Health Information
Management Systems in
 Modern Health Care
             Prof. Joshua Shemer
ICTAHC – The Israeli Center ...
The Israeli Health System –
        National Insurance Law
• National Health Insurance Law based on
  principles of justic...
Maccabi Healthcare Services


•    Maccabi is the 2nd largest health fund in Israel
•    1.8 million members
•    Over 3,5...
Maccabi’s Vision

• Achieve Total Health for its members
• Provide integrative and personally-tailored health
  care for e...
Budgetary Efficiency Processes - (“Piston” System)

NIS 1,141M     NIS 409M      NIS 879M      NIS 435M       NIS1,579M   ...
Health Information Technology (HIT)



      • H.I.T. is a TOOL not a goal

      • The goal = OUTCOME
H.M.I.S. Targets (Organizational Level)

Health Management Information Services

• Decision processes based on qualitative...
H.M.I.S. Targets (Organizational Level)

• Improvement & increasing efficiency of health
  care processes
• Increasing cli...
Rationale & Feasibility of H.I.T. in
    Maccabi
• Equal access to medical records throughout the country
• On-line diagno...
Telemedicine in Maccabi Today

•   E-Laboratory
•   E-Prescription
•   Tele-Diagnosis
•   Tele-Ophthalmology
•   Tele-Cons...
Maccabi’s Integrated Information System
          INFRASTRUCTURE

  Doc. Clinic
                                          ...
Maccabi Central Medical Record
Computerized Data Available for Patient Tracking & Followup




                           ...
Health Value Added (HVA)


HVA links between:

        clinical indicators & budget
Management Through Setting Strategic Objectives
 & Measuring Performance - Health Value Added
                 (HVA)

    ...
Perceived Quality (Member Satisfaction)


 •   Overall satisfaction with health plan

 •   Growth in the number of new mem...
Fiscal Responsibility

Expenditures in accordance with Budget:

   Expenditures on Hospital Services

   Expenditures on...
HVA Principles

•       Measurement at all levels of the
        organization:
         National

        Regional

    ...
HVA – The Tool



                                Quality
                              indicators




                   ...
HVA – The Results
     Mammography 2002-2009


            Mammography

80                                                ...
Pneumovax Vaccine among 65+
        2002-2009

                    Pneumovax
 80                                          ...
To sum up:

   Health Value Added (HVA)
 Promoting “total health” through
quality-based strategic management
  utilizing i...
Cardiac Heart Failure Program




Model of Chronic Health Care
        Management
Information System Flowchart
Family
doctor        Regional
                 CI                            HUB
            ...
In Conclusion

• I.T. is a major tool to measure clinical
  outcomes and control budget
• It needs strong infrastructure t...
THANK YOU
Upcoming SlideShare
Loading in...5
×

The impact of eHealth on Healthcare Professionals and Organisations: Health Information Management Systems in Modern Health Care

2,394

Published on

The impact of eHealth on Healthcare Professionals and Organisations: Health Information Management Systems in Modern Health Care. Shemer J. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

Published in: Health & Medicine
0 Comments
2 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
2,394
On Slideshare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
92
Comments
0
Likes
2
Embeds 0
No embeds

No notes for slide

Transcript of "The impact of eHealth on Healthcare Professionals and Organisations: Health Information Management Systems in Modern Health Care"

