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11
Project TitleProject Title::
Development of InteroperabilityDevelopment of Interoperability
EnvironmentEnvironment: a) ...
22
General Information about the projectGeneral Information about the project
•• Project Leader:Project Leader: Informatio...
33
Proposed BudgetProposed Budget: 1.500.000: 1.500.000€€ ((1.220.0001.220.000€€ ++ 200.000200.000€€ + 80.000+ 80.000€€))
...
44
Contract InformationContract Information
Contracts Contract No.
Contract award (€)
(+ VAT)
(after the bid)
Contractor
1...
55
•• Interconnection of Social security withInterconnection of Social security with
healthcare serviceshealthcare service...
66
Project AimProject Aim
To create an interoperability environmentTo create an interoperability environment::
aa)) Betwee...
77
Operational CoverageOperational Coverage
•• HealthCare expenditures Control by using information systems tecHealthCare ...
88
OutcomesOutcomes
Expected outcomes:Expected outcomes:
••Improve organizational processesImprove organizational processe...
99
Basic success factorsBasic success factors
- Swift and decisiveSwift and decisive ““movesmoves”” from:from:
-- from the...
1010
Technical detailsTechnical details –– network / hardwarenetwork / hardware
Network used: «SYZEYXIS» internal governme...
1111
Technical detailsTechnical details -- softwaresoftware
Operating Systems:
•Windows 2003 (Server)
•Windows XP (Client)...
1212
Technical detailsTechnical details –– software subsystemssoftware subsystems
Interoperability subsystems
Data entry s...
1313
Technical detailsTechnical details -- softwaresoftware
Data entry system
Payment system
Expenses control subsystem
Ba...
1414
Technical detailsTechnical details –– final architecturefinal architecture
H o s p i t a l
P h a r m a c y
f e d e r ...
1515
StatusStatus
Status (today):Status (today):
FinishedFinished::
•• ““Minimum set of dataMinimum set of data”” study,st...
1616
OutcomesOutcomes -- ProblemsProblems
YES it can be done, butYES it can be done, but::
•• definition and standardizati...
1717
Interoperability project and HLInteroperability project and HL--7:7:
•• HLHL--7 was optional7 was optional,,
•• the c...
1818
Project extensionProject extension
Project extension AIMProject extension AIM::
•• Include HLInclude HL--7 connectivi...
1919
Project extensionProject extension
•• Include 5 to 10 pharmacies as proof of concept (analytic drug prInclude 5 to 10...
2020
Project extensionProject extension
Possible budgetPossible budget::
budget (€) Contractor
Project continuation 264.18...
2121
The endThe end……??
On your computer nowOn your computer now,, HERAnetHERAnet ((www.heranet.gov.grwww.heranet.gov.gr))...
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οκ παρουσίαση διαλειτουργικότητας Hl 7 κτπ -eng

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οκ παρουσίαση διαλειτουργικότητας Hl 7 κτπ -eng

  1. 1. 11 Project TitleProject Title:: Development of InteroperabilityDevelopment of Interoperability EnvironmentEnvironment: a) between Social Security: a) between Social Security Organizations and HealthCare Services,Organizations and HealthCare Services, to control HealthCare expenses, and b)to control HealthCare expenses, and b) Electronic transactions between SocialElectronic transactions between Social Security Organizations and Banks (GSecurity Organizations and Banks (G--toto-- G and GG and G--toto––B)B) DateDate:: 9/9/1010/2008/2008 EU registration No.EU registration No.:: 8688186881
  2. 2. 22 General Information about the projectGeneral Information about the project •• Project Leader:Project Leader: Information Society S.A. (KtP SA)Information Society S.A. (KtP SA) •• Client and beneficiary: Hellenic Ministry of Employment and SociClient and beneficiary: Hellenic Ministry of Employment and Socialal ProtectionProtection -- General Secretariat Of Social Security (GGKA)General Secretariat Of Social Security (GGKA) •• Project ContractorProject Contractor:: –– IntracomIntracom IT Services S.A. and KPMG S.A.IT Services S.A. and KPMG S.A. –– Subcontractor Planning S.A.Subcontractor Planning S.A. •• Technical Support:Technical Support: Planet S.A.Planet S.A. •• Project Director (GGKA): Ms.Project Director (GGKA): Ms. KousoulouKousoulou FotiniFotini •• Project Manager (KtP SA)Project Manager (KtP SA):: Del Toro GeorgeDel Toro George •• Steering and Acceptance CommitteeSteering and Acceptance Committee:: DelDel torotoro G. (chairman) ,G. (chairman) , MrMr LoudarosLoudaros A.A. ,, Mr.Mr. IatridisIatridis N.N. ,, Mr.Mr. KardarasKardaras G.G. ,, Mr.Mr. MavromatisMavromatis P.P.
