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  • 1. Health information System: From Strategy to Reality
    Martin Smutný
    9 June 2011
  • 2. 2
    It is really so difficult ?
    Health Information System
  • 3. eHEALTH – TYPICAL QUESTIONS
    3
    What are our expectations (doctor, patient, government,…)?
    Is it political, economic, IT or professional issue?
    How to ensure acceptability of eHealth?
    What will be final form?
    Who will be consumer of future services?
    What we do at the first?
    Do we have all necessary sources?
    Who will be responsible for data quality and trustworthy?
  • 4. Health Information System
    Complex and Difficult environment
    Many decision makers
    Many consumers
    Health information system vs eHealth
    Political support
    4
  • 5. Vision and Strategy
    A Digital Agenda for Europe of 19 May 2010
    COMMISSION RECOMMENDATION of 2 July 2008 on cross-border interoperability of electronic health record systems
    Key Action 13: Undertake pilot actions to equip Europeans with secure online access to their medical health data by 2015 and to achieve by 2020widespread deployment of telemedicine services
    Key Action 14: Propose a recommendation defining a minimum common set of patient data for interoperability of patient records to be accessed or exchanged electronically across Member States by 2012
    5
  • 6. KEY Priorities
    6
    Electronichealthrecords
    ePrescription
    Interopera-bility
    Telemedicine
    Portals
  • 7. Electronic health record
    EHR is “digitally stored healthcare information about an individual's lifetime with the purpose of supporting continuity of care, education and research, and ensuring confidentiality at all times” [Ilias Iakovidis 1998]
    Summary
    Validity
    Reliability
    Security
    Accessibility
    7
    Telemedicine
    ElectronicHealthRecords
    Interoperability
    ePrescription
    Portals
  • 8. ePrescription
    Registration system
    Interactions
    Contraindications
    8
    Telemedicine
    ElectronicHealthRecords
    Interoperability
    ePrescription
    Portals
  • 9. Telemedicine
    A tool for patient empowerment
    Cost and time effective
    Easier access to specialist
    Higher quality of healthcare service
    9
    Telemedicine
    ElectronicHealthRecords
    Interoperability
    ePrescription
    Portals
  • 10. Interoperability and Standardization
    Interoperability is the ability to exchange, understand and act on patient and other health information and knowledge, among linguistically and culturally disparate clinicians, patients and other actors, within and across jurisdictions, in a collaborative manner
    HL7
    SNOMED CT
    EN 13606
    10
    Telemedicine
    ElectronicHealthRecords
    Interoperability
    ePrescription
    Portals
  • 11. Portals
    Presentation layer of eHealth services for patients
    Professional approach or social network?
    Quality comparison
    11
    Telemedicine
    ElectronicHealthRecords
    Interoperability
    Portals
    ePrescription
  • 12. Financial MODEL
    Primary investment
    Operational costs
    Business model
    Sustainability
    12
  • 13. eHEALTH BUILDING
    13
  • 14. 14
    Reliable partner with real experience
    Asseco Group
  • 15. Healthcare - segment coverage
    15
  • 16. ePrescription Poland
    Project end: August 2011
    Implementation done in 4 weeks
    approx. 50 pharmacies and healthcare points
    Number of patients estimated: 120 00 - 140 000
    Pilot of a national solution to handle electronic prescription and history of patient pharmacotherapy
    Part of informatization of health care system in Poland (project „SIOZ – Health Care Information System“)
    Thanks to electronic prescription, all the information about taken medicines will be available to the physician, pharmacist and patient in one place - through online patient account.
    16
  • 17. 17
  • 18. 18
  • 19. 19
  • 20. Slovaknational eHealth program
    Program consist of 3 stages - 1st stage of eHealth – scope of services/IS
    Four main pillars for Healthcare processes support - ElectronicHealth Record and PersonalHealthRecord for citizens, eMedication/ ePrescription, National Healthcare portal and eAllocation,
    Asseco CE competency and responsibility in this project is EHR/PHR “EZKO”
    • Development of environment and bases for Electronic Healthcare Records with Health Documentation saving.
    • 21. Publishing only 9 data areas/sheets (from 24) at this stage. (EDS, MED, VAC, LAB, OUP, PHR, ADMIN)
    • 22. Data for analysis and statistic´s reports only in anonymous form.
    • 23. Providing of information which are in relation with medicines in healthcare area.
    • 24. Providing of information about prescription process, include medicine history (for patient) and medicine interaction.
    • 25. Guarantee of prescription process in electronic form.
    1st stage of eHealth
    EHR + PHR – „EZKO“
    eMedication/ePrescription
    National Healthcare Portal
    eAllocation
    • Single point of contact with eHealth and using ofeHealth services.
    • 26. Providing comprehensive and actual information about health, curing, medicines, etc.
    • 27. Electronic ordering of GP´s or specialist´s services.
    • 28. Effective tool for management of patients orders in thehealthcare providing framework (healthcare, operations of specialists, lab tests, etc.).
