Establishing trust and user
acceptance



Dr Michael Wilks
Immediate Past - President, CPME
Chairman, E-Health users’ stakeholder group
Is there a lack of trust?

• Trust in professionals
  • variety of HCPs
  • task shifting/ skill mixing
  • professional attitudes
• Trust in systems
  • data protection
  • use of data beyond healthcare
  • confidentiality
How to improve trust?

• Trust in professionals
  • professional regulation
  • sharing care openly within teams
  • sharing care with patients
• Trust in systems
  •   access to records
  •   data protection
  •   ethical aspects – consent
  •   “joined-up” implementation
How to improve trust?

• Trust in professionals
  • professional regulation
  • sharing care openly within teams
  • sharing care with patients
• Trust in systems
  •   access to records
  •   data protection
  •   ethical aspects – consent
  •   “joined-up” implementation
Data Protection or Consent?

  Data Protection           Consent
• Contract between     • “Contract” between
  HCP and law….          HCP and patient
• …after the event     • Precedes the event
• Based on penalties   • Based on trust
• Discourages          • Encourages working
  working together
                         together
Consent
LEVEL OF CONSENT
      FULLY
  ANONYMISED
   INFORMED                                             RESEARCH
     RECORD
    CONSENT




                                          ?
   INFORMED                               FINANCIAL
    CONSENT                                 AUDIT


    SPECIFIC                 EXTENDED
    CONSENT                 HEALTHCARE


    IMPLIED        IMMEDIATE
    CONSENT        HEALTHCARE


                   DISTANCE FROM IMMEDIATE HEALTHCARE
How to improve trust?

• Trust in professionals
  • professional regulation
  • sharing care openly within teams – the team
  • sharing care with patients
• Trust in systems
  •   access to records
  •   data protection
  •   ethical aspects – consent
  •   “joined-up” implementation
DOCTOR                   PATIENT




         Manual record
         Memory
         Familiarity
         Continuity
DOCTOR




DOCTOR   PATIENT




NURSE
PHYSIO-    COMMUNITY
                         PHARMACIST
THERAPIST     NURSE




DOCTOR      PATIENT       DENTIST



             THERAPIST
NURSE       CHIROPODY     TRAINEE
            COMP. MED.
PHYSIO-    COMMUNITY
                          PHARMACIST
THERAPIST     NURSE




             ELECTRONIC
DOCTOR         PATIENT     DENTIST
               RECORD




NURSE       THERAPIST       NURSE
PHYSIO-    COMMUNITY
                        PHARMACIST
THERAPIST     NURSE




             SUMMARY
DOCTOR        RECORD     DENTIST




NURSE       THERAPIST     NURSE
How to improve trust?

• Trust in professionals
  • professional regulation
  • sharing care openly within teams – skill mixing
  • sharing care with patients
• Trust in systems
  •   access to records
  •   data protection
  •   ethical aspects – consent
  •   joined-up” implementation
ACUTE CARE

  NURSE            TRIAGE   DOCTOR

LONG-TERM CARE


     NURSE                  DOCTOR


LONG-TERM MONITORING

  NURSE                     DOCTOR
How to improve trust?

• Trust in professionals
  • professional regulation
  • sharing care openly within teams – skill mixing
  • sharing care with patients
• Trust in systems
  •   access to records
  •   data protection
  •   ethical aspects – consent
  •   joined-up” implementation
INFORMATION:
                                  • Patient groups
                 INTERPRETATION   • Web
(WEB-BASED?) RECORD               • Media
                                  • Clinicians
                                  • HCPs
                                  • Others

   DOCTOR               PATIENT


        E-MAIL
        REMOTE MONITORING
        TELEMEDICINE
How to improve trust?

• Trust in professionals
  • professional regulation
  • sharing care openly within teams – skill mixing
  • sharing care with patients
• Trust in systems
  •   access to records
  •   data protection
  •   ethical aspects – consent
  •   joined-up” implementation
Implementation


•   Interoperability
•   CALLIOPE
•   epSOS
•   eHealth Governance
    • Joined-up DGs
    • Stakeholder involvement
Cross-border care
          COUNTRY A         COUNTRY B


PATIENT


HCP “A”    PATIENT SAFETY           HCP “B”

          • INTEROPERABILITY
          • INFORMATION QUALITY
          • STANDARDISATION
          • SEMANTICS
Cross-border care
               COUNTRY A   COUNTRY B
 SUMMARY