  3. 3. 33 Proposed BudgetProposed Budget: 1.500.000: 1.500.000€€ ((1.220.0001.220.000€€ ++ 200.000200.000€€ + 80.000+ 80.000€€)) EU ClassificationEU Classification:: 2.12.1 Financial supportFinancial support:: EuropeanEuropean RegionalRegional DevelopmentDevelopment FundFund Operating Unit: General Secretariat Of Social Security (GGKA)Operating Unit: General Secretariat Of Social Security (GGKA) Social Security Organizations that take part in the Project:Social Security Organizations that take part in the Project: •• OGA (Farmers Insurance Organization of Greece)OGA (Farmers Insurance Organization of Greece),, •• OAEE (Freelance workers Insurance Organization of Greece)OAEE (Freelance workers Insurance Organization of Greece),, •• OAPOAP--DEI (Power and Light Corp. of GreeceDEI (Power and Light Corp. of Greece –– DEI, WorkersDEI, Workers Insurance Organization)Insurance Organization) HealthCareHealthCare Organizations that take part in the project:Organizations that take part in the project: •• General Hospital of AthensGeneral Hospital of Athens ««GG.. GennimatasGennimatas»»,, •• FourFour (4)(4) private diagnostic centersprivate diagnostic centers,, •• And FSA (the PAnd FSA (the Pharmaceuticalharmaceutical Federation of Athens)Federation of Athens) General Information about the projectGeneral Information about the project
  4. 4. 44 Contract InformationContract Information Contracts Contract No. Contract award (€) (+ VAT) (after the bid) Contractor 1. Technical support 409 139.914,25€ PLANET 2. Development of Interoperability Environment: a) between Social Security Organizations and HealthCare Services, to control HealthCare expenses, and b) Electronic transactions between Social Security Organizations and Banks (G-to-G and G-to–B). 404 880.6ΟΟ,ΟΟ€ INTRACOM -KPMG
  5. 5. 55 •• Interconnection of Social security withInterconnection of Social security with healthcare serviceshealthcare services:: –– Transfer of healthcare bills to socialTransfer of healthcare bills to social security,security, –– Control of expenditures (clearingControl of expenditures (clearing house),house), •• Electronic transactions between SocialElectronic transactions between Social security and Banks (payments),security and Banks (payments), •• MIS and Business IntelligenceMIS and Business Intelligence Main design goalsMain design goals
  6. 6. 66 Project AimProject Aim To create an interoperability environmentTo create an interoperability environment:: aa)) Between the Social security system an the Healthcare systemsBetween the Social security system an the Healthcare systems organizations for controlling (health) expenses by creating anorganizations for controlling (health) expenses by creating an electronic clearing house, and,electronic clearing house, and, bb)) Electronic transactions Between the Social security system and tElectronic transactions Between the Social security system and thehe banks by using electronic payments for the Healthcare organizatibanks by using electronic payments for the Healthcare organizationsons ((governmentgovernment--toto--government and governmentgovernment and government--toto--businessbusiness)) Characteristics of interestCharacteristics of interest:: aa)) Pilot project (proof of concept)Pilot project (proof of concept),, bb)) to study existing processes for control and payment of healthcarto study existing processes for control and payment of healthcaree expenditures from healthcare organizations to the social securiexpenditures from healthcare organizations to the social securityty systemsystem ((government Hospitals, pharmacies, private Hospitals,government Hospitals, pharmacies, private Hospitals, diagnostics centers, etc)diagnostics centers, etc) and to study electronic payments betweenand to study electronic payments between social security and healthcaresocial security and healthcare,, cc)) creation of electronic processescreation of electronic processes,, dd)) without changing legislature (constrain)without changing legislature (constrain),, ee)) MISMIS –– Business IntelligenceBusiness Intelligence Project AIM and CharacterProject AIM and Character
  7. 7. 77 Operational CoverageOperational Coverage •• HealthCare expenditures Control by using information systems tecHealthCare expenditures Control by using information systems technology,hnology, •• ToTo ““ironiron--outout”” the complexity of the Healthcare payments system (study andthe complexity of the Healthcare payments system (study and propose),propose), •• To create electronic transactions (expenditures and payments),To create electronic transactions (expenditures and payments), •• to create Onto create On--line transaction processing and batch processing (large scaleline transaction processing and batch processing (large scale processing)processing) •• to create targeted onto create targeted on--line reporting and business intelligenceline reporting and business intelligence •• to create the needed computing infrastructureto create the needed computing infrastructure
