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