Estonian experience EPrescription and other eSolutions Helen Hoyer

E-services in public sector • • • X-Road – data exchange environment e-Prescription Taxpayers’

E-Prescription 1 All of the prescriptions end up at the central database • 95%

E-Prescription 2 • Prescriptions issued electronically – Assumed 45% by the end of the

Improving the quality of medical treatment (1) • Decreasing the cost sharing – Technical

Improving the quality of medical treatment (2) • Assessing the compliance – Monitoring patients’

In progress: e-prescription • Active feedback for doctors – Statistic about their prescribing patterns

In progress: e-health 1 • E-waiting list + e-referral A tool managing recourses of

In progress: e-health 2 • Standardization Unstructured data - unable to process and incompatible

Components of success Public demand Political decision Data exchange environment Standards-> structured data In-house

How to make an impact? E-Health is powerful tool to achieve the sustainable and

Thank you! Questions? Helen. hoyer@haigekassa. ee Estonian Health Insurance Fund

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Estonian experience E-Prescription and other e-Solutions Helen Hoyer helen. hoyer@haigekassa. ee 19. 06. 2013

E-services in public sector • • • X-Road – data exchange environment e-Prescription Taxpayers’ declaration of income Internet voting Establishment of a company

E-Prescription 1 All of the prescriptions end up at the central database • 95% of prescriptions are digitally prescribed • Paper-prescriptions are digitalized by the pharmacists

E-Prescription 2 • Prescriptions issued electronically – Assumed 45% by the end of the 1 st year – Actual result 73% • Customer satisfaction – Assumed 75% by the end of the 2 nd year – Actual 95%

Improving the quality of medical treatment (1) • Decreasing the cost sharing – Technical tool: active ingredient vs. brand-name – Campaigns for patients - > higher awareness Patients’ co-payment decreased 17. 3% 2009: € 8. 02 per prescription 2012: € 6. 65 per prescription

Improving the quality of medical treatment (2) • Assessing the compliance – Monitoring patients’ all prescriptions – Detecting the interactions

In progress: e-prescription • Active feedback for doctors – Statistic about their prescribing patterns – Comparison with other doctors • Decision making tool for doctors – Clinical guidelines

In progress: e-health 1 • E-waiting list + e-referral A tool managing recourses of the health care providers • E-consultation More effective time consumption of specialist

In progress: e-health 2 • Standardization Unstructured data - unable to process and incompatible • Communication Awareness of e-services

Components of success Public demand Political decision Data exchange environment Standards-> structured data In-house IT competence/close collaboration Working system -> availability

How to make an impact? E-Health is powerful tool to achieve the sustainable and cost-effective health-system. • In order to make an impact we need all of the e-solutions to work robustly. • Critical number of users

Thank you! Questions? Helen. hoyer@haigekassa. ee Estonian Health Insurance Fund