  8. 8. 88 OutcomesOutcomes Expected outcomes:Expected outcomes: ••Improve organizational processesImprove organizational processes,, •• Improve the internal structures and procedures of the social secImprove the internal structures and procedures of the social security systemurity system,, thusthus improving the services for theimproving the services for the •• to keep healthcare expenditures in control (how low can we go)to keep healthcare expenditures in control (how low can we go),, •• creation ofcreation of ““globalglobal”” controlling mechanismscontrolling mechanisms,, •• Improve and enhance decision making abilityImprove and enhance decision making ability,, •• Increase the skills of human resources involvedIncrease the skills of human resources involved BeneficiariesBeneficiaries:: •• immediate beneficiaries: the healthcare system (pharmacies, hospimmediate beneficiaries: the healthcare system (pharmacies, hospitals, diagnosticitals, diagnostic centers etc)centers etc),, andand •• The Social security system,The Social security system, •• Other beneficiaries: the Greek citizensOther beneficiaries: the Greek citizens,,
  9. 9. 99 Basic success factorsBasic success factors - Swift and decisiveSwift and decisive ““movesmoves”” from:from: -- from the parties involvedfrom the parties involved ((social security and healthcaresocial security and healthcare),), -- from all external parties (banks registries)from all external parties (banks registries) -- the synchronization of all parties involved,the synchronization of all parties involved, -- Make the users part of the systemMake the users part of the system
  10. 10. 1010 Technical detailsTechnical details –– network / hardwarenetwork / hardware Network used: «SYZEYXIS» internal government network Systems and components: Database Servers: two (2) database servers HP ProLiant DL580 Generation 2 on clusters Application Servers: two (2) application servers HP ProLiant DL560 with load balancing Web Servers: two (2) web servers HP ProLiant ML350 Generation 4 with Load Balancing Oracle Infrastructure / LDAP server: One (1) server HP ProLiant ML350 Generation 4 Backup console/Antivirus/Administration Workstation: one (1) workstation HP Compaq Business Desktop dc7100 series Back-up system: HP StorageWorks Enterprise Virtual Array 3000 Backbone: 2Gb Fiber Channel “end to end”. other: Net Backup, 11 PC’s
  11. 11. 1111 Technical detailsTechnical details -- softwaresoftware Operating Systems: •Windows 2003 (Server) •Windows XP (Client) Development tools: •Oracle 10g JDeveloper •Oracle 10g Forms Builder •Oracle Discoverer 10g •Oracle Warehouse Builder 10g Type of Exchanged files: •Ascii semicolon delimited (circa 1970) •Xml (circa 1990)
  12. 12. 1212 Technical detailsTechnical details –– software subsystemssoftware subsystems Interoperability subsystems Data entry system Electronic data exchange Data entry system Payment system Payments system MIS and BI Security System control Administration and Security User profile Control and clearing system Expenditures control and clearing Bank reconciliation BIMIS Payment control
  13. 13. 1313 Technical detailsTechnical details -- softwaresoftware Data entry system Payment system Expenses control subsystem Basic Interoperability System Functions Payment subsystem Electronic data exchange MIS System control and definition Local administration and security Administration and security B. I. Bank reconciliation HelathCare General Secretariat for Social Security Social security
  14. 14. 1414 Technical detailsTechnical details –– final architecturefinal architecture H o s p i t a l P h a r m a c y f e d e r a t i o n D i a g n o s t i c c e n t e r H e a l t h C a r e I n t e r o p e r a b i l i t y S o c i a l S e c u r i t y O A E E O G A O A P - D E I A D S L A D S L A D S L $ B a n k 2 $ B a n k 3 $ B a n k 1 $ B a n k N €€€ € € € € G G K A - I D I K A S A “ Δ Ι Α Σ P a y ” 512kbps A p p l i c a t i o n S e r v e r s D M Z V L A N VLAN S t o r a g e A r r a y BA U l t r i u m F C S w i t c h e s 2 x 8 - p o r t L B S A N A d m i n i s t r a t i o n a n d s e c u r i t y D S L M o d e m D S L M o d e m D S L M o d e m U P S B a n k s C l u s t e r V L A N C e n t r a l S w i t c h e s F i r e w a l l s H i g h A v a i l a b i l i t y I P I n f r a s t r u c t u r e & S e c u r i t y R o u t e r L o a d B a l a n c e r A C T I V E - A C T I V E S t o r a g e M g m t A p p l i a n c e € b e f o r e a f t e r P a y m e n t s A c t i v e C o m p o n e n t S t a n d b y C o m p o n e n t W E B S e r v e r s S y s t e m A r c h i t e c t u r e O r a c l e I n f r a s t r u c t u r e / B a c k u p C o n s o l e A n t i v i r u s A d m i n BA U l t r i u m D a t a b a s e S e r v e r s G G K A
  15. 15. 1515 StatusStatus Status (today):Status (today): FinishedFinished:: •• ““Minimum set of dataMinimum set of data”” study,study, •• Project application study (project documentation)Project application study (project documentation),, •• Software creationSoftware creation,, •• DATA CENTERDATA CENTER InstallationInstallation,, •• Users and administrators TrainingUsers and administrators Training,, •• Pilot testingPilot testing,, •• Final application study (project documentation)Final application study (project documentation),, •• Connection to theConnection to the ““SYZEYXISSYZEYXIS”” network,network, •• Final Operational integration and testing of systemFinal Operational integration and testing of system.. to beto be:: •• six (6) month Service Level Agreementsix (6) month Service Level Agreement..
