Electronic Health Records in Denmark

1
Electronic Health Records in Denmark
Darley Petersen Health Information Manag
er Unit of Research and Development Odense Univ
ersity Hospital DK-5000 Odense C, Denmark Phone
45 6541 4848 - Fax [phone]
E-mail darley.petersen_at_ouh.regionsyddanmark.dk
2
Denmark
5 mill. inhabitants
Odense University Hospital
Copenhagen
3
Odense UniversityHospital
Beds 1,216 Staff 8,000
4
Danish Regions
Region of Southern Denmark - The Regional Council
5
Region of Southern Denmark
Flagship University Hospital in Odense
6 Administration Centres in local hospitals
6
Future Plan for Hospitals
7
Coordinated Digital Health in Denmark

• The National Strategy for digitalization of
• Danish Health Sector 2008 2010
• Administration 20 persons within The National
  Board of Health established by
  
• Danish Government (Ministry of Health and
  Prevention)
  
• Danish Regions
• Municipal Association
• Reponsible for
• Management
• Structure - Design
• Coordination Pilot projects - Networking

Each region responsible for individual developm
ent and implementation
8
International Dimension

• Challenges
• Mutual experience on
• Standardization
• ICD10 Snomed CT
• Laboratory results
• X-Ray i.e. DICOM standard

9
Actual strategy

• Includes
• Social as well as private hospitals
• Specialists clinics
• GPs
• Primary care

10
Goals

• To give best conditions for effectiveness in
  treatment
  
• To reduce possibilities for mistakes in
  treatment
  
• To give citizens opportunities to seek
  information about their own health

11
Architecture - Clinical Care Support

• Care documentation
• E-prescribing
• Medicine module
• Order management
• Patient Administration
• - Pricing and Billing,
• - Scheduling and Bed Management
• Incident Reporting and Intelligence
• - Statistics

All architecture is built upon existing programs
12
Before Implementation

• Development of infrastructure
• Knowledge of individual departments need for
  documentation and change of routines
  
• Supplementary training of staff

13
Project Groups

• The clinical arm
• The organizational arm
• The technical arm

14
Odense University Hospiptal
The clinical arm Before being able to log in t
o set up the first EHR, the staff has undergone a
training program during the established
EHR-school. The staff has been trained along
with scheduled implementation plan.
The teaching personnel (super users) will be ava
ilable for further service during the
implementation period .
15
Odenses University Hospital
The organizational arm For logistics An EHR
office has been established with personnel from
the three arms to coordinate technical and
clinical issues.
16
Odense University Hospital
The technical arm A technical lift was nece
ssary in Odense University Hospital.
New facilities for server was established, kilom
etres of cables was integrated in existing
system. New ceilings and boxes for printing was
established. New rooms for medicine were inst
alled, too.
17
Odense University Hospital
Other supplementation New lamps, furniture li
ke chairs and desks electronically able to
accommodate a variety of working postures.
Also, handheld palm pilots and new computers to
match the new needs will be purchased.
IT-Department, Technical Department and IT-User
Service Centre has finished reconstruction and
all installation of network. Approximately 130
sections will be fully equipped for
implementation for EHR in summer 2008 .
18
Odense University Hospital

• Information about
• Strategy
• Plans
• School
• Implementation Schedules
• The staff can be currently updated from the
  hospitals intranet

19
The Five Danish Regions

• Status Summer 2008
• Implementation plans are ranging from
• being in the period of decision making for IT
  equipment to
  
• having implemented several pilot projects on EHR
  including training of personnel.

20
Literature
Danish Board of Health http//www.sst.dk/default
.aspx?langen Ministry of Health and Prevention
http//www.sum.dk/sum/site.aspx?p34 Danish
Regions http//www.rm.dk/files/Webteam/English/
Publikation20Danske20Regioner.pdf Odense
University Hospital Denmark http//www.ouh.dk/wm1
22110