1. Health-IT Meaningful use Ib Johansen Deputy manager, MedCom Denmark Health Telematics Danish Centre for MedCom

2. Prescriptions 1039105 = 73% Prescriptions 1389023 = 84% Disch. Letters 682923 = 85 % Disch. Letters 1131750 = 99 % Lab.reports 543040 = 82 % Lab.reports 988151 = 99 % Referrals 177525 = 65 % Referrals Reimbursement 21049 = 99 % GP´swithEDI : 2120 = 100 % SpecialistswithEDI: 790 = 99 % HospitalswithEDI : 63 = 100% Pharmacies withEDI: 322 = 100 % Doctors onCall: 5 = 100 % Health Insurance: 5 = 100 % 120 messages/min Lab Requests 549840 = 99 %

3. E-Prescriptions Patient Electronic Medicine profile (PEM) Including vaccination (2011)

4. Pharmacy Nursing homes GPDoc Call CenterPrivate specialistHome CareCitizenHospital Vision General Mediciation Database contains the actual medication of each citizen and can be displayed and managed in different IT systems.

5. Telephone call from pt. : 25 DKR E-mail from/to pt.: 50 DKR E-Mail contacts with patients

7. Medication profile Central database 2 years

8. WEB – E.LPR Hospital cases (ICD10 coded)

9. Waiting times X

10. View – All Episodes of Care

11. bv

12. Lab results - portal

13. Source: MedCom, 2005 Consultations / EDI penetration

14. Central servers WebReq laboratory requisition WebReq MEDREQ MEDRPT

15. VANS Central servers, e-Referral Hotel e-Referral Hotel Referral Acknowledgement Acknowledgment Referral

16. Consensus-Implementing Contracts Counties/Vendors HPG – groups Technical groups The good EDI-Letters Training NICE concept Documentation Test-certification 1.Test in EDI-CHECK 2.Semantic check, testprotocol 3.All data presented and valid 4.Live test 3. 2 Consolidationprocess

17. Consensus - Implementing Contracts Counties/Vendors HPG – groups Technical groups The good EDI-Letters Training NICE concept Documentation Test-certification Implementation 3. 2 Consolidationprocess

19. Meaningful use MedCom connectaton Health Telematics Danish Centre for MedCom

20. Implementation supported by MedCom

21. Meaningful use Quality –Medication, vaccination –Patient summary –E-mail consultation, booking –ICPC coding –Weight (children database) –Cronic patients, Diabetic, AC, COPD- home treatment, smoking status(coded-uncoded) –Referrals –Lab test orders –Electronic communication (raises productivity) –FNUX –Hospitals ICD10 obligatory coding-report to national disease database ( + cancer database) Incentives to promote implementation –Reimbursement EDI –All lab results EDI –All frequent docs EDI Strategies for national standards and interoperability; –MedCom EDI-standards (all vendors) Vendor certification and technical assistance; –SW – approval / certification –Free test tools The role of a national health integrator; –MedCom Privacy and confidentiality safeguards; –Data protection law Use of public/private partnerships to support innovation –MedCom Health Telematics Danish Centre for MedCom

22. Meaningful use Objectives –Core set – 95 % –Menu set – 80 % Big issues –Patient access to own data –All relevant information ready when needed –No waiting time –Cronic patients self treatment/management Health Telematics Danish Centre for MedCom