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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
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
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
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
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.).
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
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