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Norway: Health ICT renewal – whereNorway is investing
Jyväskylä, 22 May 2018
Nard Schreursdirector for eHealth and smart technology, IKT-Norge
IKT-Norge: Jyväskylä, 22 May 2018
Population5,3 million
Public Funding
85 %
4 600 GPs GP acts as
gatekeeper
Life Expectancy 82,4
Health and care services for all
10,5% of GDP
Source: Statistics Norway (2018) and
Norwegian Directorate of Health (2018)IKT-Norge: Jyväskylä, 22 May 2018
Current situation: Challenge to achieve connected health across the Norwegian health and care services
Ministry of Local Government and Modernization
Nationally
Ministry of Healthand Care Services
The Parliament
422 municipalities
4.600 General Practitioners
1.800 Contracted Specialists and institutions
Regionally/locally
Hospitals and Specialist health care Primary health care
Regional health authorities
A selection of current national activities
One Health Record
Health Portal
Summary Care Record
ePrescription
Personal Connected
Care
Common infrastructure
ElectronicMessaging
Level of maturity
Health Data
Use
Strategy and Action plan for eHealth 2017-2022
Critical infrastructures and common building blocks
National governance of eHealth and increased ability to deliver
Programme NEO (New E-health Organization)
NEOProgramme
Organization, reponsibilities and tasks. Implementation plan for
NSP.
Organization, reponsibilities and
tasks for «thedirectorate 2.0»
Models for governanceand finance. Legal
structures and clarifications.
Cost/benefit analysis+ input for state
budget 2019
Risk assessments and security plans.
Plan for transistion ofexistiting products and
solutions 2019-2024
Political ambitions
E-resept - E-prescription
Kjernejournal - Patient summery
Helsenorge.no
One citizen – one record
Healthcare personnel shall have easy and secure access to patient information
Citizens shall have access to user-friendly and secure digital services
Data shall be available for qualityimprovement, health monitoring, governanceand research
An EHR solution across all levels of health care –Helseplattformen in Central Norway
o The Central Norway Health Authority and the municipality of Trondheimare owners and customers
o All 85 municipalities have optional agreements
85 municipalities
8 hospitals
720,000 citizens (14%)
42,000 health care professionals
Central Norway
Oslo
Trondheim
Ålesund
Namsos
Molde
A health record that follows the patient
Municipalinstitutions
Home care and municipal health services
GPs
Specialist healthcare (hospitals)
Enabling the patient to take on a ore active role, e.g. self-registration, booking, access and insight
Overall objectives of the procurement
1. Increased treatment quality and fewer patient injuries
2. Access to continuously updated clinical knowledge based on best practice
3. Provide the citizens with easy access to their own health record and more influence on their own course of treatment
4. Increased interaction in and between the primary and specialist health care services
5. Improved data and information for use in research and innovation
6. Increased efficiency and better use of resources
7. Improved management information to aid quality and improvement work in daily operations
8. Reduced time spent on documentation and search for health information
9. Compliance with national standards and requirements
10. Reduced need for municipal services based on comprehensiveassessment of the patient’s functional abilities through generic pathways
11. The citizens shall be supported to live longer independently in theirown homes
Municipalities – local governement
Ruter – new ideas and visions
Can a traditional bus and tram companychange into a total provider of transport from whereever youare to whereeveryou want to go?
How to support all in a society?
• National program for ”welfare technology”.
• Projects for ”safety” (trygghet) and ”distance” (avstandoppfølging)
• Tenders in Norhordaland, Kristiansund, Vernes, Tromsø and others
• Municipalities have become front runners
• But big differences
• Many small entities
• Want to make national solutions – a national service provider
”Welfare technology”
Minister for the elderly – two ”health ministers”
New ”health industry” - Stortingsmelding
How can health industry contributeto:
more efficient use of resources
more value for Norwegian economy
create new jobs in private sector
help politics to realise goals
Outsourcing: IT ”scandal” in the South East Region
We need the knowledge and competence of the industry
We need private companies to modernise and digitalisehealthcare
Data security should be left to a few well educated people. The leadership is responsible
Trust is central in healthcare There is no area in healthcare we
can not outsource
The Health Data Program (HDP)
Improved legal framework§
Common technical services and national infrastructure
Semantic interoperability
Knowledge-based health services and efficient use of resources
Empowered and involved citizens
Improved public health
Efficient reporting and access to health data
More innovation and business development
Improved data protection
Goals & Objectives
Mission
ResultsAdministrative services for health data and research
Technical interoperability (API)
Efficient health registry management and operation
Improved data quality
More and improved health research
Realization strategy
✓
X
050
1 2 3 4 5 6 7 8 9
DEL
IVER
Y TI
ME
(MO
NTH
S)
NUMBER OF DATA SOURCES
Average processing time for access to Norwegian health
data
From data distribution to self-service analysis?
17 months 17 seconds
1
7
No Isolation
NYBY
The eHealth industry: DIPS – Imatis - CSAM
See you at www.ehin.no
