Norway: Health ICT renewal – whereNorway is investing

Jyväskylä, 22 May 2018

Nard Schreursdirector for eHealth and smart technology, IKT-Norge

IKT-Norge: Jyväskylä, 22 May 2018

Population5,3 million

Public Funding

85 %

4 600 GPs GP acts as

gatekeeper

Life Expectancy 82,4

Health and care services for all

10,5% of GDP

Source: Statistics Norway (2018) and

Norwegian Directorate of Health (2018)IKT-Norge: Jyväskylä, 22 May 2018

Current situation: Challenge to achieve connected health across the Norwegian health and care services

Ministry of Local Government and Modernization

Nationally

Ministry of Healthand Care Services

The Parliament

422 municipalities

4.600 General Practitioners

1.800 Contracted Specialists and institutions

Regionally/locally

Hospitals and Specialist health care Primary health care

Regional health authorities

A selection of current national activities

One Health Record

Health Portal

Summary Care Record

ePrescription

Personal Connected

Care

Common infrastructure

ElectronicMessaging

Level of maturity

Health Data

Use

Strategy and Action plan for eHealth 2017-2022

Critical infrastructures and common building blocks

National governance of eHealth and increased ability to deliver

Programme NEO (New E-health Organization)

NEOProgramme

Organization, reponsibilities and tasks. Implementation plan for

NSP.

Organization, reponsibilities and

tasks for «thedirectorate 2.0»

Models for governanceand finance. Legal

structures and clarifications.

Cost/benefit analysis+ input for state

budget 2019

Risk assessments and security plans.

Plan for transistion ofexistiting products and

solutions 2019-2024

Political ambitions

E-resept - E-prescription

Kjernejournal - Patient summery

Helsenorge.no

One citizen – one record

Healthcare personnel shall have easy and secure access to patient information

Citizens shall have access to user-friendly and secure digital services

Data shall be available for qualityimprovement, health monitoring, governanceand research

An EHR solution across all levels of health care –Helseplattformen in Central Norway

o The Central Norway Health Authority and the municipality of Trondheimare owners and customers

o All 85 municipalities have optional agreements

85 municipalities

8 hospitals

720,000 citizens (14%)

42,000 health care professionals

Central Norway

Oslo

Trondheim

Ålesund

Namsos

Molde

A health record that follows the patient

Municipalinstitutions

Home care and municipal health services

GPs

Specialist healthcare (hospitals)

Enabling the patient to take on a ore active role, e.g. self-registration, booking, access and insight

Overall objectives of the procurement

1. Increased treatment quality and fewer patient injuries

2. Access to continuously updated clinical knowledge based on best practice

3. Provide the citizens with easy access to their own health record and more influence on their own course of treatment

4. Increased interaction in and between the primary and specialist health care services

5. Improved data and information for use in research and innovation

6. Increased efficiency and better use of resources

7. Improved management information to aid quality and improvement work in daily operations

8. Reduced time spent on documentation and search for health information

9. Compliance with national standards and requirements

10. Reduced need for municipal services based on comprehensiveassessment of the patient’s functional abilities through generic pathways

11. The citizens shall be supported to live longer independently in theirown homes

Municipalities – local governement

Ruter – new ideas and visions

Can a traditional bus and tram companychange into a total provider of transport from whereever youare to whereeveryou want to go?

How to support all in a society?

• National program for ”welfare technology”.

• Projects for ”safety” (trygghet) and ”distance” (avstandoppfølging)

• Tenders in Norhordaland, Kristiansund, Vernes, Tromsø and others

• Municipalities have become front runners

• But big differences

• Many small entities

• Want to make national solutions – a national service provider

”Welfare technology”

Minister for the elderly – two ”health ministers”

New ”health industry” - Stortingsmelding

How can health industry contributeto:

more efficient use of resources

more value for Norwegian economy

create new jobs in private sector

help politics to realise goals

Outsourcing: IT ”scandal” in the South East Region

We need the knowledge and competence of the industry

We need private companies to modernise and digitalisehealthcare

Data security should be left to a few well educated people. The leadership is responsible

Trust is central in healthcare There is no area in healthcare we

can not outsource

The Health Data Program (HDP)

Improved legal framework§

Common technical services and national infrastructure

Semantic interoperability

Knowledge-based health services and efficient use of resources

Empowered and involved citizens

Improved public health

Efficient reporting and access to health data

More innovation and business development

Improved data protection

Goals & Objectives

Mission

ResultsAdministrative services for health data and research

Technical interoperability (API)

Efficient health registry management and operation

Improved data quality

More and improved health research

Realization strategy

✓

X

050

1 2 3 4 5 6 7 8 9

DEL

IVER

Y TI

ME

(MO

NTH

S)

NUMBER OF DATA SOURCES

Average processing time for access to Norwegian health

data

From data distribution to self-service analysis?

17 months 17 seconds

1

7

No Isolation

NYBY

The eHealth industry: DIPS – Imatis - CSAM

See you at www.ehin.no

• Thank you!!

• Nard@ikt-norge.no