Skip to content
Search all InterSystems websites to find anything about our product, search our documentation, and more. Enter a query in the search input above, and results will be displayed as you type.

Netherlands Health Information Exchange Wins Trust of Millions

 


 


CUSTOMER: Association of Care Providers for Care Communication (VZVZ)

CHALLENGE: Creating a National Switch Point solution for fast, secure, and safe exchange of patient data among Dutch healthcare providers (hospitals, general practitioners, and pharmacies).

OUTCOME: A nationwide system with regional segmentation can handle over a billion messages annually and is prepared for smooth expansion. It is compliant with the extremely stringent government requirements for acquiring explicit permission to share patient data.

 


 


Seventeen million people live in the Netherlands, and 13 million have so far given permission to make their medical files available via National Switch Point (LSP), the national healthcare information exchange system powered by InterSystems HealthShare®. The number is noteworthy in the Netherlands, where the balance between citizens’ privacy and the value of a shared, unified medical record is of paramount importance.

Sharing Medical Information While Ensuring Privacy

In 2005, the Dutch government began to develop a national system for healthcare providers to exchange patient data electronically. It commissioned the Netherlands National Competence Center for eHealth, which selected a team, including system integrator DXC Technology and InterSystems, provider of HealthShare and InterSystems data platform technology. By the end of 2006, the team built a system to exchange patient information in electronic medical records from care providers (hospitals, general practitioners, and pharmacies) in three months. The care providers involved clearly recognized the significance of the LSP and value of a virtually unified care record in improving care and preventing mistakes.

The exchange system operated as an intelligent router of healthcare information, which offered a combination of high performance and unlimited scalability with an extremely high level of security. Still, government officials raised objections, fearing that the privacy rights of patients might be infringed in a centralized system of a government-run organization. In 2011, the system was privatized and, since then, has been run by the Association of Care Providers for Care Communication (VZVZ).

Historical Privacy Concerns Addressed

Confidence in the LSP is steadily increasing, largely because VZVZ devotes so much attention to patient privacy, as guided by Dutch law.

Dutch legislation sets stringent requirements when it comes to acquiring explicit consent to share patient records. All general practitioners use a certain form of digitized files, for example, to share electronic data with fellow professionals or process the information of others.

Access to the LSP is further restricted to healthcare professionals with a Unique Healthcare Provider Identification (UZI) card, which specifies the role of its holder, and strict protocols determine which providers see which parts of the record. For example, only an authorized general practitioner can access the professional summary compiled by a colleague. Pharmacists or their assistants can view only medication data that could be connected with any intolerance, contraindications, and allergies.

[callout_box align="center" width="80%"]“We ensure that information is shared purely on a need-to-know basis,” says Joris Smits, Director of Operations at VZVZ. “Furthermore, we accredit the 16 network providers who transfer the data swiftly and safely within the private Zorgnet network. This calls for mutual confidence throughout the healthcare chain, and therefore also patients’ confidence in the physician. Patients have online insight into who shares their information.”[/callout_box]

Scaling in Membership and Capacity

In 2019, in addition to patient subscriptions, the number of institutions looking to share healthcare records using the LSP also continues to rise. VZVZ receives numerous applications from organizations focused on the elderly, youth, and mental health, because they can provide more complete care when they have access to an electronic record. Membership in the LSP association requires active participation to both ensure compliance with the requirements and maintenance of the high quality of data exchanged.

The platform can continue to expand smoothly, thanks to its built-in redundancy, which includes a two-mirrored server environment. If one server should malfunction, the other can resume its tasks without delay. The technology also provides a monitoring mechanism, which activates rerouting whenever there is a threat of delays.

“There are few platforms in the care market whose technology incessantly continues to prove itself in terms of both capacity and processing rate,” Smits says of HealthShare. “The system handles over a billion messages annually, while offering extremely high operational reliability throughout the chain of care providers who exchange information.”

Andere Succesverhalen Die Je Misschien Leuk Vindt

Jul 28, 2022
doctor with kid and mother
New York City's health agency enlisted Healthix, a longtime InterSystems HealthShare® partner, to collaborate on several other projects designed to keep school children healthy.
Jul 28, 2022
group of doctors looking at laptop
Healthcare organizations are moving quickly to satisfy new interoperability rules from CMS and ONC. For some, the regulatory requirements serve as a springboard to exceed expectations, creating data-driven experiences for members.
Jun 28, 2022
Physician pointing to tablet screen
De Chief Medical Officer van een grote zorgverzekeraar aan de westkust van de VS wilde volledig inzicht hebben in wie er op een bepaald moment in het ziekenhuis lag. Gezien de reeds bestaande samenwerking met InterSystems en de uitwisseling van gezondheidsinformatie kon de Director of Corporate Data & Analytics zelfverzekerd antwoorden dat dat mogelijk was. Ook op de vraag van de CMO of dat binnen een half jaar zou kunnen, antwoordde hij bevestigend.
Jun 15, 2022
person looking at banking information on phone
Real-Time mogelijkheden, geavanceerde analyses en schaalbaarheid
May 25, 2022
Woman in warehouse taking inventory on tablet
Organizations recognize the importance of an optimized supply chain to business success, but data and application silos, complex partner ecosystems, and periodic market disruptions make it challenging to achieve in practice.
May 07, 2022
2 older doctors wearing masks looking at a tablet
Matching inpatient and outpatient records with HealthShare Patient Index enabled a single view of patient data, joint ventures with other healthcare organizations, and better information flow.
Apr 07, 2022
Healthcare worker at-home visit with patient
Dementia is a major global problem, afflicting 54 million people, with the number set to rise to 130 million by 2050. Cognetivity Neurosciences, founded by academics at Cambridge University in the UK, designed a cutting-edge solution to help alleviate the global dementia epidemic.
Mar 28, 2022
Businessman wearing dark suit looking at his phone
Broadridge Financial Solutions
The Challenge Broadridge Financial Solutions, a $5-billion global fintech leader handling $7TN of fixed income and equities securities trades per day, needed a better way to manage and distribute growing volumes of data.
Dec 07, 2021
Physician pointing to tablet screen
The Chief Medical Officer at a major west-coast health plan in the U.S. asked for complete visibility into who’s in the hospital at any given moment. Given the work the health plan was already doing with InterSystems and health information exchange, the director of corporate data and analytics answered confidently, “Yes, we can do that.” “Can you do it in six months?” the CMO asked. The reply? Also affirmative.
Nov 23, 2021
Hospital Doctor With Digital Tablet Talks To Male Patient
Matching inpatient and outpatient records with HealthShare Patient Index enabled a single view of patient data, joint ventures with other healthcare organizations, and better information flow.