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eHealth Strategy for Romania

eHealth Strategy for Romania. Dr. Andrei KOZMA Minister of Health’s Adviser. Sep 2010. Ministerul Sanatatii. Integrated Health Information System (IHIS). eHealth vision. Future expectations. Electronic Data Management. Ministerul Sanatatii. eHealth vision.

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eHealth Strategy for Romania

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  1. eHealth Strategy for Romania Dr. Andrei KOZMA Minister of Health’s Adviser Sep 2010

  2. Ministerul Sanatatii Integrated Health Information System (IHIS) eHealth vision Futureexpectations Electronic Data Management

  3. Ministerul Sanatatii eHealth vision • Medical practice evolution: • From the treatment of acute illness, to the prevention of disease; • From considering each patient as an isolated entity, to perceiving the patient as a member of a population; • From a focus on the individual, to the broader perspective of public health • From paper documentation to an electronic, paperless environment

  4. MinisterulSanatatii IHIS eHealth vision • In order to obtain optimal results, a National Health Information Strategy is required: • Interoperability • Security • Data confidentiality • Cost-effectiveness • Standardisation 4 9/30/2014

  5. MinisterulSanatatii IHIS eHealth vision • The eHealth system should be designed in a manner that would offer the best possible results for its main beneficiaries: the patients 9/30/2014 5

  6. MinisterulSanatatii IHIS • Electronic Data Management • Patient related medical data, gathered in a consistent and uniform manner, nationwide, constitutes the Electronic Patient File (EPF), sometimes referred to as Electronic Medical Record (EMR) • EPF is generated at birth, is updated throughout the patient’s life and is stored in the system for an undetermined period of time. • EPFs must be interoperable, secure, consistent, safe and must ensure data confidentiality. 9/30/2014 6

  7. MinisterulSanatatii IHIS • Electronic Data Management • The medical data stored in the EPF can be accessed by the authorised clinicians at any time and from any location. • All medical service providers must contribute in the EPF in a standardized format. • This does notmean all medical service providers must use the same Health Information System, but the Ministry of Health should enforce the use of a minimum set of standards, in order to ensure interoperability. September 30, 2014 7

  8. eHealth objectives (1/2): MinisterulSanatatii IHIS Future expectations • Improved quality, safety and efficiency of the clinical processes • Timely access to patient electronic medical data whenever and wherever they are needed • Patient access to their own medical records and to relevant health information • Communication and information exchange between multi-disciplinary medical teams September 30, 2014 8

  9. eHealth objectives (2/2): MinisterulSanatatii IHIS Future expectations • Extensive use of international best practice guides and procedures • Unified national healthcare and health insurance data collection, both in the public and private health system • High level of security, confidentiality and control in relation to information management • Continuous health system improvement by ensuring a transparent and optimized reporting process • Implementation of a better informed health strategy September 30, 2014 9

  10. Chronic Disease Management IHIS Future expectations • Chronic diseases: • are long term conditions (over 6 months) • are not contagious • produce certain disfunctionalities or handicaps • in most cases, do not improve over time • are rarely healed completely • Chronic diseases are the main cause of death and morbidity, e.g. Europe (87% of all deaths, in high income countries, according to WHO – World Health Organisation) September 30, 2014 10

  11. Chronic Disease Management MinisterulSanatatii IHIS Future expectations • CDM represents a systematic approach to improving the quality of the medical servicesprovided for the chronic disease patients. • Instrument: an efficient system for the remote monitoring of chronic disease patientsand the prevention of related medical complications September 30, 2014 11

  12. Telemedicine MinisterulSanatatii IHIS Future expectations • Remote medical monitoring • enables medical professionals to monitor a patient remotely using various technological devices • Improves the quality of life for chronic disease patients, by reducing the number of hospital admissions • e.g. Electrocardiogram by phone • Interactive telemedicine services • Teleradiology and teleconsultations: shorter waiting lists, optimized use of resources September 30, 2014 12

