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Asseco - 9iun2011

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    Asseco - 9iun2011 Asseco - 9iun2011 Presentation Transcript

    • Health information System: From Strategy to Reality
      Martin Smutný
      9 June 2011
    • 2
      It is really so difficult ?
      Health Information System
    • 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?
    • Health Information System
      Complex and Difficult environment
      Many decision makers
      Many consumers
      Health information system vs eHealth
      Political support
      4
    • 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
    • KEY Priorities
      6
      Electronichealthrecords
      ePrescription
      Interopera-bility
      Telemedicine
      Portals
    • 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
    • ePrescription
      Registration system
      Interactions
      Contraindications
      8
      Telemedicine
      ElectronicHealthRecords
      Interoperability
      ePrescription
      Portals
    • 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
    • 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
    • Portals
      Presentation layer of eHealth services for patients
      Professional approach or social network?
      Quality comparison
      11
      Telemedicine
      ElectronicHealthRecords
      Interoperability
      Portals
      ePrescription
    • Financial MODEL
      Primary investment
      Operational costs
      Business model
      Sustainability
      12
    • eHEALTH BUILDING
      13
    • 14
      Reliable partner with real experience
      Asseco Group
    • Healthcare - segment coverage
      15
    • 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
    • 18
    • 19
    • 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.
      • Publishing only 9 data areas/sheets (from 24) at this stage. (EDS, MED, VAC, LAB, OUP, PHR, ADMIN)
      • Data for analysis and statistic´s reports only in anonymous form.
      • Providing of information which are in relation with medicines in healthcare area.
      • Providing of information about prescription process, include medicine history (for patient) and medicine interaction.
      • 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.
      • Providing comprehensive and actual information about health, curing, medicines, etc.
      • Electronic ordering of GP´s or specialist´s services.
      • Effective tool for management of patients orders in thehealthcare providing framework (healthcare, operations of specialists, lab tests, etc.).
      Source: NCZI SK
      20
    • 21
    • 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
    • 23
    • 24
    • 25
    • 26
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • One of the Leading Software Houses in Europe
      8th place on the list for Asseco Group
      34
    • THANK YOU FOR ATTENTION
      Asseco Group
      http://www.asseco.com/
      35