NICTIZ:
National Competence Centre
for
Interoperability and eHealth
Deze presentatie
1. Hoofdpunten innovatiebrief – rol Nictiz
2. Meaningful use voor Nederland
3. eHealth Monitor
4. EC: National Competence Centre
5. Coordinatie terminologie in NL
6. Verbinding preventie-cure-care – sociale
domein
7. Beeldvorming in politiek
1

• 100 hospitals, 4500 GP practices, 1800 pharmacies, each
responsible for their own finance, medical policies, and IT
• Increase in multidisciplinary, cross-enterprise healthcare
• Specialisation of hospitals
à Interoperability problems are large on all levels
à Data on quality and efficiency urgently needed
à Urge for standards
à Much debate (“polder”-model)
2
Why are we here?

Nictiz - history
• Founded in 2002 as a national competence
centre for HIT
• Later - strong focus on achieving the
national infrastructure
• Decoupled from national infrastructure
since 2012
• 95% government funded, 45 fte
• Two tasks: HIT standards and monitoring
eHealth
3

4

5
Despite fragmentation, high level
Is able to exchange information
electronically
Would like to have more opportunities
Advice from
med. specialist
to GP using
teleconsulting
Experience
positive effects
of electronic
information
GP’s Pict. of skin
Med
exchange
Specs ECG
GP
Med.
spec
GP’s with
pharmacies,
hospitals,
LTC’s
Med. spec
with internal
dept.
Med .spec
with GP’s

But re-use of data is limited…
very likely likely unsure unlikely very unlikely
Finland
Indonesia
Israel
Singapore
Sweden
UK
Belgium
Canada
Estonia
France
Iceland
Japan
Korea
Poland
Portugal
Slovakia
Denmark
Slovenia
Spain
US
Mexico
Austria
Germany
Netherlands
Switzerland
Total 6 10 4 1 4
Source: OECD, June 2013

22:17
4 gewonden
Afstand tot WFG:9,5km
22:28
1 gewonde
Afstand tot MCA:18,8km

Emergency Care Providers
11 trauma regions
725 ambulances
22 emergency rooms
104 emergency
departments (hospitals)
122 after hours GP-offices
9800 GP’s
(4800 GP-offices)

Standards developed with partners
ministerie van Volksgezondheid,
Welzijn en Sport (VWS)

ERF
Elektronisch
Ritformulier
ERF
Elektronisch
Ritformulier
ERF
Elektronisch
Ritformulier
SEH
Various information flows in
HL7V3
HL7V3
HL7V3
SEH
Ambulance
zorg bv
Connexxion
Inzage via portaal
of digitale berichten
SVS
(Slachtoffer
Volgsysteem)
Huisarts
acute care chain
Terugmelding via
MEDVRIJ en zorgmail
scenario 3B
AZN
LSDV
Landelijke
server
digitale
voormelding
Subset vd data uit
het HL7 bericht
scenario 1

Acute Care Portal
Demonstratie AZP
- Overzichtsscherm -
Actual use:
23 hospitals (of 104)
5 emergency rooms (of 22)

Meaningful use
Brainstormsessie VWS-Nictiz werkplan 2015 - dd 15 juli 2014 13

37000+ participants
1200 health IT vendors
Leading topics:
- Meaningful Use
- Interoperability
- Engage patient and
consumers through
technology
- Connected patient
“The showcase
features
Meaningful Use
certified systems ..”
Meaningful use
HIMSS Orlando 2014
14

Financial
Support
Reimbursement
In Medicare and
Medicaid
15
Meaningful use

Dutch meaningful use?
Digital
File
Exchange
Patient
access
Clinical
Process?
Quality im-provement
Standards
are
mandatory
Effective use
(and results)
Required for
reimbursement
16

Meaningful use
Comparison US - NL
US Netherlands
Privat health care providers Privat health care providers
Government pays medicare and
medicaid
Government does not pay health
care
No government control on health
insurers
Regulatory control health insurers
Carrot: subsidy Carrot: ?
Stick: reduced use of medicare/
Stick: ?
medicaid programs
17

Your views?
18
More
info
about
Nic3z:
www.nic3z.nl