Digitalization – the Catalyst for Social Care

Prof. Dr. Arno Elmer

gematik GmbH / Germany

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The Connected Health Care System - Telematics Infrastructure

primary care physicians

pharmacists

medicalspecialists

dentists

insured persons

other healthcareprofessionals

hospitals

medicalrehabilitation

facilities

health insurance

companies

ehealth card

(eHC)

131 statutory health insurance companies

90% (~70 Mio.) statutory insured persons

2.100 hospitals

21.000 pharmacies

217.000 primary care phycisians, specialists, dentists(incl. psychological psychotherapists)

2.3 million other healthcare professionals

80.2 million citizens

Industry Partners

Overall Programm

Online-Rollout

(Lot 1)

Lot 1 & 2 (establishing andoperating of the

enduser services) in a testing region)

Lot 3 (establishingand operating of

the central servicesin the TI)

G2

Lot 1 & 2 (development andprovision of COS, initialized cards

and testing cards)

Lot 3 & 4 (personalisationand issuance ofHBA and SMC-B

incl. PKI)

Lot 5 (establishing andoperating of the

CVC-Root)

Scientific Evaluation

Evaluation, acceptance andreal-life usability

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Testing Region of the gematik during the Trial Period

The designated testing regions of the telematicsinfrastructure and ehealth card (eHC):

Testing region North-West withtheir regional representative offices:

Bochum/Essen – North Rhine-Westphalia

Flensburg – Schleswig-Holstein

Trier – Rhineland-Palatine

Testing region South-East withtheir regional representative offices:

Ingolstadt – Bavaria

Löbau/Zittau – Saxony

Testing participants per testing region:

375 physicians, 125 dentists, 4 hospitals and 1 university hospital

= 500 testing participants x 2 testing areas = 1000 testing participants

Nationwide network including all statutoray health insurance companies.

Telematics Infrastructure – Phase Model

Telematics infrastructure and first applications

during the trial period (testing) (Phase I):

establishing the telematics infrastructure

online update of insurance master data

secure internet access

connection of existing networks

qualified electronic signature

secure communication between service

providers (e.g. *physicians)

Planned Applications (Phase II + et seq.):

emergency data management

migration of health and medical data services

to the TI, eg. electronic medical record

data management for medication safety

organ donation,

Other projects & applications:

QS-markers, telemedicine, ISO-Project ePrescription, electronic

health record, epSOS (European Patient – Smart and Open Service)

*subject to resolution possed by the shareholders

Current Challenges of Social Care • High cost of care

• High demand of services

• Decrease in resources

• Limited knowledge and understanding of new technologies within the care sector

• No binding digital agenda by leadership

• Rapid increase in funding challenges amongst industrial nations

• Low acceptance of technologically supported communication / interaction

• No secure inter-agency communication and information exchange of relevant care documentation

Opportunities for Social Care • Digitalization of processes to ensure seamless

exchange of care relevant information

• Development of cross-agency-communication with all parties involved

• Faster and more cost effective treatment through optimized data exchange

• Reshaping careers by including a technological and digital communication component to the curriculum of educational programs

• Forming meaningful partnerships with local and governmental organizations in order to establish care management

Opportunities for Social Care • Establishment of infrastructures for electronic

information exchange

• Formation of advising and information

service centers

• Formation of easy accessible and

interoperable networks

• Generating of standards, regulations

and guidelines

• Creating acceptance by setting high standards in

regard to data protection and data and

information security

• Shaping the market through innovative solutions

A Promising Model for Future Care: Ambient Assistant Living • To lead longer, more productive and

independent life's

• Automated process within the household of

the persons

• Enabling of caretaker and person cared for

to make technological adjustment to meet

the care demands

• Seamless transfer of care relevant information

• Independent living is more cost effective

• Ambient assistant living = independent living

Digitally supported Social Care in the future needs: • Establishing of a digital policy which includes a

modernization strategy for the social and care sector

• Forming of frameworks to enable the merging of social, care and technology services in order to provide better care

• Financial incentives by governmental agencies to support innovation (e.g. Germany / Innovationsfond)

• Strong technically focused leadership

• Establishing of government, industry and research partnerships so innovation can thrive and meet the growing demands in the social care sector

Thank you so much for your attention.

Prof. Dr. Arno Elmer

arno.elmer@gematik.de