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

5

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