1ere conférence nationale stratégie ehealth
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1ere Conférence nationale stratégie eHealth. Arbeitsgruppe Bund und Kantone Erarbeitung einer eHealth Strategie im Rahmen eGovernance. 1ere Conférence nationale stratégie eHealth. 1ere Conférence nationale stratégie eHealth. The 4 Levels: Needs, aims and means International (WHO, EU) - PowerPoint PPT PresentationTRANSCRIPT
1ere Conférence nationale1ere Conférence nationalestratégie eHealthstratégie eHealth
Arbeitsgruppe Bund und Kantone Arbeitsgruppe Bund und Kantone
Erarbeitung einer eHealth Strategie im Erarbeitung einer eHealth Strategie im Rahmen eGovernanceRahmen eGovernance
1ere Conférence nationale1ere Conférence nationalestratégie eHealthstratégie eHealth
20062006 JanJan FebFeb MrzMrz AprilApril MaiMai JuniJuni JulJul AugAug SepSep Okt.Okt. NovNov DezDez
ProjektvorbereitungProjektvorbereitung
SituationsanalyseSituationsanalyse
Definition HandlungsfelderDefinition Handlungsfelder
Ziele, MassnahmenZiele, Massnahmen
Entscheidwege Bund, KantoneEntscheidwege Bund, Kantone
1ere Conférence nationale1ere Conférence nationalestratégie eHealthstratégie eHealth
The 4 Levels: Needs, aims and The 4 Levels: Needs, aims and meansmeans
International (WHO, EU)International (WHO, EU) Federation Federation Cantons Cantons State State Providers Providers State State Users Users providersproviders
1ere Conférence nationale1ere Conférence nationalestratégie eHealthstratégie eHealth
Part played by the Part played by the FederationFederation
No money, no legal basis (except card for No money, no legal basis (except card for the insured)the insured)
Regulator, who suggests technical Regulator, who suggests technical standards and proceduresstandards and procedures
Regulator, who implements the legal Regulator, who implements the legal framework of the EU. CH legal processes framework of the EU. CH legal processes too sneaking to meet the requirementstoo sneaking to meet the requirements
User of services for his own objectivesUser of services for his own objectives
1ere Conférence nationale1ere Conférence nationalestratégie eHealthstratégie eHealth
Public Private Partnership PPP: The Public Private Partnership PPP: The big buzzwordbig buzzword
Adored and loved by people, who Adored and loved by people, who don‘t know what they wantdon‘t know what they want
Can only be worked out by people, Can only be worked out by people, who know their needs and can strike who know their needs and can strike a deal on real grounda deal on real ground
1ere Conférence nationale1ere Conférence nationalestratégie eHealthstratégie eHealth
WHOWHO
eHealth Tools Services as checklisteHealth Tools Services as checklist Survey in 93 countries, 65% of all Survey in 93 countries, 65% of all
WHO statesWHO states Replication for CH (without knowing Replication for CH (without knowing
the answers to the survey questions)the answers to the survey questions)
1ere Conférence nationale1ere Conférence nationalestratégie eHealthstratégie eHealth
Tools: Electronic Medical RecordsTools: Electronic Medical Records
Pts clinical history (diagnosis, Pts clinical history (diagnosis, therapy) therapy) Federation: can define standardsFederation: can define standards Implementation by professional Implementation by professional groups, providers groups, providers
1ere Conférence nationale1ere Conférence nationalestratégie eHealthstratégie eHealth
Tool: Pt. Information SystemTool: Pt. Information SystemHospital Information SystemHospital Information System
Information of hospitalized Pts in Information of hospitalized Pts in a department/hospital a department/hospital Structure/implementation by Structure/implementation by owner (cantons) owner (cantons)
1ere Conférence nationale1ere Conférence nationalestratégie eHealthstratégie eHealth
Tool: GP Information SystemTool: GP Information System
Ideological barriers erected by Ideological barriers erected by involved professions involved professions Self definition has to be changed Self definition has to be changed before launching becomes possible before launching becomes possible
1ere Conférence nationale1ere Conférence nationalestratégie eHealthstratégie eHealth
National electronic registriesNational electronic registries
Federal taskFederal task Insular activities (=> BfS)Insular activities (=> BfS) No strategy/blueprints for a No strategy/blueprints for a national database of clinical – national database of clinical – epidemiological data epidemiological data
1ere Conférence nationale1ere Conférence nationalestratégie eHealthstratégie eHealth
Electronic prescribingElectronic prescribing
Much gossip, no deedsMuch gossip, no deeds FederationFederation can only make can only make suggestions (KVG 58) no sufficient suggestions (KVG 58) no sufficient legal fundament for intervention legal fundament for intervention CantonsCantons as owner of hospitals as owner of hospitals
1ere Conférence nationale1ere Conférence nationalestratégie eHealthstratégie eHealth
Decision support systemsDecision support systems
Cost sparing!Cost sparing! One of the most important toolsOne of the most important tools for pt. Safety! for pt. Safety! CH: Fallow landCH: Fallow land No role for the federation; No role for the federation; Cantons?Cantons?
1ere Conférence nationale1ere Conférence nationalestratégie eHealthstratégie eHealth
TelehealthTelehealth
CH one of the most advanced country in CH one of the most advanced country in EU (without federal or cantonal support)EU (without federal or cantonal support) Call centers for an increasing part of the Call centers for an increasing part of the population the basic reference population the basic reference Shared data management over distanceShared data management over distance (digital x Rays, PACS, Telepath.etc) (digital x Rays, PACS, Telepath.etc) Revolution of the health careRevolution of the health care delivery systems („Grundver- delivery systems („Grundver- sorgung“, „Spitalplanung) sorgung“, „Spitalplanung)
1ere Conférence nationale stratégie eHealth1ere Conférence nationale stratégie eHealthServicesServices
Myriad of needs for servicesMyriad of needs for services FederationFederation: Improving of: Improving of
administrative services administrative services (eGovernance), information (eGovernance), information
CantonsCantons: Owner of institutions (eg.: Owner of institutions (eg. Hospitals), faced with the needs of Hospitals), faced with the needs of their population their population
Professional groupsProfessional groups, patients, , patients, citizens: particular interests citizens: particular interests
1ere Conférence nationale1ere Conférence nationalestratégie eHealthstratégie eHealth
FederationFederation Defines standards and procedures if Defines standards and procedures if
necessarynecessary Defines legal framework, if necessaryDefines legal framework, if necessary CustomerCustomer Cantons: as federation, +Cantons: as federation, + Application as owner of hospitals and in Application as owner of hospitals and in
response to needs of their application response to needs of their application much more importantmuch more important
ProvidersProviders Need a stableNeed a stable regulatory framework for regulatory framework for
long term engagement and planninglong term engagement and planning