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EHR S ystems U se and Q uality in Italy

EHR S ystems U se and Q uality in Italy. Angelo Rossi Mori President of PROREC Italy. Basic facts about: the country a regionally-based health service paid by taxes provides universal coverage the health care system

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EHR S ystems U se and Q uality in Italy

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  1. EHR Systems Useand Qualityin Italy Angelo Rossi Mori Presidentof PROREC Italy EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  2. Basic facts about: • the country a regionally-based health service paid by taxes provides universal coverage • the health care system national level ensures general objectives and fundamental principles; regional governments ensure the actual care delivery through Community Care Trusts (Local Health Units)and public and private accredited hospitals Countrycontext EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  3. Basic facts about: • General IT status within the health sector the Ministry of Health, the Ministry of Innovation and the Regions have agreed to operate jointly to carrying out the ehealth national strategies and particularly for EHR diffusion, through a State-Regions coordinating board. Formal certification process is not currently in place in Italy. Countrycontext EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  4. Market for the different segments EHR systems: market EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  5. Market shares EHR systems: market EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  6. Number of suppliers (approx.) EHR systems: market EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  7. Evolution of the market million euro (source The Healthcare Information Technology Market, ref. Holding Bracco Esaote) EHR systems: market EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  8. Formal certification process is not in place in Italy. Most regional EHR infrastructures verify the ability of GP systems to fit local rules and approve their usage within the regional system. The main producers of GP systems made a consortium to self-certify the adherence of each system to a basic set of requirements. EHR systems:legal/regulatory context EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  9. the MoH established in 2001 a SteeringBoard with central government and regions to rule the New Nat’l Healthcare Information System (NSIS) and semantic interoperability. • the Ministry of Innovation established in 2004 a eHealth Board (TSE) with MoH and regions to harmonise e-health policies • Ministry of Innovation, Federation of Local Trusts and Municipalities (Federsanità-ANCI), Forum of Public Administration (ForumPA) and National Research Council (CNR) promoted a tool to monitor readiness and adoption of ICT in Local Trusts (LITIS – Levels of Technological Innovation in Healthcare). EHR systems:legal/regulatory context EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  10. The eHealth board (TSE) defines the normative and technical framework, IBSE, a national EHR federated infrastructure and IPSE (the mirror project of EPSOS). A law in the Parliament will formally establish the EHR also for secondary uses; a regulation will be produced after 6 months. EHR systems:legal/regulatory context EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  11. Several Regional Authorities are establishing their regional eHealth Board, according to local rules and competence centers (e.g. Arsenal consortium among Local Trusts in the Veneto Region). Some Regional Authorities are developing eHealth roadmaps with EHR’s development (some based on European Structural Funds) EHR systems: quality assessment EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  12. EHR systems: quality assessment EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  13. List and present the public initiatives In March 2010, TSE began working on interoperability between different regional EHR, with the production of specific criteria (Good Practice Requirements) that indicate how to implement validation of the phases of integration, conforms at C1 “EHRS infrastructure component” and C10 “EHRS Interoperability component”. EHR systems: initiatives, plans EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

  14. Contact data and web sites Angelo Rossi Mori, PROREC Italyarossimori@gmail.com TSE www.sanitaelettronica.gov.it/ NSIS www.nsis.ministerosalute.it/ Closingslide EHR Systems Quality Labelling and Certification 21 - 22 November 2011, Belgrade

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