Health information System: From Strategy to Reality Martin Smutný 9 June 2011
Health information System: From Strategy to Reality
Martin Smutný
9 June 2011
2
It is really so difficult ?
Health Information System
eHEALTH – TYPICAL QUESTIONS
3
What are our expectations (doctor, patient, government,…)?
Is it political, economic, IT or professional issue?
How to ensure acceptability of eHealth?
What will be final form?
Who will be consumer of future services?
What we do at the first?
Do we have all necessary sources?
Who will be responsible for data quality and trustworthy?
HEALTH INFORMATION SYSTEM
Complex and Difficult environment
Many decision makers
Many consumers
Health information system vs eHealth
Political support
4
VISION AND STRATEGY
A Digital Agenda for Europe of 19 May 2010
COMMISSION RECOMMENDATION of 2 July 2008 on cross-border interoperability of electronic health record systems
Key Action 13: Undertake pilot actions to equip Europeans with secure online access to their medical health data by 2015 and to achieve by 2020widespread deployment of telemedicine services
Key Action 14: Propose a recommendation defining a minimum common set of patient data for interoperability of patient records to be accessed or exchanged electronically across Member States by 2012
5
KEY PRIORITIES
6
ePrescriptionElectronic
healthrecords
Portals
Interopera-bility
Telemedicine
ELECTRONIC HEALTH RECORD
EHR is “digitally stored healthcare information about an individual's lifetime with the purpose of supporting continuity of care, education and research, and ensuring confidentiality at all times” [Ilias Iakovidis 1998]
Summary
Validity
Reliability
Security
Accessibility
7
Port
als
Inte
rop
era
bili
tyTe
lem
ed
icin
e
ePre
scri
pti
on
Ele
ctro
nic
Healt
h R
eco
rds
ePRESCRIPTION
Registration system
Interactions
Contraindications
8
Port
als
Inte
rop
era
bili
tyTe
lem
ed
icin
e
Ele
ctro
nic
Healt
h R
eco
rds
ePre
scri
pti
on
TELEMEDICINE
A tool for patient empowerment
Cost and time effective
Easier access to specialist
Higher quality of healthcare service
9
Port
als
Inte
rop
era
bili
ty
ePre
scri
pti
on
Ele
ctro
nic
Healt
h R
eco
rds
Tele
medic
ine
INTEROPERABILITY AND STANDARDIZATION
Interoperability is the ability to exchange, understand and act on patient and other health information and knowledge, among linguistically and culturally disparate clinicians, patients and other actors, within and across jurisdictions, in a collaborative manner
HL7
SNOMED CT
EN 13606
10
Port
als
Tele
med
icin
e
ePre
scri
pti
on
Ele
ctro
nic
Healt
h R
eco
rds
Inte
ropera
bili
ty
PORTALS
Presentation layer of eHealth services for patients
Professional approach or social network?
Quality comparison
11
Inte
rop
era
bili
tyTe
lem
ed
icin
e
ePre
scri
pti
on
Ele
ctro
nic
Healt
h R
eco
rds
Port
als
FINANCIAL MODEL
Primary investment
Operational costs
Business model
Sustainability
12
eHEALTH BUILDING
13
14
Reliable partner with real experience
Asseco Group
HEALTHCARE - SEGMENT COVERAGE
15
ePRESCRIPTION POLAND
Project end: August 2011 Implementation done in 4 weeks
approx. 50 pharmacies and healthcare points Number of patients estimated: 120 00 - 140 000
Pilot of a national solution to handle electronic prescription and history of patient pharmacotherapy
Part of informatization of health care system in Poland (project „SIOZ – Health Care Information System“)
Thanks to electronic prescription, all the information about taken medicines will be available to the physician, pharmacist and patient in one place - through online patient account.
16
17
18
19
SLOVAK NATIONAL EHEALTH PROGRAM Program consist of 3 stages - 1st stage of eHealth – scope of services/IS
Four main pillars for Healthcare processes support - Electronic Health Record and Personal Health Record for citizens, eMedication/ ePrescription, National Healthcare portal and eAllocation,
Asseco CE competency and responsibility in this project is EHR/PHR “EZKO”
20
EHR + PHR – „EZKO“
• Development of environment and bases for Electronic Healthcare Records with Health Documentation saving.• Publishing only 9 data areas/sheets (from 24) at this stage. (EDS, MED, VAC, LAB, OUP, PHR, ADMIN)• Data for analysis and statistic´s reports only in anonymous form.
eMedication/ePrescription
National Healthcare Portal eAllocation
1st stage of eHealth
• Providing of information which are in relation with medicines in healthcare area.• Providing of information about prescription process, include medicine history (for patient) and medicine interaction.
• Guarantee of prescription process in electronic form.
• Single point of contact with eHealth and using ofeHealth services.• Providing comprehensive and actual information about health, curing, medicines, etc.
• Electronic ordering of GP´s or specialist´s services.
• Effective tool for management of patients orders in the healthcare providing framework (healthcare, operations of specialists, lab tests, etc.).
