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Christian Juhra

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  • OS11 - Diversity in Implementation (ID 17)

    • Event: e-Health 2017 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical and Executive
    • Presentations: 1
    • Coordinates: 6/06/2017, 10:30 AM - 12:00 PM, Room 205D
    • OS11.03 - Emergency Data Management - Crossing the Borders? (ID 124)

      Christian Juhra, Office for eHeahlt, University Hospital Muenster; Muenster/DE

      • Abstract
      • Slides

      Purpose/Objectives: In order to improve access to crucial patient data in case of emergency, many countries have begun or intend to implement emergency datasets. In 2018, a law will require German physicians to create emergency datasets at the request of their patients. As a basis, the German Medical Association developed a medical emergency dataset (MED), which may store information on contact persons, prior diagnoses, medications, allergies, implants and other relevant emergency information. The MED is intended to be physically stored on the German Electronic Health Card (EHC) by authorized health professionals, and can only be decrypted with a German electronic health professional card. Consequently, access to MED will be limited to the area of Germany, and it will not be accessible by foreign health professionals when Germans are traveling abroad. Therefore, the aim of our study group is to evaluate how the MED may be used internationally. We explore this in two dimensions: is the MED content useful for non-German health professionals, and how would they prefer to access MED electronically.

      Methodology/Approach: Within a project funded by the European Union and the Ministry of Health, Emancipation, Care and Aging of North-Rhine Westphalia a multi-phase study is conducted to test the possible use of the MED in different countries. The basis of this study is an evaluation, which was conducted in Germany in 2014. Within this study 13 primary care physicians developed a total of 64 emergency data sets. Afterwards the usability and potential benefit of the completed data sets were assessed by emergency care providers (14 clinicians, 14 emergency physicians and 9 paramedics) based on a semi-standardized questionnaire. Since the necessary telematic infrastructure is not yet established, the evaluation process was performed paper-based. To evaluate whether the MED may also be used in an international context, in 2016 / 2017, a second evaluation unit will be carried out in British Columbia.

      Finding/Results: Within the German study, a total of 64 MEDs were completed by 13 primary care physicians. 63 MEDs were presented to clinicians, emergency physicians and paramedics for evaluation; one data set was used for training purposes. Since each emergency data set was reviewed five times, a total of 315 assessments were performed. In more than 70% of the reviewed cases, all three groups rated the completed emergency data sets as very useful or useful. The greatest benefit was attributed to the information on diagnoses and medication. The international evaluation will start in early 2017, so the results are pending at this time.

      Conclusion/Implication/Recommendations: Our present study provides a scalable method not only to test and validate the MED in the German context, but also expand this validation in Canada. The findings will help us to enrich the MED in Germany, and refine it to be useful for non-German health systems. Furthermore, the findings will guide us in our next step in the development of a secure technical solution that will make it possible to access emergency data across borders.

      140 Character Summary: In order to improve access to emergency data a multi-phase study is conducted to test the possible use of the German medical emergency dataset in different countries.

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