E-HEALTH WHITE PAPER

patientS AND THEIR DATA:
THE FOUNDATIONS FOR HEALTHCARE
TRANSFORMATION

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If you consider that 25 to 30% of medical examinations and interventions are unnecessary, that our healthcare system (and its staff) is under huge pressure and that many organisations need restructuring it becomes obvious that e-health must keep on developing and improving…

INTRODUCTION

Computerising healthcare systems has now reached the point of no return. Digital health services can use these foundations to help the emergence of coordination of IT systems and patient treatment in areas where the healthcare system is being reorganised. This evolution calls for a relentless focus on the challenges linked with interoperability – the ability for systems to interact using norms and standards to make end-to-end data management run smoother.

Building national interoperability frameworks database by database, repository by repository, aims to set the rules for safe connected healthcare IT systems, address siloed operations and lasting partitions. Naturally, technology suppliers are contributing to this project.

Enovacom is 100% dedicated to healthcare and has always been on the cutting edge of interoperability and healthcare IT system security. These are essential prerequisites for healthcare systems to advance as they prepare for the successful integration of these digital innovations which help to improve healthcare across local populations and the whole health system.

Solutions for connected healthcare (medical devices, IoMT, etc.), the flow of computerised information in digital hospitals and patient records which are accessible in real time help healthcare professionals coordinate their work and deliver more efficient patient care. The same applies to the challenges of coordinating care between health and social care settings. All of this can be reduced by implementing these IT systems which focus more and more on patients/users/citizens.

Professionals are mandated to work throughout entire regions, coordinating in teams to ensure citizens receive the right treatment and they are eager to have ergonomic, efficient and secure tools to exchange and share data. The rise of secure healthcare messaging services and the announcement of shared medical records being used in France nationwide in autumn 2018 – to mention just these two projects – are part of this perspective. 2018 will also be the year of telemedicine, which is expected to reduce inequalities around access to healthcare in certain areas. Interoperability requirements are now becoming a more and more pressing matter.

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The necessary transformation of our healthcare system

Extract: The successive reforms over the past 20 years have gradually modified the French healthcare system without being able to fully adapt to the demographic, social and economic challenges it faces. Considered as a lever for improvement, digital technology is being increasingly used to oil the cogs of transformation in the French system just as it is in Europe. In Canada, governments have begun to evaluate the gains from 20 years of investment in digitisation and healthcare information exchange.

Healthcare IT systems: what’s happening in France?

Extract: Healthcare processes are now largely computerised both in doctors’ offices and in hospitals; almost all French general practitioners use software to manage their patient records, while electronic patient records (EPRs) are available in some six to seven institutions out of ten (and are being set up in 30% more). As a growing national trusted space is being deployed, the foundations are laid for healthcare data to be shared and exchanged in a logical way.

Patient care and coordinating frontline workers

Extract: Developing data exchange and sharing between healthcare workers is exactly what public authorities were hoping for as it is on the public agenda. The first supporting measures have been launched with the prospect of consolidating healthcare coordination practices and making patient care easier to understand. The first steps have also been taken to include research in the equation.

Chapter 4

Focus on exemplary projects

1. Biological test results prioritised

2. Improved relationships between independent physicians and hospitals

3. The secured link between hospitals and patients

4. Regional directories: an essential service for better coordination

5. A regional hospital group IT system is being implemented in Quebec.

Chapter 5

Prerequisites and success factors for sharing-oriented IT systems

Extract: Hospital IT systems are made up of different software packages. The regional IT system which comes from implementing GHTs will make everything much more diverse and complex. It will also need to be able to evolve and keep up with the changes in procedures, processes, the shift towards outpatient care and the supply of health services. It will also have to adapt according to the GHT’s positioning in the region and the relationships with its partners. In this context, the urbanisation approach, repositories, the interoperability framework and the general security policy make up the essential foundations for sharing-oriented IT systems.

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