Η τεχνολογία ως μοχλός μετασχηματισμού των υπηρεσιών Υγείας

Copyright © 2013, Oracle and/or its affiliates. All rights reserved.1
Oracle in Healthcare Overview
Presented to:
Η Ηλεκτρονική Διακυβέρνηση ως ευκαιρία
αποτελεσματικής αναδιοργάνωσης της
Δημοσίας Διοίκησης
Στέφανος Διονυσόπουλος
Διευθυντής Πωλήσεων Τεχνολογίας Ελλάδος και
περιοχής MAK
12 Απριλίου 2016

A WORLD
OF POSSIBILITIES

NEW WAYS
TO ENGAGE
WITH PATIENTS
PATIENT SATISFACTION
PATIENT EXPERIENCE
QUALITY OF CARE

MAKING IT EASIER
FOR PATIENTS TO
STAY HEALTHY
Inform me Engage Me Empower me

Healthcare
Providers
Academic
Medical
Centers
Pharmaceutical
Researchers

Built on
Open Software
Available
On-Premise,
Cloud, or
Hybrid Model
Organization
Specific Support
Depth and
Breadth
Knowledge and
Technology
to Solve Your
Problems
Fewer Risks

Accelerate IT innovation to advance
personalized medicine and the delivery
of safe and effective treatments
Continuing
to Innovate
Operational
Efficiency
Analytics Connected
Health
Human Capital and Workforce Management
Process Efficiency and Effectiveness
Finance and Business Strategy
Profitability and Cost Management
Master Data Management
Value Chain Planning

Analytics for Integrated Healthcare
Knowledge through Structured
and Unstructured Data
Operational and Costing Analytics
Translational Research and GenomicsAnalytics

Health Information Exchange
Patient Engagement and Population Health
Vendor Neutral Storage
and Content Management
Patient Monitoring and Data Management
Telehealth and Medical Device Integration
Connected
Health

Παραδείγματα
ePrescribing (vs ePrescription) – Croatia,
Greece, Lombardi (Italy)
Track and Trace Systems
Singapore National EHR

•* Source: OECD Indicators 2008, WHO Observatory
•** Source: Building a safer NHS for patients – Improving medication safety
Pharmaceutical spending
OECD estimates that pharmaceutical costs are
increasing by 5.6 percent per year, which is more
than double the increase in GDP
80% of prescriptions written in primary care
e.g. more than 660 M prescriptions are written by
GP’s in the UK each year **

 Integration Efforts (now also with epSOS!)
– 2300+ GP offices (8 different vendors)
– 192 pediatrician offices (7 different vendors)
– 180 gynecologist offices (8 different vendors)
– 1100+ pharmacies (7 vendors)
 Results
– Considerable increase in patient safety due to less
chance of avoidable errors (wrong medication, wrong
dosage…)
– Avoiding errors and connected hospitalization costs are
greater contributor to savings by introduction of
ePrescription
Key Benefits Realized
Success Story – ePrescription Project, Croatia
Paper is used only in emergency cases

ePrescribing in Greece
 The project is run by IDIKA (Electronic
Services Governance for Social Insurance),
whose responsibilities include Central Data
Center, tendering processes, education and
training, and provisioning of specialized
systems including eRx, EHIC, etc
 Targets and Objectives
– Patient Safety and protection
– Information Governance and
Integration
– Rationalization of drugs expenditure
– Economies of scale, transparency
 Originally, IDIKA implemented a basic functionality
e-Prescription System in 2010, to respond to
request from IMF and EC to manage service
expenditure (9500 pharmacies, 4000 physcians,
and 1 social security organization, 8000
prescriptions/day)
 Phase 2 (2012): e-Prescription System expanded to
include all Social Security Funds/Providers and
the total population of actors E diagnosis
consolidation and replatformed for performance,
reliability and security.
 Phase 3 (end of 2013) IDIKA initiated a new
project that involved augmenting system’s
functionality (therapeutically protocols, APIs, ePSOs
integration, interoperability with EOPYY, analytics
and reporting)

