Download - UNIVERSITY OF AARHUS DENMARK
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
