E-HEALTH IN LUXEMBOURG: STATE OF PLAYec.europa.eu/health/sites/health/files/ehealth/... ·...
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Brussels, 21 November 2016 E-HEALTH IN LUXEMBOURG: STATE OF PLAY
Transcript of E-HEALTH IN LUXEMBOURG: STATE OF PLAYec.europa.eu/health/sites/health/files/ehealth/... ·...
Brussels, 21 November 2016
E-HEALTH IN LUXEMBOURG: STATE OF PLAY
Luxembourg : a country profile
eSanté platform and its services
1
3
2
Future projects 4
Agence eSanté : corporate profile 2
Our international cooperation 5
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~ 565.000 citizens of which 45% foreigners
50% of which: Portuguese
170 different nationalities
3 official languages : French, German, Luxembourgish
( (English widely used business language)
~ 180.000 commuters
(FR/BE/GE)
necessity of medical data sharing, also on cross-border level
Luxembourg, a cosmopolitan country : particularities
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a truly cosmopolitan country with a strong political commitment to
enhance ICT driven economic and healthcare services development
National strategy
« Digital Lëtzebuerg »
Objective: strengthen and consolidate the
country’s position in the ICT area and
enhance its development as high tech
expert centre
National eHealth action plan
Mr Xavier Bettel - Prime Minister Mrs Lydia Mutsch – Minister of Health
Launched in 2006 - objectives : improve
prevention, force better diagnosis and
treatment and integrated care of patients,
improve the quality and security of healthcare
for the benefit of the patient
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Luxembourg : a small country but facing the same challenges as our neighbouring and fellow EU bigger countries
Oct. 2006
Luxembourg government launches
the eHealth action plan
17/12/2010
Art 60ter and 60quater of Social
Security Code : legal basis for Lux eHealth
Agency and the national EHR
2012 Luxembourg
eHealth agency operational
2016 18 employees 6 nationalities 11 languages
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Major stakeholders represented in our governing body
Represented by Ministry of Health and Ministry of Social Security
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• Implementation, deployment, operation, and administrative and technical management of a national electronic platform for the exchange and sharing of health data, as well as applications and health information systems at national level
eSanté platform
• Promoting interoperability and security in the implementation of health information systems
Interoperability & Security
• The establishment and maintenance of a roadmap for health information systems, defining a national strategy, articulated with national health priorities and the need for exchange and sharing between stakeholders
Road map
• Assist regulators and authorities on strategic choices related to health information systems Orientation
• Information for patients and providers on operational procedures and security measures in relation to the electronic health record and the national electronic platform for the exchange and sharing of health data
External Communication
Our missions defined by law
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eSanté Platform
- January 2013 : launch of European call for tender - January 2014 : Launch of the Platform’s first services
accessible via website www.esante.lu, which also serves as Information Portal
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eHealth services offered through eSanté Platform
Two national referential directories serving as
authentication basis:
1. Healthcare provider directory (HPD)
2. Master Patient Index (MPI)
Secured messaging : secure e-mail tool for
healthcare professionals
Collaborative workspace : (virtual) application for
project management and theme related ex-change
between healthcare professionals
2 patient management IT support systems, put at
the disposal of resp. small institutions (i.e. who do
not have a technical platform), or private professionals
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eHealth services offered through eSanté Platform
Document database : on-line database featuring a
“restricted access”-area (only accessible by HP
after due authentification)
IdeoRCP : tool for pluridisciplinary meetings, used
in oncology
Médecin Référent tool : facilitates GP and pediatricians
« MR » (i.e. having signed a « referential doctor »-convention with a patient
suffering from long-term conditions), to supervise and share health
data by means of 2 documents registered in the DSP :
- patient summary (deposited by the MR)
- summary of health benefits (deposited yearly by the National
Health Fund)
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the EHR : Dossier de Soins Partagé – DSP
- opt-out principle
- under patient’s full control : Patient access and health record
management
- separate space for patient´s self monitoring data
- central registry and repository
- content focused on continuity of care :
eHealth services offered through eSanté Platform
Patient summary (MR) Radiology report
Lab report ePrescription
Discharge summary Care summary
Summary of health benefits ……
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Security
Features
Political directions
Mobility Ease of use
Legal framework &
Privacy
ROI
Find adequat balance
Providing EHR to patients and HP : several challenges
Agence = ISO 27001 certified
Agence participates in CEF
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Stepwise eHealth services deployment
June 2014 Launch of 1st
eHealth services (secure messaging)
May 2015 Official
announcement of launch of DSP pilote
phase
June 2015
deployment of pilote EHR, limited to patients having signed «referential doctor convention»
(opt-out)
Jan. 2014 eSanté Platform is
operational – launch 1st eHealth services
March 2014
1st actions related to PIA (Privacy
Impact Assessment) in close
collaboration with national data
protection authority
Sept. 2015 DSP Pilote enlarged to «voluntary patients»
(Opt-In)
> Oct. 2015 Start drafting Grand-
Ducal Decree required for national general DSP
deployment > Nov. 2015
Start conformity tests with external software
systems for connectivity to eHealth platform
> June 2016 Launch «médecin
référent» tool
In course of 2017 expected general
deployment of DSP (once GD Decree has passed vote)
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CAT 2014 : NCP-A validation, piloting NCP-B
Successfully participated in Expandathon (December 2015)
eSens
Piloting Patient Summary
CAT 2015 tests
RECENT PROJECTS :
- EURO-CAS : EU eHealth Interoperability Conformity Assessment
Scheme
- Trillium Bridge II
- CEF
Our international cooperation
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G.I.E. Agence eSanté Luxembourg Agence nationale des informations partagées dans le domaine de la santé
Bureaux : 125, route d’Esch L-1471 Luxembourg
Siège social : Villa Louvigny – Allée Marconi L-2120 Luxembourg
RC Luxembourg C-69 © 2016 Agence eSanté, some images © by Shutterstock
More info : www.esante.lu [email protected]