Source: NCZI SK
21
ELECTRONIC HEALTH RECORD POLAND
Project end: July 2011 12 hospitals integrated by Asseco Poland to the local bus
5 is using HIS provided by Asseco Poland More than 400 health professionals Estimated 30 000 EHR records in first 6 months HL7 2.31 ( ICD10, ICD9 ) Information about hospitalization
Medical procedures Description connected with patient
Specialist consultation within hospital Medical information – diagnoses, diseases, etc. Doctors records
Laboratory and diagnostic research Results Description
Allergies, Medication, EDS, …22
23
24
25
26
TAHIS II - STANDARDIZATION OF MEDICAL REGISTERS
Design of the application and technical infrastructure for implementation and standardization for the register of the Ministry of Health of the Slovak Republic
The aim was to identify the current state of the registers, identify data sources and prepare the base, architecture design, data structure and interface of health information systems.
Registers with nationwide coverage Healthcare recipients register Healthcare providers register Register of healthcare professionals Register of drugs, optics, medical supplies and devices, performance
and diagnoses.
27
28
SELECTED POLAND SOLUTIONS
National Health FUND Creating and support Central national patient’s register
Over 40 MIO patients
Solution for Online validation of provided healthcare procedures
Solution for Processing of EU forms for financial clearing between EU countries
ERP solution
National Blood Bank covering whole Poland System for Regional Blood Donation and Transfusion Centers. Its main task
is to improve the organizational processes of collecting, producing and transfusing blood and blood derivatives, in order to provide the ill with suitable substances in a fast and carefully planned manner, ensuring the right amount and the right type of each substance.
PORTAL ZP CZECH REPUBLIC
Group 7 of 9 Healthcare insurance companies in Czech Republic Support to the identification of standard information required for
regular reporting and definition of software requirements for running the Health information systems in Czech Republic.
Developing and implementing IS for processing identified data from healthcare providers in the core information systems of the Health insurance companies from healthcare providers including all following types: Hospitals General Practitioners Ambulances services ( outpatients' department ) Pharmacies and Opticians Medical transport services Laboratories
Figures: More than 20 000 healthcare providers report on monthly basis Since April 2002
29
VSZP – GENERAL HEALTH INSURANCE COMPANY IN SLOVAKIA
VSZP is Major state-owned Healthcare Insurance company in Slovakia More than 70% market share ( 3.5 MIO patients ) Development and Service contract of the ZPIS Information system – core
system Centralized solution with more than 2000 concurrent users Accounting system ( secondary ledger ) DWH and BI System More than 6 TB (Terabyte) of data More than 100 analytical cubes Internet portal and central electronic registry IT Surveillance system
Figures: All of the 12 000 healthcare providers in Slovakia report on monthly
basis Processing apx. 30 MIO recipes per year Processing apx. 20 MIO records of provided healthcare per month Processing of insurance taxes collected from more than 400 000
self employed and 20 000 employers Since June 2005
30
UNION – PRIVATE HEALTH INSURANCE COMPANY IN SLOVAKIA
UNION is private Healthcare Insurance company owned by EUREKO group More than 7% market share Development and Service contract of the MEDIFORM
core system Centralized solution with more than 300 concurrent users
Accounting system ( general ledger ) Internet portal and central electronic registry
Figures: More than 10 000 healthcare providers in Slovakia
report on monthly basis
31
HOSPITAL INFORMATION SYSTEM REFERENCES
Hungary Up to 40 % market share Over 60 hospitals, health institutions Major market share in BioChemy laboratiories MedWorkS, eMedWorkS, PharmaGlobe, LabWorkS
Poland More than 50% market share Solutions for apx 420 hospitals More than 9000 GPs
Slovakia and Czech republic Second biggest University hospital ERP solution for apx 50 hospitals
32
ASSECO IN EUROPE
Profile: S&S, HW&Integration
Sectors: Banking & Finance, Public, General Business
Profile: S&S
Sectors: Banking & Finance, Public, General Business
Profile: S&S
Sectors: Banking & Finance, General Business, Public
Profile: S&S
Sectors: General Business
Profile: HW&Integration
Sectors: Banking & Finance, General Business, Public
Profile: S&S
Sectors: General Business
Profile: S&S, HW&Integration
Sectors: Banking & Finance,
General Business
Profile: S&S, HW&Integration
Sectors: Banking & Finance, Public, General Business
33
ONE OF THE LEADING SOFTWARE HOUSES IN EUROPE
8th place on the list for
Asseco Group
34
This presentation is the property of Asseco Central Europe (ACE) business group. Information presented serves for marketing purposes only and constitutes neither an offer to sell nor a solicitation to buy. ACE accepts no liability whatsoever for any loss arising directly or indirectly from the use of, reliance of any information contained in this presentation or for any omission of the information. The processing, copying, recording on information carriers, as well as making this presentation or any part thereof available in any way to third parties requires the prior consent of ACE member.
THANK YOU FOR ATTENTION
Asseco Group
http://www.asseco.com/
35