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Estonia and Finland will start exchanging digital prescriptions at the end of 2018

Estonia and Finland will start exchanging digital prescriptions at the end of 2018 | healthcare technology | Scoop.it

Estonia and Finland will start exchanging digital prescriptions at the end of the year, in a groundbreaking move that Estonian Health Minister Riina Sikkut said she hoped other EU countries will follow.

 

Speaking to EURACTIV.com on the sidelines of the European Health Forum in Gastein, Austria, Sikkut said that in Estonia, it is common practice for healthcare professionals to use the e-health system to exchange patient medical records.

 

“But it is also important for people who have a need for healthcare services abroad to have his or her health data available to a doctor, nurse or a pharmacist so that they could also provide quality healthcare services and continuity of care,” she said.

 

The cross-border flow of data has taken centre stage in the discussion in Brussels. Right now, when citizens move to another EU member state, their healthcare data is in fact simply “lost”.

 

Advocates of the digitisation of healthcare say data mobility, or the “5th freedom”, in the EU could unlock the potential of innovation in the sector and make EU patients’ lives easier.

 

Estonia is known for its digitisation push in all sectors, and during its EU Presidency (July-December 2017), it took significant steps to create a “coalition of the willing” of EU member states to speed up healthcare data mobility in Europe.

 
 
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The EHR Interoperability Challenge - an interview, an overview

The EHR interoperability challenge is what stands between a physician's ability to look up, extract, and track a patient's medical activities and records at medical sites other than their own. This could be at a laboratory where a patient's specialty blood work is being analyzed or they're having surgery on an inpatient or outpatient basis.

 

When it comes to tracking these patients, it's literally as they move about in the sphere of the healthcare world. The interoperability challenge occurs because you need your EHR to talk to systems outside your practice.

 

Solving this challenge means maintaining continuity of care for patients, minimizing or eliminating the duplicity of services, and helping physicians share patient information so they can gain insight from specialists that would complement their diagnoses.

 

Many EHR companies aren't willing to share access to their systems unless a physician is part of their overall user base. If you work in a particular hospital or practice that has their product, these particular companies will share information with physicians. The problem is they won't work with peripheral players, or physicians who are unaffiliated with the hospital or practice where their EHR is installed.

 

Why is it in the hospital's interest to provide access to patients via their EHR?

 

Sharing access to patients via the hospital's EHR creates a win-win situation where the hospital can keep the patient in their system.

 

these are excerpts from an interview David Wasserman, an advisor with the practice solutions and medical economics group at the Massachusetts Medical Society.

 

read more at the original  http://www.diagnosticimaging.com/ehr/solving-ehr-interoperability-challenge

 

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Are Universal EHRs Key to Healthcare Value, Trust, and AI Adoption?

Are Universal EHRs Key to Healthcare Value, Trust, and AI Adoption? | healthcare technology | Scoop.it

“Universal EHR” structures, in which every citizen’s electronic health record is connected to a single national system, are tied to higher trust in the healthcare system and higher value for patients, 

 

Unified electronic records have also prompted national governments to address issues of privacy and security, data integrity, and health information exchange that are left up to the private sector in other countries – with varying degrees of success.

 

Half of the 16 countries included in the index have universal EHRs, while the other half have let a combination of free market forces and regulatory guidance dictate the course of health IT adoption.

 

The eight countries with universal EHRs saw an average overall “Value Measure” of 47.29, the report says.  The Value Measure is a combined score based on access to care, patient satisfaction, and an efficiency ratio score.

 

Now, Healthcare providers in the United States generally don’t harbor very warm feelings for their electronic health records (EHRs).

 

Despite efforts from vendors and regulators to improve the experience of interacting with these foundational health IT systems, dissatisfaction and frustration with usability issues and fragmented information are still causing users’ blood to boil.

 

It may seem counterintuitive, therefore, to suggest that expanding the industry’s reliance on EHRs is actually the key to making EHR use less stressful and more useful – but that is exactly what the 2018 Future Health Index, commissioned by Philips, seems to indicate.

nrip's insight:

Yes,  Universal EHR” structures lead to higher trust in the healthcare system by physicians and higher value for patients.

 

I have observed this first hand in the development of Universal or Close to Universal (read state wide) systems my team and me have implemented in Africa.

 

The activity percentage(a metric we created to identify usage) by physicians is over 90%, far ahead of the EMRs we encountered in the US and other western nations. The value that different organizations and departments can derive from such structures, keeps growing as you keep involving more of them in the implementation process and be fair to all parties. 

 

The most important mantra to get such a system off the ground is "make no party feel that they give more than they receive"

 

 

 

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ONC leaders see Silicon Valley-like future for EHR interoperability

ONC leaders see Silicon Valley-like future for EHR interoperability | healthcare technology | Scoop.it
National coordinator Donald Rucker said the agency is researching open APIs, such as those used by Facebook and Twitter, to advance health information sharing.

 

ONC is looking to modern computing tactics — notably open application programming interfaces that Silicon Valley companies such as Facebook and Twitter commonly deploy — to advance EHR interoperability.

 

The questions ONC is grappling with now, in fact, are a clear definition of interoperability, improving EMR usability and a better understanding of information blocking.

 

To that end, ONC is researching the best approach and that includes looking at existing and developing specifications such as FHIR or RESTful APIs such as JSON.

 

“There’s a lot of interest in the FHIR standard, it’s a modern API, and we’re hoping there’s coalescence around that because the large vendors have already done some work with the SMART project,” he said. 

 

But Rucker also noted that ONC must consider the API needs of hospitals and innovators as well.

 

more at http://www.healthcareitnews.com/news/onc-leaders-see-silicon-valley-future-ehr-interoperability ;

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