nictiz presentation at health 2.0 amsterdam
TRANSCRIPT
Deze presentatie
1. Hoofdpunten innovatiebrief – rol Nictiz 2. Meaningful use voor Nederland 3. eHealth Monitor 4. EC: National Competence Centre 5. Coordinatie terminologie in NL 6. Verbinding preventie-cure-care – sociale
domein 7. Beeldvorming in politiek
NICTIZ: National Competence Centre for Interoperability and eHealth
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• 100 hospitals, 4500 GP practices, 1800 pharmacies, each responsible for their own finance, medical policies, and IT
• Increase in multidisciplinary, cross-enterprise healthcare
• Specialisation of hospitals
à Interoperability problems are large on all levels
à Data on quality and efficiency urgently needed
à Urge for standards
à Much debate (“polder”-model)
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Why are we here?
• Founded in 2002 as a national competence centre for HIT
• Later - strong focus on achieving the national infrastructure
• Decoupled from national infrastructure since 2012
• 95% government funded, 45 fte • Two tasks: HIT standards and monitoring
eHealth
Nictiz - history
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4
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Is able to exchange information electronically
Would like to have more opportunities
Advice from med. specialist to GP using teleconsulting
Med Specs ECG
Pict. of skin GP’s Experience
positive effects of electronic information exchange
GP Med. spec
GP’s with pharmacies,
hospitals, LTC’s
Med. spec with internal
dept.
Med .spec with GP’s
Despite fragmentation, high level
But re-use of data is limited… very likely likely unsure unlikely very unlikely Finland Indonesia Israel Singapore Sweden UK Belgium Canada Estonia France Iceland Japan Korea Poland Portugal Slovakia Denmark Slovenia Spain US Mexico Austria Germany Netherlands Switzerland Total 6 10 4 1 4
Source: OECD, June 2013
22:17 4 gewonden
22:28 1 gewonde
Afstand tot WFG:9,5km
Afstand tot MCA:18,8km
Emergency Care Providers
11 trauma regions
725 ambulances
22 emergency rooms
104 emergency departments (hospitals)
122 after hours GP-offices
9800 GP’s (4800 GP-offices)
Standards developed with partners
ministerie van Volksgezondheid, Welzijn en Sport (VWS)
ERF Elektronisch Ritformulier
ERF Elektronisch Ritformulier
ERF Elektronisch Ritformulier
SEH
HL7V3
HL7V3
HL7V3
SEH
Ambulance zorg bv
Connexxion
Inzage via portaal of digitale berichten
SVS (Slachtoffer
Volgsysteem)
Huisarts
Terugmelding via MEDVRIJ en zorgmail
Various information flows in acute care chain
scenario 3B
LSDV Landelijke
server digitale
voormelding
AZN
Subset vd data uit het HL7 bericht
scenario 1
Demonstratie AZP - Overzichtsscherm -
Acute Care Portal
Actual use: 23 hospitals (of 104) 5 emergency rooms (of 22)
Brainstormsessie VWS-Nictiz werkplan 2015 - dd 15 juli 2014 13
Meaningful use
37000+ participants 1200 health IT vendors Leading topics: - Meaningful Use - Interoperability - Engage patient and consumers through technology - Connected patient “The showcase features Meaningful Use certified systems ..”
Meaningful use HIMSS Orlando 2014
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Financial Support
Reimbursement In Medicare and Medicaid
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Meaningful use
Dutch meaningful use?
Digital File Exchange
Patient access Clinical Process?
Quality im-provement
Standards are mandatory
Effective use (and results) Required for reimbursement
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Meaningful use Comparison US - NL US Netherlands
Privat health care providers Privat health care providers
Government pays medicare and medicaid
Government does not pay health care
No government control on health insurers
Regulatory control health insurers
Carrot: subsidy Carrot: ?
Stick: reduced use of medicare/ medicaid programs
Stick: ?
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Your views?
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More info about Nic3z: www.nic3z.nl