Potentials of e-health for implementation of National Health Program

1. Potentials of e-health for implementation of National Health Program Prof. Juozas Pundzius Chairman of National Health Board

2. National Health Program • Year 1998: - the National Health Program was approved by the Parliament of Lithuania • established National Health Board with given responsibility for health policy coordination, including systematic analysis of health situation, coordination and simulation of public health action

3. The main objectives of Lithuanian Health Program • Reduction of mortality and increase of average life expectancy; • Equity in health and health care; • Quality of life improvement.

4. Content ofNational Health Program • Specific objectives (reduction of mortality and morbidity of CVD, cancers, reduction of accidents etc.); • Achieving healthy lifestyles; • Improvement of the environment; • Appropriate health care; • Financing of health care.

5. The 10 “E” ’s in "e-health" • Efficiency – increase efficiency in health care • Enhancing quality of care • Evidence based – e-health interventions should be evidence based • Empowerment of consumers and patients • Encouragement of a new relationship between the patient and professional • Education of physician through online services • Enabling information exchange • Extending the scope of health care • Ethics – new forms of patient-physician interaction • Equity – to make health care more equitable

6. The circumstances which caused the development of e-health Computer – literate public The empowerment in health B2C (business-to-consumer) e-health (Ball MJ, 2001)

7. The circumstances which caused the development of e-healthThe empowerment in health • Problem: • Especially fast developing Health and Informatics technologies overtake human training and psychological readiness to work with high technologies • Solution –education and sharing of knowledge • Pilot projects and experimental testing in: • University hospitals • Regional clusters (Medical + technical universities + academical hospitals)

8. The circumstances which caused the development of e-health • The regional cluster in implementation e-health • Kaunas university of Medicine • Kaunas technical university • Kaunas medical university hospital • University research institutes

9. The circumstances which caused the development of e-healthB2C (business-to-consumer) • Problem: • Producers offer to client most complicated, sophisticated and of course most expensive, but often only partly applicable products • The goals • To choose and accept for implementation only evidence based and adequate according needs health technologies • Solution • HT assessment and testing in: • University hospitals • Regional clusters

10. The circumstances which caused the development of e-healthB2C (business-to-consumer) Choice in purchasing hospital informatics system Integral professional software SAP Foreign specialized product c.a.r.u.s., Germany Local produced software “AIVA SISTEM”

11. The circumstances which caused the development of e-healthComputer – literate public • Problem: • Medical public is not very computer maturated • Solution • Education and staff training in: • Universities • Regional clusters

12. The tools of e-health in implementation ofNational Health Program National Health Program -equity in health care; -quality improvement. Telemedicine -health promotion; -health education. Tele-education -monitoring; -development of health information DB. Tele-research -management of health care services; -transforming flows of information in HCS. Tele- administration

13. Telemedicine and National Health Program (1) • Quality of health care: • Online consultations: • Physician to physician; • Physician to patient; • Personal health risk assessment. • Specialist services in hospitals without onsite support; • Educational opportunities for physicians.

14. Telemedicine Education: From working place to audience in long distance

15. Telemedicine and National Health Program (2) • Equity in accessibility of health care services: • In-home monitoring of chronically ill by disease management programs; • Directories of providers; • Developing personal medical electronic record; • Online registration; • Monitoring personal health improvement and fitness programs; • Electronic payment for services.

16. Telemedicine Teleconsultations

17. Tele-research and National Health Program • Monitoring influences changes in health status of the population; • Participating in the research; • Developing the health information data bases.

18. Tele-administration inNational Health Program • The use of information and communication technology for planning, implementation, funding, and assessment of disease control, quality, efficiency and effectiveness in service supply. • This also includes epidemiological surveillance and control, and administration of human, technical and other resources. • Administration of health information • Inside institution • Transferring to the central database

19. Main kinds of health information • National and international health information databases; • Registers (ex.: National Cancer register); • Data bases in health care sector (ex. : DB of National Sickness Fund).

20. E-administration of information Presentoutflows of information in Health care system Information flows Sickness Fund Registers Health Care Institution Public Health Institutions Health Information Center Passport data Specific clinical data

21. E-administration of information Futureoutflows of information in Health care system (Vision) Sickness Fund Various registers  Health information bank Health Care Institution Passport”information Clinical information PHC centers Ministry of Health LHIC

22. Possible barriers for E-health in implementation ofNational Health Program • Lack of universal Internet access • Computer illiteracy • Limited knowledge of how to “surf the Web” • Cost of purchasing computers for personal use • Unwillingness to share information • Compatibility of systems between customer and Web-based organization

23. Benefits of use of e-health implementation of National Health Program to Health Care System • The system of personal medical records in the network and personal cards; • System of registry of incidence of disease and payments for health care services; • The regulation of the patients flows in counties level; • The analysis of health indicators of the population; • The monitoring of activity of the health care institution; • The planning of health resources.

24. The benefits of use of e-health for implementation National Health Program • The information about health is more accessible to population; • Increased efficiency and quality of health care delivery; • The empowerment of patient to take care of his health. Better health for population

25. E-health implementation in National Health Program e-health tools Implementation of National Health Program Health promotion Health care financing Health education Health care provision Health information

26. Thank you for attention