  1. 1. Health Information Management Systems in Modern Health Care Prof. Joshua Shemer ICTAHC – The Israeli Center for Technology Assessment in Health Care Barcelona, March 2010
  2. 2. The Israeli Health System – National Insurance Law • National Health Insurance Law based on principles of justice, equity & solidarity • Each citizen has the right receive a standardized basket of health services • Ministry of Health responsible for health services to be supplied by the 4 Health Care Organizations • 4 non-profit HMOs – Clalit, Maccabi, Meuhedet, Leumit • Payment - capitation basis
  3. 3. Maccabi Healthcare Services • Maccabi is the 2nd largest health fund in Israel • 1.8 million members • Over 3,500 physicians • Over 3,000 clinics • 152 branches • Functions within the framework & constraints of the National Health Insurance Law
  4. 4. Maccabi’s Vision • Achieve Total Health for its members • Provide integrative and personally-tailored health care for each member • Promotes excellence in the quality of medical care, knowledge and service
  5. 5. Budgetary Efficiency Processes - (“Piston” System) NIS 1,141M NIS 409M NIS 879M NIS 435M NIS1,579M NIS 430M 30% 24% 21% 9% 7% 9% Oversight Payment Purchasing Purchasing Increased Agreements Guidelines Policy Increased Guidelines efficiency efficiency Other Hospitals Admin. Physicians Diagnostics Drugs medical
  6. 6. Health Information Technology (HIT) • H.I.T. is a TOOL not a goal • The goal = OUTCOME
  7. 7. H.M.I.S. Targets (Organizational Level) Health Management Information Services • Decision processes based on qualitative information & knowledge • Continuity of medical data • Continuity of care - integration
  8. 8. H.M.I.S. Targets (Organizational Level) • Improvement & increasing efficiency of health care processes • Increasing clinical safety & quality • Better documentation • Better customer services
  9. 9. Rationale & Feasibility of H.I.T. in Maccabi • Equal access to medical records throughout the country • On-line diagnosis • Reliable diagnosis due to digital tools • Improved quality control & assurance • Archiving capabilities • Sharing information among physicians for treatment & consultation • Lower cost • Customer Relationship Management
  10. 10. Telemedicine in Maccabi Today • E-Laboratory • E-Prescription • Tele-Diagnosis • Tele-Ophthalmology • Tele-Consultation • Remote Monitoring of Chronic Patients • Medical Support by Call Center • Patient Online Web Site
  11. 11. Maccabi’s Integrated Information System INFRASTRUCTURE Doc. Clinic Members Members Members Members Doc. Clinic Internet Medical Firewall Control Extranet Pharmacy Main Computer Clinic Intranet Backup Admin Specialist Computer Control Consultant Payment CMR ERP Control IDC Paramedic IDC IDC Reimburse-ment Control Diagnostic Drug Labs Tele Web Mgmt. of Mgmt. of Mgmt. of Center consumptio control radiology Services Service the Fund Insured n control Providers People
  12. 12. Maccabi Central Medical Record Computerized Data Available for Patient Tracking & Followup Medical Family Demographic History History parameters Lab Visits & Results Hospitalization Imaging Medications Treatments
  13. 13. Health Value Added (HVA) HVA links between: clinical indicators & budget
  14. 14. Management Through Setting Strategic Objectives & Measuring Performance - Health Value Added (HVA) Perceived Quality of Quality Clinical Member Care Satisfaction Managing the Meeting Physician Organization in Budgetary Satisfaction order to Objectives achieve Total Health Organizational Employee Processes Satisfaction (Bureaucracy)
  15. 15. Perceived Quality (Member Satisfaction) • Overall satisfaction with health plan • Growth in the number of new members • Number of members that switch to a competing plan • Satisfaction with healthcare services • Satisfaction with administrative services
  16. 16. Fiscal Responsibility Expenditures in accordance with Budget:  Expenditures on Hospital Services  Expenditures on Physician Services  Expenditures on Medications  Overall expenditures
  17. 17. HVA Principles • Measurement at all levels of the organization:  National  Regional  Local Branch  Physician • Constructive Competition at each level
  18. 18. HVA – The Tool Quality indicators Diabetes Financial Members’ indicators satisfaction
  19. 19. HVA – The Results Mammography 2002-2009 Mammography 80 71 67.7 65.3 68.4 70 63.1 60 51.9 51.3 52.7 50 40 30 20 10 0 2002 2003 2004 2005 2006 2007 2008 2009
  20. 20. Pneumovax Vaccine among 65+ 2002-2009 Pneumovax 80 73.2 68.9 70 62.6 65.5 59.3 60 51.1 50 44.4 40 35.5 30 20 10 0 2002 2003 2004 2005 2006 2007 2008 2009
  21. 21. To sum up: Health Value Added (HVA) Promoting “total health” through quality-based strategic management utilizing integrated performance measurements
  22. 22. Cardiac Heart Failure Program Model of Chronic Health Care Management
  23. 23. Information System Flowchart Family doctor Regional CI HUB Center CI Call RF Center Patient Information * Blood pressure Systems * Pulse Maccabi Weight* Healthcare IPVPN Maccabi Patient’s home Technical support Information center System M4A M4A
  24. 24. In Conclusion • I.T. is a major tool to measure clinical outcomes and control budget • It needs strong infrastructure to broadly utilize data online • Provides continuity on database & information integration • Implementation of telemedicine is required both today & in the future e.g. Chronic Congestive Heart Failure Program • HVA model controls, assesses and measures medical performance within a balanced budget • I.T. is a strong management tool
  25. 25. THANK YOU
  1. A particular slide catching your eye?

    Clipping is a handy way to collect important slides you want to go back to later.

×