industry eHealth Sofia 7th June 2005 10 The Medical NTBA (Connector) at care provider Products of ICW medical providers / pharmacy Primary System VPN Tunnel DSL - VPN- Router Medical NTBA network based services Primary System Kiosk eHealth Sofia 7th June 2005 11 Why do we need a Connector? It is „the“ standard interface between all players in eHealth. Standard interfaces to the following services: Master Data and CMS Prescription Services Documentation of medications Essential data of the patient history Open interfaces are provided for: Providers of additional services The electronic health record …… The connector ist the open door for: All Source Systems in healthcare All providers of additional services eHealth Sofia 7th June 2005 13 ICW: The eHealth Company The Electronic Health Record The Connector Ohter components in the eHealth environment PHR is the core element of an integrated ehealth network How to support the network between all players in the health industry eHealth Sofia 7th June 2005 15 Regional health care information network health care provider 1 Internet VPN - Tunnel DSL - VPN- Router Medical NTBA ICW Basic Record VPN CAMS Gateway Kiosk Primary System network based services Medical NTBA Remote Management ePrescription Server Database Server Central Services health care provider n VPN - Tunnel Primary System Kiosk Web Server Application Server Gateway to DSL - VPN- Router Medical NTBA Certificate Server LDAP Server National health care network (backbone) GKV / PKV Chambers / TC Gateway to LifeSensor / Voluntary Applications eHealth Sofia 7th June 2005 17 ICW: The eHealth Company The Electronic Health Record The Connector Ohter components in the eHealth environment PHR is the core element of an integrated ehealth network How to support the network between all players in the health industry eHealth Sofia 7th June 2005 23 The Electronic Health Record is already Today the Backbone of eHealth The EHR is the general documentation cross all sectors in the healthcare industry Can be used as the backbone for activity tracking and accounting Can be the access point for all providers in healthcare Provides a lifelong medical history about every patient Can be used as a decision support system for med. doctors for better treatments, quality of care and continuitiy of care Elektronical distribution of doctor letters, diagnosis, tests and other relevant medical information Dramatical reduction of errors Double test can be avoided Reduction of resources Optimization of staffing for medical services Costenreduction via optimazation of medical processes eHealth Sofia 7th June 2005 24 The Electronic Health Record has a modular design There are basic elements which covers most of the medical needs (e.g. emergency data, vaxination, risk factors, current medication) Additional patient services (assistents) support the patients with special informations and guidance (diabetes, cancer, etc.) Quality of Care can be implemented Care action plans according to medical guidelines Medical and clinical pathways for the interaction between different provicers Use of Informations about research studies Accounting relevant dataflow can be tracked eHealth Sofia 7th June 2005 25 ICW: The eHealth Company The Electronic Health Record The Connector Ohter components in the eHealth environment PHR is the core element of an integrated ehealth network How to support the network between all players in the health industry eHealth Sofia 7th June 2005 26 Regional Health Information Network Pharmacy Health Network Bit4Health DSL Connector - VPN- Router Primärsystem EHR (clinical basicdata, DMP-Assistents Connector Remote Manager Phys.therapist Central Services (platform management) Bit4Health Connector DSL - VPN- Router Primärsystem GP … GP 1 Bit4Health Connector Primärsystem DSL - VPN- Router Bit4Health Connector Primärsystem Hospital n Bit4Health Connector DSL - VPN- Router DSL - VPN- Router Primärsystem eHealth Sofia 7th June 2005 27 Summary The product portfolio of ICW compromises all infrastructure components which are necessary to support mandatory and voluntary applications of the electronic health card (eHC). Platform is designed open, so that further provider of voluntary applications can use their products to access the health care network. Product and provider specific scope which is not related to core business of ICW is covered by partners. The current solution of ICW is ready for use in test regions and pilot regions. eHealth Sofia 7th June 2005 28 Thank you for your attention! eHealth Sofia 7th June 2005 29 Thank you for your attention!