PRESCRIPTION

 HCPs:                     HCPs:
 - doctors                 - doctors
 - pharmacists             - pharmacists
 Managers      JOINT ACTIONManagers
 Patients:                 Patients:
 - information   THEMATIC - information
 - consent      NETWORK - consent
Thank you

More Related Content

PPT
Text data mining of aged care accreditation reports to identify risk factors ...
PPTX
Bottom up approach required for the adoption of
PDF
4. Engaging Providers to Clear Access Hurdles
PPTX
Don't just talk about patient centricity - put meaningful patient engagement ...
PPTX
Gai Moore, Sax Institute
PDF
6. Advanced Access and Predictive Analytics
PDF
Personally controlled health data for research
DOCX
Psg graduate resumes
Text data mining of aged care accreditation reports to identify risk factors ...
Bottom up approach required for the adoption of
4. Engaging Providers to Clear Access Hurdles
Don't just talk about patient centricity - put meaningful patient engagement ...
Gai Moore, Sax Institute
6. Advanced Access and Predictive Analytics
Personally controlled health data for research
Psg graduate resumes

Similar to How to move Forward the Implementation of the EU Interoperability Recommendation to Establish Trust and user Acceptance. Part 2: Perspective of a Professional Users Organisation (20)

PPT
ICT for health by Dipak Kalra
PPTX
Dave Whitlinger - NYeHC - eCollaborationForum 2012 - 02/23/12
PDF
Medical Professionalism: Renewing Social Contract
PDF
Electronic Community of Practice: Seamless Interprofessional Learning and Pra...
PPT
Polycom health care uganda may2012
PDF
What Lies Ahead for ONC: Meaningful Use and Beyond
PDF
PPTX
iHT² Health IT Summit in Beverly Hills 2012 - Raymond Lowe Case Study “Dignit...
PDF
Dinsdag 21 feb, 11.15-12.00 uur, Jeff Miller
PDF
Dinsdag 21 feb, 11:15-12:00 uur, Jeff Miller
PDF
NC HIE Himss discussion 21feb2012
PDF
The Dynamic State of Physician-Hospital Alignment: Using Collaboration and St...
PPTX
Dental pateint relationship and technology
PDF
Health Informatics for Hospital Executives
PDF
IT Bricks and Mortar to Optimize Patient Centered Medical Homes
PPTX
9.gpt alverson presentation final 2013
PPTX
Qsen final presentation
PPTX
Horizon to Horizon--An Overview Electronic Health Record and Telehealth
PPTX
Meaningful Use - Not Just IT
PPTX
Meaningful Use: More than IT
ICT for health by Dipak Kalra
Dave Whitlinger - NYeHC - eCollaborationForum 2012 - 02/23/12
Medical Professionalism: Renewing Social Contract
Electronic Community of Practice: Seamless Interprofessional Learning and Pra...
Polycom health care uganda may2012
What Lies Ahead for ONC: Meaningful Use and Beyond
iHT² Health IT Summit in Beverly Hills 2012 - Raymond Lowe Case Study “Dignit...
Dinsdag 21 feb, 11.15-12.00 uur, Jeff Miller
Dinsdag 21 feb, 11:15-12:00 uur, Jeff Miller
NC HIE Himss discussion 21feb2012
The Dynamic State of Physician-Hospital Alignment: Using Collaboration and St...
Dental pateint relationship and technology
Health Informatics for Hospital Executives
IT Bricks and Mortar to Optimize Patient Centered Medical Homes
9.gpt alverson presentation final 2013
Qsen final presentation
Horizon to Horizon--An Overview Electronic Health Record and Telehealth
Meaningful Use - Not Just IT
Meaningful Use: More than IT
Ad

More from Plan de Calidad para el SNS (20)

