In this presentation, you will receive an overview of the TicSalut Foundation, the Catalon Healthcare System and the integration of health and social care in Catalonia. Details of the presentation found in link: http://www-01.ibm.com/software/city-operations/curam-research-institute/curam-roundtable/index.html

1. ICT Strategy in
The Catalan
HealthCare and SocialCare System
ICT Services

2. Table of contents
TicSalut Foundation. Catalan Healthcare System
ICT Evolution
Shared Electronic Health Record. Personal Health Record
iSIS.Cat. Integration Health and Social Care
1
2
3
4
mHealth Plan Catalonia5

3. TicSalut: Technology, Innovation & Health
Founded in 2006, TicSalut Foundation is an agency within the
Ministry of Health that works to promote the development and
use of ICT in the health and social care domain, acts as a trends,
innovations and emerging initiatives observatory, and provides
services for the standardisation and accreditation of products.

4. TicSalut, a responsibility to innovate
￭ Advancing Knowledge Transfer in the Region
￭ Providing an Innovation Observatory in the HealthCare domain
￭ Standardizing Interoperability
￭ Managing the demand for Innovation across the whole HealthCare
system
￭ Promoting Innovation in HealthCare

5. Current System
The Catalan healthcare model is a multi-
provider one integrated in a unique public
network.
It enhances the autonomous management
of each provider.
Providers are free to select their
information systems; however 85% of the
primary care centers have the same
system (eCAP)
Interoperability among systems must be
guaranteed.
Decentralized System

6. Catalan Healthcare System
Insurance Services
USER
CATALAN
HEALTHCARE
SERVICE
CONTRACTED
PROVIDERS
100%
DEPARTMENT OF HEALTH: Draws up Health Plan and Transfers
economic resources Plans
Governance
 The history of the Catalan healthcare
system, made it highly fragmented at a
healthcare supply level:
 Around 80% of the specialized care
and around the 20% of the primary
care is provided by suppliers not
belonging to the Department of
Health
 Inexistent common Information System
for all the healthcare suppliers due to the
healthcare system diversification
ICT’s Strategic component of the Healthcare System
20%
Supplementary
Private Insurers
CATALAN
INSTITUTE OF
HEALTH
Private Centres
20%
70%
10%

7. Goals and health programs
Chronic care patients orientation
Integrated care system
Quality and equitry in tertiary care
Focused in patients and families
Outcome-based commissioning
Clinical and professional knowledge management
System governance and participation
Shared information, transparency and evaluation eHealth Plan
Citizen
centered
healthcare
strategic HEALTH PLAN

8. eHealth Evolution in Catalonia

9. Primary care Hospitals Long term Mental health
EHR systems map
Territorial platforms
Shared EHR

10. SMR and PHR
in Catalonia
ICT Services for Integrated Care

11. Shared Medical Record

12. Primary healthcare
− Diagnosis
− Healthcare reports
− Immunizations
− Chronic patients labels
Specialized care, long-term
care center and mental
health
− Discharge report
− Emergency reports
− Specialized outpatient
clinic reports
Diagnosis procedures
− Pathology and laboratory reports
− Radiology image
− Imaging diagnosis reports
− Other diagnosis tests reports
− Interventions
Healthcare Centers Information
Health Department Information
Medical Activity DB
− Diagnosis
− Procedures
Prescribed / Dispensed drugs
− Electronic prescription
Advanced directives
− Advanced directives registry
Shared Electronic Health Record – Available information

13. Video HC3

14. Documents per year
29.270.546
More than
100millions
clinical
records
available

15. Clinical Risk Groups

16. Patient complexity profiling
- HC3 stratification with Clinical Risk Groups (CRGs)
- Publish label/mark in HC3
- Label visible on all screens
PCC: Complex Chronic Patient

17. “Shared Individual Treatment Plan” (PIIC)

18. Shared Clinical
Course Primary Care
Structured PIIC 2.0
Shared Clinical
Course Specialized
Care
Integrate Social Data
and Healt Care Data
(Pilot BCN)
Predischarge report
with alerts
i-SIS.CAT
ROADMAP 2015

19. Adding Value through ICT: From documents to
cooperation
 Adds “value” to
professionals
 Enables continuity of care
Sharing Documents
Images Publishing
 Professionals share
knowledge
 Serving continuity of care
Exchanging Information
ePrescripcion
 Clinical practice is connected
with ALL the agents
demanding a change in
behaviour
 Increase of quality of care
Collaborative Model
eHealth

20. i-SISS.Cat
Strategic plan for the implementation and
deployment of the platform for the management of
healthcare and social Processes in Catalonia

