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EHR Systems Quality Labelling and Certification Danish Case

EHR Systems Quality Labelling and Certification Danish Case. Morten BRUUN-RASMUSSEN mbr@mediq.dk. Belgrade. 22 nd November, 2011. AGENDA. The Danish Health Care Sector Certification EuroRec Seal Messaging General Practitioner EHR systems Shared Medication Record. 1.

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EHR Systems Quality Labelling and Certification Danish Case

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  1. EHR Systems Quality Labelling and CertificationDanish Case Morten BRUUN-RASMUSSEN mbr@mediq.dk MEDIQ Belgrade. 22nd November, 2011

  2. AGENDA • The Danish Health Care Sector • Certification • EuroRec Seal • Messaging • General Practitioner EHR systems • Shared Medication Record MEDIQ

  3. 1 The Danish Health Care Sector MEDIQ

  4. Denmark • Parliamentary democracy and constitutional monarchy • 5,5 mill. inhabitants • 90,1% Danish • 9,9 % other • 5 Regions • 98 Municipalities • Equal and free access to healthcare MEDIQ

  5. Health Care System: Administrative levels National Ministry of Interior and Health Regional 5 Regions Local 98 Municipalities MEDIQ

  6. Health Care Providers – 3 sectors Primary Care Responsible for: General health problems including prevention and chronic diseases Hospitals Responsible for: Specialised treatment and intensive care Municipalities Responsible for: Prevention, rehabilitation and social care MEDIQ

  7. 2 Certificatation MEDIQ

  8. Business Model and Costs High Costs Low Costs Self assessment Third Party Certification MEDIQ

  9. presentation Clinical Interoperability functionality clinical content terminology Semantic interoperability model format & storage transmission Technical interoperability Communication Interoperability (ALT model) Continuity and quality Organisational level FUNCTIONAL Application level presentation Logical level TECHNICAL functionality clinical content terminology Technical level model MEDIQ format & storage transmission

  10. 3 EuroRec Seal MEDIQ

  11. EuroRec Seal - Guideline Functional testing/certificaion • Test environment • Test scenarios • Test data • Conformance criteria's • Schedule for testing • Test log • Delivery document MEDIQ

  12. EuroRec Seal MEDIQ

  13. 4 Messaging MEDIQ

  14. Cross sector communication Technical testing/certification + Functional testing/certification • National health care network (1992 ) • Frequent messages in large volumes • Discharge letters, prescriptions, lab. request and results, referrals, consultation notes.... • More than 100 profiles (2011) • Vendor systems are tested by MedCom • www.medcom.dk MEDIQ

  15. 5.5 mill. messages per month MEDIQ

  16. Test results are published MEDIQ

  17. 5 GP systems and ICPC - 2 MEDIQ

  18. ICPC • International Classification of Primary Care • Has become a standard all over the world • The ICPC contains 17 chapters • A General and unspecified • B Blood, blood forming organs, lymphatics, spleen • D Digestive • F Eye • H Ear • K Circulatory • L Musculoskeletal • N Neurological • P Psychological • R Respiratory • S Skin • T Endocrine, metabolic and nutritional • U Urology • W Pregnancy, childbirth, family planning • X Female genital system and breast • Y Male genital system • Z Social problems • ICPC 2 is an extended terminology • A Danish ICPC 2 code chart can be downloaded, printed and used by the GP to find an the ICPC code for a symptom/diagnose MEDIQ

  19. GP systems in Denmark (June 2011) 16 vendor of GP systems MEDIQ

  20. ICPC 2 - requirements Functional testing/certificaion Enable coding of diagnosis in GP systems A national specification for the implementation of ICPC 2 Agreed with the vendors Systems must by certified MEDIQ

  21. Conformance levels MEDIQ

  22. ICPC test results are published Percent of tests passed MEDIQ

  23. 6 Shared Medication Record (SMR) MEDIQ

  24. SMR: Paradigm shift FROM sending TO sharing MEDIQ

  25. What is SMR? A Service provider of online medication data to share and update Central SMR service Secure Health-care network - Transport- Security,- Connection Service-platform Local EMR/EHR Local service consumerthat uses online data via a distributed service platform MEDIQ

  26. SMR and EHR in Hospitals • Five years work • Specification • Development • Discussions • Mandatory to use • Primary care • Secondary care • All other • Health professionals can be fined if they do not update the SMR • Fully implemented by end 2012 Technical testing/certification + Functional testing/certification MEDIQ

  27. SMR on mobile devices MEDIQ

  28. Thank you.. • Morten BRUUN-RASMUSSEN • mbr@mediq.dk MEDIQ

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