  16. 16. 1616 OutcomesOutcomes -- ProblemsProblems YES it can be done, butYES it can be done, but:: •• definition and standardization ofdefinition and standardization of nomenclaturesnomenclatures:: •• adoption of international classification systems (ex. GMDN, andadoption of international classification systems (ex. GMDN, and ICD 10),ICD 10), •• when not available, then choose a local one and standardize it,when not available, then choose a local one and standardize it, •• Implementation (registry and codification)Implementation (registry and codification) The steering committee took decisions to make the system work.The steering committee took decisions to make the system work. They will need revisingThey will need revising.. •• Bank reimbursements for providing services to the project and tBank reimbursements for providing services to the project and thehe social security system:social security system: •• Banks areBanks are ““reluctantreluctant”” to ato a ““globalglobal”” agreement,agreement, •• ““agreementagreement”” case by case,case by case, •• aa ““politicalpolitical”” (strategic) agreement is needed(strategic) agreement is needed
  17. 17. 1717 Interoperability project and HLInteroperability project and HL--7:7: •• HLHL--7 was optional7 was optional,, •• the contractor did not include HLthe contractor did not include HL--7 in the offer7 in the offer Proposal (Design)Proposal (Design) vsvs projectproject:: •• new requirements risen as the project was runningnew requirements risen as the project was running:: Interoperability with other existing systemsInteroperability with other existing systems ((other socialother social security systemssecurity systems -- ex. social security registryex. social security registry),), inclusion of other social security and healthcareinclusion of other social security and healthcare organizationsorganizations,, Doctor diagnosis (?)Doctor diagnosis (?),, connection with the newconnection with the new ““cardcard”” type system (s)type system (s),, analytic prescription, directly from the pharmacyanalytic prescription, directly from the pharmacy,, Private clinics and private hospitalsPrivate clinics and private hospitals,, connection with other EU systems (country interoperability)connection with other EU systems (country interoperability) Open issuesOpen issues
  18. 18. 1818 Project extensionProject extension Project extension AIMProject extension AIM:: •• Include HLInclude HL--7 connectivity7 connectivity •• Include new type of HealthCare organizations: Pharmacies andInclude new type of HealthCare organizations: Pharmacies and privately owned clinicsprivately owned clinics.. With these two (2), will cover all major requirements of the syWith these two (2), will cover all major requirements of the system.stem.
  19. 19. 1919 Project extensionProject extension •• Include 5 to 10 pharmacies as proof of concept (analytic drug prInclude 5 to 10 pharmacies as proof of concept (analytic drug prescriptions)escriptions),, •• Connect system to the internetConnect system to the internet,, •• Include HLInclude HL--7 connective by adding the needed infrastructure of hardware and7 connective by adding the needed infrastructure of hardware and system software (and experience),system software (and experience), •• Create the needed message HLCreate the needed message HL--7:7: Submit HealthCare Services Invoice (event E01)Submit HealthCare Services Invoice (event E01) [FHS] Batch:[FHS] Batch: MessagesMessages EHC (EHC (This message is used to submit aThis message is used to submit a HealthCare Services Invoice to a TPA/Payer for processing andHealthCare Services Invoice to a TPA/Payer for processing and payment)payment) Cancel HealthCare Services Invoice (event E02)Cancel HealthCare Services Invoice (event E02) [FHS] Batch[FHS] Batch: Messages: Messages EHC (EHC (This message is used to cancel oneThis message is used to cancel one HealthCare Services Invoices or one Product/Service Group in anHealthCare Services Invoices or one Product/Service Group in an Invoice or one Product/Service Line Item in an Invoice that haveInvoice or one Product/Service Line Item in an Invoice that have previously been submitted to a TPA/Payer)previously been submitted to a TPA/Payer) •• plus all other needed services (training, studies, software conplus all other needed services (training, studies, software construction, etc)struction, etc)
  20. 20. 2020 Project extensionProject extension Possible budgetPossible budget:: budget (€) Contractor Project continuation 264.180,00 Intracom – KPMG Technical support 41.959,40 Planet Total 306.139,40
  21. 21. 2121 The endThe end……?? On your computer nowOn your computer now,, HERAnetHERAnet ((www.heranet.gov.grwww.heranet.gov.gr)) HHealthealth EExpendituresxpenditures,, RReimbursementseimbursements && AAnalyticsnalytics ΝΕΤΝΕΤworkwork Thank youThank you,, Del ToroDel Toro georgegeorge

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