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[DigiHealth 22] medIT: eHealth Overview - Nikola Rancic

  1. eHealth Overview In Partnership with
  2. medIT is IT development company providing cutting edge technology solutions to customers in multiple industry domains. WHO WE ARE? Our mission is to drive digitalization of Health sector in order to enable more accessible and universal healthcare worldwide. OUR MISSION We aim to reduce the complexity and price of access to health services by introducing innovative technical solutions.
  3. KEY INFORMATION • Founded in 2007 in Sarajevo, Bosnia and Hercegovina • Belgrade office opened in 2016 • 100% privately owned • 40+ employees • Own development teams • Over 50 projects in 5 countries • Proving business and operations support systems
  4. ePrescription – implemented as Serbian national system, with around 450M prescriptions so far, cca 90M annually, more than 5,000 pharmacies, 9,000 pharmacists, 400 health institutions. Extensions for other institutions and available therapies and medications are in progress. NMPP&D – national medical platform for prevention and diagnostic, is complex platform containing several modules as: PACS, RIS, Mamoscreening and cervical cancer screening system. More than 180 integrated institution, with more than 900 DICOM modalities, with 200M DICOM images available on central PACS, and with more than 4M finalized studies by radiologist. Patient Portal – implemented as Serbian national system with around 1.5M active users. Integrated with medical institutions for EHR access, and national platform for prevention and diagnostics for medical records and X-ray and CT scans (Radiology Information System). Used for self assessment tool during COVID pandemic and downloading testing results, interaction with ePrescription system EHR – implemented for over 300 health institutions in Serbia, integrated with Patient Portal system. Extension for viewer of health records, therapies and medications and all other relevant health data is in progress. Digital death certificate – implemented for 230 institutions in Serbia, with 12K end users, and 45,000 certificates issued. Integrated with central registry of citizens (Ministry of Interior), with extension portal for documentation download by family members in place. Sick Leave Tracking – implementation in progress for Serbia. Will cover the business processes for sick leave tracking, algorithms and process flows on National level according to local legislation. eHealth REFERENCES of INTEREST
  5. Patient centric system – patient is central point of system • Patient has absolute rights to access to all personalized information, from every point in the world • Digitalization exist to make patient life easier through the system • Direct, personalized communication with health system is mandatory eHealth STRATEGIC PINPOINTS Digitalization and IT systems – saving center Perception of IT systems must be changed – they are not cost center!!! (investments), it is necessary tool, with huge saving potential ePrescription – in millions od euros on annual basis Direct savings. • Paperless workflow, no printing, distribution and storage required, better control over medicaments. Approximately system could save up to 10% of overall medicament budget. • At this moment in Serbia ePrescription saved directly about 5% of overall budget, with addition potential od 5% (cca 15 millions euros) Indirect savings: • Less bureaucratic work for doctors, more time to work with patients • Patient spent less time at the doctors
  6. eRadiology Direct savings – in millions od euros • No requirements for films and chemicals • More productive work of radiologist • Telemedicine Indirect savings • Better efficiency of existing resources • Knowledge base for future specialists EHR– electronic health record • All patient data accessible from one point Direct savings • No requirement for printing and carrying medical documentation • No need for procedures repetitions eHealth STRATEGIC PINPOINTS eHEALTH FUNDAMENTS • EHR • ePrescription • Patient Portal CURRENT HOT TOPICS • How to increase doctor efficiency More than 30% of his time, he spend on information import to HIS • More investments to prevention systems Illness and disease prediction
  7. eHealth BASIC ARCHITECTURE Microservice architecture allows flexible system adaptation in line with client requirements. Allows easy transformation from legacy systems to new digitalized paper less systems with minimum costs. HIS producers agnostic system. Allows integration as many as required different HIS systems Vertical integration and central management. New rules are set on central platform and valid for all users in the same time. Central registers, authentication and authorisation – Oauth2, SSO. BENEFITS of the ARCHITECTURE
  8. eHealth ePrescription Major functionalities: 1. Prescription module – eDoctor / api eDoctor, prescribing in GP ambulances 2. Pharmacy module – ePharmacy, realization in any pharmacy 3. Parametrization and control module – eInsurance, controlling in Insurance company 4. Help desk module – support module
  9. eHealth ePrescription
  10. eHealth NMPP&D eRadiology Major functionalities: • Fully digitalized radiologist work flow: Referrals between doctors, integration with DICOM modalities, automatic relation between image and closed study • Telemedicine • Integration with HIS and ERP system • Enormous knowledge base
  11. eHealth NMPP&D eRadiology
  12. eHealth PATIENT PORTAL Major functionalities: 1. COVID 19 section a) Self assessment b) Post covid questionaries c) Direct communication with COVID ambulances d) Access to PCR and immunization certificates 2. eHealth section a) ePrescription b) EHR data c) Access to GP calendars and active referrals, screening programs d) Citizen engagement 3. Lifestyle section a) gadgets b) Google fit, apple health, Samsung health c) Manual input of activites d) BMI calculation 4. Prevention section a) Knowledge base b) Information about current prevention programs 5. Network section a) Communication with doctors b) Communication with other network members c) Video, voice and chat communication channels
  13. eHealth PATIENT PORTAL
  14. eHealth Electronic Health Record Hybrid model has been implemented 1. Data are stored in distributed HIS 2. Patient location and URL links are saved on central location – IP gateway model 3. Middleware to regulate secure asynchronous communication between health institutions Patient location IP gateway Middleware, oAuth2, WAF Hospital 1 Hospital 2 Hospital 3 Hospital n 1 2 3 4 5 6 7 8 9
  15. eHealth Electronic Health Record
  16. Our products are continuously improved by the experience from our customers, partners as well as from world health trends. In the following short and mid term, we aim to: 1. Continue with integration with third party apps and devices to collect health and lifestyle data 2. Create correlations between collected data, diagnosis, symptoms, therapies 3. Extend integration of the patient portal with additional Machine Learning and Expert system-based engines for leveraging and improving primary healthcare service through self diagnosis, automatic care and knowledge-based engines to optimize most common patient paths through the medical system and making sure the most severe and needed cases are prioritized. 4. Deploy the system in the remote locations where not enough medical staff is available, enabling shared knowledge between the countries and continents. 5. Implementation of AI in radiology and screening systems 6. Enable communication between doctors and patients on remote locations, supporting remote NGO and doctors without borders. eHealth NEXT STEPS
  17. THANK YOU!