21. MAIN
CHALLENGES
1. GOVERNANCE
2. HOLISTIC POINT OF VIEW.
3. INTEGRATED CARE.
GOVERNMENT 360º VISION
INTEGRATED PROCESSES INTEGRAL VISION
•Creation of programs and
tracking key performance
indicators (KPIs).
•Display of results for
program and service
provider.
• Access to the broad view
of the patient and the
process
•Environments of
collaboration between
professionals.
• Shared Social and
health-related
information
•MDT platform
• Platform that will allow
us to expand the coverage
to other social benefits
and giving coverage to the
unique social and health
record.
CHALLENGES
The i-SISS.Cat solution challenges:

22. Actions:
•Technical development to
facilitate data flow and
exchange from different
providers
•Configuration of roles for
users
Actions:
•Priorisation of chronic conditions
groups
•KPIs definition at high level
•360º vision design per program
•Interoperability standards
Actions:
•Pathway definition and
KPIs
•Definition of
recommendations
Program
creation
and KPIs
Actions:
•Information exchange
•360º vision
•Alerts definition
•Creation of a collaborative
environment
•Patient monitorization
Integrated
Pathways
definition
Pathways
integration
Patients
enrollment
Actions:
•Predictive
modeling
•Query utilities to
select patients at
risk
•Support decision
tool
The i-SISS.Cat solution integrated care:

23. 23
i-SISS.Cat
Healthcare providers
Monitors
Monitor Funcional Monitor Operatiu
IntegrationBus(Broker)
Rules
Motor de Regles Simulador Regles
Editor de Regles Dominis Sincron.
Catalog tool/
Terminological server
Catàlegs Corp.
Catàlegs de Proveïdors
Dominis Sincronit.
Analytics
Analítica de
Derivacions i PCI
Primary Care
systems
Nus Sanitari
Què podem fer?
Mapa de sistemes
GSA
ABD
GSA
CatSalut
Form. Dinàmics
Processes
Definició Program. Visio 360
Conjunt Mínim de Dades de Procés
Models Predictius Batch
Webservice
SOA
Social Providers

24. 24
The i-SISS.Cat solution roadmap:
2016
2014
Kick Off
Interoperability platform
First process definition
(PCC)
Measure KPIs
2017-2018
2015
Deployment of services for
the citizen
Models advanced analysis,
prediction and knowledge
management
Third wave of process
definition
Measure KPIs
Continuous improvement
and calibration
New processes within the
model
System deployed to all the
country
Measure KPIs
Goal to achieve: a modular solution, that allows
to implement the strategic objectives defined in
the Health Plan 2011 - 2015
Go Live of integrated
process solution
Opening the door to the
citizen
Integration of health and
social process
Second wave of process
definition
Measure KPIs

25. Personal Health Record
Cat@Salut “La Meva Salut”

26. Definition
The “Personal Health Folther” is a safe
digital online space, personal and no
transferable, where every citizen of
Catalonia, over 18, can check their health
information and other services of the
Health Department .
It offers information published by centres,
but It isn’t a simple repository. It is an
independent module of HC3 with specific
functions exclusively for citizens

27. Not customizable
elements by
citizen.
HC3
Information from the
HC3 citizen
CAP
Information of the
citizen from the
health centre.
O
INFORMATION
Project development
PROCEDURES
SERVICES
P
Customizable
elements by
citizen.
COMUNICATION
EDUCATION
CARE
Identification with digital
ID certificate or
user/password
My Health
access
Digital ID certificate
My Health access
2014 Improving access and
services
2012 Access for all citizens2009 Project start
services that support the care process (APPs)

28. Current services
Personal data and reports are the most accessed services.
Reports
Other regions reports
Personal data
Medication plan
Usability

29. http://lamevasalut.gencat.catAccess
PC and tablet vision Mobile vision

30. Personal data

31. Clinical Information – Clinical Reports

32. Diagnostic
Active health
problem
Non active
health
problem

33. Reported from health provider
Reported from vaccination book
Reported orally by patient
Duplicated
Vaccines

34. Electronic prescription
Online: always updated
Printable

35. Advanced directives

36. •More procedures
•More controls on own health
•Connect with your professionals
•Apps to control my health
•Schedule –programming-
Next: Functionalities extension

37. New features
International vaccines
Online
booking
Change of
doctor
Mobile
integrated
agenda
eConsultation
Telemonitoring
APPS integration

38. Mobility in the health and social sector
mH-
Bigdata
Interoperability model between the
citizen and his/her mobile devices
and health and social professionals.
Midle Earth
Marketplace
APP display to be
prescribed by health
and social
professionals.
Accreditation
model of APPs
Trustworthy APPs with
quality certificate
Information flows
change
Health system adaptation to
a new citizen.

39. Thank you
Jordi Martínez
Chief Innovation Officer, TicSalut Foundation