university of aarhus denmark
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UNIVERSITY OF AARHUSDENMARK
Frede Olesen, Res. Unit for GP, Univ. of Aarhus, Denmark
Fam. Med. and IT
The clinics are (nearly) without paper.All fam. med. clinics are computerised
- lists of patients - administration and billing systems - records and prescription lists - communication with hospitals
• referrals and discharge letters from lab. & diagnostic investigations, ambulatory care and hospital care
All clinics have acces to and use the Web
Fam. med. and IT - history > 25 years ago standards from the College og GPs The Fam. med. ass. would create one system – failed –
went bankererupt The college standards became national phrame of
reference for 6-10 companies Development driven by ’clinical added value’ and targeted
time limited incentives Now mandatory for GP’s with contract to health care ~15 years ago Medcom national state negotiated
communication standards ~15 years ago standard for patients who change practice
Today’s developmental frontline Communication to and from municipalities
social welfare and district nurses. Quickly incentive driven raise in e-mail consultations Decision support systems running and improved ICPC coding with clinical advantages – probably
incentives from 2009 Data-capture to central database
reseach including pop up ad hoc registrations chronic care databases – diabetes is implemented
IT hotel prescriptions on a national server and database referrals ??
Web based shared patient held part of records?? pilot with pregnant women
Hospitals and IT
The ambition: to create a comprehensive system that can do everything.
National standardsClinicians too far away in the proces
failed to be perceived as giving clinical added valueTo many (>10) different systems2007: a new beginningDid the same mistakes as in GP in the beginningNow: 5 – 10 years behind schedule
The vision and a good example
The x ray clinic in Vejle county hospital 1: patient at a doc: you need an x-ray 2: referral written and sent ’go to the hospital
before 2 pm.’ – ’welcome, I have your referral. 3: x-ray same day – max 1 (2) hour waiting 4: voice-recognition and answer to GP in the
afternoon 5: next day: the result. Productivity up more than x 5 at x-ray
Thank you for your attention….
Fo@alm.au.dk
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