Development of electronic health messaging services in Denmark, and lessons for Ireland / by Fergus Murray

Hdl Handle:
http://hdl.handle.net/10147/55193
Title:
Development of electronic health messaging services in Denmark, and lessons for Ireland / by Fergus Murray
Authors:
Murray, Fergus
Issue Date:
2008
URI:
http://hdl.handle.net/10147/55193
Item Type:
Thesis
Language:
null
Description:
The quality, efficacy and safety of healthcare depends amongst other things, on the rapid and accurate communication of both exceptional and routine patient information to the point of care, wherever that may be. The electronic communication of such information in a standardised format, is often referred to as health messaging, and is a vital step in the establishment of the electronic patient record. The main objective of this research was to review the approach taken to the development of health messaging services in Denmark, a recognised centre of excellence, and to identify how the lessons learned can be applied to Ireland. This was achieved by conducting qualitative research by means of documentary analysis and use of semi-structured interviews and fact sheets, from a public service provider’s viewpoint. The resulting descriptive report outlines the international context and major trends, details the development of health messaging services in Denmark and Ireland, compares and contrasts both to identify relevant implications for Ireland, and sets out the main conclusions and some key recommendations. Denmark has adopted an ambitious but incremental approach, and developed an extensive range of health messaging services, used by the majority of public/private healthcare providers. Ireland commenced its regional projects 11 years later than Denmark, and has developed a more modest range of services between primary and secondary care. It was concluded that there is a compelling business case for health messaging, and significant benefits have been achieved in both countries (e.g. improved patient safety/care, timeliness, quality, efficiency, resource utilisation). Messaging services have a central role in building and maintaining a cohesive health service, and are of particular importance within the hospital sector. In Denmark, the establishment of MedCom as an impartial prime-mover, negotiator and co-ordinator was significant. The many valuable lessons identified, validate Ireland’s approach in many areas and prompt necessary changes in others. Recommendations include the need to identify a senior national business sponsor, and to establish a national messaging Programme Board and programme that will facilitate the co-ordination of multiple regional/local projects to develop additional services. High priority objectives identified and relevant lessons learned in both countries should be considered when determining the best way forward. A new project unit with appropriate independence, modelled on MedCom, should be established to lead and co-ordinate this development programme.
Keywords:
COMMUNICATION; INFORMATICS; INFORMATION TECHNOLOGY

Full metadata record

DC FieldValue Language
dc.contributor.authorMurray, Fergus-
dc.date.accessioned2009-03-13T09:23:28Z-
dc.date.available2009-03-13T09:23:28Z-
dc.date.issued2008-
dc.identifier.urihttp://hdl.handle.net/10147/55193-
dc.descriptionThe quality, efficacy and safety of healthcare depends amongst other things, on the rapid and accurate communication of both exceptional and routine patient information to the point of care, wherever that may be. The electronic communication of such information in a standardised format, is often referred to as health messaging, and is a vital step in the establishment of the electronic patient record. The main objective of this research was to review the approach taken to the development of health messaging services in Denmark, a recognised centre of excellence, and to identify how the lessons learned can be applied to Ireland. This was achieved by conducting qualitative research by means of documentary analysis and use of semi-structured interviews and fact sheets, from a public service provider’s viewpoint. The resulting descriptive report outlines the international context and major trends, details the development of health messaging services in Denmark and Ireland, compares and contrasts both to identify relevant implications for Ireland, and sets out the main conclusions and some key recommendations. Denmark has adopted an ambitious but incremental approach, and developed an extensive range of health messaging services, used by the majority of public/private healthcare providers. Ireland commenced its regional projects 11 years later than Denmark, and has developed a more modest range of services between primary and secondary care. It was concluded that there is a compelling business case for health messaging, and significant benefits have been achieved in both countries (e.g. improved patient safety/care, timeliness, quality, efficiency, resource utilisation). Messaging services have a central role in building and maintaining a cohesive health service, and are of particular importance within the hospital sector. In Denmark, the establishment of MedCom as an impartial prime-mover, negotiator and co-ordinator was significant. The many valuable lessons identified, validate Ireland’s approach in many areas and prompt necessary changes in others. Recommendations include the need to identify a senior national business sponsor, and to establish a national messaging Programme Board and programme that will facilitate the co-ordination of multiple regional/local projects to develop additional services. High priority objectives identified and relevant lessons learned in both countries should be considered when determining the best way forward. A new project unit with appropriate independence, modelled on MedCom, should be established to lead and co-ordinate this development programme.en
dc.language.isonullen
dc.subjectCOMMUNICATION-
dc.subjectINFORMATICS-
dc.subjectINFORMATION TECHNOLOGY-
dc.titleDevelopment of electronic health messaging services in Denmark, and lessons for Ireland / by Fergus Murrayen
dc.typeThesisen
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