uwe buddrus. chronic disease management
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© HIMSS Analytics Europe – European eHealth Overview - 1
THE STATUS OF CHRONIC DISEASE MANAGEMENT PROGRAMMES IN EUROPEAn overview in the context of EMR Adoption in European acute hospitals
PRESENTED BY: UWE BUDDRUS, MANAGING DIRECTOR HIMSS ANALYTICS EUROPEIV JORNADA TIC BSA, BADALONA, 26 OCTOBER 2012
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PYRAMID OF CARE... chronic diseases occur in every level and are
e.g. HIV, Cancer, etc.
e.g. Cardiovascular diseases, COPD, Depression, Kidney diseases, Multiple Sclerosis, etc.
e.g. Asthma, Allergy, Diabetes, GERD, Psoriasis, Obesity, etc.
“diseases of long duration and generally slow progression”
Copyright © 2011-2012 Silicon & Software Systems Ltd.
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Disease management is defined as “a system of coordinated healthcare interventions and communications for populations with conditions in which patient self-care efforts are significant”.
THE COORDINATED CARE ECOSYSTEM
Copyright © 2011-2012 Silicon & Software Systems Ltd.
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THE OPERATIONAL PROCESS... applicable to most Chronic Diseases
Determination of the parameters for screening
Devices and Apps, Telemedicine
Electronic Patient / Health Record
Electronic Medical Record with
eMAR, CPOE, CDSS
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THE TECHNICAL ECOSYSTEM… in principal a personal telehealth ecosystem
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FROM SILO TO INTEGRATED CARE… the role of EMR adoption in chronic disease management
Integrated Care Coordination
PHR = EMPOWER
the patient
EMR = GATHER & STORE data
EHR= SHARE data
HIE
= MOBILIZE
data
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THE EUROPEAN EMR ADOPTION MODEL… in 7 Stages to Highest Quality in Patient Care
Electronic diagnostic and pharmacy department information
A patient-centered electronic data repository
Clinical ordering and documentation –especially nursing care
Electronic order entry with decision support and result reporting
Completely electronic diagnostic image management
Full electronic clinical decision support, and highest medication safety
“Paperless” patient record environment for highest quality of care, data continuity & full HIE
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EMR ADOPTION IN EUROPE... based on HIMSS Analytics European EMR Adoption Model
Ø 2 Ø 3
Ø 1
Ø 1
Ø 0
Countries currently under review
Source: HIMSS Analytics Europe eHospital Census 2012
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KEY APPLICATION OVERVIEWElectronic Patient Record, Telemedicine, Chronic Disease Management System Acute Hospitals with Installations 2012, % of Institutions
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STANDARDS FOR INFORMATION EXCHANGECurrent Use (% of Acute Hospitals, 2012) and Trend
Germany Italy Poland Portugal Spain
HL7 CCD 96,0% 90,5% 57,2% 59,6% 94,2%Trend (2011 vs. 2009/10)
DICOM 86,2% 97,2% 50,6% 92,3% 88,4%Trend (2011 vs. 2009/10)
IHE - Integrating Healthcare Enterprise 2,7% 29,1% 0,0% 11,9% 1,5%Trend (2011 vs. 2009/10)
CORBAMED 1,4% 26,2% 0,0% 4,9% 0,0%Trend (2011 vs. 2009/10)
CEN TC/251 0,0% 21,0% 0,0% 1,7% 0,0%Trend (2011 vs. 2009/10)
XML 17,2% 58,0% 88,9% 82,8% 33,6%Trend (2011 vs. 2009/10)
XDS 0,0% 29,0% 0,0% 24,9% 2,5%Trend (2011 vs. 2009/10)
Other 4,0% 0,0% 3,3% 23,2% 7,7%Trend (2011 vs. 2009/10)
N (valid)* 143 98 112 35 111
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TELEMEDICINE PROJECTS IN EUROPE... more than pilots?!
• « Tele-Diabetes » (Auvergne - France) – self-management of insulin dosage
• « ePatch » (Syddanmark - Denmark) – self-management and telemonitoring of cardiac activity
• « NEXES » (Barcelona - Spain) - follow-up management of patients suffering from coronary artery disease or COPD
• « TelemonitoringNI » (Northern Ireland – UK) - telemonitoring service supporting patients with long-term conditions to manage their own health
• « PALANTE » (EU sustained; started 1/02/2012) – 9 pilot projects in 8 countries aiming at developing a support service for chronic diseases, e.g.:• Diabetes (Andalusia - Spain and Norway)• Cardiac failure (Lombardia - Italy)• Severe osteoarthritis (Turkey)• Respiratory diseases (Basque Country - Spain)
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CONTACT HIMSS ANALYTICS EUROPE
Uwe BuddrusManaging Director
HIMSS Analytics Europe Schwägrichenstraße 904107 Leipzig, GERMANY
e-mail: [email protected] phone: +49 341 333 95 111
www.himssanalytics.euFor further information visit: