Belgrad 2008.07.24 Strategic plan

Serbia, Belgrad, 24.07.2008 1

The Strategic Plan for the development of The Strategic Plan for the development of the National Health Information System in the National Health Information System in

Republic of Moldova for 2008 - 2017Republic of Moldova for 2008 - 2017

Republic of Moldova Republic of Moldova

Ministry of Health Ministry of Health

Dr. Alexandru Roşioru

[email protected]


Republic of Moldova

Geography: The country’s territory is 33,800 sq.km.

Population: 4.5 million people

Political system: Parliamentary Republic

Capital:

Chisinau


Consolidated budget of health sector from Republic of Moldova, 2001-2007 (mln. $)

187.98

47.18

70.53

85.21

104.3

139.07

168.03

0

250

2001 2002 2003 2004 2005 2006 2007


Percentage from GDP for health sector in Republic of Moldova and European Union 2000-2007

8,98,88,88,78,58,3

4,84,7

4,03,63,6

2,82,9

2,0

3,0

4,0

5,0

6,0

7,0

8,0

9,0

10,0

2001 2002 2003 2004 2005 2006 2007

Uniunea Europeană Republica Moldova


Mortality rate (per 1000 citizens)

9

10

11

12

13

14

15

16

17

1990 1994 1998 2002 2006

Ukraina: 16,66

Rusia: 16,1

Lituania: 14,25

Romania: 11,95

UE: 9,46

Moldova: 12,00


Beginning from 2005 Republic of Moldova has a priority – to become a member of

European Union.

This priority will be realized according with

“Action Plan Republic of Moldova- European Union”

Governament decision Nr. 356, 22.04.2005

http://www.gov.md

Action Plan Republic of Moldova – European Union


Action Plan Republic of Moldova – European Union

This document traced for all moldavian society clear steps how Republic of Moldova can become member of European Union.


International cooperation of Ministry of Health

Europea

n Commis

sion

UNDP

DFID

UNAIDS

World Banc

CEBCEB

SIDASIDA

UNICEFUNICEF

SOROSSOROS

TACISTACIS

WHO

USAIDUSAID

Ministry of Health

Global FundGlobal Fund


World Health Organization – Health Metrics Network

In 2007 Ministry of Health with local stakeholders and support of Health Metrics Network (WHO), using international standards, made a fesability study of the National Health Information System


Electronic version – http://www.ms.gov.md


The result of evaluation is Strategic Plan The goal of Strategic Plan for the development of

National Health Information System is:

defining priorities, objectives, actions and resources needed for the development of NHIS in order to improve the stewardship of the health system for providing the necessary conditions to achieve the objectives from National Health Policy and the Health system Strategic Plan.


The implementation outline for the NHIS Strategic Planning during 2008-2017

7 Sections

Section 1: Strategic vision of the National Health Information System: 1.1 Harmonize the contents of NHIS of Moldova to

international data frameworks, including to those recommended by the European Union working groups

1.2 Establish the data quality assessment procedures according to the Framework of Data Quality Assessment recommended by World Health Organization;

1.3 Strengthen the administrative capacity of subdivisions and NHIS resources.



Section 2: Strategic Planning related to population statistics: 2.1 Increase the national capacity and practices in

planning, collection, processing, analysis and interpreting the data from population censuses;

2.2 Improve the collection, processing, transmission, analysis, interpreting and use of data from vital statistics;

2.3 Increase the national capacity in planning and conducting population-based household surveys



Section 3: Strategic Planning related to strengthening of planning capacity and assuring quality of health-service-based statistics: 3.1 Strengthening the capacities of human resources

and facilities in information management; 3.2 Complete the set of procedures for data collection

management and use for all health indicators at national and subnational level.



Section 4: Strategic Planning related to development of the information technologies, improvement of data management and integration: 4.1 Development of information and communication

technologies; 4.2 Development of databases and mapping the

infrastructure and health services. 4.3 Elimination of fragmentariness of information

systems and integration of health service-based statistics;

4.4 Development and wide use of metadata dictionary.



Section 5: Strategic Planning related to special assessment of health financing sources, workforce, health service accessibility and quality : 5.1 Development of Health Satellite Accounts (National Health

Accounts) 5.2 Conducting regular feasibility surveys regarding infrastructure,

supply and quality of services provided by the health facilities; 5.3 Improvement of the system of tracking, reporting and analysis

of the human resources in the health system, including the health staff migration process.

5.4 Setting a system that tracks equipment, physical infrastructure and commercial products



Section 6: Strategic Planning related to the coordination of NHIS strengthening process: 6.1 Refinement of the legal and normative framework of NHIS; 6.2 Improvement of coordination in order to avoid NHIS

fragmentariness and to bring together the data producers, data users and units for health information support;

6.3 Establishment of the administrative body to ensure an ongoing coordination of actions focused on strengthening the NHIS;

6.4. Selection of the minimum national and subnational indicators that cover alt health-related indicators and implementation of technical standards in their measuring, analysis and interpreting.



Section 7: Strategic Planning related to the NHIS data and information analysis, dissemination and use: 7.1. Improve the capacity and practices of health managers and

physicians in NHIS-generated information analysis, dissemination and use.

7.2 Ensure the availability of information from all health subsystems for policy-making.

7.3 Improvement of procedures for information use in planning and priority-setting.

7.4 Grouping and communicating the information for decision-making process

7.5 Strengthening the capacity in evidence-based decision-making of managers at all levels


National Strategy on Information Society Development - “e-Moldova”

In 2005 Government adopted National Strategy on building Information Society e-Moldova

National Strategy on building Information Society e-Moldova contains a chapter dedicated exclusively for e-Health

www.gov.md


Main directions for – “e-Moldova Strategy”

Infrastructure

e-Governance

e-Democracy

e-Economy

e-Education

e-Health

e-Sciencee-Culture


Health is a priority for Government

One of the most important priority for Moldavian Government is health of citizens;The last elaborated documents are: National Politics in Health System (2007) Medium term Strategy for Health Sector (2007)These documents “collect” all concepts and

action plans under one big aim – better health care for moldavian citizens.


Medium term priority for Republic of Moldova’s Government in Health Sector

Reconstruction of health facilities in primary health care, hospitals, emergency health care and development their services according with European standards ;Procurement of modern medical devices and equipment in medical facilities;

Development of Integrated Medical Information System.


Main documents for eHealth development

Main documents for information systems development in Health sector are Concept of Integrated Medical Information System, adopted by Government Decision Nr.1128 on 14 October 2004 and Action Plan for his implementation, elaborated by Ministry of Health in January 2005


Obstacles in development of e-Health

Insufficient IT equipment in medical facilities (servers, computers, etc), low capacity of Intranet networks and Internet access channels.

Low training level of medical employees and patients in the ICT use;

Deficiencies of legislation and procedures


4 vital Concepts for National Health Information System

Concept of Automated Information System for Primary Health Care (local, regional and central level)Concept of Automated Information System for Hospitals (local, regional and central level)Concept of Automated Information System “e-Health Center” – EHR.MD – for central levelConcept of Automated Information System – Telemedicine.md


Concept of Automated Information System “e-Health Center” – EHR.MD


Conceptual scheme of the EHR.MD


We are at the beginning : We have Many questions … I am here to listen and learn This workshop will open the doors for

Electronic Health Record implementation in Republic of Moldova


Thank you for your attention

E-mail: [email protected].

Belgrad 2008.07.24 Strategic plan

Health & Medicine

health facilities

health services

health system strategic

health indicators

nhis strategic planning

national health policy

assuring quality of

health service accessibility