XDS AND A PATIENT PORTALLeading to Patient Empowerment?
BENNIE ASSINK - IZITJAN FEENSTRA - GERRIT
11/6/2014 © 2012–2014 Healthcare Information and Management Systems Society (HIMSS) 2
Agenda
• IZIT / GERRIT
• Navigating the healthcare environment
• Main issues (patient and healthcare professional
• Towards patient empowerment
– XDS project IZIT / GERRIT
– Patient consent portal
• Summary and discussion
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IZIT / GERRIT
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• Regional organization to promote the cooperation between healthcare professionals
• Initiatives to support healthcare professionals across organizations
Navigating the healthcare environment
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Main issues
• Patient data spread out
– Different healthcare organizations
– Different IT systems
• Collecting the information
– Manual activities (e.g. radiology procedures)
• Uncertainty
– Delay Diagnosis / Treatment
– Requesting patient permission
– Who sees what
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Towards patient empowerment
• XDS project GERRIT / IZIT
– Information sharing between healthcare organisations
• Patient consent portal
– Patient in control of own patient history
– In control of access by healthcare professionals
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Current Situation
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XDS NNSource / Consumer
Groningen MZH
Leeuwarden MCL
Drachten NSD
Heerenveen TSH
Sneek AZSE
XDS NNSource / Consumer
XDS NNSource / Consumer
Emmen SZE
XDS NNSource / Consumer
Groningen UMCG
XDS NNSource / Consumer
Delfzijl / OZG
XDS NNSource / Consumer
XDS NNSource / Consumer
Assen WZA
XDS NNSource / Consumer
XDS NNSource / Consumer
Stadskanaal
XDS NNSource / Consumer
XDS NN
forView
forStore
DSV/xCare
Cloverleaf/XDS adapter
forView
forStore
Chipsoft
forAudit
forIndex
forStore
Centrale forView
PACSPACSforConnect forConnect
Cloverleaf/XDS adapter
ZNO Users
ZNO XDS architecture
Provided that patient has given consent.
Patiënt Consent:
• Patient consent not properly organized, multiple requests
• Need for one regional solution; keep track of all your consents
• The solution should be usable for different infrastructures (XDS, LSP, …)
• Access: – ZNO PatientPortal,
– Hospital Information System
– ……
• Safe sign in (DigiD + sms)
• Patient in control of information
• Gathering place for all regional patient services
PatientPortal; Consent
Log DigiD
Documents Results
Images
Audit Logging
Future situation?
GERRIT
IZIT
Future situation
•All XDS domains connected?
•One Patient Consent Portal?
•Support of healthcare professional?
•Support of patiënt?
•Standards in medical information?
•Top Down / Bottom up / Middle out approach
•Regional – Regional or National – Regional
•Regulation from the Dutch government
•PHR, many consumers remain skeptical
Zorgring
ESDA
RijnmondNet
Sleutelnet
RUPZSDSK
Contact information
11/6/2014 © 2012–2014 Healthcare Information and Management Systems Society (HIMSS) 18
IZITMail: [email protected]: [email protected]
Tel: 088-4357337
www.izit.nl |www.zorgnetoost.nl
GERRIT
Mail: [email protected]: 085-76 040 76
www.gerrit-net.nl
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