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ICT collaboration between private and public sector: The experience at IMSS

ICT collaboration between private and public sector: The experience at IMSS. International Conference on Information and Communication Technology in Social Security Moscow, Russian Federation 29 June – July 1 2005. A highly diversified organization…. 46 million beneficiaries in urban areas.

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ICT collaboration between private and public sector: The experience at IMSS

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  1. ICT collaboration between private and public sector: The experience at IMSS International Conference on Information and Communication Technology in Social Security Moscow, Russian Federation 29 June – July 1 2005.

  2. A highly diversified organization… 46 million beneficiaries in urban areas 40% of National Research Programs Sports & Culture Largest healthcare provider in Mexico 200,000 kids in Childcare centers IMSS-Oportunidades: 12 million people in Rural areas 2nd largest tax authority in Mexico Retirement and disability pensions For 2 million people US $7 billion in reserves 50% stake in Afore XXI (private pension fund)

  3. FACTORES PRESIONES • POLIOMIELITIS • DIFTERIA • TOSFERINA • GASTROINTESTINALES Y RESPIRATORIAS 2000 CONTROL, PREVENCIÓN Y/O ERRADICACIÓN 2010 EXIGENCIA DE: Inversión física anual promedio se mantiene en los mismos niveles en los últimos diez años 1990 --- $4 500 2000 --- $4 500 MILLONES DE PESOS DEL 2000 SOCIEDAD MAS CRITICA Y PARTICIPATIVA 65 Y MAS HOMBRES Ritmo esperado de crecimiento 5 a 7% 60 A 64 MUJERES 50 A 59 • MAS INFORMACION PEA crecerá más rápido que el resto de la población ENFERMEDADES CRONICO-DEGENERATIVAS, DE RECIENTE IMPACTO EN LA POBLACION 40 A 49 30 A 39 RANGO DE EDADES • MAS PARTICIPACION AUMENTAR LA COBERTURA CALIDAD 20 A 29 Población atendida creció en la última década en 27.5% • SIDA • DIABETES MELLITUS Afiliación del rezago 10 A 19 • MEJOR TRATO 0 A 9 Saturación en algunas regiones • AFECCIONES CARDIOVASCULARES 25 20 15 10 5 0 5 10 15 20 25 25 20 15 10 5 0 5 10 15 20 25 • CANCER Incorporación masiva de la mujer al trabajo • MAS OPCIONES % EN EL TOTAL DE LA POBLACIÓN Mas guarderías y prestaciones POBLACIÓN TOTAL: • PADECIMIENTOS RENALES 97.4 MILLONES 112.2 MILLONES Our major challenges Demographic profile Macroeconomic factors Morbidity profile Assertiveness

  4. Six strategic lines Budgetary Control Crystal box Long Term Sustainability ICT in Core Processes Civil Service Quality Management & Customer Service

  5. The beginings… • December 2000 • President Fox launched e-Mexico Program • e-government • e-health • e-learning • e-economy • December 2001: Reforms and Additions to Social Security Law • Autonomous Tax Authority • Electronic Transaction • Electronic Signature (Digital Certificate) • Electronic Patient Record • CURP in replacement of SSN • ID - Card

  6. Back to basics: the structure IMSS Tax & Revenue Authority Healthcare Provider Economic & Social Services US $12 billion per year 95% efficiency 30 days 137 field offices 120 million medical events per year 46 million beneficiaries 1,500+ points of service 1,250 outpatient 250 general hospitals 25 tertiary medical centers 3,000 points of service at IMSS-oportunidades Retirement pensions Disability pensions Childcare Theaters Vacation Centers Sports facilities

  7. Public and Private partnerships for the provision of e-Services • e-Tax • IMSS desde su empresa: IMSS from your company • SIAREFI • e-Health • National Initiative for Electronic Health Record • Outpatient: SIMF – SICEH • Inpatient: VISTA • Preventive vs Curative: PrevenIMSS • Medical Disability Advisor • e-Procurement • Transparency: El IMSS va a comprar, el IMSS compró. • Supply chain: SAI • GRP: Planeación de Recursos Institucionales • Cadenas productivas • Pension processing • Electronic payments

  8. Tax and Revenue Practice e-Services Vision 2007 2005 Numbering & updating 95% 62% Certification 98% 18% Invoicing 95% 5% Payment 95% 5% Self-determination 99% 99%*

  9. Tax and Revenue Practice • Availability: 7 x 24 (99.95%) • Distribution Channels • 12 Private Application Service Providers • Telefonica • Telmex • Microsoft • General Electric • Government Chanels • Citizen portal • IMSS portal • State governments portals • Co-branding • Web-Services • Estimated savings per year • US $40 billion

  10. Patients PORTAL Government Insured Base Management FULLY FUNCTIONAL Messaging Update QUERY MULTIMEDIA MINIMAL FUNCIONALITY Decision Support Bill Collection EVENT FLOW EXTERNAL PROVIDERS EHR ID RealTime Terms Telemedicine Vital Signs Monitoring SECURITY & Access Control Clinical Models Clinical Reference Guideline & Protocols Demographics Terminology Online Local Modeling Online Demographics Online Model Repository Online Sources e-Health:Electronic Health Record • Co-development with private sector to develop a virtual nation-wide backbone for all Health Information Management Systems • Adoption of International Standards • HL7 Ver. 3 - Mexican Chapter in operation • Standardization • CDA V.2 • DICOM • CCOW • PKI • 2005: 800 primary clinics (85% of potential ) • Laboratory, Hemodialisis and Blood Bank providers using HL7 V3

