Health information System: From Strategy to Reality

Martin Smutný

9 June 2011

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It is really so difficult ?

Health Information System

eHEALTH – TYPICAL QUESTIONS

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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

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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

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KEY PRIORITIES

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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

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Port

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ePRESCRIPTION

Registration system

Interactions

Contraindications

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Port

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TELEMEDICINE

A tool for patient empowerment

Cost and time effective

Easier access to specialist

Higher quality of healthcare service

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Port

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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

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Port

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Tele

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PORTALS

Presentation layer of eHealth services for patients

Professional approach or social network?

Quality comparison

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Inte

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FINANCIAL MODEL

Primary investment

Operational costs

Business model

Sustainability

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eHEALTH BUILDING

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Reliable partner with real experience

Asseco Group

HEALTHCARE - SEGMENT COVERAGE

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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.

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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”

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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

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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

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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.

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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

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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

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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

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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

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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

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ONE OF THE LEADING SOFTWARE HOUSES IN EUROPE

8th place on the list for

Asseco Group

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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/

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