Regione Lombardia ePrescribing
Case Study
 Lombardy Basic Data
– 9.2 Million citizens
– 8500 GPs, 2500 Pharmacies, 140k health professionals
in total
 SISS Project Objectives (2000 – ongoing)
– Improve healthcare and social services for citizens by
simplifying procedures and reducing waiting time;
– Improve the quality of prescriptions, diagnosis, and care
by sharing clinical data
– Improve the costs effectiveness by enhancing planning
and controlling instruments
– Improve the efficiency of HPO’s internal processes
through adoption of new technologies
 SISS today interconnects entire public sector plus
70% of private sector
CRS-SISS Project
(Carta Regionale dei Servizi della Lombardia-Sistema Informativo Socio Sanitario)
•ePrescribing
96% of GP’s and 100% Pharmacies connected
80-100mill prescriptions/per year
Health Insurance Card – basis for patient consent
and authorization mgmt

Socio-economic impact
EHR/ePrescribing in Regione Lombardia*
0
20.000.000
40.000.000
60.000.000
80.000.000
100.000.000
120.000.000
140.000.000
160.000.000
180.000.000
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Euro
Present value of total annual costs Present value of annual benefits
*Source: EHRImpact Analysis, Empirica 2010
ePrescription
goes live
Full deployment

Pharmaceutical Track and Trace, Turkey
 The Turkish “Pharmaceutical Track and Trace System” (İTS) defines the
infrastructure constructed to track and trace all units belonging to each
pharmaceutical product in Turkey.
 The serialization providing the uniqueness of the units is ensured by the
DataMatrix code instead of formerly used barcode.
 The ability to track each drug unit is provided by gathering the information of
each unit in every single step and action; and traceability is provided by its
pedigree.
 Targets
– Ensure and guarantee the reliable supply of drugs to patients
– Prevent the sale of counterfeit and smuggled drugs and prevent illegal sale of drugs
– Prevent barcode scams
– Support rational use of medicines, supply data to control market

Singapore Demographics and Health Context
 Population 5.2 million, ethnically diverse
– Chinese 75%, Malays 14%, Indians 9%, Others
2%
– Four official languages
 National healthcare expenditure - 4% of GDP
 Silver Tsunami
– By 2030 - 9% aged 65 years and above projected
to grow to 20%
– By 2050 – one of the oldest countries in the world
(median 54 years)
 In 2010 WHO ranked Singapore in the world as;
– 2nd for infant mortality rate (2.1 per 1000 live birth)
– 9th for life expectancy (81.4 years)
11,580 hospital beds, 429,744 hospital admissions
Visits; 3,687,910 Specialist Outpatient Clinics,
752,122 A&E, 3,797,953 Polyclinics (2007 Data)

Singapore Demographics and Health Context
 Challenge – primary, intermediate and long term care not well integrated, resulting in
frequent readmissions and pressure on acute care
 A different pattern of care
– Integrated healthcare
delivery system
– Appropriate care from
the right site
– Better allocation of
resources
– More cost-effective
treatment and care in the healthcare continuum

Singapore NEHR
• Enabling the sharing of critical
information across providers
• Make clinicians life easier with secured
access to patient information from
anywhere
• Extracts and consolidates in one record
all clinically relevant information
• Discharge summaries,
events&medication history, lab and
radiology tests
• Strong focus on standards and best
practice
National Electronic Health Record

Economics of Singapore NEHR
 With 23 business capabilities
(e.g. Manage Patient
Demographics, Review
Summary Record, Reconcile
Medications, Create Discharge
Summary) and...
 18 Core and 7 ancillary EHR
services and...
 700 existing and new information
exchange flows...
Return of investment
*Booz and Company, as referenced in HIMSS 2012

Results
$5 BILLION*
of Oracle revenue goes
towards research and development
* Approximate dollar amount

Copyright © 2013, Oracle and/or its affiliates. All rights reserved.22 Copyright © 2012, Oracle and/or its affiliates. All rights reserved. Insert Information Protection Policy Classification from Slide 13Copyright © 2013, Oracle and/or its affiliates. All rights reserved. Insert Information Protection Policy Classification from Slide 13

Η τεχνολογία ως μοχλός μετασχηματισμού των υπηρεσιών Υγείας

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