  11. e-Health:Electronic Health Record On-Line operation CENATI Monterrey 40 Unidades Medicas de Alta Especialidad 223 Hospitales de Segundo Nivel VPN IMSS >1200 Unidades Medicas Familiares CENATI México

  12. e-Health:Electronic Health Record INTEGRATED SERVICES Outpatient Imagenology HIS • Laboratory • Impromed • Falcon • Centrum • Hemodialysis • Pisa • Baxter • Fresenius • Nipro • Gambro • Blood • Bank • Falcon • Hemoser HL7 y DICOM3 ECE

  13. RMIM Labs

  14. HMD Labs

  15. e-Health Medical Disability Advisor e-Health: DSS

  16. e-Health • Outpatient • Functionality • Scheduling • Outpatient (Medical records, clinical notes, disability, ancillary, special formats, reference, presciption) • PREVENIMSS • Administrative • Reportes Operativos – Estadísticos (DSS)

  17. GRP: Government Resource Planning • Backbone for strategic areas: ERP / GRP • Standarized information • Centralized treasury Contraloría (Administración de costos y presupuestaria) • Administración de costos • Contabilidad de centros de costos • Contabilidad de costos de proceso • Contabilidad de costos de productos/servicios • Análisis de rentabilidad Contabilidad Financiera Contabilidad General Cuentas por cobrar Cuentas por pagar Contabilidad de activos Consolidación Administración de Inversiones • Planeación de la Inversión • Presupuesto de Inversión • Control de Inversión Cálculo de eficiencia • Administración de órdenes y proyectos • Pronóstico de Depreciación • Simulación de depreciaciación • Cálculo de depreciación Contraloría Institucional (Enterprise controlling) • Sistema de información ejecutivo • Planeación y presupuesto • Contabilidad de Centros de responsabilidad • Consolidación Tesorería • Administración de efectivo • Administración de tesorería • Administración de riesgos de mercado • Administración de fondos

  18. GRP: Government Resource Planning Supplier financing • Co-developed with Nacional Financiera (Development Bank) • Electronic transactions • 24 hours after Reception of Goods or Services

  19. UNIDAD MEDICA DELEGACION FARMACIA ALMACEN Registrar recepción de bienes Registrar Solicitud de Compra Registrar Solicitud de Compra Registrar recepción de bienes ABASTO FINANZAS ABASTO SIPADE Genera OrdenCompra y dictamen disponibilidad presupuestal Registra facturas Genera Alta Contratos Altas Compromisos Altas Pasivos Pagos Cierre Mensual. SAI DBASE CONSERVACION Y SERVICIOS GENERALES Altas de compras directas y contratos INFORMIX Contratos con máximos y Mínimos de la unidad. SAI Registrar Solicitud de Compra Registrar recepción de bienes Contratos Montos Catálogos O. de Compra Facturas SQL SERVER Altas de compras directas y contratos Montos comprometidos y devengados Disponibilidad por Partida $$$ Autorizado Comprometido Devengado Pagado Montos autorizados por partida presupuestal IMSS VA A COMPRAR IMSS COMPRO PRESUPUESTO CONTABILIDAD Y TRAMITE SIPADE Asigna y/o Valida No. De Compromiso Partidas Montos Facturas Adquisiciones Institucionales REDBRICK Registra pago de facturas y actualiza monto real por partida. DBASE e-Procurement • Largest single purchaser of goods and services in Mexico: US$3 billion dollars • Network centric supply chain system: Sistema de Abasto Institucional • On-line transaction & monitoring: 2,000 points of services (warehouses, in-house drugstores, clinics, hospitals, etc.) • 4,000,000 purchase orders per year (98% internet based) • 17,000 suppliers • 14,000 people in logistics related jobs • The Mantenimiento de Inventarios Pilot (inventory management program) • Co-Developed with National Asssociation of Medical supplies manufacturers and distributors • Service Level Agreement based • Availability • Reliability • 3 Integrated logistics providers • 18 companies • In operation at Tertiary Hospitals

  20. El IMSS va a Comprar, el IMSS compró • IMSS VA A COMPRAR • Prebases • Calendario • IMSS COMPRO • A quién, términos y condiciones • QUIEN ES QUIEN • Proveeduría • Gestión del abasto

  21. Co-developments with Secretaría de Economía (Ministry of Economy) • Software development • PROSOFT Program: National Program for the development of software industry • 500,000 man/hours per year

  22. Human Capital Management • Julio de 2002: Distance Learning Program • Co-Developed with National University (UNAM) • Nurses: Bachelor Degree • MD: Family Medicine • Advanced Management Programs • 250+ executives • Private Universities: IPADE (Panamerican), ITESM (Tec de Monterrey), Instituto Tecnológico Autónomo de México • Information and Communication Technologies • 60,000 + employees • Private: IBM, Microsoft, Sun Microsystems, HP, Gartner • Public: National University • Quality Management: ISO 9000:2000, Six sigma • 400 executives • 20,000 employees • Civil Service • Union: SNTSS

  23. All of these programs were developed with the cooperation of: • IDA/Infocom/Ie Singapore • NHS UK • HL7 • Ministerio de Previsión Social – Brasil • Dataprev – Brasil • Tesorería de la Seguridad Social – España • General Services Administration • Social Security Administration • Unidad de Servicios Electrónicos Gubernamentales (ahora SFP) • e-México • INEGI • OIG Presidencia de la República

  24. Thank You!

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