  13. Telemedicine MinisterulSanatatii IHIS Future expectations • Homecare devices and applications • Glycaemia measurement devices • Blood pressure measurement devices • Devices for the recording of vital signs and other clinical indicators September 30, 2014 13

  14. MinisterulSanatatii IHIS Major Components Electronic Health Record CDM – Chronic Disease Management e-Prescribing Health Cards 9/30/2014 14

  15. MinisterulSanatatii IHIS Major Components Health Cards • Only after interoperability and infrastructure availability are ensured can we talk about a viable Electronic Health Card system implementation. September 30, 2014 15

  16. MinisterulSanatatii IHIS Major Components Health Cards • The experience of other EU states regarding Health Cards indicates that, whenever an implementation was successful, the cards were used as identification devices, rather than data storage. • [ In Germany, the efforts made over the last 8 years to implement a National Health Card System have not materialized yet.] • Even so, we consider that the introduction of a Romanian Health Card could have beneficial effects if proper approach and goals are adopted. September 30, 2014 16

  17. Health Card Functions MinisterulSanatatii IHIS Major Components Health Cards • Stores administrative information regarding health insurance. • Confirms the right of the patient to have access to medical treatment. September 30, 2014 17

  18. Introduction MinisterulSanatatii IHIS Major Components e-Prescribing • The existance of a well structured EPF system offers the basis for the implementation of a national ePrescribing system • Requirements: • new forms • new types of printers • reliable Internet connection September 30, 2014 18

  19. Introduction MinisterulSanatatii IHIS Major Components e-Prescribing • Advantages of an electronic prescribing system: • clear prescription text • minimization of human errors, through the implementation of a prescription validation expert system • limitation of fraud risks to the system • facilitates efficient resource management • automatic reporting process September 30, 2014 19

  20. MinisterulSanatatii IHIS Major Components e-Prescribing Prescription example (standard form) Unique identifier Patient related data Medication details 2D Barcode – contains details about the medication and the patient 1D Barcode – contains form number and doctor’s ID number September 30, 2014 20

  21. MinisterulSanatatii IHIS Major Components Electronic Health Record • Pre-requirements: • Standardized, complete and correct electronic medical data collection • Existence of IT tools for data analysis and statistical reports generation • Action: National EHR (Electronic Health Record) implementation • Objective: resource allocation and management according to national or even EU-level policies September 30, 2014 21

  22. EHR – Electronic Health Record MinisterulSanatatii IHIS Major Components Electronic Health Record • EHR is a complex system (comprising of hardware, software, people, policies and processes) which: • Gathers data from multiple sources • Is used by clinicians as a primary information source at the point of care • Offers decision support in evidence based healthcare. • The term describes the highest level of functionality in medical data computerized management September 30, 2014 22

  23. MinisterulSanatatii IHIS Major Components eHealth system structure Decision level Electronic Health Record Decision makers Medical data Economic data Decisions Primary level Electronic Patient File Medical service providers Information systems September 30, 2014 23

  24. MinisterulSanatatii Conclusion eHealth Strategy 9/30/2014 24

  25. MinisterulSanatatii Conclusions eHealth Strategy • This presentation, too brief - considering the importance of the issues in hand, aims to mark the importance of: • a coherent and stable (at least – for mid-term) eHealth strategy • proper definition of the roadmap and milestones • appropriate funding for each of the steps to be taken September 30, 2014 25

  26. MinisterulSanatatii Conclusions eHealth Strategy • Benefits: • Deployment at a national level of an integrated eHealth system, part of a national eHealth Vision • Reuse of solutions and experience from similar countries • Use of the state of the art technologies • Unique patient health record • Infrastructure and information to support the long term health strategies • Improved health services and quality of life September 30, 2014 26

  27. Thank you for your attention! MinisterulSanatatii eHealth Strategy for Romania Dr. Andrei KOZMA 9/30/2014 27

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