Introduction

1. Impact of a strategic implementation of Information and Communication Technologies (ICT). A conceptual model for Health Information Systems Authors: Dedeu T, Cornet-Prat J, Manyach-Serra J, Guanyabens-Calvet J Location: Barcelona (Spain) Abstract The development and use of Health Information (HI) and Information and Communication Technologies (ICT) to enhance the health network, requires a strategic design to be successfully implemented in order to achieve an harmonisation of health information in most health providers. MEETING OF THE WHO COLLABORATING CENTRES FOR THE FAMILY OF INTERNATIONAL CLASSIFICATIONS 29 October-4 November 2011 Cape Town Republic of South-Africa D047p Introduction Methods & Materials Results A strategic ‘road map’ for health information and ICT has been defined. This consists of 6 main strategic objectives and 34 actions which are currently undergoing. The impact of the strategy has resulted in the harmonisation of health information in most health providers. The governing model built in order to running ICT introduction and deployment on a participative basis with different stakeholders has resulted in: (i) Firstly, an Information System for Communication and Information Technologies Plan; (ii) followed by the establishment of two support organisations: (1) an Agency for Quality and Innovation, responsible for defining the aims , directives and deployment of general strategies for HI and ICT. (2) An ICT Foundation (TicSalut), which runs a platform providing means for telecommunications and interoperability. Background: The Ministry of Health of Catalonia (MoH) intends to promote the development and use of information and communication technologies (ICT) to enhance the health network in order to provide a model based on personalized attention to all citizens. To achieve success in this goal, the MoH has followed a governing model built on a middle-out approach, running ICT introduction and deployment on a participative basis with different Catalan stakeholders. The Catalan Health System is a public model of universal coverage with a mixed health care system that integrates in a single network the public use of all health resources, regardless of whether they are publicly owned, and which has brought together a tradition of organisations (health care funds, foundations, consortiums, Church-run centres) historically devoted to health care. This great variability in the ownership of the centres -many of them with their own electronic health records models– has brought about the creation of a single model to access the information databases of the different clinical information systems Key Actions • Shared Medical Record (HC3) of Catalonia • The HC3 is based on a decentralised management model, connected via interoperable systems using common standards. • Electronic Prescription (Rec@t) • The Rec@t facilitates coordination among health professionals, physicians and pharmacists and provides a patient's medication plan, which improves the safety of drugs utilization and the accessibility of patients to pharmaceutical services. • The Catalan Personal Health Folder • The aim is to accelerate the implementation of advanced technological applications that use telecommunications to optimise the quality and efficiency of the Catalan health services and to ensure equity of access to them. • Plan to Digitalise Medical Images of Catalonia (PIMed) • This infrastructure has resulted in 100% of the over 7 million X-rays taken in the Catalan healthcare centres each year being now available in digital form. • Telemedicine and TelecarePlan • TicSalut, as the executive arm of the government to evaluate and to promote the transformation of the service of health care formulates the following activities: • Observatory • Office of Standards and Interoperability • Telemedicine and Telecare policies • European projects • Relations and International projects Conclusions • The Office of Standards and Interoperability of TicSalut is: • The organisation which collaborates in the EU and national standardisation organizations, carrying out the translation of the international codes in health systems into Spanish and Catalan languages. • In addition to the development of a strategic plan for HI and ICT, the establishment of an organisation for standards adoption is required and, and index of technological progress for benchmarking between various health systems is also recommended. Objectives: To analyse the impact of the implementation of planned policies to deploy ICT according to the needs of the Healthcare System, its professionals and its citizens.