1ere Conférence nationale stratégie eHealth

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


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


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


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


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


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)


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


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)


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


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


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


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?


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


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

Documents

1ere Conférence nationale stratégie eHealth