Quick facts of Andalusia 8,415,490 Inhabitants 87,597 Km 2 Regional responsibility on health policy and healthcare since 1984 1,146 Primary Care Centers 47 Public Hospitals (16,281 beds) 9,390.2 M € Healthcare Budget 2011 Leaders in Health IT Symposium - Regional Panel Benefits of a long term e-Health strategy at regional level José L. Rocha General Secretary for Quality and Modernization Regional Health Ministry Andalusia Region - Spain [email protected]Andalusia
Brief view of the achievements of a regional long-term e-health strategy done in Andalusia, the southernmost region of Spain. It is a comprehensive strategy for the whole population of this spanish region: more than 8 million inhabitants. EHR, electronic prescription, appointment, lab tests, image and others. An independent economic study shows a 260 euros of benefit for each 100 euros invested after 10 years of starting the initiative
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Quick facts of Andalusia 8,415,490 Inhabitants
87,597
Km2
Regional responsibility on health policy and healthcare since 19841,146 Primary Care Centers
47 Public Hospitals (16,281 beds)9,390.2 M €
Healthcare Budget 2011
Leaders in Health IT Symposium - Regional PanelBenefits of a long term e-Health strategy at regional level
José
L. Rocha General Secretary for Quality and ModernizationRegional Health MinistryAndalusia Region -
E-Health: Improving quality of care and reducing health and social care costs
Main objective of the Andalusian
e-health strategy (the DIRAYA project):Integrate all the healthcare information of every patient in a Single Health Record
for each citizen
•
A long-term
Strategy: From 1999•
Unique health record number
for all citizens of Andalusia
•
A individual smart card
for each person as a key for access•
A regional EHR shared among:–
Primary
care
–
Pharmacies–
Hospitals
–
Emergencies
EHR in Andalusia: main features
Appointment Prescription
Radiology
Waiting lists
Functional tests
Pathology
Lab tests
Inpatient care
Referrals
Outpatient care
Primary care
Hospital admission
Data warehouse
Emergency care
Much more than an EHR: A corporate information system
Completion level Tool Population Cases in 2010▌▌▌▌▌▌▌▌▌▌ Clinical Station 100% 7.9 M Pat / 39.7 M Sheets▌▌▌▌▌▌▌▌▌▌ Appointment 100% 83 Million▌▌▌▌▌▌▌▌▌▌ Referral tool 100% 3 Million│▌▌▌▌▌▌▌▌▌ e-Prescription 99.5% 105 Million
│▌▌ Analysis 25% 360,000▌▌▌▌▌▌▌▌▌▌ CS-Hosp. Emergencies 100% 3 Million
Present value of cumulative costs Present value of cumulative benefits
Cumulative economic performance
•Unrealistic expectations•Technology fascination: e-health as an objective itself•Insufficient IT training of healthcare workers•Underestimate preparation for implementation•Inadequate IT infrastructure•Disappointing short-term results
Lessons learnt: warnings/risks
•
Align
the EHR development with the regional government’s health strategy, supporting it
•
Integrate
the projects needed for each module into a single project
that delivers interoperable all the information
•
Step by step
implementation assuring its use after a carefully designed piloting
•
Ensure that the project horizon is long
enough, so that there is enough time to involve stakeholders and to adapt the system accordingly.
•
Bottom-up
approach: critical role of health care professionals in the design and development.