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E-health in Italy

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by

Giovanna Mazzotta

on 17 December 2013

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Transcript of E-health in Italy

e
-Health

made in Italy
Experience in
business strategy
EU level
: Charter of Fundamental Rights

National

level
: d.Lgs n.196/2003 (Privacy Law)


National policy for
e
-Health
Data protection
EMR
Electronic Medical Record
Phone consultation
Three main kind of leaders
Risk mapping
of an
e
-Health service
Example of
ongoing
e
-Health services
Family doctor
Cannot prescribe medicines over the phone
"Green numbers"
Free of charges numbers
Establish by the Ministry of Health in emergency situations
"Payed helpline
numbers"
A few examples include:
“Violet Phone” : psychiatric abuse and violence
“Pink Phone”: women's troubles
Alcohol problems
The Italian consumer
cannot buy
drugs online,

Italian legislation
prohibits the sale
medications on the internet.
Pharmacies, recorded in a special register, can sell drugs
Doctors, enrolled in a specific register, may release prescriptions by filling
out a form
e.g. UK
DOUBT:
can an Italian buy from a UK site ?
Legality argument
It is like traveling to the foreign state to buy the product
Our legislation prohibits the sale, it does not speak of purchase
Personal use
Recorded (i.e. not counterfeit)
Recognized in Italy
Product's conditions
You can also get a prescription online
Why you should not buy drugs on line?
You buy from people that you don’t know
You can receive counterfeit medicines
You can be misled by false promises
You do not save money at all
Italy complies with
EU suggested norms on
e-health
and telemedicine (COM-2008-689).

Central

Government
dictates the
guidelines
,
Regional

Governments
has the authority to put in place and
administrate services and budget
.

Thus, applications throughout the country may differ.
e
-Health in five segments
Telemedicine
: technical and organizational means for distant diagnoses

Centralized reservation system
: medical services schedule optimization

e-Prescriptions
: reduce errors and facilitate reimbursements

Electronic Medical Record
: digital collection of patient's health data

Electronic sickness certificates
: digital transmission from GPs to social security and companies

CLINICAL
EXECUTIVE
POLITICIANS
Medical and surgical
knowledge
Health organization capabilities
COMPLEMENTARY SKILLS
Operational
management skills
Formulation of the
national health policy
Analysis of the legal framework
Italian
e
-Health market
Italian and European market
Care Link Network
Home care service
Focus on breathing problems
National leader in emergency phone service

ICT, clinical and executive leaders collaboration
Technical advice & Medical device
Art. 3
Right to the integrity of the person
: [...] the free and informed consent of the person concerned, according to the procedures laid down by the law, must be respected.
Art. 8
Protection of personal data
: Everyone has the right to the protection of personal data concerning him or her. Such data must be processed fairly for specified purposes and on the basis of the consent [...]. Everyone has the right of access to
its own data, and the right to have it rectified.
Data can be accessed
and elaborated
only with the patient’s consent
.

Data
on health condition are to be kept separate from other personal data and
cannot be accessed for other purposes but medical
.

Only when immediate medical attention is needed (i.e.: ER), specific consent to data access may not be required.

The
Electronic Medical Record
is created only when the citizen has given its
consent
to it and it is
revokable
.

Citizen’s data is only accessible to whose medical practice is requested
and with a specific consent from the patient. Data are accessible from GP, hospitals, medical staff and drugstores (if the health card is shown).

2010
: the Ministry of Health required
all regions
to implement an EMR system by 2012

Benefits:

Time savings
Cost reductions
Better information quality
National privacy law
Charter of fundamental rights

Costs shared by:
Italian Ministry of Health
Regional governments
EU
Health care provider
Best practice: VENETO
caso veneto?????
Different level of development in different region
What do
you know about
Italian e-Health?

Agenda
National policy for
e
-Health
Data protection
EMR electronic medical record
Phone consultation
Internet sale of drugs
Market leaders
Examples of
e
-Health services
Risk mapping of an
e
-Health service
Internet sale of drugs
Market leaders
Federica Del Bono
Dora Faggiolati
Federico Lasta
Giovanna Luisa Mazzotta
Questions?
Medtronic CareLink Network
Monitoring service, connecting cardiac device patients to their clinic from home.

- Simplified diagnosis
- Long-term use (3 years)
- Alarm in case of problems
- Remote check-up
- Confidentiality of information
- Unconstrained daily routine

Patient
- Optimization hospital
admissions
- Reduction in emergency
admissions
- Time savings
Hospital
Patient's risks
intolerance / infections
big brother effect
lack of human contact

Hospital's risks
no answer
misinterpretation
negligence

Technical risks
device malfunction
communication network
malfunction

Different frameworks in Europe
Full transcript