Electronic Health Record and Connector

The utilization of software and hardware as an enabler for an integrated eHealth

network

Dietmar Pfähler07. Juni 2005

2eHealth Sofia7th June 2005

ICW: The eHealth Company

The Electronic Health Record

The Connector

Ohter components in the eHealth environment

PHR is the core element of an integrated ehealth network

How to support the network between all players in the health industry

Agenda

3eHealth Sofia7th June 2005

FACTS TO THE COMPANY

InterComponentWare was founded in 1998

Headquarter: Walldorf/Baden in Germany

Locations: San Mateo, CA (USA) – Product Management and SalesSofia (Bulgaria) – DevelopmentVienna (Austria)

Employees: about 125

Independent shareholder structure

Main investor: Dietmar Hopp (founder member of SAP AG)

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Product Lines

TelematicsTelematicsInfrastructureInfrastructure

Technology by

ICW AG

Reginal Health Network

InfrastructureSolutions

ClinicalInfrastructure

Solutions

LifeSensor health record

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ICW: The eHealth Company The Electronic Health Record The Connector Ohter components in the eHealth environment PHR is the core element of an integrated ehealth

network How to support the network between all players in the

health industry

7eHealth Sofia7th June 2005

The Electronic Health Record

… it‘s a copy of all relevant health data of a patient. It covers a lifelong history and is under control of the patient. The data are are always and world wide accessable.

Additional information are prevention actions and care action plans, vital parameters from home care devices and nutrition- and fitness data about the patients health and training status.

The EHR is supported via automated data integration between the source systems and the EHR.

Quote: Thielscher, Schroeders in Projekt „PEP“ – Telemedizinführer 2003

8eHealth Sofia7th June 2005

EHR in Summary

Everywhere / Anytime:

Accessable for all healthcare providers – even during an emergency case

Copy of Data:

The duty of documentation remains with the health professionals

EHR contains redundant data

Relevant Data: Not all data but at least: current treatment information and doctors letters expensive and intensive diagnosis and test results

The integration of admin and accounting data together with treatment and health status data are one of the goals of modern eHealth systems

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The New Role of the Patients

The need to handover the control of the EHR to the patient comes from:

To avoid illegality issues with personal data protection law

To challenge the own participation of the patient

To encrease the transparancy of the treatment process for the patient

To encrease the specific knowledge of the patient about health relevant subjects

To allow the involvement of the role a health coach into the patient care process

The EHR is the patients personal source system

10eHealth Sofia7th June 2005

ICW: The eHealth Company The Electronic Health Record The Connector Ohter components in the eHealth environment PHR is the core element of an integrated ehealth

network How to support the network between all players in the

health industry

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The Medical NTBA (Connector)at care provider

Primary System

medical providers / pharmacy

VPN Tunnel

network basedservices

Productsof ICW

Kiosk

DSL - VPN- Router

Primary System

MedicalNTBA

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Why do we need a Connector?

It is „the“ standard interface between all players in eHealth.

Standard interfaces to the following services:Master Data and CMSPrescription ServicesDocumentation of medicationsEssential data of the patient history

Open interfaces are provided for:Providers of additional servicesThe electronic health record……

The connector ist the open door for: All Source Systems in healthcareAll providers of additional services

15eHealth Sofia7th June 2005

ICW: The eHealth Company The Electronic Health Record The Connector Ohter components in the eHealth environment PHR is the core element of an integrated ehealth

network How to support the network between all players in the

health industry

17eHealth Sofia7th June 2005

Internet

Regional health care information network

VPN - Tunnel

VPN - Tunnel

health care provider n

DSL - VPN- Router

Kiosk

MedicalNTBA

Kiosk

MedicalNTBA

health care provider 1

network based services

Nationalhealth care

network(backbone)

VPNGateway

Gatewayto

LifeSensor / Voluntary

Applications

WebServer

CAMS Medical NTBARemote Management

Gatewayto

GKV / PKVChambers / TC

ePrescriptionServer

ICW Basic Record

DatabaseServer

CertificateServerLDAP

Server

Central Services

ApplicationServer

Primary System

Primary System

DSL - VPN- Router

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ICW: The eHealth Company The Electronic Health Record The Connector Ohter components in the eHealth environment PHR is the core element of an integrated ehealth

network How to support the network between all players in the

health industry

24eHealth Sofia7th June 2005

The Electronic Health Record is already Today the Backbone of eHealth

The EHR is the general documentation cross all sectors in the healthcare industry

Can be used as the backbone for activity tracking and accountingCan be the access point for all providers in healthcareProvides a lifelong medical history about every patientCan be used as a decision support system for med. doctors for better treatments, quality of care and continuitiy of careElektronical distribution of doctor letters, diagnosis, tests and other relevant medical information

Dramatical reduction of errors Double test can be avoidedReduction of resourcesOptimization of staffing for medical services Costenreduction via optimazation of medical processes

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The Electronic Health Recordhas a modular design

There are basic elements which covers most of the medical needs (e.g. emergency data, vaxination, risk factors, current medication)

Additional patient services (assistents) support the patients with special informations and guidance (diabetes, cancer, etc.)

Quality of Care can be implementedCare action plans according to medical guidelinesMedical and clinical pathways for the interaction between different provicersUse of Informations about research studies

Accounting relevant dataflow can be tracked

26eHealth Sofia7th June 2005

ICW: The eHealth Company The Electronic Health Record The Connector Ohter components in the eHealth environment PHR is the core element of an integrated ehealth

network How to support the network between all players in the

health industry

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Regional Health Information Network

Health Network

EHR(clinical basicdata, DMP-Assistents

ConnectorRemote Manager

Central Services(platform

management)

Primärsystem

GP 1

DSL - VPN- Router

Primärsystem

GP …

DSL - VPN- Router

Primärsystem

Hospital n

DSL - VPN- Router

Primärsystem

Pharmacy

DSL - VPN- Router

Primärsystem

Phys.therapist

DSL - VPN- Router

Bit4HealthConnector

Bit4HealthConnector

Bit4HealthConnector

Bit4HealthConnector

Bit4HealthConnector

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Summary

The product portfolio of ICW compromises all infrastructure components which are necessary to support mandatory and voluntary applications of the electronic health card (eHC).

Platform is designed open, so that further provider of voluntary applications can use their products to access the health care network.

Product and provider specific scope which is not related to core business of ICW is covered by partners.

The current solution of ICW is ready for use in test regions and pilot regions.

29eHealth Sofia7th June 2005

Thank you for your attention!

Thank you for your attention!