MedCom Connecting Health

CEO Henrik Bjerregaard JensenIb Johansen, deputy manager

www.medcom.dk

Digitizing HealthcareNationwide Health Standards

Linde Healthcare March 3rd - 2014

MedCom – Danish Health Data Net

• Founded 1994• Owned by Goverment, Regions and Municialities

• Make IT projects between hospitals, doctors and homecare

• Design standardized solutions• Focus on large-scale national implementation

Using standards – why???

+60 IT vendors with +100 IT systems

IT

IT

IT IT

IT

IT

PrescriptionsReferralsHome Care ReportRadiology ReportDischarge LetterLab test OrdersLab test ReportReimbursementetc.

IT

IT

IT IT

IT

IT

Internnational standards

VANS

Sundheds-telematik-

Center for

r

1 1†

MedCom

All using national MedCom EDI / XML-

standards

Hospital & LabsDischarge

Outpatient eRecord

LabresultsLabtest orders

Medication, FMK

HomecareNotification Care reportsPhycisian LettersMedication FMK

PharmacyMedication FMK

Drug register

GPReferrals

Medication FMKDDV

Lab ResultsLab test orders

CitizensSundhed.dkMedication,FMK

EHRLabresultsReferrals

Secure Health Net and NSP

Secure Health Net and NSP

On-Line access to Health Data

Medi cation

Diag noses

Labresult

s….

Denmark: GP e-Health 100 % e-Communication

E-Prescriptions = 90%

Disch.. Letters=100 %

Lab reports = 100 %

Lab test Orders = 100 %

E-Referrals = 95 %

•+6000 doctors, pharmacies, municipalities and hospitals•65 IT vendors•6 mill. messages each month•15% growth/year•70 - 90% of all documents

Examples

Ex: ePrescription 2007

EU/Empirica: Benchmarking ICT use among General Practitioners in

Europe 2007

EX: Home care-

Hospital Co-operation

Municipality Hospital<< Admission Notify Admission Response >> Care Report >>

<< Rehabilitation plan<< Discharge Notify<< Care report

Homecare IT system Hospital PAS or EMR

From e-Prescription to SharedMedicationRecord

National Net

PharmacyPrimary Care

National Repository

PharmacyPrimary Care

National

SMR

Home Care

HospitalCitizen

From e-Prescription to SharedMedicationRecord

Ex: Home-monitoring

• Support patient treatment at home

• Transfer medical data to hospital /homecare/GP

• KIH Project:Clinical Integreted Homemonitoring

EX: e-Health on-line

Telemedicine:Tele-consultation to

expert

Treating patients with diabetic ulcers in own home

EX: Lab test orders on-line

BIOCHEMISTRY,

HEMATOLOGY,

IMMUNOLOGYBlOOD BANKMICROBIOLOGY

HISTOPATHOLOGY

CERVIXCYTOLOGY

EX: Lab test orders on-line

EU Benchmarking 2012

Denmark in Front?EU benchmarking 2012

No1GP

No2Hospi

tals

Thank you