PDF
Multidisciplinary care: a perspective from diagnosis and treatment of rare ca...
PDF
La mejor evidencia junto a la mejor organización: el reto de la coordinación ...
PDF
La mejor evidencia junto a la mejor organización: el reto de la coordinación ...
PDF
La mejor evidencia junto a la mejor organización: el reto de la coordinación ...
PDF
Experiencias y percepción de la atención integral de los pacientes con cáncer
PDF
Experiencias y percepción de la atención integral de los pacientes con cáncer
PDF
La mejor evidencia junto a la mejor organización: el reto de la coordinación ...
PDF
Experiencias y percepción de la atención integral de los pacientes con cáncer
PDF
La mejor evidencia junto a la mejor organización: el reto de la coordinación ...
PDF
La mejor evidencia junto a la mejor organización: el reto de la coordinación ...
PDF
La mejor evidencia junto a la mejor organización: el reto de la coordinación ...
PDF
The power of lifestyle interventions to prevent cardiovascular diseases
PDF
Alcohol and chronic diseases: complex relations
PDF
Risk Assessment and Management of Cardiovascular Diseases - an English Approach
PDF
Cardiovascular disease inequalities: causes and consequences
PDF
Anti-Smoking policies in Ireland
PDF
Addressing cardiovascular disease at EU level: tangible plans for the future
PDF
eHealth Reality in North America
PDF
B2B Medical Intermediaries
PDF
The impact of eHealth on Healthcare Professionals and Organisations: The Impa...
Multidisciplinary care: a perspective from diagnosis and treatment of rare ca...
La mejor evidencia junto a la mejor organización: el reto de la coordinación ...
La mejor evidencia junto a la mejor organización: el reto de la coordinación ...
La mejor evidencia junto a la mejor organización: el reto de la coordinación ...
Experiencias y percepción de la atención integral de los pacientes con cáncer
Experiencias y percepción de la atención integral de los pacientes con cáncer
La mejor evidencia junto a la mejor organización: el reto de la coordinación ...
Experiencias y percepción de la atención integral de los pacientes con cáncer
La mejor evidencia junto a la mejor organización: el reto de la coordinación ...
La mejor evidencia junto a la mejor organización: el reto de la coordinación ...
La mejor evidencia junto a la mejor organización: el reto de la coordinación ...
The power of lifestyle interventions to prevent cardiovascular diseases
Alcohol and chronic diseases: complex relations
Risk Assessment and Management of Cardiovascular Diseases - an English Approach
Cardiovascular disease inequalities: causes and consequences
Anti-Smoking policies in Ireland
Addressing cardiovascular disease at EU level: tangible plans for the future
eHealth Reality in North America
B2B Medical Intermediaries
The impact of eHealth on Healthcare Professionals and Organisations: The Impa...
Ad

Recently uploaded (20)

PPTX
Vesico ureteric reflux.. Introduction and clinical management
PPTX
SHOCK- lectures on types of shock ,and complications w
DOCX
PEADIATRICS NOTES.docx lecture notes for medical students
PPTX
Primary Tuberculous Infection/Disease by Dr Vahyala Zira Kumanda
PPTX
Impression Materials in dental materials.pptx
PPTX
Hypertensive disorders in pregnancy.pptx
PDF
Lecture on Anesthesia for ENT surgery 2025pptx.pdf
PDF
Adverse drug reaction and classification
PPTX
abgs and brain death dr js chinganga.pptx
PDF
The Digestive System Science Educational Presentation in Dark Orange, Blue, a...
PPTX
Assessment of fetal wellbeing for nurses.
PPTX
NRP and care of Newborn.pptx- APPT presentation about neonatal resuscitation ...
PPTX
HYPERSENSITIVITY REACTIONS - Pathophysiology Notes for Second Year Pharm D St...
PDF
OSCE SERIES - Set 7 ( Questions & Answers ).pdf
PDF
OSCE SERIES ( Questions & Answers ) - Set 3.pdf
PDF
The_EHRA_Book_of_Interventional Electrophysiology.pdf
PPT
Opthalmology presentation MRCP preparation.ppt
PPT
Infections Member of Royal College of Physicians.ppt
PPT
nephrology MRCP - Member of Royal College of Physicians ppt
PPTX
@K. CLINICAL TRIAL(NEW DRUG DISCOVERY)- KIRTI BHALALA.pptx
Vesico ureteric reflux.. Introduction and clinical management
SHOCK- lectures on types of shock ,and complications w
PEADIATRICS NOTES.docx lecture notes for medical students
Primary Tuberculous Infection/Disease by Dr Vahyala Zira Kumanda
Impression Materials in dental materials.pptx
Hypertensive disorders in pregnancy.pptx
Lecture on Anesthesia for ENT surgery 2025pptx.pdf
Adverse drug reaction and classification
abgs and brain death dr js chinganga.pptx
The Digestive System Science Educational Presentation in Dark Orange, Blue, a...
Assessment of fetal wellbeing for nurses.
NRP and care of Newborn.pptx- APPT presentation about neonatal resuscitation ...
HYPERSENSITIVITY REACTIONS - Pathophysiology Notes for Second Year Pharm D St...
OSCE SERIES - Set 7 ( Questions & Answers ).pdf
OSCE SERIES ( Questions & Answers ) - Set 3.pdf
The_EHRA_Book_of_Interventional Electrophysiology.pdf
Opthalmology presentation MRCP preparation.ppt
Infections Member of Royal College of Physicians.ppt
nephrology MRCP - Member of Royal College of Physicians ppt
@K. CLINICAL TRIAL(NEW DRUG DISCOVERY)- KIRTI BHALALA.pptx

