E-HEALTH

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Furkan GÜLÜMErtuğ TAKILMerve ÇAMOsman ÇELİKCeyda ÖZSOY

E-HEALTH

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WHAT WILL WE TALK ABOUT??

• 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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• 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.

WHAT IS E-HEALTH?

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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.

SO, WHAT IS E-HEALTH?

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• 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.

ADVANCED IN TECHNOLOGY

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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.

ENABLING PEOPLE TO MANAGE THEIR OWN HEALTH!

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• 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?

IS IT POSSIBLE TO REACH EVERYBODY BY FACE TO FACE??

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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.trwww.uzmantv.comwww.e-hamile.net

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• Also called Electronic Medical Records(eMR.)An electronic health record (EHR) is a digital version of a patient’s paper chart. EHRs are real-time, 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

E-HEALTH RECORDS(EHR)

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E-HEALTH RECORDS(EHR)

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• 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.

HOSPITAL INFORMATION SYSTEMS(HIS)

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• 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.

PATIENTS INFORMATION SYSTEMS(PIS)

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• 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…)

GENERAL PRACTITIONER INFORMATION SYSTEMS(GPIS)

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GENERAL PRACTITIONER INFORMATION SYSTEMS(GPIS)

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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

E-PRESCRIPTION

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E-PRESCRIPTION

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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.

NATIONAL ELECTRONIC REGISTRIES

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The Registry collects case reports of drug-induced 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.

NATIONAL DRUG REGISTRIES

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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.

TELE-HEALTH

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• 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 e-health 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.

BENEFITS OF E-HEALTH

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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.

THE 10 e’s in E-HEALTH

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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, e-health 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 patient-physician 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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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.

E-HEALTH INFRASTRUCTURE

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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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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

INTERNATIONAL SOCIETY FOR TELEMEDICINE AND E-HEALTH(ISfTeH)

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• 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.

NATIONAL E-HEALTH COUNCILS

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• 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.

E-HEALTH CORPS

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• 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.

E-HEALTH STEERING COMMITEES

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• 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.

CENTRES/NETWORKS OF E-HEALTH EXCELLENCE

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• 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-for-profit, 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 e-health professionals outside the country, to the mutual benefit of all involved, the society should be affiliated with international e-health federations.

E-HEALTH PROFESSIONAL SOCITIES

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• A well-organized national infrastructure for e-health 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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• 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

E-HEALTH IN TURKEY

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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.

THE PROJECTS IN TURKEY

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World Health Organization, up to 2010, aimed people to reach family and community-basedhealth 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 beenapplied in all provinces.

AILE HEKIMLIĞI BILGI SISTEMI

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• Making measurements of Diabetes, Blood Pressure and transmissing the measurementdata to the health unit.

• Measurements are followed by emergency call center doctors and in necessary situationsdoctors intervene fastly.

TELETIP

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‘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’

MERKEZI HASTANE RANDEVU SISTEMI(MHRS)

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• 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.

İLAÇ TAKİP SİSTEMİ

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KARAR DESTEK SİSTEMİ

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• KDS is a systematic structure which provides data collection, storage, analysis. This data collection Used for critical decision-making process.

• Data will be stored in electronic environment without repeatedly.

• 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.

KDS…

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E-reçete is a prescription which is created by doctors, saved on MEDULA systemwith its electronic receipt number.

E-REÇETE

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Purposes of this application;

• Overcoming victimization due to lack of information on paper,

• Prevention of irregularities,

• Saving time.

E-SEVK

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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.

PROJECTS IN THE WORLD HEALTH ACADEMY

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• 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

USB STICK-PERSONAL INFORMATION STICK

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