Page 57 - 2018-19全民健康保險年報

Value-added Cloud Services- My Health Bank
Accumulated over the course of 20 years, NHI’s claims data constitutes the largest repository of people’s health information in Taiwan. With the rise of the Big Data concept in recent years, NHIA has begun to gradually compile data in various fields while maintaining information security. It uses cloud computing technology to provide doctors with clinical professional assessments and offer health insurance data to the public. In July 2013, the NHIA completed the patient- centered NHI PharmaCloud System, which allows contracted medical organizations to query in real- time patients’ medication records for the previous three months via the NHI VPN system. By providing reference information to doctors when prescribing prescriptions, and to pharmacy personnel when providing advices on medication use, this system is enhancing care quality and reducing unnecessary duplication of medical resources.
Analysis of usage of the PharmaCloud System has revealed that when doctors use the system to query patients, the overlap in days of drug use is reduced significantly. Furthermore, NHI-contracted medical institutions have incorporated NHI PharmaCloud information into their internal drug
健康科技 服務加值
Health IT and Value-added Services
management systems to create their own in-house specialized drug management mechanisms. These could include standardized procedures for inpatient and outpatient PharmaCloud System query procedures, setting up counters where the elderly can pick up their prescriptions, developing intelligent PharmaCloud interpretation programs, and tracking inappropriate drug use or prescriptions. The NHI PharmaCloud is also being used to encourage inpatients to use medications that they have brought in themselves (medications prescribed by other hospitals or outpatient departments). These processes have helped pharmacists to better fulfil their role in enhancing the safe use of medicines and have improved the overall “medication safety” environment, reflecting the profound usefulness of the NHI PharmaCloud System.
Building on this foundation, the NHIA developed the expanded “NHI MediCloud System” in 2015 based on users’ feedback and practical clinical needs. The new system encompasses not only the continuously improving PharmaCloud System, but also incorporates information from 11 additional query systems, including: Chinese medicine prescription use records, examination and test records and results, detailed records of surgeries, dental treatment and surgical records, drug allergy records, records of specific controlled drug and specific clotting factor medications usage, rehabilitation records, and hospital discharge summaries. All of this information is brought together on the same single platform. The system also provides a user-friendly search interface and reminders (for instance, reminder windows displaying the most recent date of specific tests and a timeline showing visits to medical practitioners and recent medical care, among other things). These upgrades to the system make it easier for
新一代健保憑證規劃協作會議。
New generation NHI certificate planning meeting.
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