E-HEALTH IN LUXEMBOURG: STATE OF PLAY
Brussels, 21 November 2016
1
Luxembourg : a country profile
2
Agence eSanté : corporate profile
3
eSanté platform and its services
4
Future projects
5
Our international cooperation
2
Luxembourg, a cosmopolitan country : particularities ~ 565.000 citizens of which 45% foreigners 50% of which: Portuguese 170 different nationalities 3 official languages : French, German, Luxembourgish (English widely used business language)
(
~ 180.000 commuters (FR/BE/GE)
necessity of medical data sharing, also on cross-border level
3
Brussels, 21 November 2016
a truly cosmopolitan country with a strong political commitment to enhance ICT driven economic and healthcare services development
National eHealth action plan
Mrs Lydia Mutsch – Minister of Health Launched in 2006 - objectives : improve prevention, force better diagnosis and treatment and integrated care of patients, improve the quality and security of healthcare for the benefit of the patient 4
National strategy « Digital Lëtzebuerg »
Mr Xavier Bettel - Prime Minister Objective: strengthen and consolidate the country’s position in the ICT area and enhance its development as high tech expert centre
Brussels, 21 November 2016
Luxembourg : a small country but facing the same challenges as our neighbouring and fellow EU bigger countries
2012 Luxembourg eHealth agency operational Oct. 2006
17/12/2010
Luxembourg government launches the eHealth action plan
Art 60ter and 60quater of Social Security Code : legal basis for Lux eHealth Agency and the national EHR
5
2016 18 employees 6 nationalities 11 languages
Brussels, 21 November 2016
Major stakeholders represented in our governing body
Represented by Ministry of Health and Ministry of Social Security
6
Brussels, 21 November 2016
Our missions defined by law eSanté platform Interoperability & Security
Road map
Orientation
External Communication
7
• Implementation, deployment, operation, and administrative and technical management of a national electronic platform for the exchange and sharing of health data, as well as applications and health information systems at national level • Promoting interoperability and security in the implementation of health information systems
• The establishment and maintenance of a roadmap for health information systems, defining a national strategy, articulated with national health priorities and the need for exchange and sharing between stakeholders
• Assist regulators and authorities on strategic choices related to health information systems
• Information for patients and providers on operational procedures and security measures in relation to the electronic health record and the national electronic platform for the exchange and sharing of health data
Brussels, 21 November 2016
eSanté Platform - January 2013 : launch of European call for tender - January 2014 : Launch of the Platform’s first services accessible via website www.esante.lu, which also serves as Information Portal
8
Brussels, 21 November 2016
eHealth services offered through eSanté Platform Two national referential directories serving as authentication basis: 1. Healthcare provider directory (HPD) 2. Master Patient Index (MPI) Secured messaging : secure e-mail tool for healthcare professionals Collaborative workspace : (virtual) application for project management and theme related ex-change between healthcare professionals 2 patient management IT support systems, put at the disposal of resp. small institutions (i.e. who do not have a technical platform), or private professionals 9
Brussels, 21 November 2016
eHealth services offered through eSanté Platform Document database : on-line database featuring a “restricted access”-area (only accessible by HP after due authentification)
IdeoRCP : tool for pluridisciplinary meetings, used in oncology Médecin Référent tool : facilitates GP and pediatricians « MR » (i.e. having signed a « referential doctor »-convention with a patient suffering from long-term conditions), to supervise and share health data by means of 2 documents registered in the DSP : - patient summary (deposited by the MR) - summary of health benefits (deposited yearly by the National Health Fund) 10
Brussels, 21 November 2016
eHealth services offered through eSanté Platform the EHR : Dossier de Soins Partagé – DSP
-
opt-out principle under patient’s full control : Patient access and health record management separate space for patient´s self monitoring data central registry and repository content focused on continuity of care :
11
Patient summary (MR)
Radiology report
Lab report
ePrescription
Discharge summary
Care summary
Summary of health benefits
……
Brussels, 21 November 2016
Providing EHR to patients and HP : several challenges Agence = ISO 27001 certified
Security ROI Legal framework & Privacy Ease of use
Features Political directions Mobility Agence participates in CEF
Find adequat balance 12
Brussels, 21 November 2016
Stepwise eHealth services deployment
Jan. 2014 eSanté Platform is operational – launch 1st eHealth services March 2014 1st actions related to PIA (Privacy Impact Assessment) in close collaboration with national data protection authority
13
June 2014 Launch of 1st eHealth services (secure messaging)
May 2015 Official announcement of launch of DSP pilote phase June 2015 deployment of pilote EHR, limited to patients having signed «referential doctor convention» (opt-out)
Sept. 2015 DSP Pilote enlarged to «voluntary patients» (Opt-In) > Oct. 2015 Start drafting GrandDucal Decree required for national general DSP deployment > Nov. 2015 Start conformity tests with external software systems for connectivity to eHealth platform
> June 2016 Launch «médecin référent» tool In course of 2017 expected general deployment of DSP (once GD Decree has passed vote)
Brussels, 21 November 2016
Our international cooperation CAT 2014 : NCP-A validation, piloting NCP-B Successfully participated in Expandathon (December 2015)
eSens Piloting Patient Summary CAT 2015 tests
RECENT PROJECTS : - EURO-CAS : EU eHealth Interoperability Conformity Assessment Scheme - Trillium Bridge II - CEF
15
Brussels, 21 November 2016
16
Brussels, 21 November 2016
More info : www.esante.lu
[email protected]
G.I.E. Agence eSanté Luxembourg Agence nationale des informations partagées dans le domaine de la santé
Bureaux : 125, route d’Esch L-1471 Luxembourg Siège social : Villa Louvigny – Allée Marconi L-2120 Luxembourg RC Luxembourg C-69 © 2016 Agence eSanté, some images © by Shutterstock
