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MAKING Ehealth WORK NATIONAL STRATEGY for DIGITALISATION of the DANISH HEALTHCARE SECTOR 2013-2017 CONTENTS PREFACE

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MAKING Ehealth WORK NATIONAL STRATEGY for DIGITALISATION of the DANISH HEALTHCARE SECTOR 2013-2017 CONTENTS PREFACE THE DANISH GOVERNMENT LOCAL GOVERNMENT DENMARK DANISH REGIONS MAKING eHEALTH WORK NATIONAL STRATEGY FOR DIGITALISATION OF THE DANISH HEALTHCARE SECTOR 2013-2017 CONTENTS PREFACE PREFACE 2 Citizens should be able to receive high-quality Because of an ageing population, there will and coherent patient care from a modern be more people with chronic diseases in A DIGITAL HEALTHCARE SYSTEM 4 and efficient Danish healthcare system. the future who will require cross-sectoral An important element in achieving this treatment. This increases demand for more HEALTHCARE SERVICES DELIVERED IN NEW WAYS 6 is to actively involve patients in their own – and better – collaboration across hospitals, treatment, and to organise treatment homecare and general practitioners. DIGITAL WORKFLOWS AND PROCESSES 10 in accordance with the needs, possibilities and schedule of the individual. Therefore we have taken steps to fundamen- COHERENT PATIENT PATHWAYS 14 tally change the Danish healthcare system by We want a healthcare system that is concentrating treatments at fewer but more BETTER USE OF DATA 20 coherent, and in which healthcare providers specialised hospitals; by ensuring that more collaborate across sectors and specialist treatments are performed on an outpatient GOVERNANCE 24 groups to deliver the best service to patients. basis; and by having more patients treated in – or close – to their home. Increased specialisation emphasises the mutual dependence between players in the health- care sector. Digitalisation is key to a citizen-centric healthcare system which is coherent and efficient. However, if we are to harness the benefits of digitalisation, everyone must participate, as many of the benefits require cross-sectoral efforts. Danish eHealth is top of its class internation- WE HOPE YOU WILL FIND IT THE EXTENT OF eHEALTH USE IN HOSPITALS IN THE EU ally, see figure 1. We already have a number of AN INTERESTING READ ICT systems in support of patient treatment, workflow, and cross-sectoral collaboration. Astrid Krag The challenge ahead is to fully exploit the Malta* 2012 Minister for Health Denmark 2010 potential of these digital solutions in the Estonia treatment of patients, to ensure greater Sweden 2012 EU-27+3 Erik Nielsen Finland coherence between digitalisation efforts 2010 EU-27+3 Chairman of Local Government Denmark UK across the healthcare sector, and to ensure Netherlands Luxembourg greater visibility of outcomes. Austria Bent Hansen Belgium Chairman of Danish Regions Iceland With this National Strategy for Digitalisation Norway of the Danish Healthcare Sector 2013-2017, Spain Ireland the Danish government, Local Government Italy Cyprus Denmark and Danish Regions continue their France collaboration for digitalisation. The strategy Germany Portugal was prepared by the National Board Croatia of eHealth and it outlines the ambitious Czech Rep. Romania and binding common commitment for Hungary future work. We have named the strategy Bulgaria Latvia Making eHealth work. Slovakia Lithuania Slovenia Greece Poland 0.0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 Figure 1. The extent of eHealth use in hospitals in the EU, based on an indicator comprising four parameters: ICT infrastructure; ICT solutions; exchange of health data; and ICT security and privacy. Source: Joint EC - OECD Workshop "Benchmarking Information and Communication Technologies in Health Systems", Brussels, 18-19 April 2013. *Malta was only represented with data from a single hospital and therefore is not represented with the same validity as the other participants. DIGITALISERING MED EFFEKT 3 A DIGITAL HEALTHCARE SYSTEM The vision of the Danish government, Local National Action Plan for Dissemination it requires unified log-on solutions and stable Digitalisation must contribute to raising the Government Denmark and Danish Regions for of Telemedicine further, in order to deploy ICT systems. quality of services and to releasing resources a digital healthcare system in Denmark is: and implement the successful solutions that may be prioritised to benefit patient and models for collaboration at large scale. When raising awareness about the use and care. Patients and citizens should experience To make coherent, efficient and standardised effect of ICT, we need to shift our focus away the benefits of digitalisation. digital solutions available to health profes- This will give patients better tools to from seeing digitalisation and the use of ICT sionals in their delivery of healthcare services understand their condition and to manage as only being about documenting data and THE STRUCTURE OF THE STRATEGY to the public. their own