How to move Forward the Implementation of the EU Interoperability Recommendation to Establish Trust and user Acceptance. Part 2: Perspective of a Professional Users Organisation
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How to move Forward the Implementation of the EU Interoperability Recommendation to Establish Trust and user Acceptance. Part 2: Perspective of a Professional Users Organisation. Wilks M. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)
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How to move Forward the Implementation of the EU Interoperability Recommendation to Establish Trust and user Acceptance. Part 2: Perspective of a Professional Users Organisation
- 1. Establishing trust and user acceptance Dr Michael Wilks Immediate Past - President, CPME Chairman, E-Health users’ stakeholder group
- 2. Is there a lack of trust? • Trust in professionals • variety of HCPs • task shifting/ skill mixing • professional attitudes • Trust in systems • data protection • use of data beyond healthcare • confidentiality
- 3. How to improve trust? • Trust in professionals • professional regulation • sharing care openly within teams • sharing care with patients • Trust in systems • access to records • data protection • ethical aspects – consent • “joined-up” implementation
- 4. How to improve trust? • Trust in professionals • professional regulation • sharing care openly within teams • sharing care with patients • Trust in systems • access to records • data protection • ethical aspects – consent • “joined-up” implementation
- 5. Data Protection or Consent? Data Protection Consent • Contract between • “Contract” between HCP and law…. HCP and patient • …after the event • Precedes the event • Based on penalties • Based on trust • Discourages • Encourages working working together together
- 6. Consent LEVEL OF CONSENT FULLY ANONYMISED INFORMED RESEARCH RECORD CONSENT ? INFORMED FINANCIAL CONSENT AUDIT SPECIFIC EXTENDED CONSENT HEALTHCARE IMPLIED IMMEDIATE CONSENT HEALTHCARE DISTANCE FROM IMMEDIATE HEALTHCARE
- 7. How to improve trust? • Trust in professionals • professional regulation • sharing care openly within teams – the team • sharing care with patients • Trust in systems • access to records • data protection • ethical aspects – consent • “joined-up” implementation
- 8. DOCTOR PATIENT Manual record Memory Familiarity Continuity
- 9. DOCTOR DOCTOR PATIENT NURSE
- 10. PHYSIO- COMMUNITY PHARMACIST THERAPIST NURSE DOCTOR PATIENT DENTIST THERAPIST NURSE CHIROPODY TRAINEE COMP. MED.
- 11. PHYSIO- COMMUNITY PHARMACIST THERAPIST NURSE ELECTRONIC DOCTOR PATIENT DENTIST RECORD NURSE THERAPIST NURSE
- 12. PHYSIO- COMMUNITY PHARMACIST THERAPIST NURSE SUMMARY DOCTOR RECORD DENTIST NURSE THERAPIST NURSE
- 13. How to improve trust? • Trust in professionals • professional regulation • sharing care openly within teams – skill mixing • sharing care with patients • Trust in systems • access to records • data protection • ethical aspects – consent • joined-up” implementation
- 14. ACUTE CARE NURSE TRIAGE DOCTOR LONG-TERM CARE NURSE DOCTOR LONG-TERM MONITORING NURSE DOCTOR
- 15. How to improve trust? • Trust in professionals • professional regulation • sharing care openly within teams – skill mixing • sharing care with patients • Trust in systems • access to records • data protection • ethical aspects – consent • joined-up” implementation
- 16. INFORMATION: • Patient groups INTERPRETATION • Web (WEB-BASED?) RECORD • Media • Clinicians • HCPs • Others DOCTOR PATIENT E-MAIL REMOTE MONITORING TELEMEDICINE
- 17. How to improve trust? • Trust in professionals • professional regulation • sharing care openly within teams – skill mixing • sharing care with patients • Trust in systems • access to records • data protection • ethical aspects – consent • joined-up” implementation
- 18. Implementation • Interoperability • CALLIOPE • epSOS • eHealth Governance • Joined-up DGs • Stakeholder involvement
- 19. Cross-border care COUNTRY A COUNTRY B PATIENT HCP “A” PATIENT SAFETY HCP “B” • INTEROPERABILITY • INFORMATION QUALITY • STANDARDISATION • SEMANTICS
- 20. Cross-border care COUNTRY A COUNTRY B SUMMARY PRESCRIPTION HCPs: HCPs: - doctors - doctors - pharmacists - pharmacists Managers JOINT ACTIONManagers Patients: Patients: - information THEMATIC - information - consent NETWORK - consent
- 21. Thank you