Medication records and e-Prescriptions Denmark MedCom Danish Centre for Health Telematics Ib Johansen, MI www.medcom.dk.

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Presentation transcript:

Medication records and e-Prescriptions Denmark MedCom Danish Centre for Health Telematics Ib Johansen, MI

e-Prescriptions – Medication records Denmark MedCom Danish Health Sector Danish Health Care data Network e-Prescribing –ETP –Support systems Medication Record

Copenhagen

MedCom The Danish Health Care Data Network FynCom The Funen Health Care Data Network International Projects CoCo, Primacom, Wise, Picnic, Prestige, OpenECG, Baltic-eHealth...

Danish Health Sector 63 (41)Public hospitals – Beds >10 private hospitals- < 150 Beds 3400 GPs (2000 clinics) 804 Private specialists Part time 331 Pharmacies 2700 Dentists (1650 clinics) 1793 Physiotherapist (550 clinics) 225 Chiropractors 546 Psychologists 15 Counties/Kbh/Frberg/Bornholm 271 Municipalities 1 private Health Insurance

2006/07 Danish Health Sector 63 (41)Public hospitals – Beds >10 private hospitals- < 150 Beds 3400 GPs (2000 clinics) 804 Private specialists Part time 331 Pharmacies 2700 Dentists (1650 clinics) 1793 Physiotherapist (550 clinics) 225 Chiropractors 546 Psychologists 5 Regions 98 Municipalities 1 Private Health Insurance

VANS All using national MedCom EDI / XML-standards

Why making Prescriptions electronic ?

Readable No retyping No misuse Medicine ready when patient show up Accessible from all Pharmacies Reuse of data from GP to Pharmacy Reuse data for Medicine profile / medication record Health Telematics Danish Centre for MedCom ijo ©

Prescriptions = 73% Prescriptions = 87% Disch. Letters = 85 % Disch. Letters = 88 % Lab.reports = 82 % Lab.reports = 98 % Referrals = 60 % Referrals Reimbursement = 92 % GP´swithEDI : 2150 = 98 % SpecialistswithEDI: 639 = 80 % HospitalswithEDI : 63 = 100% Pharmacies withEDI: 331 = 100 % Doctors onCall: 15 = 100 % Health Insurance: 17 = 100 % 79messages/min Lab Requests = 15 %

VANS e-Prescriptions Denmark

E-Prescriptions Supporting systems-Patient

E-Prescriptions Supporting systems-Patient

E-Prescriptions Supporting systems-Patient

E-Prescriptions Supporting systems, GP X

E-Prescriptions Supporting systems, GP Common Data Foundation (CDF) Updated electronically every 2nd week Drug ID –Content generic, –Strength, –Package: size, price, –Form(i.e. tabl, liq) –Substitution –ATC code –Dosage and indication –Warnings, traffic –Dosage text –Indication text –And more

E-Prescriptions Supporting systems, GP Patient Electronic Medicine profile (PEM) (Medication Record)

e-Prescriptions Denmark E-Prescription server VANS

E-Prescriptions Supporting systems, Pharmacy, Common Data Foundation

E-Prescriptions Supporting systems, Pharmacy, Common Data Foundation CTR National Medicine Account database <75 €, €, €

E-Prescriptions Supporting systems, Pharmacy, Common Data Foundation CTR National Medical Account database

E-Prescriptions Supporting systems, Pharmacy, Common Data Foundation CTR National Medical Account database Reimbursement County (1/month)

E-Prescriptions Supporting systems, Pharmacy, Common Data Foundation CTR National Medical Account database Reimbursement County (1/month) Private Health Insurance (1/day)

E-Prescriptions Supporting systems, Pharmacy, Common Data Foundation CTR National Medical Account database Reimbursement County (1/month) Private Health Insurance (1/day) PEM

GP-Clinic Prescription /orders Patient

From Hospitals

Cave

Interactions

Medicine Prescribed / not prescribed.

CTR Account 100 % refunded

Generics

Compliance

2.nd fase Medication record –On the way to a National Medication database –Accessible using national certificate through Health Portal –For Health professionals and citizens –Reuse data, based on e-Prescriptions E-Prescriptions Medication database