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Medcom 2 in Print (Pdf) MedCom MC-S117 / December 1999 -the Danish Health Care Data Network MedCom2MedCom2 inin print print Ministry of Health Ministry of Social Affairs The National Board of Health Association of County Councils in Denmark The National Association of Local Authorities in Denmark Copenhagen Hospital Corporation Copenhagen and Frederiksberg Local Authorities Danish Pharmaceutical Association Danish Dental Association Association of Danish Doctors Kommunedata Tele Danmark Dan Net The MedCom project A nation-wide network and EPR implementation, which takes place in the hospitals. MedCom is a project involving co- operation between authorities, The parties behind the permanent healthcare organisations and priv- MedCom are the Ministry of ate companies linked to the health- Health, the Association of County care sector. The purpose behind Councils in Denmark, the National this co-operation is to establish and Board of Health, Copenhagen MedCom 1 (1994 - 96) continue the development of a Hospital Corporation, Copenhagen had the purpose of coherent Danish healthcare data and Frederiksberg Local Authori- G developing communication stan- network. ties, the Danish Pharmaceutical dards for the most common com- Association, the Association of munication flows between medical MedCom is to contribute towards Danish Doctors and Dan Net. practices, hospitals and pharmacies. implementing the Danish Govern- ment’s IT policy action plan for the MedCom 1, 2 and 3 MedCom 2 (1997 - 99) healthcare sector, including conti- MedCom activities are carried out had the purpose of nuing the dissemination and quali- as projects for defined periods of G developing communication stan- ty assurance of electronic commu- time, and each project period con- dards for the most common com- nication. At the same time, Med- sists of particular projects, each munication flows between local Com is to contribute to develop- having a specific purpose. From authorities and hospitals, ment and implementation projects 1 January 2000 MedCom becomes G expanding communication be- relating to the electronic patient permanent, but it is still intended tween medical practices, hospitals record (EPR). MedCom can act here that the activities will be carried and pharmacies, as a link between the EPR stan- out under specific projects. G carrying out pilot projects in the dardisation taking place in the areas of the Internet, telemedicine Danish National Board of Health and dentistry. Contents Boom in EDI in West Zealand County 26 MedCom permanent On-call GP services Patient focused care The national health insurance scheme Two-year project periods 2 The MedCom project has joined A nation-wide network EDI league tables 28 MedCom 3: 2000 - 2001 MedCom 1, 2 and 3 Who can do what now 1. Consolidation of medical-practice Income and expenditure Status communication The national IT strategy Most have joined 2. Changeover to the Internet - The MedCom 2 steering group The hospitals now have EDI systems and TeleMed dissemination LAB-ERFA groups 3. Re-use and “push-pull” in the 4 History of the Danish Healthcare hospital area Data Network 18 The local-authority project 4. Dissemination of local-authority It started in the eighties Purpose communication MedCom 1 EDI/Internet MedCom 2 Execution 32 The vision: A multi-functional intranet MedCom permanent Sub-projects Building Regional Healthcare Networks At the international level Local-authority project managers’ group in Europe Clinical communication 6 The dissemination project 22 Pilot projects Health information and Health gateway Purpose Purpose Administrative Communication Ambitious target The dentist project The county project managers’ group The TeleMed project 34 PICNIC in Europe Barcodes The physiotherapist project Uniform registration module for microbiology The consultant specialist project 35 MedCom in print EDI telephone directory Booking results 2 The national IT strategy ...The MedCom project “The MedCom project made permanent will continue the effort to expand and assure the quality of electronic communication in the healthcare sector. The aim is for all medical practices and hospitals to be connected to the Danish Healthcare Data Network by 2002. As well as expanding and assuring quality in the application of new and old standards, MedCom should, in the light of the development of the Internet and the consideration being given to the construction of a patient index, examine the options for broadening the infra- The MedCom 2 structure for the Danish Healthcare Data Network, including data steering group interchange by ‘data pull’ (the user retrieves data when it is to be used) instead of ‘data push’ (data is sent to the user). Vagn Nielsen, Head of Department, Ministry of Health (Chairman) MedCom is additionally