Hong Kong VIP Technical Visit

1
Hong Kong VIP Technical Visit

• Health Informatics -
• National Strategies and Standardization
• Efforts in a Nursing Perspective
• Lone Asp, R.N.
• IT-consultant
• Dept. of Medical Informatics

2
Medical Informatics

• A Division of the National Board of Health

3
Health Informatics

• Definition
• The theoretical and practical aspects of
  information processing with focus on the
  development and use of information technology in
  the Health Care Sector.

4
Governmental Strategic Reports

• Plan of Actions on Electronic Patient Records
  (1996)
• National Strategy on Information Technology in
  Hospitals 2000-2002 (1999)

5
Plan of Actions on Electronic Patient Records

• - supported by the Danish counties
• standardization initiatives
• tests on implementation
• tests on technical solutions
• security issues
• organizational development
• strategic co-ordination
• information activities

6
Observed ECHR sites 1998
13 Hospital Settings
7
Latest Results Reported
8
EHCR Observatory 1998-2000

• Conclusions
• significant utility value
• EHCR is organizational projects
• integration is a must for success
• security is handled better electronically than
  paper based

9
National Strategy on Information Technology in
Hospitals 2000-2002

• Continuity of care
• Informed patients
• Quality development
• Cost effective care

10
Primary objective
Quality of care
Organization
IT
Education
11
Primary objective
Qual y of care
Organization
IT
Education
12
Primary objective
Qual y of care
IT
Organization
Education
13
Primary objective
Qual y of care
IT
Organization
Education
14
Primary objective
Qual y of care
IT
Organization
Education
15
Primary objective
Qual y of care
IT
Organization
Education
16
Primary objective
Quality of care
Organization
IT
Education
17
Standardization initiatives

• Security and accessibility issues
• Common reference-models for
• terminology and concept definitions
• registration of patient data - the Model of
  Continuity of Care
• record structure - the Quality Model
• classifications
• Common data-exchange format

18
Health Data Network

• "MedCom will contribute to the development,
  testing, dissemination and quality assurance of
  electronic communication and information in the
  healthcare sector with a view to supporting good
  patient progression."

19
Security issues

• Responsibilities, legal rights and ethics, rules
  and procedures for
• protection of patient privacy
• provision of legal accountability for health care
  professionals
• secure identification of users
• confidentiality protection
• security guidelines

20
Electronic Health Care Record

• Semantic standardization
• Terminology, concepts and definitions
• The Model of Continuity of Care
• The Quality Model as the basic structure of EHCRs
• Formalisation and modelling

21
Focus on Electronic Health Care Records

• A proposal for common national specifications for
  the basic system of concepts to support clinical
  documentation in EHCR
• A public hearing resulted in a revised version of
  the EHCR-specifications in October 2000

22
A conceptual model

• Focus on concepts for information relevant to the
  communication between healthcare parties
• Based on the Europeen pre-standard for EHCR
  architecture - CEN/ENV 13606

23
Quality Model
Diagnose
Objective
Assessment
A continuous problem-solving process
Outcome
Intervention
24
National Strategy on Information Technology in
Hospitals 2000-2002

• Continuity of care
• Informed patients
• Quality development
• Cost effective care