EHealth Reform: Strategic Components and Practical, Nationwide, Assimilation Lessons Learned
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Abstract
Clalit Health Services (CHS) is the largest Health Maintenance Organization in Israel. Through its 14 hospitals and more than 1300 primary and specialized clinics, CHS provides comprehensive medical care to the majority of Israel’s population (about 3.8 million customers).
In the upcoming decade, the Internet will be the backbone of a strategic change revolution in medical services both at the healthcare provider level and at the patient's level. Online medicine allows patients to actively participate in managing their own medical status, in health and in sickness, using personally tailored interactive tools. Such empowerment is expected to increase patient's willingness to adopt actions and lifestyles that promote health as well as improve follow-up and compliance with treatment in cases of chronic illness.
For the healthcare organization, the online channel will impact on several central issues, including: improving quality of care, level of service, and efficiency. A core challenge presented by online medicine is to avoid harming the personal relationship between the patient and the medical staff.
CHS e-Health wing leads the vision of next generation, web-based, patient-centered healthcare services. Currently, CHS e-Health wing provides e-health services for 647,000 unique patients monthly (May 2010).
The presentation will review the strategic components of online medicine, specifically addressing key lessons learned from the assimilation of CHS Personal Health Portal which includes the following components:
1. The Personal controlled health record layer presents patients with their medical information – diagnoses, medications, allergies, vaccinations, hospital release letters, etc. Laboratory and critical medical information is also accessible through CHS mobile-web portal.
2. The Personal health services layer enables patients to order chronic prescriptions, request referrals to routine laboratory tests etc.
Since December 2009 CHS personal health portal enables full virtual, web based, medical consultation (Online Care). Currently, around 5900 virtual consultations are performed monthly (May 2010).
3. The personal knowledge layer presents patients with textual, visual and interactive content components tailored to the patients' medical status. For example, diabetic patients are presented with a diabetes journal including reminders for yearly eye exams and video training of how to examine diabetic feet. Special emphasis is placed on personalized preventative medicine information and health promotion.
In the upcoming decade, the Internet will be the backbone of a strategic change revolution in medical services both at the healthcare provider level and at the patient's level. Online medicine allows patients to actively participate in managing their own medical status, in health and in sickness, using personally tailored interactive tools. Such empowerment is expected to increase patient's willingness to adopt actions and lifestyles that promote health as well as improve follow-up and compliance with treatment in cases of chronic illness.
For the healthcare organization, the online channel will impact on several central issues, including: improving quality of care, level of service, and efficiency. A core challenge presented by online medicine is to avoid harming the personal relationship between the patient and the medical staff.
CHS e-Health wing leads the vision of next generation, web-based, patient-centered healthcare services. Currently, CHS e-Health wing provides e-health services for 647,000 unique patients monthly (May 2010).
The presentation will review the strategic components of online medicine, specifically addressing key lessons learned from the assimilation of CHS Personal Health Portal which includes the following components:
1. The Personal controlled health record layer presents patients with their medical information – diagnoses, medications, allergies, vaccinations, hospital release letters, etc. Laboratory and critical medical information is also accessible through CHS mobile-web portal.
2. The Personal health services layer enables patients to order chronic prescriptions, request referrals to routine laboratory tests etc.
Since December 2009 CHS personal health portal enables full virtual, web based, medical consultation (Online Care). Currently, around 5900 virtual consultations are performed monthly (May 2010).
3. The personal knowledge layer presents patients with textual, visual and interactive content components tailored to the patients' medical status. For example, diabetic patients are presented with a diabetes journal including reminders for yearly eye exams and video training of how to examine diabetic feet. Special emphasis is placed on personalized preventative medicine information and health promotion.
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