“Governing eHealth at
Regional level – challenges,
 opportunities and lessons
         learned”
Dr. Guanyabens - Coordinat...
Index

  The Catalan Reality

  The ICT strategy and organization in Catalonia

  ICT Projects

  Conclusions / Lessons le...
Index

  The Catalan Reality

  The ICT strategy and organization in Catalonia

  ICT Projects

  Conclusions / Lessons le...
The Catalan reality
Autonomous Community of Spain – CATALONIA




  Catalonia is one of the seventeen Autonomous Communiti...
The Catalan reality
Spanish National Health System – Relationships between the Autonomous
Communities and the Central Gove...
The Catalan reality
CATALONIA – The Healthcare System in Catalonia
Index

  The Catalan Reality

  The ICT strategy and organization in Catalonia

  ICT Projects

  Conclusions / Lessons le...
The ICT strategy and organization in Catalonia
CATALONIA – ICT Organization




                     HEALTH DEPARTAMENT / ...
The ICT strategy and organization in Catalonia
CATALONIA – TicSalut Foundation




TicSalut Foundation
                   ...
The ICT strategy and organization in Catalonia
The ICT Catalan Governing model




     Top-down approach              Co...
Index

  The Catalan Reality

  The ICT strategy and organization in Catalonia

  ICT Projects

  Conclusions / Lessons le...
The ICT projects – GOVERNING CHARACTERISTICS
            Catalan Shared Medical Record    Medical Image Digitalization Pla...
The ICT projects – GOVERNING CHARACTERISTICS


         Medical Image
                                                 Tel...
Index

  The Catalan Reality

  The ICT strategy and organization in Catalonia

  ICT Projects

  Conclusions / Lessons le...
Conclusions
Lessons learned
Conclusions
Governing values
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eHealth Governance in a Heterogeneous Regional Scenario like Catalonia. How to Manage a Highly Distributed eHealth Network

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eHealth Governance in a Heterogeneous Regional Scenario like Catalonia. How to Manage a Highly Distributed eHealth Network. Guanyabens J. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

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eHealth Governance in a Heterogeneous Regional Scenario like Catalonia. How to Manage a Highly Distributed eHealth Network

  1. 1. “Governing eHealth at Regional level – challenges, opportunities and lessons learned” Dr. Guanyabens - Coordinator of Health IT of the Catalan Department of Health March, 16th of 2010
  2. 2. Index The Catalan Reality The ICT strategy and organization in Catalonia ICT Projects Conclusions / Lessons learned
  3. 3. Index The Catalan Reality The ICT strategy and organization in Catalonia ICT Projects Conclusions / Lessons learned
  4. 4. The Catalan reality Autonomous Community of Spain – CATALONIA Catalonia is one of the seventeen Autonomous Communities of Spain Government: Generalitat de Catalunya Area: 32.106,5 km2 Population (2009): 7.475.420 Life expectancy (2009): 80,55 years Birth rate (2008): 12,2 Gross Mortality rate (2007): 8,28 Infant mortality (2007): 2,65 GDP/Capita (2007): 24.445€ High urban concentration Own language and culture Source: IdesCat
  5. 5. The Catalan reality Spanish National Health System – Relationships between the Autonomous Communities and the Central Government Spanish National Health System Autonomous Spain Communities The Inter-Territory Exclusive authority on: Exclusive authority on: • International health policy • Subsidiary legislation Board SNS • Bases and general • Public health Permanent agency of coordination, coordination of health cooperation, communication and • Legislation on • System’s organizational information of regional health pharmaceutical products structure services, between them and with • Educational requirements • Accreditation and planning the Spanish Administration • Purchasing and service provision
  6. 6. The Catalan reality CATALONIA – The Healthcare System in Catalonia
  7. 7. Index The Catalan Reality The ICT strategy and organization in Catalonia ICT Projects Conclusions / Lessons learned
  8. 8. The ICT strategy and organization in Catalonia CATALONIA – ICT Organization HEALTH DEPARTAMENT / CATSALUT Strategic ICT plan GLOBAL MANAGEMENT OF THE INFORMATION’S LIFE CYCLE AIAQ’s Mission Obtain Generate relevant knowledge Information to contribute to the improvement of the quality, knowledge Agency of safety and sustainability of the Generate Structure Information, Quality and healthcare system, facilitating Assessment decision making for citizens, in professionals, managers and Healthcare planners Analyze
  9. 9. The ICT strategy and organization in Catalonia CATALONIA – TicSalut Foundation TicSalut Foundation Council of Business Scientific Professionals INNOVATION Council Council and Telemedicine and Citizens Tele-assistance DEPLOYMENT Mission The mission of TicSalut is to INTERNATIONAL encourage the development OBSERVATORY RELATIONS and use of information and Maps of ICT in AND PROJECTS health trends communication technologies Projects, agreements to enhance the health system in the region of Catalonia, Spain NORMALIZATION Office of standards DEPLOYMENT
  10. 10. The ICT strategy and organization in Catalonia The ICT Catalan Governing model Top-down approach  Collaborative governing strategy ICT  ICT introduction and Catalan Middle-out deployment on a Governing participative base approach Model  Continuity of care  Interoperability using standards Bottom-up approach
  11. 11. Index The Catalan Reality The ICT strategy and organization in Catalonia ICT Projects Conclusions / Lessons learned
  12. 12. The ICT projects – GOVERNING CHARACTERISTICS Catalan Shared Medical Record Medical Image Digitalization Plan INTEROPERABILITY RESOURCES SHARING Telemedicine Electronic Prescribing Personal Health Folder NETWORKING MODEL COLLABORATION MODEL CORESPONSIBILITY
  13. 13. The ICT projects – GOVERNING CHARACTERISTICS Medical Image Telemedicine Digitization Plan RESOURCES SHARING NETWORKING MODEL Catalan Shared Medical Record INTEROPERABILITY Electronic Prescribing Personal Health Folder COLLABORATION MODEL CORESPONSIBILITY
  14. 14. Index The Catalan Reality The ICT strategy and organization in Catalonia ICT Projects Conclusions / Lessons learned
  15. 15. Conclusions Lessons learned
  16. 16. Conclusions Governing values

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