    Source: NCZI SK
    20
  • 29. 21
  • 30. Electronic health record Poland
    Project end: July 2011
    12 hospitals integrated by Asseco Poland to the local bus
    5 is using HIS provided by Asseco Poland
    More than 400 health professionals
    Estimated 30 000 EHR records in first 6 months
    HL7 2.31 ( ICD10, ICD9 )
    Information about hospitalization
    Medical procedures
    Description connected with patient
    Specialist consultation within hospital
    Medical information – diagnoses, diseases, etc.
    Doctors records
    Laboratory and diagnostic research
    Results
    Description
    Allergies, Medication, EDS, …
    22
  • 31. 23
  • 32. 24
  • 33. 25
  • 34. 26
  • 35. TAHIS II - Standardization of medical registers
    Design of the application and technical infrastructure for implementation and standardization for the register of the Ministry of Health of the Slovak Republic
    The aim was to identify the current state of the registers, identify data sources and prepare the base, architecture design, data structure and interface of health information systems.
    Registers with nationwide coverage
    Healthcare recipients register
    Healthcare providers register
    Register of healthcare professionals
    Register of drugs, optics, medical supplies and devices, performance and diagnoses.
    27
  • 36. Selected Poland Solutions
    National Health FUND
    Creating and support Central national patient’s register
    Over 40 MIO patients
    Solution for Online validation of provided healthcare procedures
    Solution for Processing of EU forms for financial clearing between EU countries
    ERP solution
    National Blood Bank covering whole Poland
    System for Regional BloodDonation and Transfusion Centers. Its main task isto improve the organizational processes of collecting,producing and transfusing blood and blood derivatives,in order to provide the ill with suitable substances in afast and carefully planned manner, ensuring the rightamount and the right type of each substance.
    28
  • 37. Portal ZP CzechRepublic
    Group 7 of 9 Healthcare insurance companies in Czech Republic
    Support to the identification of standard information required for regular reporting and definition of software requirements for running the Health information systems in Czech Republic.
    Developing and implementing IS for processing identified data from healthcare providers in the core information systems of the Health insurance companies from healthcare providers including all following types:
    Hospitals
    General Practitioners
    Ambulances services ( outpatients' department )
    Pharmacies and Opticians
    Medical transport services
    Laboratories
    Figures:
    More than 20 000 healthcare providers report on monthly basis
    Since April 2002
    29
  • 38. VSZP – General health insurance company in Slovakia
    VSZP is Major state-owned Healthcare Insurance company in Slovakia
    More than 70% market share ( 3.5 MIO patients )
    Development and Service contract of the ZPIS Information system – core system
    Centralized solution with more than 2000 concurrent users
    Accounting system ( secondary ledger )
    DWH and BI System
    More than 6 TB (Terabyte) of data
    More than 100 analytical cubes
    Internet portal and central electronic registry
    IT Surveillance system
    Figures:
    All of the 12 000 healthcare providers in Slovakia report on monthly basis
    Processing apx. 30 MIO recipes per year
    Processing apx. 20 MIO records of provided healthcare per month
    Processing of insurance taxes collected from more than 400 000 self employed and 20 000 employers
    Since June 2005
    30
  • 39. UNION – PRIVATE health insurance company in Slovakia
    UNION is private Healthcare Insurance company owned by EUREKO group
    More than 7% market share
    Development and Service contract of the MEDIFORM core system
    Centralized solution with more than 300 concurrent users
    Accounting system ( general ledger )
    Internet portal and central electronic registry
    Figures:
    More than 10 000 healthcare providers in Slovakia report on monthly basis
    31
  • 40. HospitalinformationSystemreferences
    Hungary
    Up to 40 % market share
    Over 60hospitals, health institutions
    Major market share in BioChemylaboratiories
    MedWorkS, eMedWorkS, PharmaGlobe, LabWorkS
    Poland
    More than 50% market share
    Solutions forapx 420 hospitals
    More than 9000 GPs
    SlovakiaandCzechrepublic
    Secondbiggest University hospital
    ERP solutionforapx 50 hospitals
    32
  • 41. Asseco in europe
    Profile: S&S, HW&Integration
    Sectors: Banking & Finance, Public, General Business
    Profile: S&S
    Sectors: Banking & Finance, Public, General Business
    Profile: S&S
    Sectors: Banking & Finance, General Business, Public
    Profile: S&S
    Sectors: General Business
    Profile: S&S
    Sectors: General Business
    Profile: S&S, HW&Integration
    Sectors: Banking & Finance,
    General Business
    Profile: S&S, HW&Integration
    Sectors: Banking & Finance, Public, General Business
    Profile: HW&Integration
    Sectors: Banking & Finance, General Business, Public
    33
  • 42. One of the Leading Software Houses in Europe
    8th place on the list for Asseco Group
    34
  • 43. THANK YOU FOR ATTENTION
    Asseco Group
    http://www.asseco.com/
    35