patients portals and health services, what's working
DESCRIPTION
Patients Portals and Health Services, What's Working. Flim C. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)TRANSCRIPT
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Chris Flim
Secretary of the Board,
Dutch Association for eHealth,
The Netherlands
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Trends in eHealth: The e-Patient
• More patients want to
take more control of
their own health.
• (Mobile) internet
enables them with
information and
communication
services provided
through e.g.
patientportals
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Patient Portals and e-Patient
Services
Promises for healthcare providers &
payers:
• Answering the needs of healthcare
consumers: e.g. selfmanagement
• Patient Relationship Management
• Better quality & service of care
• More efficient care processes
• Anticipating lack of personnel
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National portals for
patients/citizens take off
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Also at European level
initiatives take place
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But internet has its own
dynamics..
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Others start patient portals and
services as well..• Patients Organizations
• Regional Healthcare organisations
• Healthcare Institutes
• Departments of Healthcare Institutes
• Insurance companies
• Pharmacies
• Independent portal initiatives
• ….
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Showcase:
The Netherlands
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Examples from the Netherlands
• IVF poli
• Target Group:
• Couples with fertility
problems
• Services:
• Education, information,
consultation, diagnosis,
monitoring, fellow
patients contacts,…
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Examples from the Netherlands
• MijnZorgNet
• Target Group:
• Healthcare networks
around persons with
specific diseases
• Services:
• Various, supporting
joint control of patients
and HCP‟s
• E.g. Fertility,
Parkinson,…
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Examples from the Netherlands
• Eczeemportaal
• Target Group:
• Persons with
constitutional eczema
• Services:
• Monitoring,
communicating,
selfmanagement,
booking, informing,..
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Examples from the Netherlands
• Deel je Zorg
• Target Group:
• Social network on
healthcare for all
people
• Services:
• Personal profile,
meetings, groups,
subsites, fora,..
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Examples from the Netherlands
• Gezondheidsmeter
• Target Group:
• Patients & HCP‟s on
Diabetes, COPD,
bloodpressure,
headache, …
• Services:
• Treatment, self
management, logbook,
eConsult, …
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Examples from the Netherlands
• Mijn Esperanz
• Target Group:
• Patients who are
treated on cancer, and
their HCP‟s
• Services:
• Communication,
Personal information &
health pages,…
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Examples from the Netherlands
• Pazio
• Target Group:
• Patients, HCPs,
researchers in „first line
& chronic care‟
• Services:
• eConsult, eReceipt,
eAppointment,
Selfmanagement,
eResearch,..
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Examples from the Netherlands
• Patient1
• Target Group:
• Platform for people with
chronic diseases
• Services:
• Personal health
records, personal
services, personal
information,…
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Examples from the Netherlands
• Medicinfo
• Target Group:
• Citizens who want to be
informed and manage
(their) health
• Services:
• information services,
applications, tools for
selfmanagement,..
informatie, e-consultation,
..
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More initiatives: by hospitals…
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by GPs, pharmacies..
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by national institutes, regions,
patient organisations, suppliers,..
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Elderly care, mental health…
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All portal aim to be patient centric..
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And intend to fullfill the patients
needs..
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But what are the patient’s real
needs?
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So what does the patient want?
• “The Patient does not exist”
• “The Person, Not The Disease”
• “Needs of Persons Change in Life”
• Segmentation based on personal
& social aspects
• Values, needs, expectations
• Abilities for selfmanagement
• Use of information (internet,..)
• Disease characteristics
“What works for whom”?
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Which portals & eHealth services
fullfill my needs?
Where are these portal
initiatives on the
Gartner Hype Cycle?
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Functionalities of patient portals
• Personalized…
• Information on care providers
• Information on treatments
• Medical information
• Health logbook
• Information
• Appointments
• Fellow patients contacts
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Patient Portals…
• Integrate care and wellness aspects
• Can be combined with portals of relatives
• Can be personalized/adapted by patients
• Can be accessed through various interfaces
(Telehealth, mHealth!)
• Should be maintained on behalf of the
patient/citizen (privacy, security,..)
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Patient Portals?...
• Not everybody wants to use portals…
or wants to personalize them
• Portals of different providers can co-exist….
but should all meet generic guidelines
• Possible synergy with e-Government services?
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Other tips for future initiatives
• Think about the business model and (social)
business case for all stakeholders from the start
• Think big, smart small: Focus on „low hanging fruit‟
• Integration with „face-to-face‟ healthcare means
high impact on organisation, processes and ICT
• Modularity & Interoperability!
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The essentials
• Start with the Patient needs = Quality of his/her Life
• Include Provider & Payer needs
• Provide customizable services for transaction,
interaction, choice and control to individual patients
• Be able to integrate portals or services as modules
in other (personalized) portals
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Thank you
Contact:
Chris Flim
0031 614133823
http://www.nveh.nl/information-about-english.html