to contribute to development and implemen- Leif Vestergård Petersen, tation projects in the area of EPR. MedCom can act here as a link County Health Director, Vejle between the EPR standardisation taking place in the National County Council (Deputy Chairman) Board of Health and the EPR implementation being undertaken in the hospitals and ensure that the standardisation takes Svend Tychsen, Head of Develop- place interactively between users, suppliers and authorities.” ment and Personnel, Odense Local Authority (Deputy Chairman) Peder Ørnsholt Ring, Chief of Section, Association of County Councils MedCom 3 (2000 - 01) is Jens Meiland Hansen, Bachelor of expected to have the purpose of Commerce, Sen. Clerical Officer, Nat. G consolidating the communica- G developing a “push-pull” hospi- Association of Local Authorities tion between medical practices, tal package for communication of Arne Kverneland, Chief of Section, hospitals and pharmacies the most common messages in the National Board of Health G expanding basic communication hospital area between hospitals and local autho- Vibeke Høeg, Head of Secretarial rities Income and expenditure Services, Copenhagen Hospital G carrying out a changeover to MedCom is jointly financed by the Corporation Internet technology and expanding parties behind the projects. Jørn Jan Nielsen, Deputy Chief of telemedical communication Section, Copenh. Local Authority Torben Hede, Senior Clerical Officer, Ministry of Social Affairs (DKK 1000) MedCom 1 MedCom 2 MedCom 3 Jan Staack Nielsen, Head of IT, (Forecast) (Expected) Danish Pharmaceutical Association Income: Kresten Nielsen, General Ministry of Health 5000 8333 8000 Practitioner, Association of Danish Counties and CHC 5000 8333 7050 General Practitioners Local-authority grants 0 3780 186 Jens Harbo, Dental Surgeon, Healthcare organisations 1000 2776 666 Danish Dental Association Private companies 4000 6666 500 Jesper Damsgaard, Total 15000 29888 16402 Marketing Manager, Tele Danmark Business Division Expenditure: Anders Kristian Jørgensen, Basic expenditure 4730 8150 Sales Director, Dan Net A/S EU projects 1378 0 Ole Mikkelsen, Regional Director, Projects: Doctor-Hosp.-Pharmacy 7997 9400 Kommunedata Projects: Local authority-Hosp. 0 6230 ? Projects: Internet-Telemed 0 4000 Jens Peter Christensen, Senior Other 117 1608 Clerical Officer, Ministry of Health Total 14222 29388 Henrik Bjerregaard Jensen, Repaid 778 500 Centre Manager (Project Manager) 3 The MedCom project... The history of the Danish Health Care Data Network It started in the eighties MedCom 1 However, the dissemination of the standards went slowly. A decision The history of MedCom goes back To counteract the tendency for the was therefore taken to carry out a to the end of the 1980s, when counties each to “re-invent the second project - MedCom 2. interest in electronic communica- wheel”, Funen County in 1992 tion between the various parties in submitted a proposal to organise a MedCom 2 the healthcare sector grew. Local joint nation-wide project bringing The primary purpose of MedCom 2 projects were launched on the ini- together national government, the was to ensure rapid and large-scale tiative of the Association of County counties, private companies and dissemination of the standards Councils, at the hospitals in Vejle healthcare organisations, under developed under the MedCom 1 and Silkeborg among others. The the name of MedCom. project. In addition, the local- projects, together with the DSI authority healthcare sector was report “Computing Across (Sector) The purpose of MedCom was to brought into the project together Boundaries” helped to draw atten- develop nation-wide standards for with the dentistry and telemedi- tion to the need for cross-sector the most common communication cine. Internet technology also start- communication from 1991 on. flows between medical practices, ed to be used. hospitals and pharmacies: referrals Alongside these projects, a trial and discharge letters, laboratory Following the implementation of involving communication between requests and results, X-ray letters, MedCom 2, EDI communication is 10 pharmacies and 11 medical prescriptions and national health now everyday reality in all Danish practices was held in Amager in insurance billing, totalling over 30 counties, and 1.3 million messages 1989 - 90. The trial was pioneering million messages a year. a month are exchanged. All hospi- in EDI communication in Denmark, tals, pharmacies and laboratories, and since the Amager trial all EDI The development projects ran from two-thirds of medical practices and projects in the healthcare sector 1994 to 1996 as 25 pilot projects 16 local authorities use the Danish have been built on the same spread across the whole country, Healthcare Data Network
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