How to move Forward the Implementation of the EU Interoperability Recommendation to Establish Trust and user Acceptance. Part 2: Perspective of a Professional Users Organisation

  • 1. Establishing trust and user acceptance Dr Michael Wilks Immediate Past - President, CPME Chairman, E-Health users’ stakeholder group
  • 2. Is there a lack of trust? • Trust in professionals • variety of HCPs • task shifting/ skill mixing • professional attitudes • Trust in systems • data protection • use of data beyond healthcare • confidentiality
  • 3. How to improve trust? • Trust in professionals • professional regulation • sharing care openly within teams • sharing care with patients • Trust in systems • access to records • data protection • ethical aspects – consent • “joined-up” implementation
  • 4. How to improve trust? • Trust in professionals • professional regulation • sharing care openly within teams • sharing care with patients • Trust in systems • access to records • data protection • ethical aspects – consent • “joined-up” implementation
  • 5. Data Protection or Consent? Data Protection Consent • Contract between • “Contract” between HCP and law…. HCP and patient • …after the event • Precedes the event • Based on penalties • Based on trust • Discourages • Encourages working working together together
  • 6. Consent LEVEL OF CONSENT FULLY ANONYMISED INFORMED RESEARCH RECORD CONSENT ? INFORMED FINANCIAL CONSENT AUDIT SPECIFIC EXTENDED CONSENT HEALTHCARE IMPLIED IMMEDIATE CONSENT HEALTHCARE DISTANCE FROM IMMEDIATE HEALTHCARE
  • 7. How to improve trust? • Trust in professionals • professional regulation • sharing care openly within teams – the team • sharing care with patients • Trust in systems • access to records • data protection • ethical aspects – consent • “joined-up” implementation
  • 8. DOCTOR PATIENT Manual record Memory Familiarity Continuity
  • 9. DOCTOR DOCTOR PATIENT NURSE
  • 10. PHYSIO- COMMUNITY PHARMACIST THERAPIST NURSE DOCTOR PATIENT DENTIST THERAPIST NURSE CHIROPODY TRAINEE COMP. MED.
  • 11. PHYSIO- COMMUNITY PHARMACIST THERAPIST NURSE ELECTRONIC DOCTOR PATIENT DENTIST RECORD NURSE THERAPIST NURSE
  • 12. PHYSIO- COMMUNITY PHARMACIST THERAPIST NURSE SUMMARY DOCTOR RECORD DENTIST NURSE THERAPIST NURSE
  • 13. How to improve trust? • Trust in professionals • professional regulation • sharing care openly within teams – skill mixing • sharing care with patients • Trust in systems • access to records • data protection • ethical aspects – consent • joined-up” implementation
  • 14. ACUTE CARE NURSE TRIAGE DOCTOR LONG-TERM CARE NURSE DOCTOR LONG-TERM MONITORING NURSE DOCTOR
  • 15. How to improve trust? • Trust in professionals • professional regulation • sharing care openly within teams – skill mixing • sharing care with patients • Trust in systems • access to records • data protection • ethical aspects – consent • joined-up” implementation
  • 16. INFORMATION: • Patient groups INTERPRETATION • Web (WEB-BASED?) RECORD • Media • Clinicians • HCPs • Others DOCTOR PATIENT E-MAIL REMOTE MONITORING TELEMEDICINE
  • 17. How to improve trust? • Trust in professionals • professional regulation • sharing care openly within teams – skill mixing • sharing care with patients • Trust in systems • access to records • data protection • ethical aspects – consent • joined-up” implementation
  • 18. Implementation • Interoperability • CALLIOPE • epSOS • eHealth Governance • Joined-up DGs • Stakeholder involvement
  • 19. Cross-border care COUNTRY A COUNTRY B PATIENT HCP “A” PATIENT SAFETY HCP “B” • INTEROPERABILITY • INFORMATION QUALITY • STANDARDISATION • SEMANTICS
  • 20. Cross-border care COUNTRY A COUNTRY B SUMMARY PRESCRIPTION HCPs: HCPs: - doctors - doctors - pharmacists - pharmacists Managers JOINT ACTIONManagers Patients: Patients: - information THEMATIC - information - consent NETWORK - consent