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National strategy The Netherlands
Ministry of Health, Welfare and Sport,
The Netherlands
Erwin Eisinger
The art of upscaling:
Making patient centered
eHealth available for all people
Connecting health care and social support
• Reform since 2015, more responsibility for municipalities
• De-centralized care and support
• Connected by the ‘community (district) nurse’
Connecting medical and social care:
Exchange of information is crucial in cooperation.
Work &
Income
Housing & support
Environment
Primary care
Long term care
Social
network Secondary care
Health care
Social care
Community nurse
Social community team
Social network
Old paradigm
Radboud UMC
New paradigm
Patients in control of their
health and medical information
1000 flowers are blooming
Common approach to scale-up
20% is
technological
innovation
and
80% is social
innovation
Minister Schippers:
"A large hospital is outdated
in a few years time"
State secretary van Rijn:
"there are dilemma's
in sharing information"
"but the data belongs to the patient
Minister Schippers:
"We now are focused at sickness.
In the near future we will focus on
prevention" How do you get a elephant to dance?
80% of the chronically ill have
direct access to their medical data
75% of the chronically ill have the
possibility to measure their health
functions
People receiving care and support
at home have 24/7 access video
contact to health professionals
and domotica (ADL support)
Three clear targets for more focus of energy:
(video)
Partners in co-creation
What does it look like?
Use eHealth in the Netherlands
2014
2014
Interoperablity in the Netherlands
Use of EMR’s
Bron: 2012 Commonwealth Fund International Health Policy Survey of Primary Care Physicians
99 97 97 96 95 94
72
46
68
37
98 98
97 97
92
88
82
69 67
56
41
0
20
40
60
80
100
NETH NOR NZ UK AUS SWE GER US FR CAN SWIZ
2009 2012
Interoperability: exchange of patient summaries etc of GP’s with other doctors
Bron: 2012 Commonwealth Fund International Health Policy Survey of Primary Care Physicians
55 52
49 49
45
39 38
31
27
22
14
0
20
40
60
80
100
NZ SWE NET SWIZ NOR FRA UK US AUS GER CAN
Dutch challenge
• Health care is highly digital but:
• Very little access of patients to their data;
• Data are fragmented and re-use is limited
• Challenges:
• The empowered patient that needs to know and enrich his medical information
• Continuity of care, as patients deal with multiple health care providers
• Closing the quality loop: knowing, understanding and managing health care
better
National Information Council
• Installed in 2014, chaired by Secretary General
• Goal: a sustainable information system, connecting all domains
• Inner and outer ring, transparancy, open discussion
• Inner: Patient, primairy, secondary care, pharmacy, insuresrs, municipalities, diabled, longterm care, mental health care, government
• Outer: Industry, Nictiz, Health Care Inspectorate, ...
• Topics: patient central, PHR, registration at the source, cyber security, electronic communication
Social network
Services
Health
Information
Dashboard
Self care
Health network
Non-personal data User-created data Professional data
INFORMATION
EXCHANGE
Vision on: Personal Health Record
1. Parts of PHR 2. Current: multiple
solutions.
Fragmentation.
5. End picture: upscaled PHR solutions.
Availability for all that want it
3. Vision on concept PHR
4. Creating solutions with basic functionality and
requirements, based on international standards
AMSTERDAM, THE
NETHERLANDS
WWW.EHEALTHWEEK.ORG
Region day
Startup 2 scale-up day
Contact information
R.E. (Erwin) Eisinger MSc
re.eisinger@minvws.nl
@erwineisinger
Thank you!
Links to look up!
• Nictiz infographic eHealth monitor (link)
• Ministry of health (link)
• PHR: Quli (link)
• Care at home: Sensire (link)
• Community care: Buurtzorg (link)
• ParkinsonNet (link)
• App: Behandelpad (link)
• App: Moet ik naar de dokter? (link) en thuisarts.nl (link)
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