In Switzerland, responsibility for organising and providing healthcare lies with the Cantons (authorisation of healthcare institutions, contributions to healthcare professionals’ training, regulation of healthcare professions, public health literacy, etc.) To have an impact, however, eHealth projects have to be able to function beyond cantonal boundaries. People in Switzerland are highly mobile these days – they move house, change medical practice or to on outings to other regions. In addition, the healthcare professions are becoming ever more specialised. As a result, patients’ treatment often involves several healthcare professionals. Important health information that is needed for treatment is often unavailable at the crucial moment.
The solution is to link up all the digital data nationally. The Confederation and Cantons therefore concluded a framework agreement in 2007, creating a Competence and Coordination Centre of the Confederation and the Cantons – eHealth Suisse. Since 2017, eHealth Suisse has also been responsible for formal enforcement tasks arising from the Federal Act on the Electronic Patient Record (EPRA) and for coordinating implementation of the national EPR project in collaboration with the FOPH, CMPH, EPR communities and the partners in its committees. Furthermore, eHealth Suisse has been assisting with the implementation of the public awareness campaign for the Electronic Patient Record.