treatment. information as part of daily work procedures. We need to become better at comparing The strategy comprises five focus areas: The aim of this new National Strategy for Access to healthcare is made easier when data, avoiding double entries, and assisting Digitalisation of the Danish Healthcare Sector patients can book an appointment with relevant work processes. For example, ICT • healthcare services delivered in new ways 2013-2017 is to ensure that the many ICT their general practitioner online. Similarly, must provide valuable overviews as well • digital workflows and processes projects launched within the healthcare healthcare services are made less dependent as support for decisions and planning in • coherent patient pathways system benefit patients and staff. We need on opening hours when the public has online the daily treatment of patients. • better use of data to ensure better and more efficient care, access to submitting data about their • governance increased patient safety and easier workflows condition. In some cases, this will mean MORE COST-EFFECTIVE HEALTH for staff. During the lifetime of the strategy, they avoid having to go through time- Each section provides a brief status on SOLUTIONS we will increase our focus on ensuring full consuming routine check-ups. This the area, describes challenges, and sets out deployment and use of existing ICT solutions, exemplifies how the use of patient and We must ensure greater visibility of the goals for efforts within the individual area. e.g. by phasing out paper-based workflows. staff resources can be optimised, so that benefits of digitalisation, and we must use Each section also contains descriptions efforts can be strengthened where the digital solutions to create greater awareness of specific initiatives that are to be carried need is greatest. about progress and achievements in the out in the short term in order to realise HEALTHCARE SERVICES DELIVERED healthcare sector. The Danish government, the strategy. IN NEW WAYS in collaboration with local and regional MORE TIME FOR CORE TASKS We need to use ICT and digitalisation to governments, will therefore establish Additional goals for digitalisation towards involve patients. The digital possibilities We need ICT and digitalisation to enhance ambitious indicators for digital workflows 2017 will be set in the budget agreements to involve the individual citizen as an active the quality of care and to ease the work and coherent patient pathways in the for 2015 and onwards. player must be better utilised, e.g. by using of health professionals. This is crucial in healthcare sector. telemedicine or the citizen's own data. ensuring digitalisation is used to deliver more We will take the actions outlined in the cost-effective health solutions. Moreover, 4 MAKING eHEALTH WORK BOX 1 BOX 2 BOX 3 KEY GOALS OF THE STRATEGY RECOMMENDATIONS ON eHEALTH • Efforts by the regions to accelerate work THE LINK TO OTHER STRATEGIES IN THE SHORT TERM FROM EVALUATION OF to establish and put into use clinical This strategy takes further the tracks set THE STRUCTURAL REFORM ICT workstations, to ensure systematic • Deployment and use of consolidated out in the out in the eGoverment strategy follow-up on the phase-out of manual clinical ICT workstations in all regions There is need for: 2011 - 2015. The common regional digitali- workflows, and to phase out the use before the end of 2014, based on nine sation strategy and the municipal strategy • Greater progress and focus on the use of incompatible ICT solutions. indicators. for telehealth will be realised within this of ICT solutions in hospitals and munici- • Better efforts by the National eHealth framework. • Objectives set for the use of ICT in support palities. Authority and the regions to establish of key workflows in municipalities before • Strengthened efforts to promote cross- a common public sector ICT infrastructure The parties will launch a public sector the end of 2014, based on clear indicators. sectoral communication, improved for the healthcare sector. strategy for digital welfare services in 2013, • Deployment and use of the Shared monitoring and harnessing the benefits which will ensure the right conditions for • Greater priority by the regions on joint Medication Record in all regions by 2013, from ICT systems across all sectors. more efficient delivery of services by the procurement, development and operation including deployment in all municipalities public sector and for new ways to involve • Identification of indicators and goals at of common regional ICT solutions. by 2014 with a view to full use by mid-2015. citizens – also in the healthcare area. regional and municipal levels for the use • The National Board of eHealth to enhance Some of the initiatives in this strategy • Support of full digital communication of relevant ICT systems in the daily delivery its role in binding collaboration on the for
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