Duodecim Clinical Decision Support EBMEDS launched in Estonia – a step towards more patient-centered healthcare

From May 2020, Estonian primary care physicians and nurses will be able to use the Clinical Decision Support System (EBMEDS) developed by Duodecim. It speeds up decision-making and improves patient safety by bringing patient-specific recommendations and reminders to support the work of physicians and nurses.

– In order for the GP and his / her team to do their job as well as possible, the information system must be fast and user – friendly and support clinical decision – making. Duodecim’s Clinical Decision Support EBMEDS brings patient-specific recommendations and reminders to the doctor’s desk, combining the latest medical knowledge with the patient’s recorded health information, says Estonian Minister of Social Affairs Tanel Kiik, – decision support saves the doctor time and improves the use of existing health information. The introduction of such a solution is an important milestone on the road to patient-centered healthcare.

Genetic knowledge in the mapping and treatment of health risks is the future

In Estonia, decision support is introduced nationwide and contains health information for all Estonian citizens. With the system, it will also be possible in the future to utilize genetic information in the mapping and treatment of health risks. – The clinical decision support system is the first solution introduced in Estonia to collect and analyze data on human health, such as diagnoses, medicines, research results and treatment, over the last five years. In the future, genetic risk points and other indicators of human lifestyle will be added to the system. The decision support will look at both Estonian and international care guidelines, explains Karin Kõnd, director of the Estonian Health Insurance Fund’s decision support project.

Facilitates evidence-based treatment decisions and prevents treatment errors

The development of decision support has taken place in close collaboration with family doctors. According to Dr. Reet Laidoja, director of the Tallinn General Practitioners’ Association, decision support enables the doctor to focus better on communicating with patients.

– Decision support provides physicians with evidence-based treatment recommendations based on patient health information. Rapid access to health data is particularly valuable for patients with multiple chronic diseases and multiple medications that need to consider effects and interactions. Such a solution helps make better and more evidence-based treatment decisions and prevent treatment errors, Laidoja describes.

EBMEDS 2.0 – A new generation solution for health data analysis

– Estonia is our first customer to have introduced a new cloud-based EBMEDS 2.0 platform for decision support. With the integration, we have gained valuable experience in the implementation of the new platform, which will also benefit us when domestic customers switch to the new platform, says Peter Nyberg, Decision Support Specialist at Duodecim.

– The cloud service is a new generation solution for analyzing health data. It contains more than 45,000 medical reports and more than 7,000 evidence-based materials for medical work, says Siim Nahkur, CEO of Celsius Data, which represents Duodecim Medical Publishing in Estonia.

Integrated decision support for GPs’ desktops is complemented by the Celsius Synbase web portal, which brings together 16 databases needed for clinical work. As part of this portal, Estonians also use the Estonian version of the Doctor’s Handbook published by Duodecim Medical Publishing.

Learn more about EBMEDS Clinical Decision Support