1. Workshop Health Care in the Information Society - on the Prognosis for the Year 2013 May 21 – May 22, 2013, TU Braunschweig Carl Dujat and Andreas Hein: C(2) - HIS: Communication (T16 - T19)

2. 2 Communications - Theses 16 n Data (patient care data, fees, etc.) will primarily be exchanged electronically u P16.1: At least 80% of the data exchanges within a health care institution, or alliance, will take place electronically n State in 2013: u Depends highly on data type and intended purpose è almost completely for financing data and accounting è high percentage for image data and diagnostic findings è bedside documentation and discharge documents on paper (have to be signed) è Probably “mismatch” in P16.1: about 60% will take place electronically

3. 3 Communications - Theses 16 Hübner et al.: IT Report 2012

4. 4 Communications - Theses 16 n Data (patient care data, fees, etc.) will primarily be exchanged electronically u P16.2: Data exchanges between health care institutions, or alliances, will increase by more than 25% u P16.3: The exchange of documents between institutions, or alliances, will take place electronically in over 60% of the cases n State in 2013: u in Germany only inside alliances legally associated by Integrated Care contracts u Probably “mismatch” in P16.3: about 40% will take place electronically

5. 5 Communications - Theses 16 n Data (patient care data, fees, etc.) will primarily be exchanged electronically u P16.4: Compulsory standards will exist for electronic data exchange between health care institutions n State in 2013: u Standards exist for: è Accounting (ADT, KVDT, etc., compulsory) è Quality reports (XML-based format, compulsory) è Image communication (DICOM) è Internal communication in hospitals (HL7) è Intra- & intersectoral communication: IHE is increasing

6. 6 Communications - Theses 17 n Beside personal contacts (conversation, telephone), electronic mail has become a standard form of communication u P17.1: Over 90% of all written contacts between institutions will be by email n State in 2013: u in Germany restricted by legal aspects (data protection, data security, patients rights) u Probably “mismatch” in P17.1: less than 20% will take place by email in hospitals, less than 40% in practices / general practitioners offices

7. 7 Communications - Theses 17 n Beside personal contacts (conversation, telephone), electronic mail has become a standard form of communication u P17.2: Appointments for patient care, admission, etc. will, however, be made primarily by telephone, 20% will be made electronically n State in 2013: u “match”

8. 8 Communications - Theses 18 n The importance of cryptographic methods and digital signatures will continue to increase. The electronic signature will have will have become accepted u P18.1: Over 80% of all official electronic documents will be signed digitally only n State in 2013: u Probably “mismatch” in P18.1: about 10% to 20% all official electronic documents are signed digitally (as a result of the not fully implemented “telematic infrastructure” incl. HPC’s)

9. 9 Communications - Theses 18 n The importance of cryptographic methods and digital signatures will continue to increase. The electronic signature will have will have become accepted u P18.2: More than 90% of the electronic, patient related communication between institutions, or alliances, will be encrypted n State in 2013: u Probably “match” in P18.2: probably 90% of the electronic communication will be encrypted, but the absolute part of it is very small

10. 10 Communications - Theses 18 n The importance of cryptographic methods and digital signatures will continue to increase. The electronic signature will have will have become accepted u P18.3: Over 90% of the professionals working in the health care sector will use a ‘Health Professional Card’ to identify themselves and to sign documents n State in 2013: u Probably “mismatch” in P18.3: about 10% of the professionals working in the health care sector will use a ‘Health Professional Card’ (as a result of the not fully implemented “telematic infrastructure” incl. HPC’s)

11. 11 Communications - Theses 19 n The importance of email, as a form of physician-patient communication, will increase u P19.1: More than 70% of the hospitals and over 20% of the practices will allow qualified members of their medical staff to answer patient questions by email n State in 2013: u in Germany restricted by legal aspects (data protection, data security, patients rights, “Fernbehandlungsverbot”) u Probably “mismatch” in P19.1: less than 10% will take place by email in hospitals, less than 40% in practices / general practitioners offices

12. 12 Conclusions on Communication n Some “mismatches” in T16 to T19 u In general correct tendency, but development slower than expected u Legal aspects (data protection, data security, patients’ rights) u Some technical “mismatches”, e.g. according email è Main communication media in general / in the “society” è Not mail communication media in healthcare è Web services and portals maybe a future solution u Slowly growing “telematics” and “telemedicine”