ICS Modernization Project. González Cuyás MD. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

1. Institut Català de la
Salut
ICS Modernization Project
Barcelona, 16/03/2010

2. Mª Dolores González Cuyás
Economic and Organization Director
Institut Català de la Salut

3. ICS AT A GLANCE
Primary care
 More than 450 productive units:
Budget 2010: 3.000 M€ 

274 primary care teams
40 centers of extra-hospital specialties.
42.000 Professionals  32 emergency centers
 8 laboratories
Acute Care  32 image diagnosis services
 15 rehabilitation services
 8 Hospitals:  8 mental health centers, …
 More than 4.000 inpatient beds  It manages 80% of the whole primary
 More than 130 Surgery theaters care teams in the region
 More than 7000 outpatient rooms
 Constitutes the 32% of the public
 46 millions of outpatient visits a year
hospitals inpatient beds and the 50%
of the high-technology beds in Education
Catalonia.  Annual training of more than 1.500
 2008: 215.262 Inpatient visits masters.
122.454
703.424
Surgeries
Urgencies
 More than 4.300 pre-grade students
2.661.390 Outpatient visits
(medicine and nursery).
412 Transplants  Training of 56% of General Practitioner
and 66% of the specialists of Catalonia
Research
 Constitutes the 40% of the scientific
production in Catalonia.

4. External Context
- New Environment: globalization,
consumerism, demographic shifts,
increase burden of disease and
expensive new technologies
- Quality Issues
THREATS
- Rising Costs
- Access or Choice inadequate
- Financial
- Counterproductive societal
expectations and norms
CONSTRAINTS
- Misalignment in incentives
- Short term response due to
patient demands
- Inability to access and share
critical information

5. Internal Context (2004)
Organization
• No Formal Organizational
Structure for Change.
• No Internal Customer
Orientation (Corporate
Information Systems).
Processes
Technology • Need for Tighter
• Inability to Share Financial Control.
Critical Information. • Lack of Process
• Discontinuity of Standardisation in
Health Care. (Primary Different Areas.
/Acute Care). • Difficulty in Managing
Demand.

6. Objectives
HEALTHCARE
• Modernization Public Sector SECTOR
• Leading position in Healthcare
Healthcare
IT Systems
Sector
MANAGEMENT
• Business monitoring system
Management • Decision making tools
THE CLINIC
• Tools for all the professionals
• Standardization of the clinical
Clinic practice
PATIENT
• Patient centric Healthcare
• Integrated patient records
Patient

7. Principles
HEALTH
SYSTEM
ACCESIBILITY:
For the citizen to
receive the best
healthcare.
HEALTHCARE
QUALITY:
Advanced
technologic
equipments, health
coordination,
Electronic clinical
records.
HEALTH SYSTEM
SUSTAINIBILITY:
Greater efficiency, cost reduction,
realignment of resources, shared
services, central procurement.

8. Method
New ICS
A new corporate culture
Project to Project to transform Project to redefine
transform the Healthcare processes on the HR function
Back-Office the Hospitals area (HIS)
functions
New Common Process Model
Unique and integrated technology – SAP (Change Driver)
Model of Strategic Partnership

9. Roadmap
Arnau de
Vilanova
Vall d’Hebrón
Viladecans
Bellvitge
Doctor Josep
Trueta
Verge de la
Cinta
Joan XXIII
Full Deployment
Roll-out
Purchasing / Germans Career path
Contracts Trias i
Pujol Job market
Shared e-Payroll
Services
Center
2006 2007 2008 2009 2010
06/0 09/06 02/06 02/07 02/08 10/08 03/09 06/09 11/09 03/10 06/10
6 11/08

10. Results
• Towards a Corporate • Unified demand • Increased Patient
Negotiation Unit managemnt Security
• Third Party Invoicing • Territorial approach • Integrated Patient
• Inventory Management • Productivity electronic Records
• Contract Negotiation enhancement • E-pharmacy
Sustainability
Efficiency • Digital imaging
• Purchasing • Acute and Primary
• Elimination of
Accesibility Care Integration
• Shared agendas
• Better informed
Patients
redundancies • Paperless • SMS appointment
• Self-admission
• Management Tools • Health recods /information devices
Quality
accessible across the
whole Catalan Health • Standarization of
• Economies of scale in nursery plans
System
IT expense
• Telemedicine and • Reduction of
• Digital records: paper movements to the
Home hospitalization
and plates hospital

11. Conclusions
Principles
Transformation
Objectives Program
IT Implementation